Diary of a Doc: Dr. JJ on a Mission -- Headed to Medellin

Hi everyone...greetings from the Bogota airport! We are waiting for our flight to Medellin, Carmen's hometown. Our 3 days in Bogota sped by, fueled by jet lag and an itinerary that forced us to fall in love with this crowded metropolis. Bogota itself is very green on the periphery, where roses grow in regimented hothouses, visible from the air and country roads. Yesterday we trekked to 2 salt mines where we were awestruck as cathedrals of salt were carved into their walls, and estuaries of salinated water are piped to distant factories to supply salt for industry and consumption. Today we went to the Museo Del Oro, where again, we were slackjawed viewing amazing artifacts, all in pure gold, tracing the history of Colombia from BC to AD. The intricacy of the workmanship and the symbolism were aptly explained by our hero, our tour guide Freddy.

Meals here are so different than the U.S. ...everyone stokes up on breakfast, and the main meal is lunch -- usually around 2pm and most often a 3-hour affair. Today we had an early lunch (noon) at Pescara di Jaramillo -- felt like Miami with marlins on the walls and ceilings regaled with sails. The main choice for most of the folks at the table was a whole fried fish (I'll post pics later), but Don Shaul chose the best ceviche I have ever sampled, and my grilled crab claws and octopus were amazing.

Imagine the face on the poor agent at Avianca when 18 showed up for check-in (today is #2 flight in 7 total legs for this trip!). Now sitting in the lounge enjoying some pretty yummy local snacks called Achiras (kind of like puffy parmesan cheezits) while waiting for our plane to Medellin. It's a half-hour flight and literally scrapes the tops of the Andes enroute...so as we fly in the light of day, hopefully there will be enough sun to take some awesome pictures...

On this leg we visit many of the medical schools and hospitals, and deliver trauma and CPR mannequins to several departments, teach how to put in interosseous lines, and deliver some toys to hospitalized kids. We will consult with the local docs on what they need and want to learn. It will be the beginning of the medical journey we are all yearning to take here. Carmen and Consuelo have been amazing hosts so far, and our accommodations and meals have been first class...not what most of Colombia enjoys daily, but nonetheless providing necessary comfort for this nervous introduction to Colombia.

The company of our traveling companions is wonderful. There have been very few times over the last several years that we have been able to share a conversation without interruption or getting paged, so having in-depth discussions about everything from medicine to kids is wonderful. The kids (ranging in age from 9-19) have been fabulous so far, all bonding on different levels, nary a whine or complaint.
So on day 3, we are ready to start our real journey!

More to come...
xo - JJ

Diary of a Doc: Dr. JJ on a Mission - Colombia Day 2

Day 2, Bogota....a big hiking day, down literally into the salt mines that feed all the industry and provide salt for most of this part of the world. Into 2 of them are built actual cathedrals, where tourists abound, but weddings, funerals and baptisms occur, and also Halloween parties and receptions...every single inch of wall and floor is salt...then to Andres Carnes de Res - the craziest restaurant I've ever seen!

There are so many cars in Bogota that every person's license plate restricts them to driving 2 days/week. Motorcycles are exempt, but riders must wear their licenses on their backs (for security purposes so assassins could be identified. Yikes!)



Entry gates to the farms take on many bizarre shapes and forms.




This is the monument outside the Zipa salt cathedral, where miners work year round excavating 300 acres of underground salt mines...and have built not one, but two salt cathedrals.




Entry to the tunnel, where we hike down a steep 1000 ft drop, pretty much in the dark, with slippery salt floors (they are black -- and only turn white when water is added).




One of the 14 stations of the cross...this particular salt cross is 10 ft tall and weighs upwards of 3 tons.




The salt dome that heralds the entrance to the cathedral -- polished, perfect...looks like the night sky.




A small chapel within, with sandstone sculptures of the birth of Christ in Bethlehem.




A recreation in salt of the Michaelangelo ceiling at the Sistine Chapel. In this frieze, God's hand is 3 times larger than man's. Man has no eyes as he is imperfect.




Overlooking the town of Zipa, site of the first salt cathedral.




A beautiful old woman carting her goods in the small town of the 2nd cathedral.




Entrance to this salt cathedral is supported by Eucalyptus that forms the structural integrity inside. It takes 100 years for it to petrify, harden and become fully encrusted with salt.




This is a reflecting pool, over 100 meters long, 10 feet deep, and thought to have healing powers more powerful than Lourdes.




We turned a corner and gasped at this artist's 2 ton heart sculpture...lit from the front with a small red light and glowing eerily but beautifully.




Stalagtites abounded...looked like frozen icicles. They bend because of the wind in the caves and grow 1 cm /yr. These were all about 200 cm long!




This cow was there when we started our tour
...and still in the exact same place when we finished.




And to top off the day, lunch at the CRAZIEST restaurant -- Andres Carne de Res. At the street you are greeted with so much eye candy, sculptures, stuff hanging from trees and public art...you know something good is inside...




Another vaca, next to a bottle cap-filled heart...he flanks the front door.




Inside...enlarge the pic and play Where's Waldo :-)...in every corner a surprise and discovery. The restaurant has 300 tables that hold 8 people each....it's wild!




At the end of the hallway in the co-ed bathrooms...Ken will never be the same....in the Men's-only room were a pair of breasts at eye level above each urinal...Bucca di Beppo can't even come close to this place!




Pull on the leather arm and the door opens...

More adventures to come...Tomorrow off to Medellin and the top of the Andes....
Happy Independence Day to all! Stay tuned for another post from Mission Colombia!

xo - JJ

Diary of a Doc: Dr. JJ on a Misson...a Medical Mission -- Columbia, Day 1 pics

So excited to show you the pics from yesterday's first day...Here goes!


July 1: first day in Bogota after a redeye from LAX -- all 18 of us arrived in one piece, and never stopped touring all day. Got a little woozy at 10,000 feet at the Monserrat Cathedral, but otherwise hung in...early to bed...more adventures today (pics and today's diary coming soon!)...will try to post daily. xo - JJ

Bogota is very hilly - feels like Old San Juan. CRAZY drivers and no rules...lots of car repair shops!



The streets are as colorful as the people.



We visited the Interior Minister's palace (Palacio di San Carlos) where I fell in love with this mirror (it's 6 feet in diameter!). Do you think they would notice if I "borrowed" it for my living room? Just kidding.



One of the many private courtyards. That'll work.



Old Cathedral. Have you ever seen a more beautiful brilliant blue sky?



In the public square...another friendly alpaca awaits his photo op. (And we just had ponies!)



The ultimate smiling vendor. Chalupa anyone?



The group with the palace guard (yes, they ALL look like they're 15 years old).



Enroute to Monserrat Cathedral -- there is a lovely waterfall with the icon of Bogota on the right -- while you await the tram that takes you on a harrowing 2000 foot vertical rise...you are calmed by this vision.



And then you board...



and go up...



and up...to view this city of 7 million.




And at the top, our group on the steps of the Cathedral in the pouring rain, out of breath and a bit headachey with the sudden rise in altitude...but eager to see the ornate chapel within...

Then back to the hotel after a long lunch at Casa Vieja where we ate corn cakes called arepas - with chimmichurri, amazing empanadas, potato soup, incredible steak, and the local beer - Club Colombia - which was EXCELLENT! Nighty night until tomorrow...

Diary of a Doc: Dr. JJ on a Mission...a Medical Mission -- Colombia, Pt 1

In this Diary of a Doc, we catch up with Dr. JJ on a medical mission to Colombia. Unsure exactly what to expect, yet incredibly excited, the group of 18 landed in Colombia this morning and hit the ground running. Headed up by Dr. Carmen Botero (yep...THAT Botero!), the group of doctors, doctors' children (many quite accomplished in their own right) and contributing guests begin their trip in Bogota, absorbing the sites, sounds and culture of the capital city before heading to Medellin, Cali, Cartagena, back to Bogota and home to the U.S.

Here, Part 1 of Dr. JJ's travel diary:

"Funny I was stressing that I had 2 suitcases, Carmen had 12! And 14 huge boxes…needless to say after arriving in Bogota...getting out of the airport involved going through several gauntlets…but so amazing that a couple of the porters knew and recognized Carmen and treated us with ultimate respect.

Ali Namazie, his wife Giselle (an internist), their 2 girls, Don Shaul & Shirley Suda and their 2 boys, a premed Junior from Masters University, Sister Colleen Settles (an ordained minister and Dominican Nun from Kalamazoo, who ROCKS by the way...), Carmen, her son Omar, assistant Consuelo, Howie and Ellen Reinstein, their adorable daughter Mikaela (a special ed teacher in Oakland), and Mark Koenig, Providence international mission expert compose our contingency.

Air quality in Bogota is horrible – from the air it is so green it looks like a massive golf course with Andes Mountains attached…once on the street, no traffic lanes, CROWDED buses, rogue ambulances and scooters, innumerable car repair shops (wonder why?), cows and horses on mere spits of land between lots of cinderblock buildings…and at the height of the city, modern construction, business people looking like they are out of central casting, our hotel, and 18 hungry and tired travelers awaiting our first stop at 10am this am – the State Palace – where we will have a private diplomatic tour...(stay tuned for pics!)

Since the food on the plane was inedible (but oh, the wine was good), off to a quick breakfast and then the days’ tour…..

Kind of cool that the hotel conserves it's resources – you have to put your key in a slot (a slot they don’t tell you about, btw) in order to turn on any lights in the room. For this tired traveler it took a few minutes…but the internet connection is good…and so far so are we…..

Until next post....

Xo, JJ"

Diary of a Doc: Dr. JJ -- 1109 Days & Counting

Oh boy, the summer is really flying by! It seems like just yesterday I heard "Mom, I am so glad to be home, and can't wait to be here for 3 months!" Now the drums are thumping in the direction of Ann Arbor as Max is "home"sick for school and can't wait to get back! In the meantime, he is truly enjoying his job (and believe me, a job is hard to come by for these kids returning from college), and this week his comrades from the UC schools returned to a bit of fanfare from their buddies.
Our refrigerator staples are lasting a bit longer, as Max is eating out a bit more, and while home, is trying sincerely to eat well and get a little exercise. His dad and I wish his socks and dirty laundry would exercise their way into the basket located directly in the line of fire of his bed! But aside from the expected messes, late nights, and groggy mornings, we both are enjoying the unfolding stories that continue to come our way, and the (mostly) pleasant banter we have reestablished day to day. Some of you have had "Max sightings" as he borrows my car every Tuesday, accompanies me to the hospital to make rounds in the morning, and then picks me up in the afternoon.
He caught me off guard this week, when I was having a "moment" of feeling overwhelmed, hugged me tight, and told me he really didn't get how hard I worked until he stared at the wall in my office with diplomas & certificates, etc. He sincerely told me how proud of me he was....and of course, in moments like those, there is total absolution for all dirty socks and stinky laundry, late nights, overdue bank accounts and half-eaten food in the fridge. It's so interesting that as Bruce and I made this adjustment to an empty nest, the definition of who we were morphed. Although I will always be "Max's mom" whether he is far or near, it's only when he is here, in the flesh, that I feel I can be the 3-D mom.
Ahh, it's good to be mom...

Diary of a Doc: Dr. JJ -- 1149 Days and Counting

So my son, Max, is home from college in all is glory -- 3 stuffed duffle bags (gotta give him credit...at least he did his laundry before coming home. His clothes were wrinkled, but CLEAN!), 1 backpack, 1 computer case...aching for a haircut and an In N' Out burger. It took almost a whole school year for Bruce and I to get into some sort of established rhythm and routine with the nest being mostly empty, and Max's return has thrown a wrench (quite happily I might add) into daily life. He has taken up temporary squatting rights on the sofa, as his bed is still sandwiched between our office desks and the wall (I am none too happy that my home office is still not ready), a bookcase is serving as his closet in the dining room, and the refrigerator is suddenly much emptier as Max returns to home cooking. I learned yesterday while shopping in the market with him that A1 Steak Sauce is his savior at school -- drowning out all unsavory tastes and rescuing the hopelessly boring food served in the dining hall (at University of Michigan)...ugh! We'll have none of that this summer. Already the energy in the house is different, as a smattering of his local friends are starting to stop by (eyeing him jealously as their school terms aren't over for another month) to eat, visit and reconnect. I give Max credit in that the first day after arrival , after getting a decent haircut , he was on the move looking for a summer job (or two). He wants to get his feet wet in law or entertainment, and also wants to make a little $$, whether babysitting, working in the mall, tutoring or whatever...
He is pretty motivated without a kickstart from us! Some things haven't changed, however -- the smell of the young man pervades the household (those feet! Ugh!), the tabletops now littered with the detritus of a good snack, and the reality that mom gets a few extra bear hugs a day. I am in heaven (when I'm not cooking!).

Diary of a Doc: Dr. Diane -- Reflections on Becoming an MD and a Mom

I often get asked "How do you do it? Being a mom of 2, pediatrician and co-founder of MD MOMS?". I find myself wondering why the question was posed, as it suggests that I'm managing an insurmountable feat of some kind. I'd imagine I'm not all that different from most career moms out there. It comes from the delicate, not always controllable, but somehow effective balancing act of just doing the best I can, in roles that really fuse together and become one. A role that is shaped by life but one that I hope would be an adequate model for my kids to observe and learn from.

Having fled Vietnam during the height of the war at the age of 10 and immigrating to the US, I've experienced what it means to start anew in a very different land and culture. I have memories of a more privileged life in Vietnam, with nannies, tutors and chauffeurs. Yet my more intense recollections were of my efforts to assimilate into being a 5th grader in America. I learned that my pajamas are not to be worn at school, that holding my sister's hands while we walked home from school was seen as 'too intimate', and that you can actually refer to your teachers by their first name without any reprimand. It wasn't always easy, but we worked hard
to assimilate and excel.
As life went on, I began to recognize that my motivation stems from observing my parents' sacrifices to rebuild their lives from scratch for the benefit of their children. Therefore, I strived to take advantage of every blessed opportunity afforded to me by excelling in academics. I entered UC Davis medical school after attending UCSD and graduated from my pediatrics residency without any breaks for travel or real work/life experiences.
I got married after internship and became pregnant at around the second year of residency, and by the time I joined my first pediatric practice, I was a mother with 2 kids under the age of 4 (gulp).

It's often said that having children makes you a better pediatrician. While I think that is certainly true, personally, I feel that my experiences in my practice have taught me to be a better mom. As I struggle with a tragic diagnosis, or a difficult situation, I've become better at putting life into perspective and have tried to "not sweat the small stuff" at home. Through my children's young years, I worked full time, but as they have grown beyond after-school care, I've cut back my hours at the office. My husband is a physician also, so the whirlwind of both medical schedules and the academic schedules of 2 children left us with a short window of quality time in the evenings (often filled with homework) certainly not conducive to a relaxing bedtime routine!
Now my hours at the office coincide with their school time, and I'm a ready presence for them when they return from school. Oftentimes, homework time is a perfect time for me to work on my homework: MD Moms projects.

I wouldn't go so far as to say that life is easy, but I know first hand that it could be a lot tougher! Though my children are far removed from the first generation immigrant experience, I hope that they will strive to do the best they can with whatever life floats their way. And if they ever do find themselves having challenges with multitasking, I will remind them to do what I do and "not sweat the small stuff"!

Happy Mother's Day to all of you!!

Diary of a Doc: Dr. JJ -- On Being an MD Mom and Striking the Balance Between the Two

While perusing one of our favorite sections of the NY Times, the Well blog, we were understandably drawn to an entry called "Doctoring and Mothering", along with a moving companion article by Dr. Pauline Chen, "Bringing Out the Mother in All of Us". It gave us a moment to reflect on our own lives, as women, MDs, moms and, of course, as the MD Moms. We can certainly all relate to the challenge of striking that perfect work/life balance, and we'd without a doubt be zillionaires if we had the magic formula.
At the end of her blog, Tara Parker-Pope posed these questions to her readers, "Are you a doctor juggling the challenges of patient care and family care? Is the balancing act faced by doctors any different than what every working parent experiences?"
Here, Dr. JJ weighs in with her very personal perspective:

My opportunity to become physician, wife and mother all occurred within such a narrow window I didn’t think twice. I entered med school at age 30, married later that year, and delivered my son 9 months before graduation. During residency at CHLA my little guy was our class mascot - an ever present cherub brought to visit by his dad (the defacto mother as well), and discovering McDonalds (on campus in the hospital) a bit too early in his life.
The reality of what impact my training and lifestyle had on my young son came one day, when I picked him up from pre-school. I was dressed in my usual sweats (never wore scrubs outside of the hospital). His teacher laughingly remarked what an imagination my son had when asked what his mother did for a living. He replied “She’s the doctor at McDonald’s!” She thought he was just imaginative - I set her straight.
I knew from the get-go that both pediatric medicine and raising a child would dovetail nicely, but would require sacrificing time away from home. For us the quality of the time remaining together certainly overshadowed the quantity. I was always of the mindset that to be a great physician meant working fulltime and being there for my patients unconditionally. For me a doctor-patient relationship is strained when the doctor is not a present force the majority of the time. The learning curve for the physician is also diminished when the responsibility for the patient is handed over to others.
My husband worked from home in order to care for our son, and it was clear that I had to be the breadwinner for us to successfully manage our obligations. In the early stages of building my practice I made the conscious choice to NOT work part-time, to NOT ask for time off for small events (and saved my requests for the times that really mattered) , despite the glares from my part-time female colleagues. Was I any less a mother? I don’t think so. Did I become a better physician as a result? Yes. Was it worth it? Definitely.
With one child, certainly, this “balance” is more manageable. What challenged us greatly was the addition of parenting my mom for 5 years, as she had developed Alzheimer’s at an early age. Our best-laid plans cracked and the challenge of parenting/care-giving became too much as my mom’s dementia worsened and her health declined. Our marriage became strained as my mother’s needs grew, and there weren’t enough hours in the day to really tend to everyone’s needs. We moved mom into an assisted living facility which helped restore balance at home, but certainly made it impossible to consider cutting back hours and spending more time at home during my son’s middle school/high school years.
I wanted so desperately to process this stage of his life and make sure I had done enough to prepare him to be an intact, emotional responsible young adult. I started writing about him, his successes, failures, accomplishments, looked at his learning curve, his friendships, his insights. By the time he graduated I was convinced that his dad and I had really done a reasonably good job of preparing him for real life, despite the topsy turvy nature of our family life.
Now my darling son is 18, having finished his freshman year of college. I am still plugging away, and although I have missed many, many of his daily feats and events through the years, his dad has always been there. We have a very special bond despite the time away from home. He has a very happy mom, as I have been able to achieve my dream of being a pediatrician (albeit later than planned), having a tremendous kid, and an intact marriage. It certainly hasn’t been easy, but I would do it again!
Happy Mother’s Day to all of you women docs out there! You rock! ..And roll with the punches!

Diary of a Doc: Dr JJ -- 1186 Days and Counting

First of all, I want to thank you all for your good wishes for DOD. He’s hanging in at home and gathering a little strength, day by day. As for the boy, he trekked to Chicago last weekend, riding shotgun with a librarian from Flint, for a national backgammon tournament. Backgammon shares a space in his heart with poker, but somehow the former seems more legitimate in mom’s mind (no seedy, smoky, sunglass-clad, shifty-eyed visuals in my brain). Having never set foot on the streets of “ChiTown” (except for his layovers in the airport), Max now understands why everyone LOVES Chicago (except in the deep of Winter). Here he was, kid from the BIG City, calling mom in absolute wonder at the gorgeous architecture, river through the City, admiring the vibrancy and beauty of this incredible jewel in the middle of the US! The tournament was held out in the ‘burbs, and Max quickly was humbled (and his scratched together entry fees and buy ins quickly gone) by the finesse and skill held by those many years senior to him. He didn’t mind being excluded early – as that gave him time to meet his heroes of this “sport,” garner some knowledge, and most importantly, stand back and realize that winning at this level requires years and years of practice, dedication, and, as he realized, many losses on the way to victory. His mind set zoomed from the fantasy of winning (as a young neophyte) to the reality of realizing that true dedication, humbling losses and resilient persistence are the qualities of someone who succeeds. I hope that he will apply this experience, and these lessons to his life on campus, and his life on this planet. I already started to see a hint of it when he was not hired as a campus tour guide (a plum paid position), and set about to try again in the fall (with no anger, angst, or assigning blame)……now let’s hope he finds a job this summer as he returns home April 29 for 3 months!

Diary of a Doc: Dr. JJ -- 1212 Days and Counting

Well, where have the last several weeks gone?? Real life has stepped in the way of late -- as plans for a week away took a hairpin turn back to Los Angeles! My father-in-law was admitted to the ICU at Cedars, and by last Sunday, we seriously thought we were going to lose him. That said, for Max it was an automatic decision to return home instead of trying to feign enjoyment in NYC while grandpa (or DOD, Dear Old Dad, as we call him) was fighting for every breath. So Max (and his friend Lorin) returned home Tuesday, immediately sailing into DOD's room, and actually finding him a bit improved (as he had made no progress for 9 days prior). As the other grandkids gathered 'round as well, I think DOD decided he couldn't throw in the towel, and started to fight all week -- inspired by the young who sat at his side daily. I think Max (and Bruce and I) heard more funny (and secret) stories from Grandpa this week than we had heard in the last 20 years. It was as if he had unlocked more of his legacy and made sure it was verbally given to the kids. What a great gift! Although an emotionally draining few weeks, Max and Lorin left yesterday knowing that DOD was being transferred to a regular room, and against all odds would make it home.
As the kids' adventure got derailed, we made sure (with the kindness and generosity of friends) that they returned to Michigan with a few memories -- innumerable rides on The Simpson's at Universal Studios (thanks Janice!), a Laker's game (thanks Rex & Val!), and a day on the firing range in Tujunga (where Lorin looked like Annie Oakley, and shot more like a pro than a novice). The kids helped Bruce and I refocus and settle down, as initially every phone ring made us both jump, thinking we were going to hear the worst.
The kids returned to a HUGE storm just in time, and today we return to a regular life -- with its completely unexpected twists and turns...
We are grateful to all those who have returned DOD to us, and thank our friends and family for all their support and love.

Diary of a Doc: Dr. JJ -- 1240 Days & Counting

Our intrepid Max, fully outfitted in khaki green Northface expedition parka and LL Bean subzero boots continues to love the freezing cold, ice storms, snow and subzero temperatures that define the heart of winter in Michigan. Spring break for the Wolverines comes the third week of February -- as the kids are likely to be in the depths of seasonal affective disorder, dreading short days and long nights, and tired of the daily slog through snow drifts to get to class, the prospect of a little fun for a week keeps them warm with hope.
Max's first inclination was to return home for some R&R. However, knowing that we would force him out on the trail of identifying employment for summer dashed his dreams of sleeping in, eating trays of food lovingly prepared by mom, and the prospect of doing nothing. Skip to Plan B -- a trip to Mount Rushmore, by bus, enduring 36 hours in a smelly seat with perfect strangers. Good enough? NO! Skip to Plan C -- a quick trip to New York to visit the United Nations, see a Broadway show, take in the Museums before they are impassable in the Spring, a return to Ellis Island to caress the inscribed names of his great grandparents -- you bet! With the kind offer of a friend to stay in her apartment while there, Max will trek to the bigger city to take inn a little culture, a lot of history, and while not really having a chance to defrost, enjoy the vibrancy that is Manhattan.
It will be a little late to see Conan, but no less thrilling.
So what does Mom do? Put away the trays (ready to be laden with home cooked food), forget about fluffing up the pillows, put herself back in the office to work, and mope a bit...all part of the necessary process of emancipation and detachment that both parent and young people experience at this stage of life! So much of the college experience comes from not what is conveyed in the classroom, but rather the coping, resourcefulness and creativity that comes from striking out on one's own, problem solving, living within a budget and surging forward steadily into real adulthood.
Yeah, I'm moping a bit, but inside, I am totally proud!

Diary of a Doc: Dr. JJ

A year and a half ago, I started to blog about my son in my practice newsletter - counting down the 400 days he had at home until his graduation from High School. Was he ready to go forth into the big world of college? Had we given him the right tools?
He successfully completed his journey and started as a freshman at the University of Michigan in September. Yet another countdown started, as I blog about his progress in college, our progress as empty nesters, and reflections of the life he faces currently. Enjoy as we pick up on this week's entry, and check back every Friday as we update our countdown...

1257 Days and Counting...

Brrrrr.....it's cold in Ann Arbor - freezing temps are hitting the entire Midwest and Northeast. From the comfort of our tropical climate, we shudder at the thought of even a 40 degree morning in LA - and yet thousands of our kids trudge bravely through several feet of snow, ice and slush to go to class, grab a hot chocolate, nourish in the dining hall, or just go to work! Max related that the other night, in the midst of an almost-blizzard, the fire alarms went off in his dorm, the kids trudged downward and outside, dreading the cold, and beleagured at the hour. What did they face at the front door - an army of energetic colleagues from the dorm across the way - and a pile of thousands of pre-made snowballs at the ready! The battle was on, the freezing temps didn't matter, as the proud warriors engaged in a contest that none of us could or would survive at our age. This is just one example of how our perspective changes with youth. Seriously, aside from a brief weather report from Max, I have not heard ONE complaint from him about the cold. His daily description is "It's so beautiful mom", and "thanks for the great coat and boots - 'cause I'm not cold."....and here I am this week, dreading a trip to NY, Boston and Providence next Friday - imagining that upon leaving the safe confines of a warm airport terminal, that I will IMMEDIATELY turn into a human popsicle and never recover! Of course the very mention of my anxiety arouses huge guffaws from my son, and a reminder from him that I have a little natural insulation to help me through such ordeals - oy!

The kids are gearing up for a celebration of hope on Tuesday as the inauguration and its' personal significance to Max and his friends is truly huge. I hope that we all stop and pause on Tuesday and realize the signficance of this very day. Think about the millions who will happily stand in the cold, ice, and snow to witness history, to revere freedom, and to support our country and its new president. Take the opportunity to share this event with your children, as it will generate such a variety of discussion points - both from the past and present. Whatever your politics, it is incumbent upon all of us to link together in mutual support in order to survive these tough economic and political times...

Have a great week - and enjoy this historic moment!

Dr JJ's Diary of a Doc: Allowing yourself a much needed 'Mom's Time Out'

One of the great perks I enjoy, since I travel a lot as president of MD Moms, is taking advantage of the opportunity to meet great moms and Baby Silk customers in any city I wake up in. A few months ago I had the privilege (for the second year in a row) of being the “in house” pediatrician for Mommy and Baby week at the Greenhouse Spa in Dallas.

Certainly, a week at a high end spa is usually only the subject of dreams for most of us (including me), so seizing an opportunity like this (4 days of sublime treatments in the company of several moms and adorable babies) was a no-brainer…..

I met a great group of moms from all backgrounds and walks of life as well as a few speakers who brought their insights and expertise to this event. Two moms had 4 kids under kindergarten age (twins made the math “easy” for both of them – one was a stay at home mom, and the other was a fulltime attorney in Washington DC), one mom had a very young one month old, one was having a last hurrah before returning to her position as an aerospace engineer at NASA, another a single mom/prosecuting attorney who had lost her home in Hurricane Katrina, a store owner, a foundation head and 2 mompreneurs – one who manufactures organic baby food and the other, socially responsible dog products.

These are lucky women – auspiciously not because they could afford the week at the Greenhouse (although I’d be lying if I didn’t acknowledge that), but because they have taken the time, with the support of their families, to recognize that relaxation, revitalization, and recreation were important enough to stop real life for a few days, and treat themselves to some needed rest, some healthy food, a few naps made possible by the help of in-house helpers, and an opportunity to make some new friends.

How often do we, as mothers in particular, sacrifice things like a good haircut, a meal or coffee out with a friend, or worse yet, a needed doctor’s appointment or yearly mammogram, because we are just “too busy?”

How often do we say “no thank you” when a friend, relative or colleague offers to take our kids out, drive them to school or daycare, or just give us a break?

While martyrdom was popular in the dark ages, there should be no role for it in our lives. Allow yourselves to take the time to assign your partner to your child for an hour, light some candles, and soak in a bath. Say yes to your neighbor, let her watch your child, and go get your hair cut or nails polished.

Grab your young one, and curl up together for a nap, and defer a few errands or chores to just suspend yourself in rest for a few minutes. Despite the fact that most of us don’t have a big budget for a spa, we can easily create some “aaah” time as a priority. You will find, as I have this week, that the world does not stop and implode when you are gone for a few minutes or hours. These breaks are difficult to take, but allow us to refresh our bodies, minds, and spirits so that we become better mothers, better partners, and better people.

Dr. JJ's Diary of a Doc: 8/10/08

It seems as though age is catching up with me – between my daily work in my pediatric practice, getting my son ready for his departure to the University of Michigan next week (Go Blue!), new construction in my office, and of course, serving as President of MD Moms, one would expect a grey-tinged person such as myself to stifle a few yawns………Believe it or not, I get enough sleep to prevent that from happening……………..UNTIL THIS WEEK!

Every four years my husband and family surrender and hand me over to my television set to live, eat and breathe the Olympic spirit. My issue this year is that the major network televising this marvelous event is broadcasting to the West Coast on tape delay – and you lucky folks on the East Coast get to view the games live! Why does that matter to me? Well, my TIVO broke long ago, I don’t have the necessary cable to watch a live feed, and I struggle to stay awake past my midnite bedtime to see history unfold once again.

After lifting my jaw off the floor (and my box of tear stained tissues) after the mind-bending opening ceremonies, I trudged, half asleep to bed with the knowledge that I would miss the torch being lit. I prided myself on my ability to stay awake, but swore under my breath when my neck hurt this morning from the odd yoga position I found myself in as I drifted off to sleep on my sofa.

I resolved to stay awake last night to see the pride of the University of Michigan, Michael Phelps, win his first gold and look to the stands for his mom, his inspiration. There went another box of tissue! However, with the intricacy of the opening ceremonies setting a high benchmark, do you think that the National Anthem could have been played correctly, and not awkwardly cut off at the end? Perhaps you all respond like I do at these medal ceremonies, silently mouthing the words and welling up in tears feeling the magnitude of the moment………and then our collective joy is cut short as the last stanza just drops off! Come on!

More importantly, I wanted to witness a more significant piece of history unfold – the debut of Dara Torres . She is a symbol of courage, talent, determination (OMG that 12 pack)! She is also a friend of the MD Moms, and her young Tessa wears our Baby Silk Babysafe Sunscreen Towelettes daily, while mom works out in Coral Gables. It angers me that the press speculates that her grueling schedule of workouts, and the transformation of her “middle aged” body is the result of doping. She has gone so far as to have her blood stored and frozen for any future analyses, to prove to the world, that greatness can come just with hard work and talent. She has something to prove, and serves as an inspiration to many individuals who feel that age is an impediment to accomplishment – especially in the realm of physical competition.

I never got to see Dara take the podium to win her Silver Medal last night…sleep overtook me and this morning I hope to find a rerun somewhere to recreate that moment….I anticipate that I will be yawning daily at work, quaffing more than my usual 2 coffees daily, and aiming home as soon as patients are out the door, to catch these moments of triumph and persistence, joy and disappointment, pride and pain, as these young (and middle aged) ambassadors of the world make us feel, for just a few days, that the worlds’ people could get along under one roof…..

OK, so enough rambling……….grab a pen, write to NBC, appeal to them to give me some live feed on the West Coast so I can sleep! NOT!

Enjoy the Olympics! ...and GO DARA!

JJ Levenstein, MD, FAAP

President, MD Moms – makers of Baby Silk