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By the 35-week mark, the last thing you want to do is work, much less with a child on your back. But that’s what Dr. Megan McMahan Meier when she was stuck between a rock and a hard place that didn’t provide child care. With her husband away for the weekend, her sitter cancelling on her and not being able to miss work, she did the only thing she could do: she grabbed her toddler, popped her in one of those backpack things and she worked it.

And work she did. A photo of the Oklahoma-based sports medicine and dance medicine doctor treating a football player who had just been injured during a game has since gone viral. She’s clearly pretty far along in her pregnancy, but if you look a little closer at the photo, you’ll also notice a little girl in a carrier on her back. But Meier doesn’t look fazed in the least.

She initially posted it to a physician moms’ group on Facebook with the caption, “Sports Medicine Doctor Mom–this is what happens when you are 35 weeks pregnant, husband leaves town for the weekend, childcare for 3yo falls through, and you have a game to cover!” Meier simply thought it was a pic the other moms would enjoy, “seeing a visual representation of what we all do each and every day” and clearly had no idea just how much she would inspire other moms who bust their asses off and balance and juggle dozens of things.

Meier added: “I really believe that you can have it all and find a great balance to a multi-faceted career and life. However, it takes a lot of hard work and improvisation at times.”

Hey, if no one’s gonna give you grief, you do what you have to do. In some cases, moms feel like they can do it all. And in other cases, moms just do.