The Caregivers Podcast
Signs You're in Caregiver Survival Mode w/ Greg Fougere
Can a caregiver heal while still caregiving? What does recovery look like when daily responsibilities may continue for years?
This week, Dr. Mark is rejoined by trauma-informed coach Greg Fougere to explore the deeper layers of caregiver burnout, nervous system survival mode, and self-abandonment. Together, they discuss why high competence can become a trap, why having free time often fails to bring rest, and how self-curiosity serves as the foundation for staying connected to yourself without letting caregiving consume your identity.
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When You Love Them But Hate Caregiving w/ Elaine K. Sanchez
Can you deeply love someone and still hate being their caregiver? In this episode of The Caregiver's Podcast, Dr. Mark welcomes back Elaine K. Sanchez - author, speaker, and founder of CaregiverHelp.com- to tackle the hardest, most unspoken emotional realities of caregiving: resentment, exhaustion, family friction, and compassion fatigue.
About Our Guest:
Elaine K. Sanchez is an author, speaker, and co-founder of caregiverhelp.com, an online caregiver support program. Her keynotes and workshops are based on her unflinchingly honest and surprisingly funny book, “Letters from Madelyn, Chronicles of a Caregiver.”
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How to Handle Sibling Conflict While Caring for Aging Parents w/ Fern Schumer Chapman
Caring for an aging parent rarely brings adult siblings together the way we imagine. When one sibling carries the daily burden while another steps back - or swoops in at the last minute demanding an equal voice - resentment, grief, and exhaustion quickly take over.
This week, Dr. Mark is joined by Fern Schumer Chapman, author of Brothers, Sisters, Strangers, for an unflinching conversation about sibling dynamics during parental decline. Together, they explore why caregiving revives childhood roles, why the opposite of estrangement isn’t reconciliation but peace, and how family caregivers can set clear guardrails to pr...
Caregiver Survival Mode: Why Food Becomes Your Only Comfort w/ Vanessa Scaringi & Kathryn Garland
In Episode 49 of The Caregivers Podcast, host Dr. Mark Ropeleski sits down with eating disorder specialists and Hungry for Connection authors Vanessa Scaringi and Kathryn Garland. Together, they explore why disordered eating and emotional eating in caregivers are rarely issues of willpower or discipline, but rather signals of survival mode, unmet emotional needs, and deep attachment dynamics.
Resources Mentioned:
▶️National Alliance for Eating Disorders: https://www.allianceforeatingdisorders.com/
▶️Project HEAL: https://www.theprojectheal.org/
▶️National Eating Disorders Association (NEDA): https://www.nationaleatingdisorders.org
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"Caregiving Cost Me Everything" — Why Amy Goyer Went Bankrupt Caring for Family
In this episode of The Caregivers Podcast, host Dr. Mark sits down with caregiving expert Amy Goyer to discuss the hidden financial crises that often accompany long-term family caregiving. Drawing from her own experience caring for her parents and sister—which ultimately resulted in personal bankruptcy despite early planning—Amy outlines how daily care decisions compound into major financial strain.
This conversation explores the gap between standard retirement planning and the realities of chronic illness, the hidden expenses of aging in place, and practical strategies caregivers can use to protect their own financial future.
Clic...
Why Toxic Families Punish the Caregiver w/ Amy Vasterling
When a caregiver finally sees dysfunctional family dynamics clearly, the realization can feel both liberating and devastating. Understanding the dysfunction does not automatically wake up the rest of the family—and often, the system protects itself by pushing back through guilt, manipulation, and criticism.
In this episode, Dr. Mark Ropeleski welcomes back Amy Vasterling to examine the real cost of getting free from unhealthy family systems. Together, they explore why reliable family members get trapped as default caregivers, how to handle criticism from relatives who do not show up, and how to continue providing care without disappearing in...
How to Plan for Aging Alone w/ Dr. Sara Zeff Geber
This week, Dr. Mark sits down with Dr. Sara Zeff Geber, a leading voice and author on the topic of solo aging. Together, they discuss what it truly means to age without reliable family support, debunk common myths surrounding solo agers, and explain why independence alone cannot replace a structured care plan.
From creating advance healthcare directives and selecting younger decision-making proxies to leveraging professional fiduciaries, congregate living, and community resources like the PACE program, Dr. Geber offers practical strategies for navigating older adulthood with confidence and purpose.
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The Untold Truth About Nursing Homes w/ Chrystal Moran
This week, host Dr. Mark sits down with long-term care nurse, patient advocate, and public voice Nurse Chrystal Moran. Together, they pull back the curtain on the unseen realities inside long-term care facilities.
From extreme nurse-to-patient staffing ratios (sometimes reaching 54:1 or higher) to the hidden financial and management decisions shaping bedside care, Chrystal shares a candid look at the friction between frightened families and overworked healthcare workers. Learn how to distinguish between management failures and individual care issues, what critical questions to ask when touring facilities, and how families and nurses can partner together to advocate for...
Caregiving Through Addiction w/ Dr. Nicole Kosanke
This week, Dr. Mark is joined by clinical psychologist Dr. Nicole Kosanke to discuss the complex reality of loving someone with an addiction. Unlike other forms of caregiving, addiction often introduces broken trust, impossible questions, and the fear of enabling. Dr. Kosanke breaks down the CRAFT (Community Reinforcement and Family Training) and Invitation to Change models, providing actionable advice for families feeling overwhelmed by crisis. This episode explores how caregivers can establish boundaries, role-model healthy behaviors, and prioritize their own well-being without abandoning their loved ones.
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Terrified of Losing Your Parents? w/ Angela Caldwell
This week, Dr. Mark is joined by licensed marriage and family therapist Angela Caldwell to explore one of the most profound unspoken challenges adult children face: losing a parent.
Together, they unpack the psychological weight of anticipatory grief before active caregiving even begins, the struggle to initiate difficult end-of-life conversations, and the emotional realities - from deep grief to unexpected relief - that follow a parent's death.
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▶️ https://www.angelacaldwell.com/
▶️ https://www.youtube.com/@angelacaldwell
▶️ https://caldwellfami...
Loving Someone Who Wants to Die w/ Dr. Stacey Freedenthal
What changes for a caregiver when day-to-day worry transforms into the terrifying question: "Does the person I love still want to be here?" This week, Dr. Mark Ropeleski sits down with therapist, author, and associate professor Dr. Stacey Freedenthal to explore the immense, unspoken toll of loving someone who has lost the will to live.
This heavy but profoundly necessary conversation dives into the heart of caregiver hypervigilance—from checking bedrooms every morning to reading every unanswered text as a warning sign. Dr. Freedenthal introduces the practice of "Brave Listening" (asking the questions whose answers you fear) an...
The Truth About Caregiver Resentment w/ Elaine Sanchez
This week, Dr. Mark discusses one of the most difficult emotions for caregivers to admit: resentment. He is joined by Elaine K. Sanchez, founder of caregiverhelp.com and author of Letters from Madelyn, to explore why this feeling builds when caregivers are isolated, overwhelmed, and unsupported.
Elaine shares her expertise on how to navigate the complex emotions of caregiving without feeling like a moral failure. The conversation covers the difference between fleeting anger and long-term resentment, the guilt associated with feeling relief, and the necessity of establishing firm boundaries. Listeners will also learn a practical three-step approach—aw...
Financial Caregiving 101: The Legal "Permission Slips" You Need Right Now w/ Beth Pinsker
In this episode of The Caregivers Podcast, host Dr. Mark Ropeleski sits down with certified financial planner, personal finance journalist, and author Beth Pinsker to unpack one of the least discussed yet most challenging aspects of looking after a loved one: financial caregiving.
Whether you are quietly stepping in to help an aging parent sort through bills, managing an unexpected legal crisis, or navigating complex estate planning within a blended family, this conversation provides a practical roadmap. Beth shares both her professional expertise and raw, lived experience caring for her own mother to help you protect your...
Caregiving in a Broken Family w/ Angela Caldwell
This week, Dr. Mark sits down with Angela Caldwell, a licensed marriage and family therapist specializing in high-conflict families. Together, they discuss the emotional toll of caregiving within a fractured family, how to coordinate care when siblings strongly disagree, and strategies for protecting yourself from caregiver resentment and complicated grief. If you are the person trying to keep care moving while managing difficult family dynamics, this conversation is for you.
Click here to watch a video of this episode.
Support Our Guest:
▶️ https://www.angelacaldwell.com/
▶️ https://www.youtube.com/@angelacaldwell
▶️ https://caldw...
Do You Owe Your Parents Care If They Hurt You? w/ Dr. Joshua Coleman
What happens when an estranged parent becomes sick, dependent, or close to death?
In this episode of The Caregivers Podcast, Dr. Mark Ropeleski speaks with Dr. Joshua Coleman, clinical psychologist and author of The Rules of Estrangement: Why Adult Children Cut Ties and How to Heal the Conflict, about family estrangement, caregiving, guilt, boundaries, and end-of-life decisions.
They discuss why adult children cut ties with parents, how abuse, neglect, divorce, mental illness, addiction, and old family roles can shape estrangement, and what happens when caregiving responsibilities suddenly return during illness or terminal decline.
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Self-care: The Impact of Endometriosis w/ Dr. Laura Katz
In this week's episode, Dr. Mark is joined by clinical health and rehabilitation psychologist Dr. Laura Katz (co-founder of Endometriosis 360 and assistant professor at McMaster University) for a deeply honest conversation about endometriosis.
Endometriosis affects roughly 1 in 10 women and girls of reproductive age, yet it is frequently minimized as "bad cramps" or a minor period issue. Dr. Katz breaks down the systemic load of living with this chronic condition, the psychological toll of multi-year diagnostic delays, and how the unpredictability of flare-ups reshapes intimacy, work, parenting, and everyday life.
Referenced Video: https://www.tiktok.com/@b...
Caregiving Killed Our Marriage w/ Kate Washington
In this week's episode, Dr. Mark sits down for a deeply moving, brutally honest conversation with returning guest Kate Washington. Kate is a writer and former caregiver whose reality was completely upended when her former husband was diagnosed with an aggressive cancer, shifting their dynamic from equal partners to nurse and patient.
Kate opens up about the invisible mental load of caregiving, the erosion of physical and emotional intimacy, and the free-floating resentment that surfaces when your life is no longer your own. She also shares the immense guilt and social anxiety she faced when choosing to...
The Complete Guide to Hospice Care w/ Les Harp
In this weeks episode, Dr. Mark Ropeleski sits down with hospice nurse, clinical educator, and content creator Les Harp (@thathospiceguy). After unexpectedly becoming a caregiver and losing two wives to cancer, Les turned his profound personal grief into a life mission to educate families and healthcare professionals about the reality of end-of-life care.
In this deeply moving and honest conversation, Dr. Mark and Les dismantle the biggest myths surrounding hospice, discuss how to handle shifting goals of care, and explore the heavy emotional toll - including anticipatory grief and burnout - carried by family caregivers.
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"Promise Me You’ll Never Put Me in a Home”: When Families Face Long-Term Care w/ Janice Martin
In this episode of The Caregivers Podcast, host Dr. Mark Ropeleski sits down with senior living expert Janice Martin to unpack the hidden traps families fall into during this challenging stage. From navigating the guilt of a "never put me in a home" promise to managing intense sibling friction over inheritance versus care costs, this conversation brings to light the realities families are often afraid to say out loud. We also explore the practical side of senior housing: baseline costs, level-of-care price thresholds, resident rights regarding personal habits, intimacy in care facilities, and how to recognize the tipping point...
Setting Boundaries Without the Guilt: A Caregiver's Guide to Healing w/ Greg Fougere
Caregiving is often framed through the lens of love and duty, but what happens when it becomes an old survival role? In this episode, Dr. Mark Ropeleski sits down with trauma-informed coach Greg Fougere to explore the deep-rooted family patterns, nervous system responses, and "self-abandonment" that often drive the default caregiver.
We dive into the concept of parentification - where children become the emotional regulators for their parents - and how these childhood adaptations create a "survival mode" baseline that leads to extreme burnout in adulthood. If you’ve ever felt like you can’t keep going but...
The Hidden Family Dynamics That Break Caregivers | Amy Vasterling on Narcissism and Care
Are you a family caregiver who feels trapped by unfair family dynamics? In this episode of The Caregivers Podcast, Dr. Mark Ropeleski welcomes author Amy Vasterling to discuss how family conditioning can strip away a caregiver’s identity. Amy shares insights from her book, Know, explaining why boundaries are often treated as betrayal in enmeshed families and how caregivers can reclaim their inner truth.
The conversation dives deep into the difference between The Model (social and family control) and The Knowing (our innate truth). Amy and Dr. Mark explore the unique challenges faced by Highly Sensitive People (HS...
Is It Time For Assisted Living? w/ Janice Martin
When is it truly time to transition a parent or loved one into assisted living? In this episode of The Caregivers Podcast, Dr. Mark Ropeleski sits down with senior placement expert Janice Martin to pull back the curtain on the elder care industry.
From navigating the 72-hour Medicare discharge crisis to the staggering reality of home care costs (which can exceed $21,000/month), Janice provides a roadmap for families feeling overwhelmed and guilty. We explore how to identify the subtle red flags of decline, how to choose a facility based on care rather than pretty furniture, and why...
The Social Media Outrage Economy: Why Doom Scrolling Hooks Us w/ Dr. Pamela Rutledge
This week on The Caregivers Podcast, Dr. Mark sits down with media psychologist Dr. Pamela Rutledge to discuss the "unseen guest" in every caregiving environment: the social media feed.
Caregiving already demands immense emotional steadiness, but how do we maintain that clarity when our phones are designed to keep us in a state of hyper-vigilance? We explore the psychological impact of the attention economy, why "doom scrolling" is a double-whammy for caregivers, and how to reclaim your agency in an environment designed to keep you activated.
About Our Guest:
Dr. Pamela Rutledge (PhD, M...
How to Have a Midlife Crisis Without Breaking Your Life w/ Beverly Blaney
Is it just a sports car and a new wardrobe, or is there something deeper calling from within?
In this episode of The Caregiver's Podcast, Dr. Mark welcomes back psychotherapist Bev Blaney to peel back the layers of the "midlife crisis." Moving past the Hollywood cliches, Bev and Mark explore the profound internal reckoning that occurs when the life we’ve built no longer feels like our own.
They discuss the tension between the Ego - the rulebook we’ve followed since childhood - and the Soul, which often begins to "call" us toward a more...
Canada's MAID Debate w/ Dr. Ramona Coelho
This week on The Caregivers Podcast, host Dr. Mark Ropeleski sits down with Dr. Ramona Coelho, a family physician and leading voice in Canada’s MAID (Medical Assistance in Dying) debate. Together, they take a deep dive into the clinical and moral shifts occurring within Canada’s healthcare system. Dr. Coelho shares harrowing insights into "Track 2" cases—where patients who are not terminally ill are being approved for MAID—and discusses how social vulnerabilities like poverty, housing insecurity, and loneliness are increasingly becoming drivers for assisted death. Dr. Coelho argues for a return to a medical culture that prioritizes accompan...
Caring For Emotionally Immature Parents w/ Heather Gray
In this episode of The Caregiver’s Podcast, Dr. Mark sits down with licensed mental health professional Heather Gray to discuss a complex and often silent struggle: caregiving for an emotionally immature or "emotionally limited" parent.
When a parent lacks the capacity to meet their child's emotional needs, the wounds don't simply disappear with age. In fact, the transition into a caregiving role can often reactivate old survival modes, scan the nervous system for threats, and feel like an act of self-betrayal. Heather helps us navigate the "treacherous waters" of setting boundaries, choosing care over duty, and wh...
The Truth About 'MAID' In Canada w/ Krista Carr
In this episode of the Caregivers Podcast, Dr. Mark sits down with Krista Carr, CEO of Inclusion Canada, to discuss the complex and often controversial reality of Medical Assistance in Dying (MAID) in Canada.
Since its legalization, Canada has recorded over 76,000 MAID deaths. While many see an idealized version of a peaceful end-of-life choice, this conversation explores the "shadow track" of MAID—where death may become easier to access than essential care, housing, or disability supports. Krista Carr highlights the critical distinctions between Track 1 (imminent death) and Track 2 (disability-related) MAID, the lack of robust safeguards, and the et...
PTSD Crisis Management w/ Dr. Shaili Jain
In this episode of The Caregivers Podcast, Dr. Mark sits down with Dr. Shaili Jain - a Stanford psychiatrist and world-renowned PTSD expert—to provide a practical "playbook" for caregivers. We dive deep into the neuroscience of trauma, explaining why logic fails during a trigger and how caregivers can protect their own nervous systems from "vicarious traumatization."
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▶️ https://www.shailijainmd.com/
▶️ https://www.shailijainmd.com/buy-book
▶️ https://www.tiktok.com/@thestressdocmd
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Chronic Pain Explained w/ Dr. Dean Tripp
This week on The Caregivers Podcast, Dr. Mark sits down with returning guest Dr. Dean Tripp, a professor of Psychology, Anesthesiology, and Urology at Queens University.
Together, they pull back the curtain on the neuroscience of chronic pain, explaining how it physically alters the brain and why the traditional medical model often fails those in pain. Dr. Tripp introduces the C.A.R.E. Method, a practical framework for caregivers to provide empathy without burning out, and tackles the taboo topic of caregiver resentment.
Whether you are living with pain or caring for someone who...
How To Build Capacity As A Caregiver w/ Susan Ackland
In this episode of The Caregivers Podcast, Host Dr. Mark sits down with Susan Ackland, a psychotherapist with decades of experience who has spent the last 10 years navigating the complexities of caring for a mother with Alzheimer’s and a father-in-law with Lewy body dementia, all while raising children and maintaining her professional practice.
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Do You 'owe' Aging Parents Care? w/ Elizabeth Miller
In this episode of The Caregivers Podcast, Dr. Mark sits down with Elizabeth Miller, founder of Happy Healthy Caregiver, to tackle the question nobody wants to say out loud: When parents age and need care, what do their adult children actually owe them?
As a veteran podcaster and sandwich generation caregiver, Elizabeth shares the raw reality of balancing a career and children while managing the declining health of aging parents. We discuss the mudslide of caregiving, the difference between being a caregiver and a care partner, and how to handle the burnout that comes with the impossible...
Decolonizing Medicine: A New Vision for Future Doctors w/ Dr. Jamaica Cass
Why do Indigenous communities distrust the healthcare system, and how do we fix it?
In this episode of The Caregivers Podcast, Dr. Mark sits down with Dr. Jamaica Cass - the first Indigenous woman in Canada to earn both an MD and a PhD. Dr. Cass shares her mission to decolonize medicine, from reshaping medical school curricula to building localized health education programs.
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Parenting a Child with Pulmonary Hypertension w/ Cynthia Neilson
In this episode of The Caregivers Podcast, host Dr. Mark sits down with Cynthia Neilson to discuss the emotional and practical realities of raising a child with a rare heart-lung condition.
Cynthia shares her journey from the initial shock of a complex diagnosis at SickKids to the "stress tests" of everyday parenting—navigating medical equipment at bedtime, setting boundaries with school, and eventually empowering her daughter, Clare, to become her own advocate. It is a story of resilience, finding peace in the face of uncertainty, and the vital importance of caregiver communities.
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Is Caregiving a Life Sentence? w/ Kate Washington
In this episode of The Caregivers Podcast, author Kate Washington joins us to discuss her powerful memoir, Already Toast, and the invisible crisis of caregiver burnout. We explore the raw emotional realities of spousal caregiving, the "slow slide" into medical responsibility, and how systemic failures in the healthcare system leave families feeling abandoned.
Kate Washington is the author of Already Toast: Caregiving and Burnout in America, a powerful blend of memoir and reporting that exposes how quickly love and responsibility can become total, invisible labor when a partner becomes seriously ill. Her story traces the psychological narrowing c...
Caregiving in 2026: What's IN and What's OUT
Is caregiving consuming your life, or are you surviving the work? In this episode of The Caregivers Podcast, Dr. Mark breaks down why the "hero narrative" is breaking caregivers and why 2026 is the year we shift from mindless sacrifice to strategic sustainability.
We explore the 10 things that are IN (like boundaries as a clinical skill and energy management) and the 10 things that are officially OUT (like toxic empathy and productivity worship). If you are a professional clinician, a family caregiver, or an advocate, this conversation provides a new framework for protecting your health while caring for others.<...
Nurses on the Edge: Fear, Burnout, & Hope w/ Canadian Federation of Nurses Unions President Linda Silas
In this powerful episode of The Caregivers Podcast, Dr. Mark Ropeleski sits down with Linda Silas, President of the Canadian Federation of Nurses' Unions (CFNU), to discuss the precarious state of nursing in 2026.
Far beyond simple "burnout," Linda describes a "moral injury" occurring across Canada—a systemic failure where nurses are forced into 30-hour shifts, face escalating workplace violence, and are unable to provide the level of care their patients deserve
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▶️YouTube: https://youtu.be/W0kbtWNrGL4
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▶️Faceb...
2026: Caregivers Reset
Caregivers don’t need more motivation, they need more margin. In this Season 2 premiere, Dr. Mark Ropeleski addresses the "diffusion of energy" that leads to caregiver burnout. If you find yourself saying "yes" to every crisis but "no" to your own well-being, this episode is your permission to simplify.
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▶️YouTube: https://youtu.be/lzn6qzCgHag
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Books referenced in this episode:
📖 Essentialism by Greg McKeown
📖 The One Thing by Gary Keller
📖 Atomic Habits by James Clear
📖 The Power of Habit by Char
Every Nurse Carries Trauma w/ Jon Schmid
In this episode of The Caregivers Podcast, Dr. Mark Ropeleski sits down with John Schmid—a veteran ER nurse, former Canadian Armed Forces nursing officer, and past healthcare COO—to pull back the curtain on the "trauma-exposed" nature of healthcare. John provides an honest look at the moral injury that occurs when clinicians are unable to meet their own standards of care due to systemic constraints.
Watch the full video episode here:
▶️YouTube: https://youtu.be/dgXHui7mIgQ
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▶️ Website: https://role4.biz
▶️ LinkedIn: https://www.linkedin.com/in/jonschmidcd/
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The Longest Goodbye: 20 Years of Love, Loss, and Parkinson's w/ HeldLight
On this weeks episode, Dr. Mark Ropeleski welcomes Brent, founder of HeldLight, for a raw and unflinching conversation about the realities of long-term caregiving. Brent shares his 20-year journey caring for his wife, Trudy, who was diagnosed with young-onset Parkinson’s at age 34.
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▶️ YouTube: https://youtu.be/02Sr7J9VlMg
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No Violence Nurse: A call to action w/ Kelsey Springer
In this episode, Dr. Mark Ropeleski sits down with Kelsey Springer, a critical care nurse and Montana State University instructor known nationally as the "No Violence Nurse." Kelsey shares the harrowing story of a brutal ICU assault that left her requiring total jaw reconstruction and how that event transformed her from a caregiver into a patient—and eventually, a fierce advocate. They discuss the dangerous normalization of workplace violence, the "invisible hits" that lead to nurse burnout, and why the phrase "it’s just part of the job" is a lie that destroys the healthcare workforce.
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