Tuesday, December 1, 2015

The Program That is Right for You



When my husband was applying to Oral Surgery programs he heard someone say, "The Oral Surgery program that is right for you is the one that you get in to."

There's a lot of truth to this statement. Many people talk about specializing in Oral Surgery but not many realize how difficult it actually is to get into, or get through*.  When my husband was on the interview trail, over half of the other interviewers were already in internship programs and on their second or third round of applying.  In fact some programs will only accept applicants that have completed an internship so if you're applying as a dental student that automatically cuts out a big chunk of programs.   

The only programs we seriously looked into were the ones my husband got an interview at.  If you are in the position of ranking programs you should carefully consider the different dynamics of each program when you are ranking your list (and decide this as a team).   Here are just a few factors you might want to consider about each program:

Cost of living
Schools (if you have children that are or will be school age during residency)
Proximity of family/friends
Is the program near a safe place to live
Will there be any type of culture shock involved for you or your family
How will the commute be
Who are the current attendings and residents in the program (this will affect your husband so much which will affect your family)
How many hospitals are associated with the program and the distance involved
If any rotations are long distance and how long that rotation is (some can even be out of state)
Does the program specialize in any aspect of Oral Surgery and is it something your husband is interested in

You'll have to come up with a list of questions together of things that are important to you and your family.  One of the best pieces of advice I received when we were going through the application and interview process was to not get attached to any programs.  It can be hard to do because you almost have to imagine life at each program to decide which you would prefer over the other but realize that you might get placed in the program at the bottom of your list.  Try to be objective and not attached.

The chances of you getting into a particular program is very slim, so be open. Unless your husband has done something to stand out way above all the other applicants you both really just need to be open to any program that will accept him. Remember that if you rank it you should be prepared to move there and accept any and all aspects of the program.  Choose to be happy with whatever program you get accepted into and embrace all aspects of it.  

Its a great accomplishment that you've both made it this far so congratulate yourself and be open to all possibilities when match day comes along!  Good luck!




*(I have a friend whose husband has a long family history of Oral Surgeons.  She had heard so many stories about residency life that she was sure she knew exactly what she was getting into.  However, she told me that residency life was so much harder for both of them than she thought and was almost amazed that they got through it.)




Tuesday, October 6, 2015

You Can Do It!

Will you humor me for a few minutes as I reminisce some stories from my life?

When I was in labor with my second child I remember hitting the transition phase of labor and verbally telling those in the room that I couldn't do it. I expected those in attendance to have sympathy for me and take action to  relieve my pain.  Instead those surrounding me told me,  "You can do it!  You already are!".  That was enlightening and encouraging.  The pain wasn't getting worse.  It was holding steady and I was working though it.  It was tough but I was doing it and I knew it wouldn't last forever.


When I was a little girl my dad would take me and my sisters on hikes.  Looking back I'm amazed at his bravery to take 3-4 small girls on decent sized hikes by himself.  We were usually pretty good troopers (my dad might have another story) but once in a while we would start to get tired and would probably complain.  It was these times that my dad would encourage us with this chant:
"You can do it! You can do it!" over and over again.
It helped when I was a little girl and it still helps today when I'm feeling tired or worn out with the challenges of life.


I often get discouraged at the difficulties of Residency life.  I can get through a day (sometimes barely) but when I think that I have to do it for a week, a month, 10 months, a year, 3 years etc. its so overwhelming. But then I remember: I can do it!  I can do it!  Because I already am and it won't last forever.

AND YOU CAN DO IT TOO!


Friday, January 2, 2015

What I Wish I Knew

My husband showed me this article that someone had posted on Facebook.  Even though the author is a wife of a medical resident it all really hit home.  I appreciated all she had to share.  If you're in a residency or about to enter a residency or even considering a residency you should give it a read.  And your spouse should give it a read.  Especially if you haven't started residency yet it will give you a good feel of what to expect.  Go ahead!  Take a couple minutes and read it!


For your convenience I'm re posting the entire article here but you can find the original source at KevinMD.com

What I wish I knew: Advice for spouses of doctors and residents

Residency life.
I don’t talk about it much, and that’s on purpose. Here’s why: My life is wonderful. I really love it. Is it perfect? No. Is anyone’s life perfect? Definitely not. I would never wish to portray my life in a negative fashion and certainly not to wish for sympathy. I would talk about it in an informative way, but even doing that, to be comprehensive, you must hit the low points because all careers have them, and again, just doing that can come off as complaining.
But this time, I’m going to make an exception. My husband is now a chief resident in orthopedic surgery. We are almost nine years into our eleven-year journey, and it is crazy when I really process that. A friend of mine once said, regarding parenting, “The days are long, but the years are short,” and not only did that change my life with my day to day parenting outlook, but it hits pretty close to home with residency too.
So I have been thinking this year about what I wish I could tell new medical student and residents’ wives — the ones that are just beginning this journey, perhaps even, what I wish I could go back in time and tell myself. And partially, I think, because time has a way of making you forget, so I want to write this while I have a fresh perspective. So without further ado, here’s my list. These are the things I have learned from being married to a resident and what I wish I could tell myself all those years ago.
1. Make your own plans. 
This is numero uno for a reason. It’s absolutely critical.
When my husband was in medical school, we took for granted how easy the hours were. Sure, he had to study … some. But like most schools, the weekends were relatively free and so were evenings. Then he graduated medical school and hello abduction, I mean, residency.
I joke about residency, but I really have enjoyed this journey. When he finishes, I won’t feel like he did it; I will feel like we did it. (I joke that I have an honorary doctoral degree, but so far, no one is buying it. Bummer.) Honestly, though, learning to be totally independent really sped things along for me in my contentment with this life.
For example, two weeks ago on a Friday, my husband, Christopher, was supposed to be done in time for dinner and some good quality family time. I paged him at 4:30 p.m. to see what time he was thinking he could leave. It’s typical for him to not call me back immediately, but after thirty minutes, that’s a bad sign. So at that time, 5 p.m., I thought, “I’m just going to run to Target with the kids [and pick up a birthday gift for a party we had the next day].” And so we did. At 5:30 he still had not called back, so I knew that this probably meant I wouldn’t be seeing him for dinner at the very least.
(Because if he doesn’t even have access to a phone yet, he’s probably scrubbed into the OR. A nurse would call me back if I paged my actual number, but so as to not bother the nurse with something so trivial as, “Oh hey, any idea when my husband can come home for dinner?” we use a code instead. We’re so big time like that. Anyways, if he’s scrubbed in still it could be who knows how long, plus then he has to finish notes, sometimes round on patients again, and so on. I knew I was probably looking at another hour minimum.)
So the kids and I were done with Target, and we went to Chipotle alone. By the time we finished Chipotle and were on our way to the movie store, he called me in between cases. There were some cases unexpectedly added on, and so he wouldn’t be back home until 9 p.m. or so. And you know what? It was totally fine. Because the kids and I were having a really great Friday night anyways! At that moment, I was thanking myself for going and not waiting. Oh, how I wish I had learned this sooner!
2. You are on the same team as your spouse, even when it doesn’t feel like it.
My husband taught me this, and he deserves the credit. Sometimes it’s so easy to step in the trap of pointing fingers. The non-medical spouse thinks, “I’m exhausted mentally and emotionally. They are gone all the time. I’m always here alone. I do all the housework; I do everything for the children. I can’t ever count on them to be done when they say they will, thus I can’t ever rely on their help for sure. It’s not fair. No one understands this life. I really need a break.”
The medical spouse is thinking, “I’m exhausted physically. All I have had to eat is a protein bar on my one bathroom break in the middle of a 12-hour case. I haven’t had quality sleep in days, and I feel like no matter what time I leave the hospital, I have left work undone. I miss my spouse, I miss my kids, and I miss feeling normal. No matter what I do, I’m behind at home, and I’m behind at work.”
I can count on one hand how many “fights” my husband and I have ever had, and the biggest one we have ever had may or may not have involved a painfully inconsistent icicle dripping outside our window at 1 a.m., a broken fan, and an inability to sleep by yours truly, who subsequently likes to make other people miserable [enter Christopher], which resulted in my husband declaring that he was going to the store to buy a fan, sleeping in the guest room that night, and that I was crazy.
But that’s really the worst one, so our “fights” are actually more like disagreements. But in these disagreements, Christopher taught me from the very beginning of our marriage to always look at problems as us against the problem, not to ever think of us against one another. It was a lesson well taught and a lesson learned many times over. Whether I’m really frustrated about his hours or he feels I have yet again busted the grocery budget, we don’t let it wedge between us; come what may, we are a team.
3. There is nothing quite like the camaraderie of another resident’s spouse.
There just isn’t. It’s the best. For example, when I buy a fellow resident wife’s coffee she may say, “You really don’t need to do that.” And I always say back, “Don’t worry about it! I’m married to a ‘doctor.’” And we laugh.
We laugh because we know the truth. That while most of our friends have slowly climbed the financial ladder over the course of the last 10 years, we have remained a very steady straight line. We know eventually that will change, but even that’s not what it’s about. It’s just that no one quite understands the schedule, the frustrations, the sometimes seriously sweet perks like conference trips, and the insane delayed gratification like another resident’s wife. I will forever be grateful for our residency occurring in Rochester, Minnesota, too. This place has got the resident wife network going on. So if you aren’t already in Rochester, come here for training if you have any left! When you have a baby you will have meals every other day for weeks and a Bible study to attend just for medical spouses, and you will always be able to find another resident’s wife to hang out with when your husband is slammed! I love you Rochester (but I will curse your existence in January, and we just have to come to terms with the fact that this is how our relationship is going to be).
4. Remember the man you married.
I always tell Christopher (quoting a Kenny Chesney song), “I’m the number one fan of the man from Tennessee.” No matter what life throws at him or at us, to me he will always be the man I met in the cafeteria at Lee University — the 20-year-old that made insanely good eye contact and enunciated his words so clearly . (Yep, that really is what I remember about my first impression of him. And single ladies, it was game over so definitely watch for that good eye contact!)
Although I think Christopher has handled residency as well as anyone, even he had his moments of such extreme physical and/or mental exhaustion that he just seemed “different.” If it’s only every now and then, well, don’t we all, but sometimes entire rotations will cause this subtle change. Christopher always comes home and tries to give everything in him to our family, so I say this with no blame towards him, but sometimes a person just is not firing on all cylinders after working such a difficult schedule. In those times, it has been a sweet memory to think of him in college and why I fell in love with him to begin with. I have always known any “departure” would be temporary and that he would always come back to himself and to me — and he always does.
And going along with this point is my last and final point …
5. Always give 100 percent of yourself.
I recently heard someone say, “Marriage is not 50/50. Divorce is 50/50. Marriage is both people giving 100 percent.” How true.
I can’t be responsible for what Christopher brings to our marriage, to our children, or to our home. When anyone asks me or I have the opportunity to brag, I will tell them how I feel that Christopher truly does try to give our family everything that he has in him, but my point is that it’s really not up to me if he doesn’t. I am only responsible for Erica. I am only responsible for giving 100 percent of myself to our marriage and our children and our home. This journey, as with all journeys, will be over soon and a new one will begin.
I want to look back and be able to say that yes, I gave my all to this season of my life. Some may diminish its importance, but I want to be the best resident’s wife I can; I hope with all my heart that my husband looks back on his years of training and feels that I was essential, not just for our children, but for him in these sometimes tumultuous years.
All the seemingly tiny things we medical spouses do every single day, both to aid our spouses in the quality of their hours at home and in how we attempt to diminish the long hours for our children’s sake — these are not nothing. They are the building blocks for our lives, for our spouse’s career/home balance, for the way our children view their fathers and/or mothers and the positive or negative feelings that they associate with their job. The moments matter because, comprehensively, these are what we will look back and remember as “the residency years.” I hope you, as well as I, will remember them well.