1 Kristopher J. Jackson is an acute care NP at UCSF Medical Center in San Francisco, and a PhD candidate at the University of New Mexico College of Nursing, Albuquerque. Contact author: [email protected] . Reflections is coordinated by Madeleine Mysko, MA, RN: [email protected] . Illustration by Janet Hamlin. A podcast of this essay is available at www.ajnonline.com .