....haven't seen you in a while. Thanks for continuing to check in on me. I really have missed blogging and checking in with all of you. It is like a missing part of who I am, but who has the time? If I thought life was crazy before, it was nothing compared to working full time with a toddler and a newborn. As much as I hate to do it, I am being forced to become more organized, lest I pay the very hefty price when I neglect organization. I now try to shower, prep bottles for daycare, and, if I'm really good, lay out clothes for myself and the kids in the evening. If these three things are done consistently, mornings tend to be hectic, but smooth. If not? Unmitigated chaos.
Our daycare likes to complicate matters more by these ridiculous restrictions on the bottles that we bring in for Bean. For example, all bottles must be labeled with the baby's name (naturally), ounces in the bottle (mmm, okay, but can't you see the marker yourself?), and, here's the kicker, the date can only be the day prior or the date that the bottle is being used (seriously?? Don't they know that breast milk keeps longer than 24 hours in the fridge??) In addition, all bottles must have nipples on them, as they cannot rinse and re-use a once used nipple (ridiculous). This is a pain in the ass because half of the bottles we have are breast milk storage bottles, so nipples must be washed twice as frequently during the week. I have offered to provide a "doctor's note" that it is perfectly acceptable to re-use nipples and to use breast milk that is older than 24 hours, but no one seems to take that offer seriously.
So, every night we have to re-date bottles (because let's be serious, I'm not washing perfectly good breast milk down the drain, the stuff is liquid gold), wash and re-place nipples, and keep track of how many bottles are needed for the next day. It seems a small feat, but add that to feeding, entertaining, and bathing a toddler, feeding, bathing, and entertaining the newborn, and feeding (and in my case, bathing) ourselves, and things get a little more hairy. Then there are mornings like yesterday morning when we all woke up late, and Bean decided to give himself (and his mother) a different kind of shower. Now when changing a boy's diaper, unexpected sprinkles are not uncommon, but this one occurred in between the removal of the requisite "shield wipe" and the fastening of the diaper. The result was pee on his head and chest, my hair, my clothes, and all over the bed (he even peed over the chux that he was being changed on!) This earned him a quick wash down from head to toe with my closest available "washcloth" (a clean sock) and baby shampoo, and it earned me a whole new shower. Which,in turn, made me unable to go in for rounds and just barely on time for the office. Ah yes, life is different indeed.
On the work front, I am working with my staff to whittle my schedule back to a reasonable pace. For now I am restricting OB patients to 15 total deliveries per month, with the availability to go to 20 per month if my schedule allows. I have blocked time to pump throughout the day. I also have stopped having routine scheduled patients after 4 pm, leaving the hour between 4pm and 5pm for work-in patients and emergency room follow-ups. If there are no work-ins, then I have that time to do the office charts for the day, sign off on labs, and dictate. So far it is working well. Time will tell if I can keep that pace and still be profitable for the hospital. The call schedule is still less than desirable, only 4 days off per month is not going to hack it in the long term. I am holding out hope that the hospital will hire one (or two) more physician(s) sooner than later. If no help comes for the call schedule, no matter how much we like everything else, here, we will likely go looking for a better quality of life. My patients are happy that I am back, and that makes coming back a whole lot easier. I did miss the patients and the relationship I have with them. I love what I do, I just need to find a way to make my job fit more into my life rather than working my whole life around my job.
Eh, this entry is boring, but it is what is on my mind. I am glad to have this time to write, and will make an effort to make more frequent forays into blogland. As for topics, if you have any requests I'll be happy to try to work them in between the whiny me, me, me posts! :) Happy (OMG it is freaking) October!