Thank you for the help. I am not averse to a little "slapping" if it will help fix my marriage.

More of our sitch--My wife and I met as undergrads at Ohio State. We were friends, but dating others. It was end of my 2nd year of med school that relationship started to change. We were on/off as tried to get through friends-to-lovers barrier. Got engaged on Graduation Day and married at end of my intern year. She entered law school while I was in residency (she was a nurse), but dropped out as just couldn't live the 16-20 hour a day at the library life (law school is much harder than med school).

Soon after I started in practice, we started family. Unfortunately, I joined someone single and obsessed with work in practice. Our recollection of 1st child's birth is fight over the telephone with boss over when/how much time I expected to be off. Our Daughter was an awful baby and my wife had to do everything. However, we decided that we couldn't live like that and left that practice when D was 1 to move to our present location. Unfortunately, everyone knows me here and she is the doctor's wife.

You are right about the hours and coming home expecting that I would have the break. You are also right about sex life.

Could go through much more (and will), but I have to go make rounds. If you could offer advice as to how to get me to make my wife understand I want everything to work, would appreciate.