Friday, February 15, 2019

Is Life a Highway?

Life is a journey, not just a destination.

As an aspiring physician, I was focused, goal-directed and hard working. There were times that things didn’t go my way but I found hunkering down, working harder, working different, staying focused on my goal was enough to get me where I needed to go. As a resident, I find myself surrounded by hard working, focused people with similar temperaments who like to solve problems and who work really damn hard. The road we are on is an Interstate, speed limit 75, no sleep til Brooklyn.

As a parent, putting my shoulder to the grindstone doesn’t yield quite the same result. Working harder as a parent doesn’t necessarily get you anything. And it isn’t just your work that matters. As my kids get older, I have less and less control over anything. And that is so frustrating for the hard-working, goal-directed Interstate driver in me. This is more like being on a city bus that’s going to the general part of town I want to be in but maybe not exactly where I want to go and makes who knows how many stops! I don’t always know what the right thing to do is, I can simply do my best and LOVE my children through whatever life throws at us.

According to my plans, this second year in Asheville was supposed to be an easier year for our family. The kids were going back to a school they’d been to before, they had made it ALL school year last year without missing the bus, now it would be even easier. This would leave space for me to be more focused on my residency, which would be harder than last year.

Make plans and the Gods laugh, right?

This year has NOT been an easier year for my kids. They’ve both had some problems that many of my friends probably already know about but I’m not putting on the internet. Teens have their own stories that they control and my blog isn’t the place for me to talk about them.

In my residency program there are only 11 other people who can do my job. At home there’s only one. And that job has become a job that cannot be done by the many surrogates and supporters I have. It can’t be outsourced, it can’t be done over the phone or by text. I have to be here, putting in the face time, navigating daily life with them. There are good days, where they are doing well and don’t seem to need me much, but there are bad days too, where a high-touch parenting approach is needed.

The unpredictable nature of good days vs bad days, and the crucialness of my presence on those bad days, makes me a terrible team member for those other 11 people (and the 4 interns who do important work, just not my job yet). They deserve to have a reliable team. I’ve been working very hard to try to be all things to all people but I just can’t do it.

I can’t do it. As much as I want to. As hard as I’ve tried. Some things can’t be accomplished with grit and hard work.

So, for the next little while, I’m going to stop pulling myself apart. I'm going to stop being a resident, for just a little while. I have the most amazingly supportive residency program, they are going to hire me to use my MPH and my clinical skills together to do research. As a single mother, I need my salary and working a 40 hour work week will seem like half a job (it will be about half the hours I was working before!). With flexibility to work from home sometimes and no nights or weekends, I can be the parent I need to be right now.

One of the people I sought advice from this week while figuring all this stuff out gave me some great advice: Think about what difference this choice will make in 5 days, 5 months and 5 years. In just the last few days of being more accessible, I can see my kids unfolding and coping better. In 5 months I hope that their lives will be stable again. Maybe I’ll be able to use this time to take care of myself as well - to exercise, socialize and get some regular therapy. I still have a bit of healing from my divorce and resettlement process that could benefit from some time to reflect. In 5 years, everyone I’m inconveniencing will be finished with residency, so will I. They will have made it through the Larissa-sized hole I’m putting in their lives. It won’t matter as much to me that I didn’t get to graduate with the class I started with, that my residency will be finished in October or November instead of July like nearly all residents everywhere. My little ego bumps and their big scheduling nightmares will be over.

Sometimes the road of life has unexpected curves in it. It still gets you where you are going, but you’re going to have to slow down, take the corners carefully, maybe stop and get gas or a bite to eat off the beaten path.

Life is more than a destination.

Monday, February 11, 2019

These can't be Still Life because I never stop moving. How about Blurry Snapshots?

That Teen Whiplash is hitting me again, but the other way - my kids are incredible humans. They are strong, resilient, emotionally intelligent, compassionate, well attached to their loved ones (including each other) and are all around awesome human beings. Between them, they made dinner 3 times this week, once at my request and twice just to be nice to me. Explicitly because they wanted to do something nice for me. These amazing humans.
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I did the better part of a vaginal hysterectomy this week. It was spectacular. Some of the things I really like gyn surgery: it is fascinating to work in the pelvis - getting a uterus out without messing up the bladder, the ureters, the rectum or the clitoris is a technical challenge that requires solid technique and knowledge of anatomy. At the same time, it is not all consuming - there are surgeries that general & other specialist surgeons do that last many many hours. Most of our cases are a couple of hours long. I have no desire to test the limits of my physical endurance by operating for 5 or 6 hours in a row if I can ever help it.
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I have 2 and a half days off in a row this weekend - half day b/c I spent most of today taking an annual Ob/Gyn resident exam, 2 because I also get MLK Jr day off! We take turns getting these bank holidays off (also 4th of July, Labor day, Memorial day). Four residents in each class, four bank holidays. I’m really grateful to get a couple days where I get to sleep in to the limits of my distorted circadian rhythm. I’ll be up early by most standards, but the peace & quiet of a cup of tea and no place to be is just as restorative for me now as sleeping until noon used to be. (Edit: I ended up sleeping until nearly 11 am and both kids were up before me! So much for peace and quiet, but it felt good!)
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There are a number of things that I think about during the day and think “I should write about that” and then when I get home I have forgotten that there was minutia in my day that I wanted to explore. I need to make some sort of notes about it but I always think, “Naw, I’ll remember! This is really interesting!” (Edit: still haven't worked out a system yet)
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I had occasion to be on Peds this week, just meeting a co-worker who was seeing a patient there, not seeing someone myself. But it was the first time I’ve been on that unit since my son was a patient there. It was hard and I had to do some work to shove it down and move on with my day and then some more work to dig it back out again and look at it. Things are better now, but they were pretty scary that weekend.
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I am at the phase in my rehab that the exercises are working, my knee feels better and then I do something really nutty like putter around the house for a half a day and then it hurts more the next day. I hate this phase. I’m actually a pretty good PT patient. I do my exercises, I don’t over do it, I don’t try to get back to working out too soon. But I’m really bad at remembering that I can’t do basic life things. Yesterday I hung pictures, I put away clothes & did laundry, I spiffied up my room a little - fixed a broken picture frame, got rid of some junk. Unfortunately, I have a multiple story home and I went up and down stairs and I walked around Target & the grocery stores. Today was a day of rest - the most vigorous thing I did was go to a movie with D (we saw Glass - it was good, which you never know given M. Night Shyamalan’s track record, still haven’t forgiven him for The Last Airbender). I’m hoping that some RICE treatment will make tomorrow a better day but we’ll see. And now my room looks nice & D has some pictures up so there’s that.
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I seem to have done something spasm-y to my back. Throughout today on the left very low it has been painful and tight, to the point of taking my breath away and making me nauseated. I spent many hours with a heating pad on it. That seems to help. I am not used to back problems. It makes me feel helpless and old and decrepit and irritated. I want to help my mental and physical health by working out and I can’t even effing stand or walk.
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Nothing like working nearly every weekend, being sleep deprived, isolated, exhausted and injured to really cheer you up. Calgon take me away!
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I have used all the advice I could muster and managed to minimize a rather debilitating back spasm in less than a week. I’m still a little sore but feeling better enough that I almost forget to do the stretches that are helping. I was a bit worried about how my 24 on Friday night would impact my back but other than some stiffness from sitting to do notes for too long, I think being awake and moving all night (no napping this time unfortunately) actually kept it from getting too stiff.
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I really want a hobby but I am having a hard time mustering energy for anything. I have yarn, hooks and patterns for crocheting amigurumi, a simple DIY embroidery project kit I bought and have completed about 25% of, coloring books, markers & pencils, and of course I still have roving and felting supplies. I have a couple great books, a cool graphic novel and some around the house things I want to do. I’m not depressed, I want to be clear. I don’t have anhedonia, I have exhaustion. It is very boring.