Tom keeps up with his medical practices, he has published many papers, however, he takes a lot more free time, then someone that is in his field normally does, he does this so that he can spend all the time he can with his family. He cares little for anyone that thinks less of him for it. He is not afraid to tell that to their faces. Voldemort can chase off death himself if it suits him there is little that a human can do to intimidate him. Hermione runs several nations, she is very busy but not busy enough not to take a time turner and put herself at work and in the home. She is proud of the life that she leads and wants for nothing.