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Anyone else think it gets worse before it gets better? (Re: end of residency)

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  • Anyone else think it gets worse before it gets better? (Re: end of residency)

    First of all, let me say that I've been with my DH through all of his medical training... So I *should* be totally used to this by now! However, I've been having a really tough time lately dealing with his schedule. Like, really tough. Going crazy, ready to scream and head for the hills tough.

    DH is in full on boards studying mode. He's PGY4 and getting ready to graduate from his residency program and then take the path boards in mid-June. He cleared his rotations schedule after the new year so that he's taking only cushy electives to give himself more time to hit the books. He did the week long OOT review course in Feb and has not come home before about 8PM any night since. (Well, that's a bit of an exaggeration. He has *very occasionally* come home earlier, like a couple days a month, maybe.) I get it. He needs to prepare. However, the boards are pass/fail only, and he's in absolutely no danger of failing. He's been a gunner all through training, has aced all his major exams, and has earned an excellent reputation with his staff and fellow residents. At this point, he's admitted that he's studying so that he can "kill the Boards, not just pass them," and that "It's a matter of personal pride."

    Meanwhile, he does nothing at home other than help me with our 3 y.o. when he has time (this is nothing new, but I haven't always been so bothered by it), and he is at least kind enough to ignore the dust bunnies on the floor or the fact that we're having leftovers for dinner again. I SAH, so naturally I cook and clean and attempt to keep up with all that, but I also mow the lawn (in all my current pregnant glory), take out the trash (DH has no idea when garbage day even is), do all the household repairs (I'm getting pretty good at plumbing!), tend the landscaping, maintain the furnace, etc, etc.

    At this point, I can't help but feel like DH is putting his career too high above our family. IMO, this is different from "having" to put in long hours for training. His official duties end by around 3:30 every afternoon, so he's "choosing" to stay and study until late in the evening. We have no family anywhere nearby and so not much of a support network, I'm pregnant (22 wks currently), and doing "it all" is just exhausting these days. Even my relatives have started commenting on how down I sound over the phone lately, and they're making comments that they "hope everything is OK." I feel like, just because he can study more doesn't necessarily mean he should and that our family would really benefit from having DH/Daddy home more often, even if that simply means he comes home at a more reasonable hour just one or two nights a week. He, for his part, is clueless. If I comment that I'm exhausted or need a break, his response is, "how come?"

    I really need other med spouses' input, so give it to me straight. What's going on? Am I justified in feeling the way I do, or do I need to just suck it up a tiny bit longer? Would I be out of hand to ask DH to cut his studying hours short just a couple days a week? Am I forgetting that this time is probably just as stressful for him as it is for me? And is this just pregnancy hormones messing with me or does it actually get harder to deal with training crap once you can finally see the light at the end of the tunnel?

    My apologies for writing a book.

  • #2
    Totally justified. Put it this way, I am sure there are single residents/students/fellows out there...THEY can take care of their hospital/studying duties as well as their personal/home duties. I just cannot understand why the married ones cannot do anything outside of medicine. Regarding your question about sucking it up a bit longer, that is up to you and your DH. Is this behavior new? If so, it may just be temporary and I can see sucking it up for the time being. However, if it is the type of thing that has gotten progressively worse, it is not going to get better in attendinghood...unless you put a stop to it. As in, have that heart to heart soon - he needs to make time for his husband and father duties as well medicine.

    FWIW - the end was extremely stressful for us too. Starting out had it's own stressors. Basically, medicine has continued to spread it's wealth of stress - sometimes it lets up but it is always there. This is why you two need to have a talk now because you will continue to encounter stressors and there is no reason why you should bear the majority of the burden when there is two of you.

    Pregnancy hormones I am sure magnify it...but hell no, they are not messing with you. You are justified!! ((hugs))
    Finally - we are finished with training! Hello real world!!

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    • #3
      When dh's duties end he comes home to help with kids. He resumes work (studies, dictating, etc) after the kids have gone to bed. I would strive towards this routine, as even after boards there will *always* be something to stay late and catch up on. I think your reasonable to establish some expectations now, especially since he's historically tested well and not retaking the boards. He can study extra after 3 yo is fed, bathed, read and in bed.
      Last edited by Ladybug; 05-03-2012, 05:42 PM.
      -Ladybug

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      • #4
        "Dude, pregnancy + chasing a toddler + doing EVERYTHING around here = one tired and cranky wife. Step the fuck up before my tired, cranky ass explodes all over you."

        That's what I'd say. Adjust for your own level of comfort with swearing.

        Sometimes dudes are clueless and need to be specifically told that help is not only necessary, but expected. We frequently take care of shit so fabulously that they aren't aware of the struggle under the surface. Kinda like a duck; calm and cool on top, working like a mofo under the waterline.

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        • #5
          What diggitydot said. That shit would not fly here. My DH has oral boards in July, and is an attending sugeon who works 80-100 hours a week regularly. I still expect him to do things when he's here. I cut him some mild slack where necessary, but these kids and this house aren't solely mine, dude. Plus, he wants to be an involved, active part of our lives, and that includes stupid chores and all school projects.
          Heidi, PA-S1 - wife to an orthopaedic surgeon, mom to Ryan, 17, and Alexia, 11.


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          • #6
            Originally posted by Ladybug View Post
            ... even after boards there will *always* be something to stay late and catch up on. I think your reasonable to establish some expectations now, especially since he's historically tested well and not retaking the boards. He can study extra after 3 yo is fed, bathed, read and in bed.
            This. It's always going to be something and the sooner he understands that he's expected to actually contribute more to his family than a paycheck, the better. Medicine attracts these uber-driven Type A personalities so it's not surprising that he "has" to "kill the boards", but he committed to having a wife and a family as well. He doesn't get to shirk those responsibilities for his pride's sake.
            Wife of a surgical fellow; Mom to a busy toddler girl and 5 furballs (2 cats, 3 dogs)

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            • #7
              I would be po'd too. You probably hide your suffering well. Speak up and have a heart to heart. There has to be a compromise. You are not a mule. I don't see how he needs to study an extra 4-5 hours per day. It's excessive and you are suffering for it.
              Wife to Hand Surgeon just out of training, mom to two lovely kittys and little boy, O, born in Sept 08.

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              • #8
                Boards are pass fail.



                My dh is in a similar situation-- pgy5 getting set to go off to fellowship. He's had no time for studying for boards (written ENT boards in October.) He's super busy at work and mostly with stupid and time sucking admin stuff having to do with chief duties. He is barely getting OR time. But he DOES have time to do his chores every night (put dishes away and sweep) which takes him all of 20 min, and when he sighs about how he needs to study, he needs to exercise, he needs to sleep... I say guess what-- if you were a single dude you'd still be doing dishes and sweeping, but you'd also be shopping, cooking, paying bills, cleaning, etc etc.

                He doesn't complain much but we don't sacrifice "family time". When he's done at work he hops in the car for the 1-2.5 hour drive home(!!!) then he spends whatever time he can with the kids (usually just tucking them in) then his chores. He can study for boards at night after the kids are in bed and I occasionally give him a weekend block of time too-- 5 hours here or there.

                Hugs!!!!

                This transition from residency to fellowship has kicked my butt. And dh--- totally shocked at how much extra admin work he's had to do. It's just insane. He's been in a bad mood all year long pretty much. (of course if he gets whiny I say something really supportive like "you are living your dream buddy"...)
                Peggy

                Aloha from paradise! And the other side of training!

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                • #9
                  Ugh, I've been there. Being pregnant and taking care of a toddler and a house is the. hardest. thing I have ever done. Boys can just be clueless about how hard it is to be pregnant and be a mom.

                  You should definitely find a compromise as far as him coming home early a few nights a week. It will be much easier to do that now than after the baby is born.
                  Last edited by TigerLily; 05-03-2012, 08:42 PM.
                  -Mommy, FM wife, Disney Planner and Hoosier

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                  • #10
                    Oh yeah, we're in our last year of residency and feeling it, too. I think we've held it together pretty well during residency, but these past few months have been tough. I just feel like we're not as nice to each other as we used to be.

                    And yes to what they said - he needs to step up at home. That behavior is ridiculous!
                    Laurie
                    My team: DH (anesthesiologist), DS (9), DD (8)

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                    • #11
                      We just revisited this recently. It's a sore spot.
                      Our new compromise? He comes home at zero hour (around 6pm is when all hell reaches a boiling point and it's insane) to help with dinner/baby stuff/dogs, and then leaves after DS goes down for the night.
                      Even if he could only do it for a few nights during the week, I'd still be grateful.
                      Oh, and don't let anyone tell you that this behavior ends after training. DH is a new attending, in a not-so-demanding specialty, but he is FAR from available.
                      (That whole response sounded bitter and jaded... Sorry!)

                      "Residency is not a pass to be an ass."
                      Wife to Family Medicine attending, Mom to DS1 and DS2
                      Professional Relocation Specialist &
                      "The Official IMSN Enabler"

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                      • #12
                        I think a couple nights a week studying is justified. I wouldn't be able to let your DH's current schedule fly in my house. I cut my DH some major slack on important things, but the hours your husband is keeping wouldn't work well with a toddler and pregnancy IMHO. W just had our 4th baby 2.5 months ago and DH had a test one month following. He studied a lot and we got through it. Does he know how you feel? Sometimes, my husband thinks I am an enabler because I allow certain situations to continue even when I am not happy with them.
                        Needs

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                        • #13
                          Originally posted by Phoebe View Post
                          ...I allow certain situations to continue even when I am not happy with them.
                          I'm pretty sure my DH would love it if I didn't voice my displeasure most times.



                          My theory: If something bothers me and I don't speak up, it's my own damn fault when it inevitably pops up again. However, if after discussing it and it happens again? Oh, it's on like Donkey Kong.

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                          • #14
                            Diggity? Will you be my mentor? Pretty please? I am such a passive pushover...
                            Kris

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                            • #15
                              Ugh. We went through a rough time when it came to dh studying for his oral boards. I was pregnant when he took his writtens, and dd was about 6 months old when he took his orals. He rarely studied during residency, but crammed like mad each year for his practice ones, and again when he took the real ones. He was the biggest asshole, but we rode it through. When he crammed for his orals, my dad stayed with us for a week and helped me out with the baby. Hard to be an asshole when my dad is around.

                              My dh is helpful when he's home, no questions asked, although sometimes I have to remind him that spending time with dd is not "babysitting."

                              During residency, we didn't have dd, so I didn't really evaluate what dh did with his time. Now, I get pretty pissy if it takes him more than 10 minutes to get home from his "I'm done" text.

                              Hang in there!
                              married to an anesthesia attending

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