6 Resources for Resident Physician Families

6 Resources for Resident Physician Families

When my husband began medical school, I had no idea what it would mean for me, our marriage, and our family. These are some of the resources I have found helpful, and that I wish I had found sooner on our medical training journey. If you have others you love, please let me know in the comments! And if your program doesn’t have a HouseStaff Alliance or Resident Family Support Group, perhaps consider starting one. Getting involved in our program’s group has been the single best thing we have done during residency. 

1. Married to Doctors podcast, coaching, and free resources

2. White Coat Investor book and podcast

3. Lives of Doctors Wives Facebook group and affiliated groups

4. The FlipSide Life Facebook group and other resources

5. Physician Family magazine

6. Your residency program’s HouseStaff Alliance or Resident Family Support Group

 

15 Tips for Resident Physician families

15 Tips for Resident Physician families

1. Expect that they will not, for the most part, be available. They will not be at home very much. If they are at home, they will likely be working, studying, sleeping, or thinking about doing one of those things.

2. Make your own plans. If you want to do something for yourself or for the family, do not wait until they are available. Hire your own babysitter. Go with friends. Don’t wait.

3. Keep a running list of tasks for your resident spouse to do when they *are* at home. This might mean they have certain tasks they complete every time they have a two-day weekend, or maybe a list of tasks they complete on a post-call day, or a list of tasks for them to do when they have a vacation week, etc. Having a plan and everything written down helps alleviate anxiety and resentment.

4. It’s ok to say no to whatever you want to say no to. It is ok to say no to more things than you normally would during medical training: family gatherings, weddings, birthday parties, playdates, ANYTHING.  Money, childcare, and physical, mental, and emotional energy are going to be scarce. Conserve your energy when you need to. You will not have to say no to things forever. Not everyone will understand this. That’s ok.

5. Don’t expect people who are not in the medical field or married to the medical field to understand it. It’s ok that they don’t. It’s a very unique experience and the only ones who will really get it are the ones who have also experienced it.

6. Make friends with other medical spouses and families. These people WILL understand you what you are living and breathing. They are likely to help you feel understood and less alone. It is the most worthwhile time investment I can think of. Be sure to check if your program has a resident-spouse-family alliance or support group.

7. Have a call-night plan. Easy dinners, leftovers, or takeout if you can afford it. Eat picnic-style with the kids on the living room floor in front of a show or movie if you need to. If you have children, do not bathe them, or at least all of them, unless absolutely necessary. Save your energy for other things. If it’s just you, plan something fun for yourself.

8. Do not even attempt to keep the kids quiet while they sleep while post-call or on nights. It will not work. Tell them to get good earplugs and an eye mask. And wish them luck.

9. Have an emergency call list. One of your first priorities when you arrive in your residency city is to find 2-3 people you can call in an emergency when your spouse is at work overnight, on night float, or has some other awful schedule. You need someone who can come to your rescue in the middle of the night if needed. “We are new and don’t have any family in the area. Would you mind giving me your phone number in case of an emergency? I’d love to support you in an emergency, too. Here’s mine.”

10. Simplify all celebrations of birthdays and holidays. Simple, homemade, and/or inexpensive store-bought are all fine. TOSS THAT GUILT OUT THE WINDOW RIGHT NOW.

11. You do not have to plan vacation weeks around large events. Having vacation to be able to attend events can be fun, and trips for a change a scenery are definitely worth it now and then. It’s also ok to plan nothing and just enjoy having your partner around for one whole blessed week. Or, plan relaxing and fun things as a family, date nights, etc. Medical training is rough. Consider giving yourselves the gift of down time together. 

12. Have a monthly date night. I don’t care if you have to trade babysitting with a neighbor and order a $5 pizza and eat it at the city park. It may quite literally be the only time each month when you can really check in with each other, have an uninterrupted conversation, and remember why you like each other.

13. Don’t participate in the Misery Olympics. You will both be maxed out, overextended, exhausted, lonely, and feeling like your personal fulfillment bucket is empty. This will make you want to participate in the Misery Olympics. Don’t. It’s not fun and everyone loses. Instead: communicate how you are feeling, what you need to make it to bedtime, and work together to get each other’s buckets filled. 

14. Get help. You and your resident spouse are both going to be giving 200% during medical training. When you are feeling overwhelmed, get help. This might mean medication and/or therapy. It might mean organizing a break for yourself for an hour each week. It might mean hiring help with things for the house, if you can scrape it together. When someone offers to help you, say YES, PLEASE. This will be hard at first. It will become more natural. Keep practicing.

15. Make time for your own creative and intellectual pursuits. Your spouse has gotten their dream job. Your job, at home or otherwise, may or may not feel that way. If you feel your professional dreams fading into oblivion because of The Match, I cannot encourage you enough to make time for your own interests and creative and intellectual pursuits. Find the Thing That Makes You Excited About Life and do that in your spare time. You might feel like you are shitty at it or that no one will like it or that you may never get paid for it and what’s the point. I promise it’s worth it. It will make you feel human, and you never know where it could lead. 

Snails

Snails

It had rained, and the snails were out. 

I noticed them as I walked along the damp sidewalk to load the kids in the car. Maybe a dozen snails lined the path from the back door to the vehicle, all different sizes. 

I told the boys to look out for them when we got home from preschool pickup, to make sure they didn’t crunch them as they bolted from the car to the house. We bent down close to the ground to inspect each one, noticing their size and how slow or “fast” they were moving. 

My eldest caught on quickly as far as remembering to walk carefully as he went to the house, to be on the lookout for the tiny visitors. My younger son, still a bit less spatially aware, had to be prodded side to side and forward and backward to make sure he didn’t annihilate an unsuspecting gastropod on his way inside. 

The rain went away for a day or two, and so did the snails. Then, it rained again, and the snails returned. Again, we all tiptoed delicately to get in the car to go to preschool.

That afternoon, as we tried to all get out of the car and into the house, I was getting annoyed with one child’s glacial pace and another’s tired and hungry screams, and there was a lot to carry inside and it was hot and there were mosquitos. I hurriedly loaded bags onto my shoulders and lugged one of the kids inside. 

My son screeched in horror: “Mommy! Did you look out for the snails?! You might have crunched them!” 

I had forgotten. Luckily, when I retraced my steps, I was able to confirm that all our miniature garden friends were alive and well, shells and soft slimy bodies intact. I had gotten so frustrated with the tasks at hand, so laser-focused on Just. Getting. Inside. that I had forgotten to look out for the fragile little creatures underfoot.

The interaction with my son struck me.

I want to be focused, as much as possible, on what is most important and urgent. The snails said:

Are we about to go chew your perennials to pieces? Probably. Just maybe remember to look out for the vulnerable living beings that might line – or pave – the path in front of you. 

Tiles

Tiles

The cool tile stones held my heaviness.
Gently, firmly, they reminded me:
I’m still here.

One rectangle was the mother,
One was the teacher,
The one to the right was the scholar,
That one there was the spouse.

But I couldn’t recall the name for fine, gritty paste in between.
What was in there?
What was it made of again?
My throat tightened and I did not let the hot tears escape.

I did not know.

I pressed start on the machine
And listened to the whir-swish
Took one final breath of bitter soapy air
And stepped back into my life.

When the house was quiet,
And I could hear my thoughts
I dared to ask myself again:
What’s that stuff in between?

Wife, mother, friend
Creative, intellectual
Teacher.

But also:

Human, skin, bones
Blood, soul
Me.

Tiny Spoon

Tiny Spoon

One of my friends posted an Instagram photo of a large cup of foamy cappuccino with a tiny spoon – and she called it “the perfect combination.” Like when you go to the local ice cream store, taste some flavors with the tiny taster spoon, then eat your regular-sized ice cream selection with it so you can make the special treat last longer.

It made me stop and think: so many times I want to eat dessert with a big spoon. I like big, juicy bites that fill my mouth with deliciousness all at once. But the downside is that eating treats this way means the experience seems to end faster, even if you savor each of those giant bites. A few delightful mouthfulls, and it’s gone. 

Other times I do enjoy eating dessert with a tiny spoon. Diminutive, delectable morsels that require one to eat slowly and deliberately, gradually consuming the treat bit by bit. The experience endures much longer this way, drawing out the enjoyment for a few extra marvelous minutes. 

I don’t really see anything wrong with eating dessert using either one of these approaches. But what struck me about the photo was thinking about how the tiny spoon applied to my life. As with desserts, in life, so many times I want to have all the things I want in one big bite, to enjoy right that second. I want all the good things to happen simultaneously so I can experience the ultimate enjoyment all at once.  The adage “you can have it all, just not all at once” frustrates me.

But after I saw the photo of the tiny spoon and the cappuccino, it occurred to me that maybe I should start thinking differently. Maybe it’s better to not “have it all” at the same time. Maybe I should approach the large scoop of all the things I want with a tiny spoon. Then I can savor each little good thing that comes to me, each goal I reach, each place I travel to, each beautiful moment in time, for being its own little nugget of goodness. And I can still have the joy and excitement that those other things I want might be in the next tiny bite. And having to wait for them isn’t so bad, because isn’t it better when the delicious dessert last longer?

Photo cred: Rocío Baratnek

 

Eulogy for the Family Ranch

Eulogy for the Family Ranch

My paternal grandparents’ ranch sold in 2018, after being in the family for nearly 34 years, and present for all but one of mine. The sale of the Ranch was a tremendous loss: it marked the end of an era, the loss of a sacred space in my life’s rhythms, the unraveling of a thread that held pieces of our family together. While I will never stop missing it, I will always be immensely grateful to have had the privilege of the time, space, and resources to experience its enchantment. I know that privately-owned, game-managed properties are fraught with their own particular controversies, and I don’t deny the complexity of their merit; but this place, for me, was much more than a place to manage land, plants, and animals: it was a little slice of prickly, dusty Heaven. 

Getting to the Ranch was a ritual in itself. We would dutifully pack bags with camouflage t-shirts, “Ranch jeans” (jeans that you didn’t care about getting ripped, torn, or dirty) and cowboy boots, then carefully pick out which items to bring along for the long car ride: pillows, blankies, stuffed animals, games, snacks. We always tried to pull out of the driveway early in the morning, so we could make it to the Ranch before dinner. Breakfast consisted of eggs, bacon and grits at Hilltop Café with Grammy and PawPaw, and lunch at the original Prasek’s, the tiny gas station with displays of kolaches, and turkey sandwiches with too much meat. How many Prasek’s sugar cookies have I eaten in my lifetime? Who knows. Mom reminded me recently of all our stops on the drive to buy new boots and hats, camo shirts and jackets. There were usually two or three gas station stops for bathroom breaks and gasoline, where I picked out candy and soda, and always regretted the tummy ache I got afterwards. The last stop was always the Beeville HEB, a welcome respite to stretch our legs and pick up fresh produce and refrigerated items.  When at last you could see the long stretches of cactus-lined brush country out the windows, it meant we were getting close to the gate.

Ranch gates were an important part of the trip: the original front gate had a combination lock, and the pasture gates had chain link closures. These manual fixtures required someone to hop out of the car or truck, unlock the gate, and hold it open for the vehicle to drive through, and then close and re-lock it. It was a VERY important job for a kid. From the front gate at the start of the trip to the front gate at the end of the trip, my siblings and I fought over who got to open and close them all, until we got the fancy automatic ones, which of course were much less fun. I can still feel the slight weight of the metal chain in my hand, and hear the slide-clink of it as it unhooked and re-hooked in the slot. 

I loved the sound of the first crunch of the suburban tires against the rock road, and the bitter smell of South Texas dirt as it hit your nostrils. The slow roll to the Ranch house seemed interminable (even as an adult!) and my heart always leapt a little when I saw it. If we arrived at night, it was a welcome sight to see the yellow glow of its lights through the windows. 

Unloading groceries and bags and other ranch stuff was a chore, and Grammy would be in the kitchen organizing and sorting things to their appropriate places in the pantry and on the countertops. She always snuck in special treats for each of us: orange slice candy, chocolate-covered cherries, cookies, pistachios, Big Red. 

The house smelled of mothballs and leather, and many times chicken bouillon and rigatoni if Grammy had started cooking already. I wish I could have bottled these smells, the smells of my childhood, and my family. 

It was exciting to get our overnight bags inside and find our places, to choose our rooms and our beds for the stay. When it was all inside and settled, it was time to change into Ranch clothes and boots and enter the magical world of The Ranch Trip. 

We rode what must have been hundreds of thousands of miles in the trucks over the years, and I think we all have a tale of flat tires or getting stuck in the mud. It must have been frustrating for the adult in charge, but as a kid it felt exhilarating to use the radios to inform others we had broken down, to be “lost in the wilderness” and then either be rescued or have to trek back home through the dirt and brush. 

The Ranch trucks were fitted with extra seats mounted on the front of the cab and on top of the truck bed. I remember rotating with my siblings and cousins as to who rode up front and who rode up top. It was always preferable to ride up front, to enjoy the invigorating sensation of wind on your face, hear the hum of the truck motor underneath you, and be the first to spot any wildlife. If you rode up top, you had to look out for thorny tree branches lest you get your eye poked out. On the front, you could have secret conversations and sing funny songs that the parents in the cab couldn’t hear. 

We threw millions of pieces of cow cake and trillions of pieces of corn. I think it is the only place on earth where I’ll ever think riding around aimlessly and throwing things out of the back of a truck are such amusing activities. We rode during the day to kill the hot hours and to enjoy the scenery of the brush country, and we rode at night for the thrill of finding animals doing their nighttime activities: deer, bunnies, armadillos, bobcats, coyotes, hogs. 

There were frozen bandanas and ice chests of drinks and snacks to keep us cool and happy when we were there in the summer and it was a million degrees, but by God, we were going outside anyway. 

We rode horses that were always a little finicky and eager to get us off their backs and go back to their wild and peaceful existence; unless, of course, you approached the corrals with sugar cubes and carrots. 

We bass fished for hours, sitting on buckets and using candy gummy worms when we ran out of bait. Mom always caught the most. 

We went on walks to look for arrowheads, and Mom was always the lucky one to find them. 

We shot at skeet and hay bales, sitting in the hot sun waiting our turns. I remember the last time we shot skeet with PawPaw, when he smiled his twinkly smile and hit every single clay that went up, if not on the first shot, then damned sure with the second one. Maybe he didn’t hit every single one, but I like to remember that he did.

We sat on the porch and talked and rocked and swung while eating peppered turkey jerky and drinking Sunkist. 

I can still see PawPaw with his camo t-shirt tucked into his camo pants, with his camo zip-up hooded sweatshirt, with a belt and a camo hat perched a little too high on his head. I can see his house loafers and white socks. I can see him at the desk, carefully recording each deer killed.

PawPaw had to constantly remind us to take our boots off by the door, and when we forgot he diligently swept out the dirt and dust. It was, after all, his castle. It only took one time crunching a bug with your toes to remember to always check your boots before putting them back on. 

I was never a hunter, but it didn’t matter. I remember the glow of the TV screen on the hunter’s faces as they watched the latest game camera videos, or whatever videos the hunters had taken, ooing and ahing over big deer and successful kills. They laughed at “the dance” and I tried to stay away and ask for the highlights from afar. 

I cried when my husband Jeff shot his first deer because I felt so sad for the deer, essentially ruining his first kill. When we got back to the house and I had tears in my eyes, I remember someone asking me if I was crying because I was so happy. I laughed and said it was because I was sad. My cousin Allie hugged me and told me it was ok, and that the deer have so much adrenaline flowing when they are shot that they really don’t feel anything. It made me feel better, even if it might have been a lie. I didn’t Google it because I didn’t really want to know. But anyway, people hugged me and patted Jeff on the back and celebrated us both because well, that’s just what you did there. I went inside to have a drink while Jeff went happily to the skinning house for the bloody, beer-soaked ritual of skinning. I’m glad he got to know this place that was such a part of me. 

The Ranch was the sort of place where you could go and be who you were and you still fit in just fine. You could go out searching for the perfect buck or pack of hogs to shoot, or you could sit at the table, read magazines, and chat. You could stay home and nap after the early morning hunt, or you could make a trip “into town” to go to Walmart and piddle around and pick up things we needed. You could wear lipstick with your camo (like my sister) or not shower for days (like my brother). 

I, for one, loved being at the Ranch for the nature part of it. I loved walking in the dust, riding and feeding the horses, counting the baby calves, discovering strange bugs, observing the cactus flowers, listening to the coyotes howl at night, marveling at the brilliant Milky Way in the extra-dark sky. I loved watching the deer carefully step out of the brush to nibble corn, families of pigs scurrying along together, the elusive bunny rabbits and giant hares that would appear and disappear. You couldn’t spot an armadillo without being fascinated by its ugliness and reminding everyone how many diseases they carried. 

My favorite thing to do was go to a far corner of the Ranch and be alone in a deer blind. Upper and Lower Sendera were my special places; I think we must have all had one. I loved sitting in the blind even though they were dirty and waspy, because it allowed me to be privy to the special, secret activity of the animals: the mundane eating of corn, the darling mamas and babies, the spectacular deer fights, a coyote that snuck across the road, the dramatic appearance of a prized buck. I loved the quiet and stillness, and most of all watching the sunset. Being in a blind made me feel a part of the hunting experience, even if my goal was different than most of the others. I loved recounting everything I had seen when I came back to the house, and I remember feeling proud when Dad or PawPaw expressed genuine interest in what I described. 

At least once a trip I would go to the blind with my sister and cousin and we packed so many snacks and made so much noise that sometimes we didn’t see a damned thing and we certainly didn’t care because that wasn’t the point, and other times it seemed like we had every animal on the Ranch underneath our blind and we couldn’t believe they stuck around to eat even with all our shenanigans.

I always preferred to go out in the evenings, because vacation for me was sleeping in; but I do remember a few mornings going out with Dad. We bundled up in as many layers as possible, with thermals and extra vests or coats that were too big. We had hand warmers and hats and extra socks, but your toes and fingers would freeze stiff anyway. I remember Dad seeing stuff he wanted to shoot but that he would let them get away, just for me. I also remember one time when everyone went to look at another ranch and I stayed behind with PawPaw to fish. In retrospect, he probably wanted to be alone (ha!), but I remember it was fun and we caught a turtle. I think it is the only memory I have of just me and him, and I’m so thankful for it.  

There was always a sort of magical time at the house in the evenings, when the sun began to creep down over the pond behind the house, the kitchen filled with the warm glow of lights and the beginning of dinner, and we waited to hear the “shhhhhh” of the radios, how the hunters were getting along, or if anyone would be bringing home a deer. Just when the sky would completely darken, we’d hear the crackle of the rocks and see the flashes of light sweep across the kitchen windows, and we would all put down our spoons and drinks and magazines and head outside to welcome the hunters home and celebrate. The first deer, the 50th deer, a bobcat, a doe, a cull buck, a big buck . . . it didn’t matter, you went and cheered and took pictures because at the Ranch, it was all exciting and we were all in it together. 

Showers with sulphury water and tooth-brushings with bottled water never felt so nice as at the end of a long, dusty day at the Ranch. Martinis were prepared, wine was poured, and long, slow, magnificent dinners were served at the big long table, often after 9 pm. Ribs, chicken, brisket, burgers, even spaghetti felt special there, served on paper plates and eaten with real silverware. Perhaps even more than the hunts, the meals at the big table brought us together. 

The Ranch house was cozy and quirky, and we loved it that way. There were always magazines from five years ago, old bottles of Vaseline lotion, and an appropriate amount of kitsch – “Don’t sit with yer spurs on.” From the small antennae TVs to the big fancy ones, we must have watched scores of Thanksgiving Day parades, football games, and Christmas movies on them. The fireplace was a welcome spot to defrost from a freezing hunt or night ride. The couches were for sleeping as much as lounging. The cork boards held photos of every single family member, Grammy made sure of that. It was fun to look at our baby selves and reminisce about each trip. Someone was always asleep in a recliner, or a sofa, or the swing outside with a hat over their faces. The saltillo tile and the coarse carpet of the porch room didn’t affect the soft comfort you felt inside those log-cabin walls. I think one of the most sacred spots in the house was where the land line telephone was mounted. It’s where PawPaw had his chair, where the coordinates to the Ranch were posted, and where our precarious connection to civilization hung on the wall. It was the spot that grounded us all, both literally and metaphorically: our patriarch’s throne, our place in the world. 

Oh, the education the Ranch gave us. We learned about deer teeth and antlers, mating season and sheds, how to identify animal tracks and animal poop, and to recognize species of snakes. We learned gun safety and how to shoot. We learned the importance of good feed and a reliable Ranch hand, from Kiko and Juanita to Corby and Sanya. We learned about scary creatures like scorpions and tarantulas, to avoid tall grass where there might be snakes, and did I mention that armadillos carry lots of diseases? We learned about bass, fish eggs, and alligator gars, coyote howls and deer rubs, predators and prey. We all learned how to drive at the Ranch, around age 8. We learned how to kill wasps in the blinds and pee outside (yes, even the girls.) We learned how to pitch in at meals and clean-ups. We saddled horses and brushed them, we went to work the cows. We learned about life and death. 

I think most of all, we learned how to be with each other and with ourselves. The Ranch was the gift of space and time in which to slow down, get outside, think our thoughts, and talk to one another. 

I’m deeply thankful that my eldest son got to go to the Ranch, even though he won’t remember it. It was incredibly meaningful to me to bring my own little family to the Ranch, to bring my husband and our child into a space that had meant so much to me. The photos I have with Jeff and our son in his tiny camo outfits will no doubt spark tales of the Ranch in the future, and I can’t wait to tell them. 

When we learned the Ranch was going up for sale, my whole family convened there one last time. That trip, though it turned out to not be my last, I said my goodbyes. Dad drove us through the property, past every hallowed spot, past every pond we fished at, many gates (now cattle guards) we had opened and shut, and most of the blinds we hunted. I don’t think I’ll ever forget it. Before our car pulled away from the barn that trip, I walked through the house and touched every wall, onto the porches and into the front yard and the circle drive, over to the corral and even the skinning house, and I thanked them for what they had given me. I felt like I had to. 

It turned out that I was able to visit the Ranch one last time, and though mercifully I didn’t know it would be my last, I suspected it. I didn’t say goodbye again – the Ranch knew I loved it. I did have Dad bid my final farewell on his last trip out: “Say goodbye for me, one last time.” I suppose it was right that he did it for me, my blood connection to PawPaw and my fearless and gentle guide on all those Ranch trips. 

I’m sure there are things I’ve forgotten that might fade in my memory because I didn’t write them down . . . oh yes, roller skating on the porch before it was a porch room, going to Spanish Mass in some tiny town on Sundays, and one enchanted four-wheeler ride where I ended up precisely on pace with a pack of the neighboring ranch’s horses that galloped alongside me down the fence-line – and I’m sure there are more – but the ones I’ve described are my favorites, and I think you get the idea. 

In sum, I’m so profoundly thankful for the Ranch; for the space and time it gave me to learn about and to love nature, my family, and even myself. My memories there with my family and with my grandparents are valuable beyond measure. It was just a little log cabin in South Texas, but to me, it was magic. 

I realize now that every single piece of the Ranch was an act of love: buying the land, building that little log cabin, building more cabins as our family expanded so we all had a place to stay, cutting the roads and putting those crackly rocks on them, decorating the yard and house with all those special photos and quirky kitsch, the cows and horses and beautiful deer and stocked ponds, the deer blinds with their unique and personal names, the trucks and the shooting targets and clays and shotgun shells, the meals and the special snacks, the radios and porch swings and rocking chairs, the cowboys and ranch hands to care for it, the big table to gather around, the memories I will cherish for a lifetime . . . the creation of a little slice of prickly, dusty Heaven. 

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