As you can imagine, the transition back to work has not been easy. The dichotomy between days filled with cuddling and feeding and more cuddling versus patient care, research deadlines, and administrative duties is huge. Luckily, my kids' smiles and hugs have healing powers so when I pick them up in the afternoon, the heaviness in my heart and the pain in my brain (it is trying to wake up from its hiatus) quickly is replaced with love.
It is also helpful that CCHMC has award winning daycare filled with the most loving people I have ever met. They truly love our kids there and it is obvious when they send us pictures and emails to let us know what they are up to. Look at Carter on his first buggy ride above. It put him right to sleep! The one below is my favorite, look at that happy guy! It absolutely makes my day when an email shows up in my inbox filled with these smiles.
Hopefully soon balancing my two roles will become a bit easier. 
