Thank you for the expressions of concern, everyone. It has been a really rough year but on my better days I do see that there is an end in sight, eventually. My husband will be mostly done with school at the end of the spring semester, which will give him more free time, and give me more options for work. Right now I have to keep my job and my benefits, because he needs a fourth round of knee surgery. Once that is over I will probably quit and go into private practice, something I planned to do last year but scrapped when his job situation got dicey.

I'm a little afraid to make plans, though, because they tend to go awry. I had all kinds of thoughts about taking it easy this fall, being nice to myself, scaling back, but then my office wound up incredibly short handed after two medical emergencies put two of our biggest workers out for three to five months. It's hard to plan for the big emergencies, you know?

Right now I am coping by doing a really bad job at every task that I secretly think is dumb and unimportant busy work.