I am very early in my first pregnancy and I'm 35. I am literally miserable being a doctor right now and I'm wondering if anyone else felt this way while working during pregnancy. I wonder if this will pass as the pregnancy progresses? I'm feeling all of the usual first trimester symptoms. I have to be on my feet all day doing procedures that make me feel dizzy and nauseated. I'm using up all of what little energy I have to help my patients with their problems, and taking all the strain on my body to make sure they are comfortable. If I miscarry, there are lots of noxious things in my work environment that I will be tempted to blame. Of course I also want to keep quiet about my pregnancy until I'm further along, especially at work, but my clinical and office assistants are mostly female - they see me struggling every day and I'm sure they can guess what's going on. At this point I am thinking I will have to at least cut back on my hours if I don't leave my job altogether. Or should I try harder to stick it out? I feel like I will be giving up my career that I barely just started after so many years of sacrifice to get through school and residency, and maybe I will regret that later. Though I do personally feel that starting a family is most important to me right now. I know many other women have been through this and worked around it in their own way. What are your thoughts?