Showing posts with label childcare. Show all posts
Showing posts with label childcare. Show all posts

Thursday, August 6, 2015

Going to the Doctor

Recently, I took Blur2 to the doctor. He’d been having a diaper rash for weeks. Initially, it started out like any other rash and my usual treatment (40% zinc oxide) worked. But weeks later, it was worsening and my treatment wasn’t working like it should if it was a typical diaper rash. So we went to our doctor.

I love my/our doctor (and the whole office) but I hate going for these minor ailments. As an ED doc, I knew what the next step was likely an antifungal cream; as a Mom, I didn’t want to be treating my own kid. Some of my colleagues and doctor friends would have just called in their own prescription. I feel dumb sitting there, telling the story, just really wanting reassurance. I do have a small supply of medications and laceration repair supplies at home for minor things; we don’t go for every URI/fever/etc but when things aren’t going how I expect, we go to the doctor. When Blur2 went through ear infection after ear infection, I kept hauling him into the doctor, to get them all documented because I was afraid he was going to need tubes - he ultimately did.

We have a separate Pediatric Emergency Department that is staffed by Peds EM and plain EM doctors. I do about 20% of my shifts there and most of them on the overnight shifts. I remind myself of my feelings that I have sitting in my own pediatrician’s office and teach my residents that the parents are often just looking for reassurance - that this fever is a virus, that this GI bug will pass, that this rash is not a serious rash, that the simple closed head injury does not need a CT scan - and guidance as to what to look out for next that would mean something serious.

I got my reassurance and prescription for an antifungal cream. And I feel better and so does Blur2.

When do you take your kid to the doctor? What’s your threshold? What do you take from your personal healthcare experience and add to your practice?

Wednesday, July 1, 2015

See you in a month, Itty!

A couple of weeks ago, my husband, N, and I found out that we both started our intern year in the MICU.  We soon realized that this meant that we would almost never be able to pick our daughter up or drop her off at daycare. Considering it would be her first month ever in daycare, we were stressed!  Nanny interviews commenced, and we tried to ignore the impending financial doom that our first month with a paycheck would bring (due to the high cost of nannies). 

Soon thereafter, my mother-in-law suggested that we take our daughter, Itty, back home to spend the month with grandparents, aunts, and uncles.  Just for reference, we moved 15 hours away from “home, home” a month ago, and we have no family nearby.  Initially, I was resistant to the idea, as I couldn’t imagine a month without my Itty, but we eventually decided that it was probably the best idea for everyone.  Itty would get to see her extended family, who previously provided all childcare for her, and N and I would have a month to focus on our new roles at physicians.

She’s been gone for 4 days now.  While I was very sad during the first couple of days, I’m now realizing what a great idea it was.  Grandparents are happy, Itty is happy (at least for now, she doesn’t miss us too much), and we do not have to worry about her at all during a stressful day at the hospital.  I had forgotten what it was like to not have to think about picking her up, feeding her dinner, giving her a bath, getting her ready for bed, and putting her in bed.  Not to mention the middle of the night awakenings that still seem to happen although she is almost two years old.  Once you have a child, it is difficult to remember life without one.  

Part of me almost feels badly that I’m enjoying this “me” time so much.  I miss her tremendously but also feel that a significant burden has been lifted, at least temporarily.  Has anyone ever done anything similar?  This is probably the only time that we will ever send Itty away for a whole month, so does anyone have any childcare tips if we are ever in a similar situation again?  We were so worried about having multiple new caregivers in such a short period of time, especially with the limited amount of time that she would be able to see us anyway.  I can’t tell you how many times I’ve asked myself, “How are we going to do this?  What did we get ourselves into?  Why did we move so far from our families?”.  However, I’m confident we’ll figure it out, little by little, with a lot of help from others (hint, hint!).

On another note, I was a physician today :)  Crazy!

Monday, April 20, 2015

Hurtling toward the next phase

I have searched but I cannot find the flying trapeze story I read a few years ago that explains my life, so I’ll paraphrase and add to it here:

I swing back and forth preparing for my next take off. I have prepared, but I know that this leap is longer and more challenging than ever before. In spite of a long line of successful jumps, there have been some near-misses, some full on misses, some blood, scrapes and even some still healing deeper wounds. This time I jump, my husband is watching and waiting readying himself for his jump into dissertation land and as we prepare Zo waits by ready to take off with us.

Well MiM friends, it’s official, I have accepted a position as a Pediatrician in my dream clinic. I’ll be back in DC working at an academic center-affiliated community clinic. I did my community pediatrics rotation there as a medical student and so many of my respected supervisors and medical school friends are still there.

Interviews were a whirlwind. I met so many nice people, got lost countless times, learned even more about what I need, want, and will compromise on.  

And now onto school finding. Every day I have a mini-freak out when I think about Little Zo starting pre-k. Our cherubic toddler has been replaced by an almost 4 year old hilariously funny and extremely sweet rib-protruding knock-kneed ball of energy. And then I freak out more about making pick up and drop off work and I pray so intensely that we find the right environment for him and that we will find balance so I can rock my boards and O can finish his dissertation expeditiously. I wish I could transplant his daycare to DC.

And house hunting on a single income in a very tight housing market is not my favorite thing to do but I guess house hunting without the beloved Property Brothers will always be lackluster. We have several leads on promising houses and are heading up next weekend prepared to make an offer. Can’t wait to have our first home secured and then on to do-it-yourself projects for years to come.

This jump seems epic. Push-pull-push-pull, forward backward forward backward, take off.

Friday, December 19, 2014

I'm too old for vacation care!

It's arrived.  The 12.5 year old boy child who already thinks he's 22 and in charge of his own life. Occasional glimpses of my sweet, tender, gentle boy peek out between the lashes of the billy goat gruff.  Sigh, always knew it was coming, still a shock when it's here!

 My problem, however, is not BGG, for I know it too will pass.  It's actually vacation care.  Entering high school next year, vacation care no longer exists!  The problem is, not only does he have a 9 year old sister, who will still require vacation care, but I actually think he's too young to be spending vacation days at home alone.  All that unsupervised internet at the very least.  He wouldn't be allowed out of the house, so I'm not so worried about his wandering the neighbourhood, although it's a slippery slope, and I'm sure it wouldn't be long before "Mum my can't I meet my friends at the wherever?"  The other issue of course is little girl then feels hard done by, if BGG is allowed to stay home, and she has to go to vacation care.  Another Mum at my work faces the same dilemma - her eldest is a girl, and she has two younger siblings.  Her daughter is already telling her she's too old to go to vacation care - at least my son hasn't cottoned on to that just yet, but I know it's coming (I wonder if I can still sneak him into vacation care with my daughter?)

I know many have trodden the boards before me - what does one do when vacation care disappears?
Or are the apron strings too tight?

Vacation care is an Australian version, I think, of Summer Camp - run by the YMCA (and other places), for days when school is not on, and held Monday to Friday of all school holidays (breaks?).  It's for ages up to 12 years and held at your child's school.  It's day care only, dropping off each morning, picking up each evening.  

Monday, May 12, 2014

Hot (Scheduling) Mess

There has been a lot written lately about work-life balance. In a session with my Therapist last week, she laughed and said “you’re a Resident, for this last year of residency, I really just want you to survive!” We spent the remainder of our session coming up with ways that I can pay people to do things I don’t have the time to do. And she made me promise to work harder to eat better, sleep more, and exercise more; my turn to laugh. Next week, our family will be trying out a week of made-from-scratch meals from a local organic market while I finish a busy week of nights. And we are looking for a second cleaning person after the first one proved to be a bad fit with our family.

Scheduling time away from work for things like research, board exams, and doctors appointments is an exceedingly stressful aspect of my life. Because we get our schedules pretty late, I try my best to email the our Scheduling Attending and Chiefs at least several months before I think I’ll need time off. Nevertheless, I sometimes get my schedule and there are conflicts and then I have to forward back my original email requesting time off and the hot-scheduling-mess begins.

Last year, when I took my Step 3, I emailed the Scheduling Attending and waited so long for a response that the dates kept filling up. I had to extend my eligibility period and finally had to use research time to take the test. I have heard countless stories from other Residents recounting their shared experiences (many have to use vacation time) and how stressful it is to try to do things you have to do.

This year, my son will be spending my last Intensive Care Unit month with his grandparents while my husband is away doing research. He will spend the first 3 weeks with my parents, but once their vacation time is used up, he’ll spend an additional week with my in-laws. At the suggestion of my husband, I emailed the scheduling Attending and requested off a single day and offered to make it up during my vacation.

I feel guilty that we need our parents to watch him. I feel guilty that I asked for a schedule change. However, it would have been a very stressful and traumatizing experience for all of us if I tried to travel, get Zo acclimated, and get myself ready for life without my family for a whole month in 2 days. And then to make me feel even worse, I get an email saying that the Scheduling Attending talked to my Residency Director and my Clinic Attending and she would like to know if I really need that extra day off. They understand my unique situation but they want to double-check before they reschedule me.

As I began to stifle my tears, my husband came over to rub my back. I explained my distress and he reiterated that even though it’s hard, I have to ask for what I need. He reminded me to not feel bad and that “it’s the culture” of medicine that makes it difficult for folks to realize that what we are asking for is not unheard of.

After taking a break, I responded that yes I do need the day, that I would personally call the 2 patients I have scheduled, and that I again would be more than willing to make it up using a vacation day.

Thus ends this installment of my hot-scheduling-mess until the response email. Dunnn dunnn dunnnnnnnnnnn.

Wednesday, February 5, 2014

Involved, but not quite a “Lunch Lady”

Today was my first day volunteering at Zo’s daycare. He attends a quaint Spanish-immersion daycare and we love it! My husband and I can’t say enough about the amazing ladies who run the daycare. The children are loved and now Zo knows more Spanish than both of his parents.

I grew up with a stay-at-home mother who volunteered at my school all of the time. Much to my chagrin, for a short while in elementary school she was a “Lunch Lady”. I never really realized just how much it shaped me to have my mother around so much. I may have complained in the moment, but knowing that she was around gave me a sense of stability that has truly shaped who I am.

Flash forward to today, as I sit during a “stay-cation” (not nearly as much fun as Cutter’s "Best Week Ever"), I am working on IRB revisions, completing training modules, a case report, and ordering interview dinner food, all while getting over a fierce upper respiratory infection. In the midst of the many moving parts in my life, I volunteered at Zo’s school today and it was SOO MUCH FUN, here’s how it went:

When I arrived at the agreed-upon 10am, Zo’s eyes lit up and he proudly told every toddler who tried to hug me “this MY mommy”. His teachers began singing a song in Spanish about cleaning up and getting into a circle and 85% of the children obliged. I then pulled out Zo’s favorite dinosaur pop up book “Dino Roar”. The kids, and especially Zo, loved it and we all growled and pointed at interesting pictures. At around 10:35am their amazing music teacher Miss K came in for their weekly music class! She led the toddlers in activities involving drums and little shakers. We danced and clapped our hands and she even reviewed some music composition with them. When she left, I read another of Zo’s favorite books about loving others called “One Love”. When it was time to leave as they prepared for lunch and nap time, Zo cried and I almost shed a tear.

I truly felt like the involved mother I some day hope to be. In a busy day, I incorporated Zo-time, me-time, professional time, and later in the day family dinner time. Far from my mother’s lunch lady days, I hope to maximize my available time and be present in my children’s away-from-home lives as much as possible. It truly was food for my soul.