Saturday, November 10, 2012

4 months and its dark when I get home


Q just turned 4 months old.  Depending on the day, 4 months seems both infinitely shorter than or further from that date.  I thought I might try to encapsulate the experience, but the task feels nigh impossible and always colored by my own mental state at any particular moment in time.  The best I can muster is something I heard from a patient of mine, “You will experience the highest highs and the lowest lows as a parent.”  A truer statement may have never been uttered.    

I don’t think I have ever felt as tired as I have at points in the last 4 months.  Nor have I so regularly felt helpless and inept.  Raising a baby is very very difficult.  I know that all experiences are different and that some are undoubtedly easier than Q is to deal with (and from working in a hospital, I can see the extreme other side of that coin as well), but for every smile and happy moment there seems to be a an equivalent number of spine rattling screams that sounds (in my head) like a cat in heat getting attacked by a wolverine on top of a chalkboard.  You can’t help but feel badly for the little guy as he is in obvious discomfort (as opposed to just being sadistic), but man alive does that yell cut to the very core of you.  Wine consumption has a very strong inverse relationship with his happiness during the day.        

The time change has also managed to kick our collective asses.  Q seems to have the same grasp on it as our cats do….namely that the sun rises and sets earlier than it did, therefore I must do the same.  This would be difficult if he slept until 7 before and shifted to 6.  But, unfortunately for us, he only ever used to sleep until 6/630.  It has been brutal.  By the time I get to work now, I have generally already been up for 3 hours.  His witching hour has also moved up to about 5/530 as he is ready for bed by 6.  We have been trying to keep him up a bit past that in hopes of delaying his AM wake up, but this is akin to poking an angry bear with a short stick in that you will pay royally and pretty much immediately for the decision.  I know this isn’t just an issue for us; all the kids at his daycare are going through similar straights.  I am sure if lawmakers all had little ones when the vote came up, we would all just mimic Arizona and Hawaii and say. “screw it, leave the damn clocks alone!” 

Other than that, my job seems to have finally employed someone to take over the clinic from me.  She starts her new employee orientation on the 12th (next Monday) and then will take an additional week (or thereabouts) for EPIC training followed by 2 weeks at the Park.  My guess is she will start up here sometime around the first or second week in December.  Then I will train her for another week or two before…well, before who knows what really.  I suspect I will kind of float about as need warrants vs. being exclusively at the Park, but maybe not. 

It is bittersweet really, but ultimately necessary since they don’t have anyone to regularly fill in when I am not here (and aren’t interested in doing so).  Just yesterday when I came in I saw that a 3 year old had been seen in the clinic.  There was an accompanying note to the effect that they are coming next week (and in perpetuity) and that I will need to coordinate this with our pediatric nurse who will have to be pulled from the floor to attend to this patient.  The doctor would be faxing further notes.  I then asked the charge who had run the clinic that day, “So why didn’t they just go to the pediatric clinic?” to which she responded, “We have one of those?”   And that, in a nutshell, is why we need someone here full time I guess.  Between people not knowing how to check orders, make appointments, seeing patients outside the parameters of our clinic, and on and on…we need someone who can take ownership of these things.  That isn’t to cast blame on the charge or anyone else who works the clinic in my stead, they are doing the best they can with limited knowledge and understanding and exactly NO time allocated by management to learn or be trained.  Like building IKEA furniture without directions, you might eventually build it, but it will take a whole lot longer, there will be a lot more mistakes and you are like as not to have a handful of extra parts. 

We finished up refinancing our house recently as well and I think I have never been more confused.   This is mercifully a pleasant confusion.  We sold back points at close so we wouldn’t have to pay as much out of pocket (with the understanding that this creates a higher total payback, but as we have no intention of living there for 10 years let alone 30, this is a minor factor) and had to bring something like $3500 to close plus the cost of the appraisal ($450).  We figured to be out a few hundred dollars when all was said and done in exchange for a lower house payment that would make up that cost within 2-3 months.  Instead, we have gotten back nearly $1000 above what we paid.  It is all HUGELY confusing.  Suffice to say, we are holding on to the money until we can be sure that it doesn’t need to go back out to somewhere.  As I said, it has been pleasantly confusing…with the possibility of aggravating very much in play.  

Other than that, Yay for the country voting against rape apologists and for the rights of women, the underserved, and a shot at a future that isn’t being sold off wholesale in exchange for profits today.  Oh yeah, also yay for feeling optimistic about our government for once (you know, until they get back in session and gridlock reigns again).  

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