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Luckily, it was a grown-up's birthday.  But the truth of it is, being sick, having to work, being sick enough to come home from work, taking a nap, and getting woken up to have to go back to work until 10pm isn't that great for a grown-up's birthday either.  
The kids helped him open presents as he headed to the OR, he ate his birthday dinner at 10, and we all had cake together the next night.  He's been looking forward to this birthday for a long time (it marks the age at the end of the training road) and I guess it had to be memorable!