Had to wade through the ABC soup to find your thread.
To help me get a better understanding of your current sitch, can you please explain a bit more about servicing in April as a physician? What does that entail? What is involved in that process? How does that affect the schedule for both work and home?
This will influence how I present some ideas and suggestions in respect to the MBR issue. For now, I'll hold them off until I learn a bit more about the "coming stressful April."