DITL #1/7: Wednesday

April 25, 2024

Wednesdays are work days for me, but generally they are the least busy work days. In our practice, every provider gets 1/2 a day of “admin” weekly. I generally get something like 1/3 of a day instead of 1/2 because of my part-time schedule.

This used to always be a Friday thing, but our institution decided to change this. Initially I was . . . not thrilled, but I honestly don’t mind this time being on Wednesdays now. It’s usually in the afternoon but monthly it is in the morning because one day each month I staff our weight management program along with one of our dietitians.

TL;DR –> Wednesdays are a shorter clinical day for me as compared to Mondays and Fridays which are full patient days.

Anyway! HERE WE GO! I will try to stick to the present tense for consistency’s sake!

4:30: Alarm goes off, I get up

4:40: I have assembled coffee (with 10g collagen), water, vitamins (currently using Ritual, no affiliation I was just influenced by some podcast ad), and graham crackers (2 sheets). This plus book + various planners is my usual morning spread.

usual morning spread

I do my journals from the day before (Experience journal and 5 Year — both quick) and read ~15 page of The Covenant of Water . The medical “punchline” has been revealed and I have to admit I was hoping for something even juicier. Ahh well. It’s still a great book. Then I set up my planner page for the day with various to-do items.


5:35: After 10 minutes of Headspace and failing at connections (@($*@#, I’m usually pretty good) I head out for my run. Today I am meeting my friend Jacy but also 3 others (3 guys, one younger than me and 2 that are 60+). We meet at 5:50 and I get to run ~5-6 mi with the group before heading back home.

awesome weather too – like 67F and not humid!!!

7:03: I arrive home and help out a tiny bit with the kids’ breakfast including giving G Zyrtec for ongoing hives. Oh, and one random hiccup is that the entire town of Cooper City is on a boil water order because lightning struck some water processing structure and things may be contaminated. We got a few gallons of bottled water for drinking / tooth brushing / etc.

7:15: Thankfully the water is still deemed safe for bathing, so I shower and get dressed while listening to Up First. I get ready really quickly and put on my designer outfit. JK, they are FIGS scrubs. So glamourous.

with this designer outfit I wear tan Altra trail shoes that are incredibly comfortable. This is my COMFORT ERA of clinical work.
My feet are so grateful.

7:30 I am dressed and out of the shower, and ready for LAUNCH. I remind (gently and then maybe not as gently) the kids every 2 minutes what time it is and start moving stuff towards the door (lunches, their shoes) so they know I mean it. We make it out at 7:50 which is ~10 minutes later than I prefer, but I know I have some flexibility so I don’t push tooooo hard. We play Taylor Swift in the car and arrive at school around 8:05. I also eat a Perfect bar during this commute (mobile breakfast). I walk G to her classroom. The 2 big kids go off on their own which is new, but fine with me!

8:10 I place my mobile Starbucks order and drive to work (thankfully, the kids’ school is more or less on my way).

8:32 I arrive at work, grab my Starbucks from the hospital lobby, and walk across the street to the outpatient building where I work.

oat milk cappuccino = love

8:40: I sit down and attack my inbox. I spend 10 minutes making an appointment for a patient’s peer-to-peer and decide that next time I am delegating that job (I don’t mind DOING the peer to peer of course, but I don’t need to be the one sitting on hold making the appt!). I call a bunch of patients and answer patient questions on our EMR. I handle a couple of things that I had been waiting for some less structured time to tackle — calls with a Haitian Creole interpreter, and some required compliance modules. I also pre-chart for my afternoon patients.

11:20: INBOX ZERO, baby!

“Nice job” – thanks . . .

I have about an hour before my first patient, so I eat lunch (frozen Amy’s broccoli & cheese pasta, baby carrots, apple) and write a blog post, attack my gmail inbox, do my Duolingo, and read a few blogs. I text Kae back because her post made me happy (we text frequently and have a 3-way chat with Coco too!).

love it!

12:30 Patients! Today I see a combination of weight management patients (we have a yearlong program that involves our dietitians and trainers, it’s new and pretty cool!) and regular patients. I finish with a family I’ve known for years and then a telehealth. Somewhere in there I eat some TJ’s honey wheat pretzels and a string cheese. It is a good clinical day and also not that busy compared to some. I finish up notes by 5:10 and then spend 10 minutes clearing garbage out of my car (needed to happen) before driving home!

5:50 Home!! Our cleaners came today (this happens every 2-3 weeks) so it’s particularly nice to walk in the door. Only A and G are home because our nanny (who is also G, but I will refer to her as MM as those are her actual initials) took C to soccer. I let G finish watching a few more minutes of Nicky Ricky Dicky & Dawn while heating up dinner (MM had prepped this on Monday — she basically made 3 dinners at once using modified PrepDish instructions) for the 3 of us.

It was a very pasta-heavy day, what can I say. I am embracing carbs anyway right now. This had ground turkey, chickpeas, kale, and mushrooms + parm on top — the original PrepDish version was vegetarian but I wanted to add a bit more protein.

G complained about the chickpeas but everyone else was fine with this.

dinner is served

6:30 I clean up from dinner, let the kids eat some candy (they are still slowly eating their Halloween candy, omg) and eat a leftover tahini cookie (yum). Then I asked G if she wanted to do piano with me vs A, and she chose A, so I sat on the couch and read for a bit.

7:00 Somewhere in there Josh got home and headed out for a run. After ~5ish minutes of piano (trust me – even this is a challenge) G was done and moved onto playing with some old craft stuff. These are her Simpsons character (the middle one DOES look like Milhouse and I think he inspired the rest!).

note Homer’s donut stash

7:30 C gets home! I heat up his dinner and he gets in the shower. MM finishes up folding some laundry and heads out (I am actually not sure when she came, maybe 1ish?). Then Josh finishes up his run shortly after and eats dinner with C.

A asks me to do double French braids so I do. I am not sure what C was doing on his tablet here — maybe it was homework (?). Will report back.

she did not wear the braids to school but the resulting curls looked great

7:50 I start the bedtime routine with G. Teeth / bathroom and then I lie down in her bed to read. We are currently reading the literary masterwork Diary of a Wimpy Kid: No Brainer, which is all about Greg Heffley’s middle school experience. It’s actually somewhat entertaining.

8:20 I end our reading session and lie with her for about 2 minutes. She puts on her sleep mask and goes to sleep. I check in with C & A and say goodnight. I talk to A for a bit as A she is starting to get ready for bed and doing skincare; C is watching a sports game on TV (Heat?) with Josh.

8:45 I do my own skincare (Fresh soy face wash / Alpha H Liquid Gold / Elemis Marine Cream <– okay I just looked up the price and am horrified, mine was part of a $26 Allure beauty box and seems like it is full size!?) / flossing / brushing teeth with bottled water (really hoping this boil water thing ends soon!). Take out contacts.

9:00 Lie down and read . . . for about 15 minutes . . .

9:15 Make sure alarm is set and go to sleep.


pages read –> 30

screen time minutes –> 68 (very low for me, I am sure having to track my time helped me here!)

hours of sleep –> 7.25


  • Reply Terri DeCoster April 25, 2024 at 10:26 am

    4:30am!! so impressive! Can you tell me the details of your spiral bound and inserts? I think I tried to figure it our from another podcast/post. Thank you!

  • Reply Laura V April 25, 2024 at 10:36 am

    Love it! I also got the Elemis cream and was thinking of buying it and then was like whoa…

    • Reply Sarah Hart-Unger April 25, 2024 at 11:32 am

      yeah I am not going to purchase but really makes me appreciate that Allure box!!!!

  • Reply Chelsea April 25, 2024 at 10:40 am

    I just finished Wimpy Kid No Brainer yesterday with my 6-year-old at bedtime! I actually don’t mind those because I think they are kind of funny. Dog Man on the other hand…

    • Reply Sara April 25, 2024 at 10:42 am

      My husband I genuinely enjoy listening to the Diary of a Wimpy Kid audiobooks on long car trips. They’re hilarious!

      Agree on Dog Man 🙂

  • Reply Heather April 25, 2024 at 11:26 am

    Honestly, the second half of my life began when I didn’t have to walk a kid into a daycare classroom anymore and could just let them out in the dropoff line. So efficient!

    • Reply Sarah Hart-Unger April 25, 2024 at 4:09 pm

      the car lines are actually slower than walking in this particular school and morning weather is rarely bad here, so I don’t mind parking and (very short) walk . . but yes, the two big kids going off on their own was kind of nice. I am not sure it’s officially sanctioned but I mean, A is in middle school . . .

  • Reply Kristina April 25, 2024 at 12:37 pm

    I totally failed at Connections yesterday too. Oh well.

  • Reply BethC April 25, 2024 at 12:43 pm

    I’m so impressed with your early wake-up time! I’ve never been up that early other than to catch a flight and to watch the sun rise (once) at Bryce Canyon National Park. I’m mostly retired and have noticed that I’m generally waking up earlier now that I don’t have to rush out the door. I had all those years of wishing I could sleep and now I can’t! I find I get more done with an earlier wake up time, though.

  • Reply Selin April 25, 2024 at 2:22 pm

    Sarah, you are an incredible source of inspiration to me and help me strive to a better version of myself, and reading this entry made my day. I have a full time demanding big tech job with two little kids (6 and 2), and a husband who is going to start a second career in law after academia, he is finishing up his second year. It takes so much planning, preparing, setting intentions on how to handle detours beforehand for every day to go smoothly as it takes so little for any day to derail into drama territory because everyone is hangry at the end of the day. I love how you make it transparent to us that habit building, tracking and planning and executing plans all help us and our families to have one more peaceful day!

    • Reply Sarah Hart-Unger April 25, 2024 at 4:07 pm

      that is so sweet!! Thank you <3 I don't think I achieve peace 100% of the time but I definitely enjoy various parts of my day a lot.

  • Reply Elisabeth April 25, 2024 at 4:02 pm

    This was so fun to read – start to finish! (And I had to chuckle at your comment about Kae’s gratitude prompt as I’m writing about that tomorrow as it was one of my Happy Things this week.)

  • Reply coco April 25, 2024 at 5:50 pm

    love love love this post!!! will do one today too. Few differences: I don’t use an alarm, I don’t use a “work attire” as cute/professional as yours; I wish I had running buddies. So many similarities: morning routine, even waking time; running to start the day; coming back home before kids go to school; reading blogs during lunch break at work; doing random things with the kids in the evening.
    Excited about 6 days to go about this style of posts.

  • Reply Amanda April 26, 2024 at 10:34 am

    Do you have to spend much admin time on logistics/growth/administration of your special clinics like the weight loss clinic? Or does the institution take care of most of that for you? What about other academic stuff like research/QI or lectures given?

    • Reply Sarah Hart-Unger April 26, 2024 at 11:47 am

      Hi! I have no current admin roles (yay!). Another physician actually leads that clinic, she has an obesity certification though I’m not sure how much admin she does for it. The head of the RDs did a lot of the development for it. We do resident lectures like every 18 months, each of us do 2 of them. We did that in January so no need for a while! I don’t currently do research.

  • Reply jennystancampiano April 27, 2024 at 2:31 pm

    Well you know I love this! I already knew a lot about your morning routine, and the rest of the day is super interesting too. FWIW I liked the Wimpy Kids books too!

  • Reply Jen April 29, 2024 at 8:41 am

    Fascinated that you take collagen given the lack of evidence- what outcomes do you take it for? Do you think it works and just hasn’t been robustly studied as fda does do supplements?

  • Reply Lori C April 30, 2024 at 10:12 am

    I am catching up on posts and discovered you did DITL which I love love love! I saw on today’s post (I think it was today) that you limit Starbucks to 2x a week, and I see you avoid buying breakfast or lunch out, so you are a leg up on me in those areas. I am a sucker for a good take-out coffee or snack! I have yet to figure out how to make a coffee I love at home…. do you get Starbucks beans? And just drink it black? I mean, black auto-drip coffee and an oatmilk cappuccino are worlds apart… how do you make do?

    • Reply Sarah Hart-Unger April 30, 2024 at 10:40 am

      Hahahah I truly love both. Also when I get the oat milk cappuccino … it’s on TOP of the black coffee in the early morning. What can I say … I like coffee!!

      Sometimes I do takeout lunch Wednesday ! But not always if there’s something easy to take.

    • Reply Sarah Hart-Unger April 30, 2024 at 10:48 am

      oh and at home i use cheap ground TJ’s light roast coffee. It’s actually pretty decent in my opinion!! I always set up the night before.

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