Closing a chapter

I've been pondering this post for a few days, and I still don't know exactly where it's going to go. I just know that I need to write it even if only for myself.

Three years plus a week ago, I opened a letter that told me I had matched to a residency in Dallas. Hubby and I had done a great deal of praying over the matter and believed God wanted us in Dallas; opening the letter confirmed it. A month after opening the letter, Hubby and I said our vows and started our life together. Another month plus a week after that, we packed up our two cars and drove to Dallas. I had cried many times as we said goodbye to friends over the preceding weeks, and I cried again as we drove out of Houston. I had spent the last seventeen years in Houston or in nearby College Station, and leaving home hurt. I consoled myself by thinking that it would only be three years before we would come back, and that brought me comfort.

The next year was truly the hardest year of my life, and there are still moments when I look back at it in sheer amazement that I came through in one piece. Intern year raked me over the coals (as it tends to do to most of us), and worse still, I was separated from my beloved most of that year. I missed him and missed my friends so much that it physically hurt. I felt like I was in such a weird position of being a married woman without a husband around, so I didn't know which direction to turn to find friends up here. I felt uncomfortable hanging out with couples being the lone female, but living the single life (obviously) did not feel right either.

At the end of my intern year, we learned that my in-laws were going to be divorced. I knew God had at least one reason for us to come to Dallas, and this was surely a big one. We live only an hour from them compared to three hours from Houston, and being close by has been exceptionally important. Even with this, I know I subconsciously held on to the thought that we might return.

As the time for me to search for a job began to approach, Hubby and I began to talk through the ideas of where we thought we should be looking. We came to the conclusion that staying here in the Dallas area was the right thing for us. My parents left Houston two years before I did, and we have no more immediate family down there. We have no intentions to move to Mississippi where my parents now live, and Hubby's family all live within an hour and a half of us up here. God willing, children will come in the future, and we desire to be near family when that time comes. We had built a new house a year after moving here and were in no hurry to move again. Hubby has also done very well with his job up here, and it would not have been a wise move for him to have to change offices for the second time in three years. From my perspective, I already know the lay of the medical land (so to speak) here in Dallas compared to Houston, so there were advantages for me as well.

I have to be honest that I was and still am a little sad about not moving back to Houston. Leaving my hometown is HARD; leaving friends behind is even harder. Last weekend, one of my close friends from college got married. I miraculously had the weekend off, so Hubby and I spent the weekend in Houston. We didn't have enough time to see everyone we wanted to, but we were blessed with the chance to catch up with several old friends. I almost knocked over one of them from hugging her so hard upon seeing her! I'm hoping that in three and a half months when residency is over, I will have more opportunities to see our friends than once every three years.

Sunday morning we went back to the church where we were members before we left, the same church where we were married thirty five months earlier (to the day!). As the lights dimmed for service and the music began, I nearly lost it. I started to cry and couldn't even sing for a moment because my voice was quivering so hard. I missed Houston. I missed my friends. I missed the roads I had driven for years but was starting to forget. I missed the hole-in-the-wall restaurants where I'd spent hours eating and laughing. I missed the memories that came to mind when I'd drive by a certain coffee shop or store.

After the service, Hubbs and I went to our favorite little Greek restaurant to meet up with another set of dear friends. Since we beat them there, we had a few minutes to talk and digest everything that had happened that weekend. I confided that I'd cried during service (the bangs can hide things really well!), and he listened as I explained why. I know that we belong here and know that God has a purpose for us in Dallas; I just needed a moment to release my emotions and acknowledge that it's okay for me to miss friends and even a city.

At this point, Hubby said something profound that I'd never considered. He pointed out that coming to Dallas was probably a great thing for our marriage; since we didn't know anyone else up here, we had no other friends to lean on when we felt lonely (me when he was out of town and him when I was on call). Had we stayed in Houston, when I was gone, he would have still had all his buddies and probably would not have "needed" me as much and vice versa. Both of us are fiercely independent creatures, and learning to depend on each other and to have another person be such an integral part of our daily life is something only God could have worked.

Eventually we wrapped up lunch with our friends and began to start the long drive back to Dallas. All weekend long, we'd intermittently talked about missing Sebastian, and now that we were headed back to pick him up, I truly began to get excited. He's our little canine child, and I couldn't wait to see him! Hubbs actually felt the same way, and it turns out Sebastian did too!

An hour after picking up Sebastian, we drove through downtown Dallas. Almost immediately, the thought "we're home" crossed through my mind, and I couldn't believe it. How can two places feel like home? I still don't have the answer, but I know that I'm going to be okay. I know that I'll always hold a special place in my heart for Houston, but I know that my place now is here. I know that God has a plan for me where He has placed me, and I will rest, satisfied in the knowledge that He is good and will not let me down.

YAAAAAY!!!

I HAVE A JOB!!


I signed my contract this evening. I have a job in Plano joining a private practice; I'll be starting shortly after residency ends. Hubby and I are SO EXCITED!! God has been SO faithful through all of this. Now it's time to put our house out on the market and pray for a buyer.

Did I mention that I HAVE A JOB?

:)

Wisdom where I needed it

To say that today has been stressful is the understatement of the year. As I did my normal Sarah stressing-out thing, God provided wisdom and comfort to me through the words of Charles Spurgeon.

"My grace is sufficient for thee."
2 Corinthians 12:9
If none of God’s saints were poor and tried, we should not know half so well the consolations of divine grace. When we find the wanderer who has not where to lay his head, who yet can say, “Still will I trust in the Lord;” when we see the pauper starving on bread and water, who still glories in Jesus; when we see the bereaved widow overwhelmed in affliction, and yet having faith in Christ, oh, what honor it reflects on the gospel! God’s grace is illustrated and magnified in the poverty and trials of believers. Saints bear up under every discouragement, believing that all things work together for their good, and that out of apparent evils a real blessing shall ultimately spring—that their God will either work a deliverance for them speedily, or most assuredly support them in the trouble, as long as He is pleased to keep them in it. This patience of the saints proves the power of divine grace. There is a lighthouse out at sea: it is a calm night—I cannot tell whether the edifice is firm; the tempest must rage about it, and then I shall
know whether it will stand.

So with the Spirit’s work: if it were not on many occasions surrounded with tempestuous waters, we should not know that it was true and strong; if the winds did not blow upon it, we should not know how firm and secure it was. The master-works of God are those men who stand in the midst of difficulties, stedfast, unmoveable,—

“Calm 'mid the bewildering cry,
Confident of victory.”

He who would glorify his God must set his account upon meeting with many trials. No man can be illustrious before the Lord unless his conflicts be many. If, then, yours be a much-tried path, rejoice in it, because you will the better show forth the all-sufficient grace of God. As for His failing you, never dream of it—hate the thought. The God who has been sufficient until now should be trusted to the end.

Pause

I take after my dad in many aspects. One of those is my dislike of the uncertain. If you tell me, "I have something to tell you," I want to know now, not later, especially if you tell me that you have bad news. Hubby will back me up on this one; he has learned he can never tell me that we have something we need to talk about unless he's ready to sit down now. I can't stand the suspense!

Tuesday night I got an email from my attorney letting me know that she wants to discuss my contract with me, but unfortunately, she's had a death in her family and will be out of town til early next week. I definitely appreciate her letting me know why she'd be out of touch for several days, but it made me NERVOUS. I had really hoped to get the ball rolling on getting my contract signed this week, but now there will be a delay.

I was so stressed when I got the email last night. I actually had a momentary freak-out til Hubby and my dad both talked some sense into me. Now I'm fine; I still don't like waiting for a week to hear her opinion, but I know that it will all work out.

The situation reminded me of a quote from Evan Almighty; Morgan Freeman is playing God, and he asks Evan's wife this question:

Let me ask you something. If someone prays for patience, you think God gives them patience? Or does he give them the opportunity to be patient? If he prayed for courage, does God give him courage, or does he give him opportunities to be courageous? If someone prayed for the family to be closer, do you think God zaps them with warm fuzzy feelings, or does he give them opportunities to love each other?

In my old Bible, I underlined Philippians 4:6-7 (referenced in this post) and wrote "Do not be anxious, Sarah!" right next to it. I know God is using this time to teach me patience through practice. Now it's time to put it into action and be at peace through the next week or however long it takes to complete this.

When I have everything signed, then I will be able to tell more about the specifics of the job. Needless to say, I am VERY excited!!

Growing pains

This has been a rough two days. I finish residency in less than six months, and I don't have a job yet. To my knowledge, none of us in my class who want to go into private practice do, so I don't feel too bad, but I'm still scared. When I get scared, I tend to do one of two things: go into overdrive or freeze. When it comes to finding a job, I've been frozen in my tracks. I haven't had much guidance in the process, so I have drug my feet along. Over the last twenty seven years, I've gotten really good at applications for school and for residency, but again with each of those, I had a more clear direction on where to move. Here, I feel like I'm standing on the edge of the high dive on a cloudy night, waiting to dive headfirst into the dark waters below. I don't know what lies beneath, and it frightens me.

So why have the last two days been rough? I went to a gen peds interest meeting last night and talked to former residents who are now in private practice. Seeing them with their "real" jobs made me realize how scared I am that I won't find one. I know that I can get "a" job, but I want "the" job. I went home and emailed a few contacts that I'd been dawdling over and two new contacts that I had obtained, but still my mind kept racing. I tried for a few hours to fall asleep, but I was gripped with anxiety like I haven't felt since college. Anyone who knew me then will likely remember how uptight I was, but not all of them knew that I lived with a constant knot in my stomach. Many times I couldn't even verbalize why I was so anxious, but the constant worry of things to come clouded so many of my days.

I fell asleep last night with prayers on my lips and woke early this morning to find comfort in His Word. I am not a morning person, so for me to be fully awake and functional enough to have a quiet time that early was amazing. Later today I made a cold call to a practice that I really really liked and hoped would have an opening; the fact that I could even cold call an office, let alone this one, amazed me because I hate doing any sort of asking for my own needs. To my disappointment, I was told that they would like to hire another pediatrician but just don't have the funding for it right now to help me establish my practice.

I hung up the phone, crestfallen. This practice appears to have everything I want -- great physicians, great office staff, great location, great call schedule; I began to wonder if I would ever find another practice that I liked as much as I like this one now -- or any practice at all that would take me. I texted Hubby to ask him to pray for me as I could feel myself growing anxious again, and I know my sweet Heavenly Father provided comfort for me as I drove home.

As I spent time working out, I began to realize that while I have been praying "Your will be done," my evil, selfish flesh is wishing for "MY will be done." It's my will that I join this practice, but unless God is the master of it, the entire experience will be a disaster. He has never provided anything less than the best for me, so why should I doubt Him now in this area of my life?

I'm not saying that the next few months will be easy or comfortable for me -- NOT AT ALL! I have a telephone interview with someone tomorrow, and we will have to see what opportunities come from that. God already knows where I will be in six or seven months, so until He reveals it to me, I will do my best to rest in His peace and hold on to the words of Philippians 4:6-7:

6 Do not fret or have any anxiety about anything, but in every circumstance and in everything, by prayer and petition (definite requests), with thanksgiving, continue to make your wants known to God.

7 And God's peace [shall be yours, that tranquil state of a soul assured of its salvation through Christ, and so fearing nothing from God and being content with its earthly lot of whatever sort that is, that peace] which transcends all understanding shall garrison and mount guard over your hearts and minds in Christ Jesus. -- Amplified Bible

I love it!! I just got Jon Foreman's CD Limbs and Branches, and the first song on the CD speaks to me where I am now. Sometimes hearing familiar Scriptures in a new way makes them so fresh and so alive.

Heavenly Father, You always amaze me
Let Your kingdom come in my world and in my life
You give me the food I need to live through the day
And forgive me as I forgive the people that wronged me
Lead me far from temptation; deliver me from the evil one

I look out the window; the birds are composing
Not a note is out of tune or out of place
I look at the meadow and stare at the flowers
Better dressed than any girl on her wedding day

So why do I worry?
Why do I freak out?
God knows what I need
You know what I need

Chorus (3x):
Your love is
Your love is
Your love is strong

The kingdom of the heavens is now advancing
Invade my heart; invade this broken town
The kingdom of the heavens is buried treasure
Will you sell yourself to buy the one you've found?

Two things You told me: that You are strong and You love me
Yes, You love me

(Chorus 3x)

Our God in heaven, hallowed be Thy name above all names
Your kingdom come, Your will be done on earth as it is in heaven
Give us today our daily bread; forgive us wicked sinners
Lead us far away from our vices and deliver us from these prisons

Miracles still happen

As I've said before, being a physician has strengthened my faith in God and pushed my faith to new limits like no other experience in my life. The intricacies of the human body remind me daily of how fearfully and wonderfully made we are, and I constantly marvel at His handiwork.

The last few weeks in the PICU have reminded me of that so much. We have had many sick patients who have not done as well as we have hoped, but we also have one patient in particular who has overcome incredible odds and is doing so much better than we could have ever predicted. Many people including me as well as many of the nurses and other providers have been praying for this patient diligently, and it's so incredible to see God working and restoring health in front of my very eyes.

Being able to participate in this patient's care has been such an honor. A family member thanked me today for all the work the team has done for this patient, and I was reminded of what I told this patient's mother (a fellow believer) a few days ago: "You know why [this patient] is doing so well, and so do I. God is the one who is healing."

I pray for my patients often, and I want to be more consistent at it. Doing so is a reminder of where my place is and what my role is, and I don't want to allow myself to get so easily caught up in the day to day rush of residency that I can sometimes forget that praying is one of the most important things I can do for my patients. I am simply a tool in the Master's hands, and my earnest hope is that He will use me as He sees fit to bring comfort, healing, or both to many families according to His plan. My post from almost a year ago still rings true in my heart.

From the inside out

I find being transparent exceptionally difficult. I innately desire for people to approve of me; therefore, I often feel as though I need to show only the "good" side of me. Paul reminds me that it's all an image and that it's only because of Christ that there is anything good inside of me.

For the past few months, I have really been struggling. I've been dealing with several painful things, and my response has been to shut down emotionally. If I don't feel anything, then I can't hurt when the painful parts come. While doing this can help me make it through an individual day, it has robbed me of my joy. Shutting down has definitely affected my relationship with God as it has become a moving through the motions rather than a developing relationship.

Being the amazingly faithful God He is, He hasn't left me alone or given up on me. He has nudged me until He has gotten my attention, and I am thankful He has been so gentle. I'm now working my way back to where I need to be. I'm sticking my neck out and knowing that I may get hurt in the process of life, but the reward far outweighs the risks. I cried for the first time in quite a while today as I listened to one of my favorite mixes on my iPod and spent sweet time with God this morning.

I know that my resolve will be challenged in the upcoming months as I face two weeks of ER nights with a pretty understaffed crew, two weeks of night float as the most senior resident on call in the hospital, a month in the PICU, and a month as Cardiology senior on the inpatient service, but I know God will meet me in my place of need just as He always has. Making it through these next few months will undoubtedly be more bearable with His help.