My husband works from home (for another full time job) so while he still has to get his work done, and has periods of time when he can't be disturbed, a lot of his time is flexible, so I can schedule appointments during his flex time. I still try to make them for nap time so that way he can still get work done, with a video monitor on the kids if they need him. He also often helps for a little while during his lunch break during the lunch to nap time transition.
I love having him here for the 'just in case' factor. If an emergency comes up, he's already here. I haven't had to use it for an emergency, but have for appointments, and even the occasional lunch with a friend.

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