I think that I'm tired and my defenses are down because of it.

Just lost 4 patients in 10 days.  None of these deaths came as a surprise, but they happened to people I've known for a few years.  Long, drawn-out declines in fairly young people with advanced disease.  That they all went in what feels like one fell swoop seems intolerable to me just now. 

Surprise, surprise…after all these years, this job can still deliver a shock of grief after all.

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