Friday, July 22, 2016

Creating a Support System: Neighbors

I wish I had realized sooner that there were many simple things I could have done right from the beginning of residency to start building a support system for myself.  For a long time I pridefully tried to do most things on my own.  It took me much too long to realize I needed to allow others to help me, and at the very least let them be aware of my life and struggles, so they could have greater compassion and understanding for my shortcomings.  Having this support system earlier on would have made my life a lot less stressed and blessed our entire family.
Today I want to talk about neighbors.



When we moved to our new home to start residency I was almost halfway through my pregnancy with our second child and had an almost 2 year old.  We moved to a condo building surrounded by childless households.  I had the impression a couple months into our move that I should bring some treats to our neighbors and introduce ourselves.  I felt a little awkward because the closest holiday was Halloween (I felt I needed something to bring and an additional reason to knock on their door).  My husband was never home so it would be just me and my little one and I hate doing things on my own.  I didn't act on the impression.  I felt like I should do it again at Christmas but we were feeling just sick enough for it to be another reason not to act.
+965
Fast forward to a year and a half into residency.  I finally decided to bring goodies around at Christmas time but only after getting complaints from our neighbors about loud children.  It was really more of an apology effort and only two of our 6 neighbors were home.  The next year we went around again.  This time all of our neighbors were home and were so kind and grateful for the effort we extended.  It gave them a chance to put a face with their (sometimes noisy) neighbors and hopefully gained us cute/nice points with all of them.  A few weeks later one of our neighbors returned the gesture by bringing us homemade bread.

When our neighbor returned the favor it made me realize what a support I could have created much earlier.  For a long while I was so busy and stressed I had the mentality that all I had time for was to worry about myself and my family and I had to do it all alone because, mostly, I didn't know anyone and didn't have time to get to know anyone.  How wrong I was!  I'm sure if we had initially introduced ourselves and even let our neighbors know in advance our situation I'm sure we would have had understanding and even helpful neighbors. In fact our neighbors next door will often give me a heads up about things going on in the building and are always friendly.  I wish I had listened to that voice and had the courage to reach out sooner.

Saturday, July 16, 2016

Adjusting to Change



I have to admit, I've had a harder time adjusting to residency than I thought I would. 
I prepared myself for my husband never being around, and some days he's home more than I expect and its a wonderful surprise.  But there's also a lot I haven't expected. Like...

Parenting
     It's been really hard to try to have a normal parenting style or be consistent when my husband is actually home.  Our children only want to be with dad when he's around and I want them to have good memories of their small time together.  But children aren't always well behaved when they're thrown off schedule or something new happens.  I don't want to be the bad guy when dad is around, but I don't want our children to have dad only disciplining him when he's home.  So its been a rough balance of trying to keep consistency while fostering positive experiences.

Finances
    This is by far the BIGGEST adjustment.  We didn't live in luxury in dental school, but because of our situation we lived relatively comfortable. But now with taxes, unions fees and retirement funds being taken out of our paycheck (not to mention a handful of other costs) we have much less than we were expecting.  I've struggled with feeling like our family has all their needs met.

Lonliness
Often times I feel very alone.  Physically and emotionally.  I feel like no one can understand what I'm going through.  Normally I would rely on my husband for comfort, but that isn't really possible when he's never really home.  I can talk to friends and family, but its hard for them to really  understand what I'm going through.  I can talk to friends locally, but they have busy lives too.  I often find myself turning to my faith to help me get through the days or weeks.  Sometimes I think life is just meant to be a little hard. 

Change can be hard to adjust to.  I liked this quote I came across recently:

There's always something to gain.  It may not always be immediate but it is always there.  I have to remind myself often that one day life will be different.  If not now, then in the future one day, I will look back at these experiences and see how they have made me stronger and all that I have gained.


The number one thing that has made all the difference with these struggles is having a support group.  I have found over our time here there is a lot of sources to turn towards but that I had to put forth an effort in order to receive that support.  Over the next few weeks I will be posting a series about how to create your own support during residency.  Stay turned to ideas and sources.

Wednesday, May 11, 2016

3 Things to do Before Residency Starts

If you're preparing to start a Residency Program this summer the next couple months will be a very precious time for your family.  Here are just three things you should do for your family  before you start Residency.

BE TOGETHER!

Just be together.  Do your favorite things and take lots of pictures so you remember how much fun you have together.  You might have a lot to get done but try to do as much as possible together.

Next thing you should do BEFORE the first day of Residency (because after day 1 you won't have time)  is:

MAKE A PLAN

Sit down and make a plan.  Decide what is most important to you.  What is okay to fall by the wayside (which will be most things) and what will you make a strong effort to continue.  For us it was basic things like: dinner together (as much a possible), prayers together, scripture reading together, couple time...

As a part of this plan come up with creative ways to make your most important things happen.  My husband would facetime for a minute or two, if he could, when he had to be at the hospital late. I know a family whose husband had in house call so they would go eat dinner at the hospital with him.

Lastly:
COMMUNICATE

If it was important before it is crucial now.  You will have very little time to talk with each other so clear and concise communication helps.

This is something that I struggle with.  I'm such a talker, especially with my husband, that its hard to have to cut back on how much I talk to him and tell him because there simply isn't time. Ideally what I would be doing each day is picking out the key things that happened that day and let him know. What is also important is keeping the lines of communication open.   Don't hold on to things that are bothering you.  Make time to express what's hard for you so things don't build up.


You have a great adventure before you.  Will it stretch and challenge you? You bet!  But you can get through it and grow along the way.

Monday, January 25, 2016

Now What?



Match Day has come and gone.

Whether your husband matched or not let out a big sigh of relief and pat yourself on the back because you and your husband successfully completed applying to an Oral Surgery Program and that in itself is something to be congratulated on.

Now What?

If you didn't match:
That can really stink.  Partly because of all the time, money and energy you invested in applying.  Don't be too discouraged because you're not the first person to not get accepted into a program, especially if its your first time applying. If you're having doubts about continuing the Oral Surgery route you should seriously consider whether its the right thing for you and your family.  But really just take a few minutes because if you want another shot at Oral Surgery  you have to act quick.

Immediately start looking for an Internship.  There's not a one stop shop to do this.  Start contacting programs you interviewed with.  You have the advantage of them having met you and these places will give you the best shot at an Internship.

The good news is an Internship will open more programs for you when you reapply.  As I mentioned in a previous post, some programs ONLY accept interns.  Internships are much easier to come by than being fully accepted into a program.  If you happen to get multiple offers for an Internship and get to choose where you go to, there are a few things you might want to keep in mind.

-Letter of recommendations. This will be key for when you reapply.  If you don't intern at a program that will give you a good letter of recommendations its going to make getting accepted into a program that much more difficult.
-Consider the work load.  All programs are busy but if you are at a program that is exceptionally busy it will make it that much harder to apply, interview or re-take necessary tests.
-Continue to make connections.  Talk to as many people as possible.  You never know what connection will lead you in the right direction.
-Prepare, prepare, prepare.  If you're doing an internship you will basically be treated like a first year resident.  You'll be even busier because you'll be applying to programs again.  Before your internship begins talk to others and do all you can to prepare for residency life.


If you matched:
Hip hip hooray!!!  You did it!  Congratulations!! Take some time to celebrate!!!

Your life is about to change forever!!

You can sit and relax for a little bit because you have five months before you start.  You have dental school graduation and most likely a move.  Exciting things to plan for.
Your husband will most likely be contacted by the program director and talk to his program about what they expect of him.  If he can get a hold of any connections for you that will be ideal.  Here are some things you can ask the resident's spouse/s in your new program:

-What will your monthly net paycheck look like.
-Does anything get taken out of your paycheck (for example, my husband's program takes out money for parking, retirement, union dues etc. and you can't opt out of any of it).
-What are safe and affordable places to live.
- Does the program require that you live within a certain radius of where your husband will work?  Some programs require the residents be able to make it to the hospital within 15 minutes.
-Where are good schools.
-What is the typical schedule you can expect your husband to have
-Is there any weather you'll have to adjust to, buy clothes for etc.

Also decide if you want to take a trip to find housing and what time of year is best for that.  We were told nothing would even be available until the month before we were moving so we didn't take a house hunting trip until May.

Lastly I would recommend that you take the next few months to just enjoy  being together.  It will most likely be a difficult transition getting used to never seeing each other.


Good luck with all the future holds!!

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.