Saturday, August 12, 2017

To my daughter, on your First Birthday...

Dear Violet,

As you sleep upstairs nestled with mom in our bed (we're still working on that whole "sleep training" thing), and the final minutes of your first birthday tick away, I just wanted to jot down a few notes to you.  Nothing monumental, nothing too mushy.  Just a few reflections on the past year I've been thinking about today.  Perhaps someday I'll put them into proper prose, but for now, bullet points will have to do.  And mind you, these are in no particular order.

  • I love you in a way I didn't know was possible 365 days ago.  This may seem overly simplistic, but you have to understand: Before you came along, it was just me and your mom for nearly a decade and a half.  In those 15 years, we lived together, then apart, in different countries and on different coasts, then finally we settled somewhere long enough to have you.  My love for your mother evolved and grew and always kept me safe, even in the roughest of times.  It became my shelter.  And to make room for someone in that shelter was a scary proposition.   And suddenly, there you were.  And rather than feeling like you were there to share my shelter, I felt the need to be yours.  When I wrapped my arms around you, much like your mother did to me countless times, I realized it was the beginning of a love that will evolve and grow and keep you safe in even the roughest of times.  
  • Sadly, you shared your first birthday with heartbreaking news.  Forty-nine innocent souls lost their lives because of hate, bigotry and a deadly mixture of violent ideologies.  On the night I get to marvel at your first year of health and happiness,  my mind keeps returning to how I can keep you safe in a world increasingly focused on differences and division.  While I want you to be strong, independent, dedicated and bold, I hope this comes with equal parts compassion, empathy and understanding.  I will do my best to lead by example.  Luckily, I have your mother providing an example for us both.  
  • This morning, you plopped yourself on our scale in the bathroom while we were getting ready.  You weighed 18.7 pounds!  For the first few months of your life, you had me and mom weighing you on a weekly basis because we were worried about your growth.  You lost so much weight in the first 3 days of life because of jaundice, you looked puny.  Now, you've got rolls and are taller than most babies your age!  

Tuesday, July 14, 2015

Paternity Leave

Violet turned one month old this past Saturday.  I have had the joy of being present for every waking moment of her life so far.  Whether it was 3am or 3pm, weekend or weekday, or even 4th of July weekend, I could swaddle, hold, feed and sing to my daughter whenever I wanted.  And while I understand that I run a distant second to Regina in terms of immediate sustenance, I like to think that my nonsensical bedtime songs and expert swaddling abilities are somehow imprinting a sense of dad's love and ultimate authority over who she dates.

Like I said, it's been a joy.

But with one short week left, I've also started to feel a little guilty about how much time I've been off.  I know my colleagues at work would smack me upside the head for saying so.  When I think about the empathy, love, flexibility and support they've shown me, I realize that there is no one on Earth luckier than me to have the kind of friends as colleague that I have.  Seriously.  Don't even try.  You're not luckier than me.  I win on this one.

With that being said, I figured it's only natural to feel this guilt.  The onward march of academia slows for no one, right?  Think of the schedule that had to be covered, the patients that had to be seen, emails to be returned, unforeseen snags I wasn't there to volunteer to help work out, those poor residents aimlessly shuffling by my office door seeking out my sage advice....

Or, as so expertly described by Peter Venkman in Ghostbusters: "Dogs and cats living together...mass hysteria!"

But even when I rationalize this guilt, it hits me even harder that I was blessed with an amount of paid time off so few men are afforded in this country.  Of course, this country's woeful disregard for maternity leave is a well-documented affront to the "family values" so many in power claim to fight for.  In fact, one of the best editorials I've ever seen on this was just recently delivered by John Oliver on Last Week Tonight.  If you haven't seen it, take a few minutes and watch it here...it's fantastic:



 It's sad that a foreign-born comedian with a Green Card has a better grasp on this uniquely American problem than most elected officials in Washington.  If only John Oliver were eligible to run for President.

But paternity leave, beyond the usual economic arguments, still remains a societal taboo to some extent.  While the term Family Medical Leave has shifted focus to become more inclusive of family members and medical conditions, the actual act of a father taking extended, unencumbered time off to support his wife and change a diaper or two is stuck somewhere in the 80's, where men's role in a family are sandwiched between National Lampoon's Vacation and Mr. Mom.  Mention "paternity leave" to some folks and there's a good chance you'll get a snicker or some comment about wearing fake boobs to help with breastfeeding.  I wish I were making this up, but even with my overwhelmingly positive experience, this still happened.

I know this may sound like a whole lot of first-world complaining, but this country has always taken a horribly third-world stance on this subject.  By far, women bear the brunt of this by absorbing the double-insult of unpaid medical leave ON TOP of wage inequality that stems from a belief that they take more time off for family.  But as a new generation of men seeking similar opportunities to bond with their children, the two biggest obstacles we must overcome include the macho-breadwinner archetype we've designed and the belief that our work hours are somehow more valuable than doing laundry for our exhausted postpartum partners.

It's mind-numbing to think, as a country, we don't see the overall economic and societal benefits that paid family leave can provide, despite proof from every corner of the earth.  I'm sure the first thing you'll hear is that America just isn't like those damn socialist Scandinavian countries where people get 6 months off for adopting a new dog (more eloquently explained in this New Yorker article).  But you now don't have to look any further than our own California (which some will still try to label as foreign Socialist country) for proof that paid family medical leave makes economic sense.  

While I can talk a big game on a societal level, I'll admit I don't have any big solutions beyond my own experience.  I saved up as much vacation time as I could, amassed as much credibility with my coworkers as possible, got to know the ins-and-outs of my institutions FMLA policies, and ultimately made contingency plans for unpaid time.

And even after all this, I still feel LUCKY for having this precious time off.

LUCKY?

In some ways, I think this is how I rationalize my guilt.



Saturday, July 04, 2015

Where to begin....again.

I'll admit it.  Facebook has made me lazy.  So has Instagram.  And texting.  Facetime.  Skype.  

Somewhere along the line, the written word and I parted ways.  Even at work, the need for writing more than 2-3 full sentences with a clearly defined subject and verb has become somewhat obsolete, if not frowned upon.  

Agree with above.  

Patient stable.  

D/C home.  

There aren't even enough syllables to qualify as a haiku.  

Don't get me wrong.  I'm not shopping for quill pens and inkwells.  This isn't some rant against modern technology.  I have enough first-world problems on my mind to try and attempt getting my handwritten memoirs published.  And quite frankly, I do find utility in the quick and (somewhat) mindless act of mass communication.  In a time of ever-increasing distance between family and decreasing time for leisure, I like to think I'm able to put a smile on my mom's face by showing her a snapshot of her newest grandchild.  

No, I think abandoned my ability to chronicle my life consistently way back around 1990 when I thought I could mimic Doogie Howser and keep a journal on my Commodore 128.   Much like the 5.25" floppy disks that stored all of about 4-5 entries, that fell by the wayside.  My next endeavor came in the form of poems and lyrics for the now defunct (but locally legendary) Twinkie's Revenge.  I figured my hopes, dreams and (lack of) conquests would live on forever in the liner notes of our (never released) self-titled album.  And while I've held on to those lyrics and notes, as well as those from my subsequent bands, they still only shed light on a sliver of life from very distinct moments in time.  

Fast-forward 10 years, it's 2006, and I'm heading to Kenya for 6 weeks medical school elective.  During my four years in college, two years of grad school, and four years of medical school, there still wasn't a term called "social media".  I had a Sprint flip-phone that took grainy pictures, a Zen Jukebox mp3 player (because the first generation iPod was way out of my price range), and a brand-spanking-new email account from a company called Google. 

Here is my first blog post (worth reading because I actually reference MySpace...seriously!): http://jerryballas.blogspot.com/2006/03/where-to-begin.html

I wanted to chronicle my trip for friends and family in real time, but also knew that my access to the internet would be spotty, at best.  Uploading a ton of pictures or sitting at an internet cafe and writing a mini-novel would be nearly impossible.   So I would draft my posts on my friend's laptop at night back in our quarters, cut and paste them whenever we'd get internet access, and upload a picture or two.  Ultimately, these posts ended up having enough content, both written and visual, to qualify as my "thesis" for the elective and get me credit to graduate.  

It felt good to write.  I've always enjoyed it.  I figured residency would give me all the material in the world to keep on writing deeper, more thoughtful stories.  And it did.  Without a doubt.  

Except I didn't do the writing part.  

Somewhere in the middle of residency, Facebook appears.  And honestly, as a resident, it became the perfect way to a) communicate with the outside world b) communicate amongst the folks you work with and c) curate your life in such a way that smoothed out the manic-depressive extremes.  I felt like no one needed to see (or read about) the banality of my 24 (or more) hour call, but rather it was the delirious mimosa-fueled brunch we dragged ourselves to afterwards that would ultimately make the editorial cut.  Pretty soon, life in general started getting a similar treatment.  

When I moved to San Diego for fellowship, I decided to take a little different approach.  Since it was such an alien landscape to me, and I found myself taking pictures of such exotic things as palm trees, birds of paradise, and my apartment, I figured I would simply do a photo blog.  It was genius!  I would simply post a picture per day, with or without caption or context.  Profound!  

Mind you, this was July, 2010.  Instagram wouldn't make its debut until October of that year.  I consider myself a pioneer.  

I had 178 posts that year.  Technically, in only half of that year.  

Then, 57 posts in 2011.

Then...

You get the picture.  Facebook.  Instagram.  Even a little Twitter thrown in for good measure. Yet, somehow, writing 140 characters seems more daunting most days than writing 140 words.

And now, magically, as my left eyelid twitches from too little sleep and too much caffeine, I've decided to test the waters of consistent blogging once again at a time in my life that almost GUARANTEES failure.  I've been home on paternity leave for 3 weeks now, and haven't managed to string together 2-3 sentences in less than 1-2 hours without something coming up (or out) that needs tending to.  

Babies are no joke.  I know that sounds trite and flippant, and probably wouldn't make the cut for a teen pregnancy prevention PSA, but that's the truth in its most Twitter-esque form.  I marvel at all those parental bloggers out there that can somehow churn out post after meaningful post, all while carrying their kid in a sling, typing with one hand and sipping freshly squeezed lemonade in the other.  At least, that's the image of them I have in my head most of the time.  

Or maybe it's the image I want to project.


Nailed it.

I don't make any promises going forward, and I'm starting to think this may end up being more therapy than theater, but come on back when you have a few minutes to burn and maybe we can share a laugh or two.










Saturday, March 05, 2011

Day 235

Valentine's Day!


Day 234

Our engagement reunion tour.....


Day 233

At Del Dotto caves in Napa with Kristen and Jeff...


Day 232

Day 231



Day 230

Catching my breath after climbing the hills of San Francisco....

Day 229

SFO for SMFM!

Day 228

Morning of surgery...stupid sebaceous cyst. I think the worst part was wearing that gown with nothing underneath and sitting on vinyl.....

Day 227

Managing to get out and study too....

Day 226

My poor love, studying hard for Step 1....

Saturday, February 05, 2011

Day 225

This one's for Justin....

Day 224

My usual walk through Balboa Park...

Day 223

Even though this was taken the day before, I believe the importance of the message warrants it's own post....

Day 222

Leave it up to the MFM to point out the risk of prematurity in seal pupping....

Day 221

Fashion Valley Mall....seeing Airplane! on the big screen for the first time ever!

Day 220

The dog park at Balboa Park....I'm still not allowed to get a dog, but if a cute Boston Terrier happens to show up one day, I'm sure Regina couldn't refuse....

Day 219

Another east coaster escaping the miserable weather...

Day 218

Day 217

Day 216

Regina's first day of ballet...

Day 215

Day 214

Early morning, coming back from call....

Day 213

Day 212

Day 211

Day 210

Day 209

Another crystal blue winter day...

Day 208

I guess this kind of counts as a neighborhood sign....

Day 207

LanNa and Diana's last Pacific sunset.....for now, anyways....

Day 206

The Restaurant at Ponte Winery....

Day 205

American Academy of Pediatrics Section on Perinatal Pediatrics 32nd Western Conference on Perinatal Research,
Renaissance Esmeralda Resort, Indian Wells, CA.

Day 204

The view of Palm Desert on our way to Western Pediatric Conference....

Day 203

Day 202


Day 201

Day 200

Day 199

Day 198

Day 197

Look closely...those are rabbits at the end of the leashes.....



At least the poop scooping isn't too bad....

Day 196

Day 195

This is why there is an alternate truck route down Laurel St....

Day 194

Cabrillo Bridge on my nightly walk....

Day 193

My last neighborhood sign!

Day 192

It's going to be a Happy New Year, indeed.....