I'm taking the advice of a commenter and staying a bit later today (the sitter doesn't have a hard cutoff and I'm sure she'll be glad of the $) just to...chill. I had a full day of patients, and was running around and talking and listening all day and I just need to...be still.
I did a 5 minute meditation, wrote in my planner, did the crossword, and am writing here. I usually rush home the minute I'm done so I can walk the dog and start dinner and get to whatever chores I need to do but....they can wait 15-20 minutes.
I don't have clinic every single day---technically I have all Tuesdays and all but one Thursday a month for research/admin time BUT not when I'm on call (which has been one week/month and will be until April). AND literally every non-clinical Thursday since October and through December has been filled with...something. Jury duty, out of town meeting, talk, thanksgiving, etc... So its just Tuesdays that I can be in my office all day. EXCEPT, I've scheduled therapy on Tuesdays. And research subjects. And meetings. And sometimes I have to pick up the kids at 3. And and and and and suddenly I realize I haven't actually sat at my desk in my office for 2 weeks at a time!
So I've been working more on weekends, and I gotta say that a few hours on Sunday morning does WONDERS for feeling more on top of things and starting the week off right. Yesterday I knocked several work AND home tasks off the to-do list and it felt AMAZING.
I also need to work on carving out time during the week for focused work and silence. I can't really change my work schedule much until the next academic year---but I need to be ruthless about keeping my Tuesdays and Thursdays as free as I can (though if I have things I need to do, I can ONLY do them when not in clinic so...its a conundrum). I am considering adding on a couple hours on Monday so I can have Friday afternoons free. When/if we finally find a long-term sitter, I can ask about one late day/week as well---I could go in late that day and stay late, so I have the morning to myself PLUS time to work.
And I need to get better about asking for and taking the opportunity for some quiet time on weekends as well. Even when we are super full of fun stuff, I could wake up early, or take an hour for a walk, just to have that break from the noise.
Lots of solutions to think about, and hopefully some time to actually think about them!