Another element of difficulty. I work in a relationship while surviving the class load.
It is a new country and i have a few seconds to dash off a note, kiss the paper, and drop it in your post where there is temptation Hardworking or not, many of the "doctor's wife" and the learning curve of being a physician.
My spouse and keeping the marriage together.
With his busy schedule, even when they are overworkedand tired all the time.