Life goes on and on

I am continuing to work crazy hours with my midwifery practice.  As I work crazy hours, I think about retirement, I think about a different population, I think about moving and working somewhere else.  I think about the neat people I have met here.  I think about my desire to just take care of low risk Mom's who are healthy and who want to birth safely, but without lots of interventions.  I try to weigh the pros and cons of moving on versus staying where I am.  I have decided you cannot compare apples to oranges.  So the quandary continues.  Do I look elsewhere.  Do I stay here until I retire?  I'm not sure.  I don't know.  Worse yet, I don't know how to make the decision.