Having It All, Part 2

“For his sake I have suffered the loss of all things and count them as rubbish, in order that I may gain Christ.” – Philippians 3:8

Every so often I think through the matter of career versus family again. I posted about this six years ago when leaving academia to enter what became a relatively ideal private practice gig, where I was able to work short days, maintain good surgical volume, and have my own cohort of patients. All while working two days per week with a good salary. Benefits of working in a non-competitive, high-need area.

Needless to say, the career landscape is different here—intentionally finding jobs that allow us to prioritize marriage and family has involved taking a lot more career hits. Dave, who was a rising state-wide superstar in public health, only considered jobs that did not involve a long commute, which seriously restricted his options in a relatively specialized field. He’s had to step out of the limelight in some ways and maintain flexibility with job changes. I have found two part-time gigs with amazing flexibility, but have lost surgical volume, autonomy, and having my own patient cohort to varying degrees.

The decisions to take these hits feels different this time around. Six years ago, it felt like a watershed moment. Looking back, the elite academic environment I habituated prior to that was a bubble in which pushing myself to do everything I could to excel was simply assumed. I was constantly surrounded by the ultra-intelligent and insecure about my own abilities, haunted by anxiety and driven by the need to prove myself, to everyone else but also to myself. Coming out of that was nothing less than transformative.

I’ve since realized that ultimately, the answer to how one balances career and family is one with no clear, practical right or wrongs. You can work for the right and wrong reasons, just like you can stay at home for the right and wrong reasons. 

For me, the process has been a progressive realization that the time I spend with the kids while they are young makes a real difference; that the physical, mental and emotional energy I have when I work less releases me to invest in my marriage, my health, in friends and ministry in a way that feels eternally-purposed and personally fulfilling. Somewhere along the line, it stopped feeling like I was giving something up to stay at home, and more like I was giving something up to go to work.

It’s not a process that is totally without angst. When we don’t have great childcare, it’s really hard to work, to be one of many ophthalmologists my patients could be seeing, instead of the only mom that my kids have. Working itself is a walk in conscious humility—not being as immersed in the field as my full-time colleagues sometimes feels like a functional handicap. I have to be willing to ask for help, to not have the same status or office space. Being a part-time surgeon carries its own dilemmas and difficulties.

But overall, considering this question of whether one can “have it all” feels different than it did six years ago. It seems even more fundamentally like the wrong question to ask. For one thing, it’s a query without comparable outcome measures—maybe career success can be measured by publications, promotions, grants, committee and talk invitations—but how does one measure success as a mother? Churning out obedient kids who go to Harvard? Or who go into ministry or missions? Feeling less guilty when you leave the house? Being able to breastfeed, or make school parties?

Parenting, of course, isn’t about achieving self-oriented outcome measures, just as career shouldn’t primarily be about that either I suppose, and so this question actually misses the point. As a believer, life is not about getting what I want, or what I feel I am due, or what compares well to someone else. My desire is not to have it all, but to follow faithfully; my hope is not in career or family achievements, but in the person of Jesus; my decisions are not born of calculation, but of my relationship with Him. And in that relationship, every decision I make for Him is a privilege and joy.

I think this is why Paul can say what he does in Philippians 3. He rattles off a perfect resume—like the Jewish version of “owner of a startup valued for billions” or “all my kids got into Stanford”—and has the gall to say, I count all of that as literally excrement, compared to gaining Christ, compared to knowing and becoming like him. Did that mean he never leveraged his education, eloquence, or pedigree for God? No. Did that mean he never worked in his field of training to earn a salary? No. But he was clear on what life was about. He was clear on what mattered in the end. Be like me, he says. If you’re going to calculate, do it this way. Keep your eyes on what matters.