Be a dentist!  Shorter school, better work hours and more money.  My dentist only works 4 days a week, no call, cash up front so doesn't have to deal with medicare/medicade rates, he works 9-5 and pulles into his driveway at 5:30pm.  He just took his entire staff and significant other to Hawaii for two weeks all expenses paid!  I can't afford to take just my family there for two weeks! 
Or you could be a lawyer that specializes in patent law or intellictual property law.  My best friend form collage retired 5 years ago as a full artner in his firm in Houston,TX and still gets 1 million dollars a year from the firm..he is 52 years old!
Good luck

Dr Simant;
I have beeen using thorasic paravertebral blocks for quit some time for uni/bilateral mastectomies, and out-patient breast augmentation.  I use 0.5% ropivacaine and add my own epi.  I have found that this gives excelent post analgesia for 12-18 hours.  I place the block pre-operatively with some sedation.  The paients all are very pleased.  I have had only one complication where I used aTPVB for a breast augmentation and three days later the patient developed a hemothorax on one side.  A chest tube relieved the problem and no futher sequalie developed.  I have to say the this perticular patient was 24yo. 4'10" and weighed only 90 lbs...ie more like a pediatric patient then an adult which probably contributed to the complication. So FYI just be aware that complications can and do occur.  I have done several thousand of these blocks and this was the only complication.  I still give the patients a general anesthesia after the block but need only enough to tolorate the ET-tube.  There is an excelent article from Duke University where they use TPVB for mastectomies on an out-patient basis.( can't remember peridocial or year and month of article..sorry it was 4-5 years ago)  Since I have stared using TPVB I haven't used a thorasic epidural for any of my thorasic cases.  This is also a useful block for laprascopic cholecyctectomies that turn into open cholecyctectomies.

Interesting case.  Along with the prior advice from newbi, here is what I would do.
First if you are not in a major medical center with a childrens hospital I would consider sending the pt to one. It's not that you could do the anesthetic successfully or the operation, but the patient may experience post-op complications that a smaller facility may not be experienced to handle.
Having said that, is there any way you could give the pt some IV antioxidents pre-op?  Perhaps via a vitiam infusion? I don't recall off hand which to recomend, pharmacy should know.  Next best possibility is to transfuse pt with PRBC as much as possible pre-op.  This way at least the new PRBCs would have the ability to transport oxygen and not run the risk of lysing and hopefully make up some of the loss of RBCs from the stress of surgery.  I would also consult with the surgeon about the possibility of using a steroid intra-op to help decrease the stress response.
For the anesthetic I would use a high narcotic technique ( sufenta/remifentinal), cisatracurium and desflurane.
Depending on the surgery a foly catheter maybe helpful to the extent that any hemolysis may show up in the urine color change. SpO2 will be first sign of RBC disfunction and lysis.  Also urin clearing will help determine that the lysing has stoped.  In addition urine output will help guage any effect of lysing on GFR with decreased urine output...might be nice to know so other actions can be initiated.
Hope this helps. post the outcome.

A paitent for bilateral breast augmemtation was administered a bilateral throasic paravertebral block T-2 to T-6.  A 25g 1.5" needle was used. the vertebral levels were identified and marked and a point 2.5 cm lateraly was marked.  The needle was inserted and the lateral veterbral process was identified.  The needle was walked off the lateral process and inserted 1cm further.  There was negative aspirate for blood, csf and air at each level.  4cc of 0.5% ropivacaine with epinephrine 1:100,000, was injected at each level bilateral. VS were stableduring and after the block.  A general anesthesia was then preformed.  The pt 's surgery was 2 hours long.  The patient awoke at the end of the procedure and was extubated with spontaneous respirations.  The patient was pain free and discharged home after an hour in the recovery room.  4 days later the pt presented to the ER with coughing and shortness of breath.  An H&H revealed severe anemia.  CXR showed a hemothorax unilateraly.  A chest tube was inserted and 1.5 liters of old but not clotted blood was evacuated.  The patient spent the night in ICU for observation. the chest tube was removed the following day aftoer 12 hours of no further drainage.  My question is what is the incidence of this complication and could it have been discovered sooner.  The patient was not on any anticoagulants.  Does anyone know of any liturature that address this complication.  The patient was healthy 30yr old, 5'0" 89lbs.