married a doctor

Entertaining Clients: Throwing a Birthday Party

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Some nice birthday gifts received from Catherine’s friends today and a wonderful party all around.

My wife did a lot to make it special and I was moved by the beauty of her happily getting lost in what truly was a labor of love…a commitment to excite and thrill our little girl.  

We stayed up pretty late the night before preparing hand-made decorations and favors in order to construct an “Arts & Crafts” themed party. She monogramed white oversized children’s oxfords with different colored fabric letters for guests to use as smocks they could use at the party and then take home. She also put together a “make-your-own party hat” station as one of the activities for the day and “sock puppet kits” comprised of everything from the sock with cardboard mouth pre-glued in to eyes, whiskers, spots and anything else required for the respective animal or creature-in-a-bag. These kits were packed in their goody bags as well. We both really enjoyed thinking of the animals and characters for which we spent hours cutting out their parts from sheets of felt and making a few of our own along the way.

The sample sock puppet my wife made was hilarious! It actually had a Muppet-like personality. Green yarn hair. Black googley eyes (complete with eyebrows), a long pointy nose and a long thin black mustache. I couldn’t stop laughing when she put it on for a trial run and made “Juan” immediately come alive with his Spanish accent and adult humor. 

Talent Aquisition: Mommy's Job Offer

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As a specialist, my wife receives letters and postcards (sometimes twice a week) from recruiters and health systems all over North America. They never explicitly state which hospital it is specifically but they all guarantee: top salaries, high quality of life, national sports teams, major universities and “…a wonderful place to raise children”.

My wife is working very hard with a practice covering seven hospitals in three states and feels as though her employers’ commitment to her is as not as significant as her commitment to  them. She always says “Your first job is never your last…” So, after 5+ years of interest from Sanford Hospital in South Dakota, we’ve decided to take a look. Although we couldn’t imagine living in South Dakota... we did some research on Sanford Health and decided it was worth the visit. At the very least, it would be an opportunity for my wife to catch up with an old friend and former colleague for whom she has a tremendous amount of respect.

FAST FORWARD 7 WEEKS…  

When we arrived in Sioux Falls South Dakota, we were simply blown away at this hospital’s whisper of a “Talk” and thunderous “Walk”. Thanks to Premier One Bankcard founder Denny Sanford (and his $700MM in gifts so far…), Sioux Valley Hospital has been renamed “Sanford Hospital” (surprisingly) and transformed into a region-shaping health care network with an infrastructure of physicians in leadership and an outreach spanning 126 communities throughout 8 states. They are implementing several initiatives including global children's clinics, multiple research centers and finding a cure for type 1 diabetes and breast cancer. With both domestic and overseas satellites opening at a record-pace, Denny Sanford is creating an unprecedented momentum of ensuring the highest caliber of healthcare both in the Midwest and in 18 countries throughout the world (now developing international clinics in Ireland, Ghana, Israel and Mexico). Organizational growth and development with cutting-edge medicine, sophisticated research and advanced education like this isn’t seen in cities ten times their size.

We arrived the weekend of Sanford Hospital’s Annual Gala ( benefiting the expansion of their cardiac division) and graciously accepted what we believed would simply be an opportunity to meet some folks on the team and have a nice dinner. I’ve been to a lot of these events and they always seem to follow the same syllabus: cocktails followed by a President’s greeting, a few words of promise by the CEO or COO then a video presentation of the good work being done by talented physicians and administration’s plans for the future. Then it’s back to dinner and some dancing afterwards.

The Sanford Healthcare gala we attended not only brought one of the better meals I’ve had this year to our table (a perfect medium rare filet, roasted brussel sprouts and truffled potato gratin), but also tears to my eyes…and handkerchief. Never before have I been so moved by the parents of children whose life-changing stories were shared …or by the teams of dedicated people working orchestrally, from top to bottom, who selflessly make such a monumental difference. But the Sanford story did not end when the lights came back on. This was not a benefit injected with a presentation of “good work being done”. This was simply a spotlight on life at Sanford whose message of “Improving the human condition through exceptional care, innovation and discovery” didn’t end with a video. Improving the lives of children, specifically, didn’t seem like “just a job” people are doing here…it seemed more like a calling. An ingrained way of living life. A belief system that is evident in everything from the conversations between fulfilled guests at every table and the LED-illuminated spinning magic wands handed out on the dance floor (that surely made many a baby-sat children at home delighted in the morning) to the child prodigy pianist who led the orchestra all evening long.

I guess it’s just an overall feeling of genuine commitment to care and to the community of people who provide it…and there doesn’t seem to be a sense of (or pre-occupation with) time clocks, budgets or superfluous layers of administration associated with it. The passion was palpable and contagious. It’s hard to be around people like that and not feel a moral imperative to join them.  It’s hard to be a father and not want an amenity like them for your own child.

Now that some of our preconceived notions regarding the Midwest have been obliterated, we have a lot to talk about on the flight home.

Scientific Management: Decoding the Parent Gene

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“Being happy and finding life meaningful overlap, but there are important differences. A large survey revealed multiple differing predictors of how individuals arrive at happiness (controlling for meaning) and meaningfulness (controlling for happiness). Satisfying one’s needs and wants increased happiness but was largely irrelevant to meaningfulness.

Happiness was largely present-oriented, whereas meaningfulness involves integrating past, present, and future. For example, thinking about future and past was associated with high meaningfulness but low happiness. Happiness was linked to being a taker rather than a giver, whereas meaningfulness went with being a giver rather than a taker. Higher levels of worry, stress, and anxiety were linked to higher meaningfulness but lower happiness. Concerns with personal identity and expressing the self contributed to meaning but not happiness.

In short, one might say that this study finds that the contribution of something meaningful in our, or another’s life requires the sacrifice of personal happiness. What they fail to recognize is the inherent fulfillment and happiness a parent experiences when they contribute meaningfully to their child’s life in any way…regardless of the worry, stress and anxiety that may be involved.

My own conclusion… Parenting defies the laws of science through selflessness.

see-Businessinsider.com/ http://www.businessinsider.com/happy-vs-meaningful-life-2012-11

Outside The Box: Considering Relocating

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My wife just told me about an in incredible job opportunity she has in Sioux Falls, SD. She may as well have said it was somewhere in the Himalayas. Seriously, what’s the difference? I just looked at a map to see where South Dakota is located because, although i'm somewhat embarrassed to admit it, my knowledge of domestic geography is akin to that of a child’s proficiency with jigsaw puzzles. I’m pretty good with the corners and edges but a bit dodgy on the middle.

Living in a big coastal city with a baby, where cultural arts abound, is a lot like having a pool. It’s nice to look at… and if you didn’t have it, you’d wish you did but at the end of the day, you’re basically paying a premium for an amenity that's really appreciated more by your friends and family than you.

Don’t get me wrong. I recognize the inherent value of a big city with access to amenities like superior health care and education, the arts / museums and concept dining…even if you don’t regularly take advantage of them. Chances are, those amenities have drawn others to the area that may not take advantage of them either. So at the very least, you’re left with having like-minded neighbors with similar interests.

We moved to the suburbs of Philadelphia (back to my roots) just before Catherine was born. We thought that growing up with trees and a yard was preferable to vents in the street spewing out the smells of the subway and buses heaving clouds of heavy dark smoke on top of strollers on the sidewalk. Moving back to the suburbs not only offered our daughter the same kind of childhood my wife and I enjoyed, but also brought us closer to my family who made it downtown about as often as a herd of deer.

So, moving to the middle of the country doesn’t really seem feasible… but we’re considering it.

Good Money After Bad? - Our Dog's 2nd Surgery (canis secretariat familiaris)

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After a couple of difficult months, our 1yr old Newfoundland (Lulu) was ready to take her rehab to the final step: Aqua Therapy. We all breathed a collective sigh of relief, not only because Lulu was getting better, but because this meant we would be able to take-up the grey non-slip indoor-outdoor carpeting I had duct-taped to the hardwood floors throughout our downstairs. We hated those strips of carpeting. It made our home look like it was under construction. We got so accustomed to them though...that, until we noticed people staring at them, we would forgot to explain the reason for them being there. 

So the moment we walk through the door to the Physical Therapy Center, she immediately dropped to the floor and began yelping in pain.  Literally, the second she walked through the door. This dog never yelps or cries out in pain. It was like the Kennedy Assassination sans grassy knoll….or any gunmen…but just a sudden and equally significant. Just as the therapist guessed, it was another torn ACL and although we said “this is it.” after the last one...we decided that, in light of i) all the effort and expense we already put in ii)Catherine’s developing attachment iii) the fact that she was only a year old and would likely recover well because of that...perhaps it wouldn’t be good money after bad.

So we decided to repeat the whole damn process of getting a TPLO for her other leg. Only this time we decided to bring in some part-time help because I’m not the goddamned Dog Whisperer!

Enter an amazing professional dog therapist and walker named Meagan. Meagan really is a huge help but now puts the number of house staff in excess of the people actually living here... which makes it kinda feel like we're not really managing things that well.