If I were going to taper a patient off a drug, I would decrease it by 10-20% weekly. So tapering weekly should not be an issue. I plan to follow my AI symptoms. If I am feeling OK and weight is coming off (which tells me cortisol is controlled), I will drop like 1/8-1/4 tsp at each dose. If I can't then I can't...I just have to take it day by day.
As for my workload, I really do like my job. I do not like the university bullshit nor the political games. I am very strong at what I do clinically and the upper echelon knows this...they are trying to strengthen the program clinically. Many of the professors have the academic background but they do not practice and this is not good for students. I get fantastic teaching reviews and this is being noticed. So of course they want me to lead others to do the same thing.
I have already requested a TA and a secretary but we will see what I get. I also negotiated for 2 course releases now so I will really only be teaching one didactic course and have one clinical group. I know I need to reduce my other job's clinical hours but until my hubby starts earning money I simply can't. I have kids in college right now. It is what it is.
As for home, when the semester started up in August, I handed the house to my husband. He does it all. He cooks, cleans, takes the kid to school, helps with homework, all of it. I am like the worst fucking spouse ever because I do nothing...I am never home to do anything anyhow! We really have been a team these past few months...yes the financial burden lies with me but he really is caring for the rest of it which is huge. We are caring for each other as best we can and things are going ok.
Well, I need to write and grade.
Jungledog added 4 Minutes and 54 Seconds later...
Oh and no. I am not off much during the holidays as I still have to cover hospital inpatients. I have a few days of rest but really not a huge long stretch. I am off Turkey day and the day after but I work that weekend. Again, I have been working like this for 30 years...it is something you just sort of get used to. I can't stop admissions...people get sick. I find that most people have NO idea how hard their health care providers work. Maybe this explains why many of them are rushing, short-tempered, and seem to not care? They are tired and doing their best. It is a super tough job.
Jungledog added 142 Minutes and 12 Seconds later...
I started to work and just felt really tired. I find the Bali really sedating. Hmmm what to do, what to do. Anyhow, my body said "fuck this." I laid on my bed and woke 90 minutes later. Made the executive decision that today would be a nice movie day.. Off to make a goat cheese, basil, and tomato sandwich. Putting on my PJs and putting in a chick flick. Fuck work. I can do it tomorrow. Enjoy yourselves a bit today all. Might help you heal! JD