On Doctoring

As we get ready to leave, I also think about what it will be like to leave medical practice and working for an entire year as well. I’m not the first to do this, of course, many others take a break from their work for other reasons including family, illness and others. Still, it gives me some pause.

I have often had a mixed relationship with medicine. For a very, very long time I did not really enjoy medicine at all. I felt as if I had gotten into medicine as a way to help generally healthy and productive people who had unfortunately become ill, and treat them back to their healthy and productive lives. Much of what I now do is treat chronically ill people who have flares of their chronic illness, and much of that chronic illness is self inflicted by lifestyle habits such as smoking, drinking, drugs, and poor diet. Add to that the increasing pressures put on doctors to meet unobtainable and poorly measured metrics and the constant barrage of negative media about physicians (they’re just after our money, in the pockets of the drug company, etc.) and it’s not an easy path. Of course, the moment a physician starts talking about how it is a difficult career, they’re roundly criticized for complaining from their privileged position. I think if this was something I was getting into solely for the money, there are easier jobs to attain with less training that pay a hell of a lot more in which you’re not responsible for someone else’s life.  Anyway, often times at work people will answer the question “How’s it going?” with a sarcastic”Oh, you know, living the dream,” as I did myself for quite some time.

Having said all that and having the perspective of a few more years under my belt and seeing what other careers are like, in many ways I do think we’re living the dream in the medical profession, at least in my neck of the woods. I have a job in which I am helping people at a critical juncture in their lives, and doing things that can really make a difference. I’m in a job which is intellectually challenging and is never dull or boring. I work with other intelligent people and get to collaborate in interesting ways. For all of this, I’m compensated fairly and and am able to live a comfortable life. Are there very rough days? Are there people who I’d rather not deal with? Are there some days I wish I could just stay home? Well, sure, but isn’t that pretty much the same for any profession?

All of this to say that I wonder how it will be to leave it for a year. I’m not someone who gets bored in general, and I think I’ll find plenty to do during my year of housewifery. When I think about leaving work for a full year, my initial reaction is one of elation and relief, to not have the stresses of work for a full year.And it may be that that is indeed exactly what happens and I find that I don’t miss doctoring at all. This is all, of course, a position of great privilege-many people in my field don’t have the option to just leave it behind for a year, even if they would wish to.

There is a small part of me, though, that is a bit suspicious that I’m actually going to have a harder time leaving behing a professional identity and sense of purpose than I’m realizing. I think of this more as I enjoy interactions at work whether with coworkers or patients, and to think about how those bring variety to my day in a way that my family could not.

Perhaps I’ll just be living a different sort of dream, no?

 

 

Trip planning, part II

A few posts ago, I laid out a plan for the places we’re going to go on our journey. In that itinerary I was doing my best to follow good weather since it’s no fun if everyone is freezing cold. After talking to some people and reviewing our plans, I’ve changed them around a bit to be a bit more linear.

So, to start:

First stop North Island, New Zealand. We’ll be doing a fairly typical tourist circuit there. I’ve ditched the option of going to South Island – that is truly cold and most places don’t have central heating! I have no intention of willingly spending  a good degree of time waking up in a 40 degree room. North island: Glow-worm caves, maori carvings, mountain biking in redwood forests, hot beach, wineries and of course, Hobbiton.

Then we’re off to Sydney for doing Sydney things! No real plans here – the opera house, the aquarium are on the list but we’ll figure this out when we get there.

Then to Cairns for Barrier Reef snorkelling. The 2 Australians I’ve spoken to about this both turned up their nose at Cairns for being ridiculously touristy. They also told me they’ve never been there. I’m not worrying about it too much given that we are tourists, and I still want to go to the Reef. I only hope it’s not too bleached before we’re there.

From Cairns to Alice Springs and a drive and camping at Uluru, or Ayer’s Rock, in the center of the country, which is one of the wonders of the world, depending on what site you read.

From there to Darwin in the north of Australia, which is tropical – rainforests, crocodiles. There’s also a festival while we’re there, and supposedly a great water park.

From there we go to Bali for a bit. I’m thinking this will be a good relaxation point for us to have some beach and down time after being on the move during the last 2 weeks. There’s amazing dance and culture there as well, so it won’t be all sitting on the beach…or maybe it will.

From there to Cambodia where we’ll again most likely do the traditional tourist route of going from Phnom Penh to the beaches to the southwest to Siem Reap. From there we have to get to Ho Chi Minh City in Vietnam do fly out to Japan, but that we’ll figure out when we get there.

Then to Japan for 3 full weeks. Starting in Tokyo and making our way southward to eventually fly out of Osaka is the current plan, though again this part needs a bit of planning too. The only thing I have booked so far is our tickets to the Studio Ghibli Museum, because they sell out fast! Tickets for September went on sale June 1st and my first choice date was sold out by June 2nd!

From Japan we have to make our way to Romania somehow. I’m thinking most likely this will involve a stopover in Doha or Dubai, depending on which airline we end up taking.

I cut out short stopovers in Singapore (from Bali to Siem Reap, now flying directly to Phnom Penh) and also a stopover somewhere between Vietnam and Japan (cheaper flights to stop in Taipei). I think we’ll all be happier to be on fewer plane flights and don’t necessarily want to be in a place for just 2 days anyway.

So that’s the plan for the first part of the trip! Next step is planning out what we do once we get to Romania and also a place to stay for when we arrive in New Zealand. The rest of the time I think we can book as we go, with the exception of North Australia where it’s high tourist season and we’ll want to book a bit in advance.

I just cannot wait to get going.

–sf

On rhythms

Our trip is approaching fast. Like all major events, it seems like it’s months and months away until you wake up one day and realize that it’s only weeks. All of the planning and ideas are now becoming reality and things are happening that are now, well, tangible. Or at least as tangible as can be in our computer driven world.

I’ve bought almost all the first batch of plane tickets, from New Zealand to Australia to Bali and to Cambodia. The order of locations has changed somewhat to be a bit more linear and I’ve cut out some of the initial small stopovers. I’m also choosing to spend more money to only fly direct from one point to another. I think we’ll be happier in the end and I usually find that when push comes to shove in times like this, you’re almost NEVER happy you saved the few hundred dollars.

I’ve been thinking a lot about the rhythm of our life here, and how much that’s going to change. Weekends I’m not working (and almost every day now that it’s summer) we all wake up rather lazily, make coffee, and sit around the house and on the back patio reading for a few hours until we think it’s time to do something. Usually that “something” involves the kids running down to the neighbor’s house to play while Eric and I go workout or get some stuff done around the house. Or we decide to go for a bike ride or maybe go swimming. After that we make more coffee and repeat the morning.

If  I make it sound idyllic, well, sometimes it is. Not that there aren’t plenty of times when the kids get yelled at for not doing something or another or other such normal life annoyances, but most of the time now it’s pretty relaxed. I’m almost fearful to say this out loud for fear that there will be some cosmic retribution to equalize this goodness. Or maybe this is the equalization for all the tough years when everyone was up at 5 am and trying to keep the kids from injuring themselves all day.

So I think of this as we get ready for our trip, how the overall timbre of our lives will change. I know that there will be many days where we’re up early and moving all day, and those will be fabulous. And I also hope that we are able to have days where we try to replicate our slow Saturday mornings here, getting coffee somewhere and lazing about, all of us with a book in our hands, and giving ourselves time to savor the experience of just being somewhere too.

–sf

 

Plans, Transport, & Australia

I’ve finally started doing some real planning on this trip, not just idly dreaming and looking at the pretty pictures in the travel guides and imagining myself in the middle of them, in an Instagram-ready shot. No, it’s time to figure out some of the details and figure out how we’re actually getting to those places and what it’ll cost us. I’ve known that a trip like this would require me to be flexible, I just didn’t think it would have to start 3 months before we left.

So, perhaps you remember how I’ve been talking about being free spirits on this trip, buying a one way ticket and then figuring it out as we go along? As it turns out, that’s just not going to work. Perhaps it might if we were only going to one country for 9 weeks of travel, but since that’s not the plan, it turns out that I actually have to do some advance planning.

My first discovery: the world is freaking huge. I initially thought that some of the places we were going it would be easy for us to get from point A to point B in, say, 6 hours. Then I did some flight searches and found that it would take 20. Or I had ideas of overland travel and a drive that would take 4 leisurely days, such as driving down the East Coast of Australia. As I’m now aware, Australia is a much larger continent than it appears on a Mercator projection map and that drive is recommended to take 14-18 days.

Uluru  (Ayer’s Rock) was also a must see for us on our trip, and again, I thought, hey! it’s a big tourist attraction and must be very accessible! Wrong again. It’s in the middle of the country/continent, and there’s not a lot of ways to get there that don’t involve a) a plane or b)5 hours of driving. See above comment regarding Australia.

We’re in the process of deciding whether to see less and spend more time or be a bit more whirlwind and try to pack things in. It’s hard because since we’re already there and it’s so far away, it seems like a waste not to try and squeeze in another place. Of course, the goal is also not to be so frazzled that we can’t enjoy it at all.

For now, I think we’ll end up somewhere in the middle. There’s still a LOT more flying than I was initially thinking, and we’re probably not going to go everywhere we initially thought (sorry, Sydney). Australia will be more about natural wonders, Aboriginal culture, snorkeling, hiking and possibly even camping. We’ll be in plenty of big cities along the rest of the trip so I don’t feel like it’s a huge miss at this point.

For now, plan is as such: Fly to Auckland, New Zealand spend  8 days on the North Island (South Island will be another trip, alas it is too cold for us at that time). Fly to Darwin, Australia, spend 3-5 days there. Fly to Alice Springs, rent car or camper and drive to Uluru and back over the course of 3-4 days. Fly to Cairns and spend 4-5 days there, then either fly or drive to Brisbane and fly out from there to SE Asia! Phewf.

Next leg planning, coming up!

 

 

 

 

Michigan Weekend

A few weekends ago the family went back to MSU for the Alumni Weekend. We’d been talking about a trip back for quite some time. Eric has stronger ties to MSU and East Lansing than I do-he got his PhD there and came back to teach there as well. Given this, he was more involved with the undergraduate campus and life than I was. The medical school campus was just off the main undergrad campus and we rarely had cause to go to the main campus. There were plenty of tailgates and games attended by my med school classmates, but somehow I never went to a single one. And while I love my medical school and classmates, I harbor no love for Michigan and the snow and cold. Nevertheless, it is where we met and Eric has managed to make the kids into diehard Spartans fans so off we went!

Michigan State University was the first Land Grant university established in 1862, under the Morrill Act which gave public land to universities to sell to fund centers of learning focused on agriculture,science, military science, and engineering. Morrill Hall on the campus was where Eric had his office, and has now unfortunately been demolished to make a parking structure.

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We met up with Eric’s old adviser and longtime friends Barry and Sandy, who took us to the campus dining hall for dinner. The kids LOVED eating at campus dining. The hall is huge and has about 10+ stations for all you can eat pasta, pizza, sushi, salad bar, sandwiches, dessert, mexican and more. It was a fun reminder of how the freshman 15 is so easy to come by.

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The next day we went to the MSU bookstore and did some real damage outfitting all of us in MSU gear. I drew the line at getting a flag for the house and said that one hat per person was MORE than enough. We STILL managed to come home with an extra T shirt that somehow skipped my notice.

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The next day it was off to the game! Seriously, I can’t believe that I never managed to go to a tailgate or a game the entire time I was there. It was a total blast!

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And freezing cold. Note the mittens, hat, jackets. It started to rain just before halftime and we were OUT. Went back to Eric’s friend John’s home to watch the rest of the game and drink beer and cheer the team to victory next to a warm crackling fire. Much better.

The next day we had a late flight so went to Detroit and visited the art museum. It was another cold, drizzly rainy day so our initial plan to walk around outdoors was shelved. I loved visiting the signature piece at the DIA-the Diego Rivera murals.

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Woah.

We also took the kids to visit the coffee shop where Eric and I first met, which at the time had the racist name “Beaner’s” (for coffee beans, people) and has now been renamed “Biggby’s”, and also to some other haunts.

A few observations–I couldn’t believe how branded MSU has become. Neither Eric nor I remembered this many people wearing State gear around. Every single student we saw had on at least one if not more pieces of branded MSU wear. Is it like this on all college campuses now?

The other thing I thought of was how we do things a bit differently with the kids-we ended up taking a visit to the arcade Pinball Pete’s when we walked past it, something we certainly wouldn’t have done had it just been the two of us, and it was a fun diversion for the day. I look forward to other little detours like this when we’re on the road.

And about that-I also realized that something that might be hard for me next year is being around people all the time. Eric and I and the boy are people who like our alone time and find it as a way to recharge. The girl likes to be as physically close to someone else wherever possible and doesn’t fit into that mold. I think we’re going to have to find ways to have down time or do some split up days where it isn’t all four of us all the time.

And the last thing-going away made me realize how ready I am to just GO. For the first time when we were getting on the plane to come home, I didn’t really want to come home. I just wanted to keep going to somewhere else, somewhere new, and keep moving.

Travel Book Review: Family on the Loose

I found this book while looking through family travel sites on the web– “Family on the Loose: The Art of Traveling with Kids” by Ashley Steel.   It’s currently a free borrow with Amazon Prime so I downloaded it. It is a GREAT resource for not just family travel, but even eating out domestically. There’s a lot for smaller kids and even breastfeeding which I skipped over since it doesn’t pertain to me. What I love the most are all the charts and worksheets that you can copy and paste into a journal for the kids to work on. There’s a lot of ideas for keeping kids engaged and interesting, and a lot of fun games and ideas for things to do while waiting in an airport. So many of these don’t even have to be used while traveling – there are many restaurant dinners where I wished I’d had some of these ideas! One example: the game “pancake” in which one person is “it.” The other family members go around the table and ask whatever question they would like but the only answer they can give is “pancake” and they cannot laugh! Whoever makes them laugh first is “it” and gets to pick a new word. Many of the ideas are grouped by age so it’s not one-size-fits all.

There are travel checklists and even checklists that are done with pictures so non or early readers can pack their own suitcases. I especially appreciate all the advice on how prepping your kid for the trip and what to expect makes everything smoother.

While I borrowed this on my Kindle I think I’m going to order the paper version so I can make copies of all the helpful charts and games that they include to put into the kids’ journals and take along with us. If you’re considering a similar trip (or hell, even a trip to Chipotle) I would check this book out for some truly wonderful ideas.

Change of Plans?

It’s looking more and more like starting in Japan in August will just make everyone relatively miserable with the humidity. I once spent a summer in rural Louisiana and Houston, and my most salient memories are quickly scuttling from one air conditioned box to another and feeling like showers were both the best thing ever and the most useless thing ever. I remember the same thing spending summers in India as a child during the monsoon season, but without the a/c and with lots of mosquitos.

It seems foolish to me to wait so long to go somewhere and know that you’re walking into a hell of humidity where you’ll never want to be outside. You can start in the northern and more mountainous regions, but even if you spend a few weeks there it’ll still be bad on the eastern coast. So, what to do?

My new idea is to follow the weather! This means that we start in the Southern Hemisphere, namely in Australia and/or New Zealand and then work our way northward following the good weather. Many regions of Australia are relatively temperate during this time. New Zealand is in winter, but our ski passes will give us a free week at Mt. Ruapehu and I think it would be a dream to ski there if we could! I’m going to pretend that the practicality of taking ski clothing isn’t an issue, maybe we can just rent like you can here?

So now that I’ve read a bunch of books on Japan and gotten all excited for that, I’m waiting for some books on Australia and New Zealand to come in from the library so I can dream about those.

Looking at the map the plan would be to spend a week in Australia/New Zealand (I know they’re far away really) then a week in Indonesia, moving north through Singapore, Thailand, Laos, Cambodia, Vietnam and then Japan. If the Fulbright doesn’t work out, then we can spend longer in each place and be more leisurely. I’d love to go to China and see the Terracotta Warriors and the Great Wall too-it’s always been a dream of mine.

-sf

Gardening in the Time of a Cool Wet American Summer

This was a year for rain. June was wet and cool for much of the month and I couldn’t even get things planted until much later than I like to. I forwent the walls o’ water this year because laziness and it ended up being a complete blessing. People who planted in May saw their entire gardens washed away by rain and hail. Early June when I finally got everything planted here’s what it looked like:

June 10th

June 10

Compare that to the pictures I took in June a few years ago and you can see how behind things were this year. Nevertheless, like I said things grew as they do and now I again have a small jungle.

September 14

September 14

Thus far we’ve had good tomatoes, squash, eggplant, broccoli, a few peppers, basil, tomatillos & carrots, but NOTHING like last year where I just didn’t know what to do with all the produce. I’m not sure if I’ll have enough to can this year, but the big Roma plants haven’t ripened yet and as they’re determinant tomatoes they all ripen at the same time so I might be able to make a few batches for sauce over winter.

This year the kids had their own little plot in the front which they were responsible for choosing, planting and caring for over the year. They’ve done a good job with it and it was delightful to see them full of pride when they would wrest carrots from the ground or check on the peppers for just the right redness to eat!

It’s getting colder now and I’m watching temperatures near daily-soon will be a frost where I will have to pick everything or try and use sheets to cover the plants for a night.

I’m sad that next year with the travels I won’t have a garden. It’ll be the first time in several years. I’ve realized that the garden gives me a sense of real seasonality. From the moment I first plant in the ground, usually mid March, winter is over for me and I no longer want to go snowboarding even though there’s plenty of snow in the mountains. And somewhere around October when the mornings are cool with just a bit of bite, I realize that summer’s really over and I stop wanting to do anything with the garden and let it fall into decay. The rhythm of life and seasons which is so settled for me here will be turned upside down starting next summer, and while there’s an excitement to that and a knowledge of growth, there’s also a wistful feeling of missing what is normal and standard and regular and familiar.

tomatillo, bright in the morning sun

tomatillo, bright in the morning sun

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aerial view of tomatillo

brightness in the green

brightness in the green

Books and books and books

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This is one of  my favorite parts of a trip, where you start looking through different travel guides and see how much delightful things there are to see and do around the world. It’s full of possibility and imagination and delight, and has none of the pesky realities of cost and actually getting there.

I’ve thus far just focused on the Japan books, since that will be the first part of the trip. Or…maybe not. As I’ve just learned, August is intolerably humid through most of Japan, with humidity up to 80% on many days. Unfortunately, we don’t really have the flexibility to go there in, say, April when it’s truly lovely given the school schedule.

August is also a heavy travel month in Japan given that it’s their summer vacation too and it’s also time of the Obon festival so we’ll have to make some more plans in advance since the Japanese are traveling also! One thought I had is to start with a week or so in Vancouver. We’ve never been and would love to go, August is pleasant in Vancouver, and flights there are surprisingly cheap and flights TO Tokyo are also fairly inexpensive! Another idea is to spend time in the mountains or Hokkaido first where it’s cooler and more nature-y.

Reading about Japan is so fun-whether it’s learning about the Studio Ghibli museum, tasty ramen, the outdoor hot springs (where many ban tattoos as they are considered tied to the Yakuza!), delicious sushi, the tons of fireworks festivals throughout August, the temples, yummy udon, Ninja training academies, all the crazy Harajuku outfits, Tokyo Disney and shabu-shabu. Did I mention the food?

It’s also really nice that all the prices are listed in Yen and I have no idea how much that is at this point. Sure, I could plug it through a converter but where’s the fun in that? Right now there’s so many zeros it all seems ridiculous! I’m going to live in that world for a bit. Besides, we’re not doing this as a shoestring trip-while I don’t want to be spendthrift, we do have the luxury of not needing to spend only $50 a day and I know we’ll be able to make up for it in Southeast Asia and India.

And it’s fun to be able to look at thing that I wouldn’t be able to look at without traveling with kids. By which I mean, I would normally be somewhat bashful about wanting to visit Tokyo Disney or a Sanrio store or the Ninja training but hey, if the KIDS are clamoring for it, who am I to stand in their way, right?

Anyone who’s been there have some must see sights, possibly off the beaten path?

-s

Preparing for Lift Off

It’s time to start really thinking about the trip for next year.  I mean really, really thinking about it.

Which induces not only excitement and happiness and gratitude and amazement and also complete paralyzing anxiety and panic.  As wonderful as I know the trip will be, it also just feels SO BIG to think about. There’s all the big things to think about–what do we do with the house, the cars, school, safety, money, where we will go–and then when I’m done worrying about that I start to think about all the little things. Things such as what to pack and what we’re going to eat and will we have cell phones and is it okay for me to bring mascara on this trip? Or does that make me a bad traveler? Or just one who looks a bit better in pictures?

Some of the big things-we’d like to rent the house out, though haven’t entirely ruled out selling it, we’ll be selling one of the cars and probably having a friend keep the other. School is a bit trickier but with some combination of online math/science and using the trip itself for social studies, history and reading/writing I think it’ll be manageable.

As far as where we’ll go, I’ve gotten a stack of books from the library to start researching the first leg of the trip, which will be Japan and Southeast Asia. I’m thinking to start in Japan, then fly down to Vietnam and explore the peninsula. I’m not sure about visiting China, but it all depends on how much time we have and how much anyone who’s been there convinces me we HAVE to go. The second leg depends on whether Eric gets the Fulbright Scholarship he’s applied for in Timisoara, Romania or not. If so we’ll be there from perhaps October through December, and likely do some exploring of Eastern Europe at that time. If not then we’ll likely do longer stops in East Asia. December/January ideally we’d spend 3-4 weeks in India, then in February we’d head to Ireland where Eric is teaching a Study Abroad program near Dublin. During or after that time we’ll travel in Western Europe. Nothing of course has been set in stone, and if there’s someplace that you tell me we MUST go to, we can change our trip.

Overall we’re planning a slow travel type of a trip, where we find a rental for 1-2 weeks in a place and then do day trips from there instead of moving every day. I’ve been reading some family travel blogs and this seems to be what works best especially when traveling with kids. It also gives us the ability to have a more relaxing down day in the week where we plan the week, do homework, etc.

I’d like to be better about documenting this trip, so my goal is to start writing on at least a weekly basis to get in the habit of doing so. It’s surprisingly easy to find time NOT to write, as those of you who write well know, and I hope that by making it a priority now it’s easier to continue when we’re on the road.

So here we begin!

-s