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Continue reading →: The Quiet Work of Trust
This has been a busy week at work. The kind of week where there are so many moving pieces it feels like you are constantly carrying them, trying to make sure none of them drop. Ensuring clients get the care they need often means navigating a system full of unseen…
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Continue reading →: Why Some of Us Stay: A Decade in Difficult Work
This work is hard. There is no soft way to say that. It is clinically complex, emotionally heavy, and often done in systems that are under-resourced and strained. I feel fortunate that early in my career I had strong mentors. Looking back, they are likely the reason I am still…
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Continue reading →: The Importance of Noticing
I was up early today to take my dog to the groomer. Driving through town on a quiet Saturday morning, I watched the slow hum of the day beginning. Businesses preparing to open, lights flickering on, and people being gently woken from the sidewalks where they had settled in the…
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Continue reading →: Compassion Without Structure: The Ethical Tension Inside Harm Reduction
Harm reduction is grounded in compassion. It asks us to meet people where they are at. It rejects coercion and prioritizes survival in the face of risk. In street-based nursing, those principles are not abstract. They are practical. They keep people alive long enough to have another conversation. But harm…
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Continue reading →: Harm Reduction Without Accountability Is Not Care
Harm reduction is often framed as the opposite of structure or expectation. As if offering safety means removing all boundaries. As if challenging someone’s choices automatically becomes judgment or punishment. That has not been my experience. At its core, harm reduction is about reducing preventable death and suffering. It is…
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Continue reading →: When Care Loses Its Shape
I spend a lot of time thinking about why some care helps people move forward, and why some care seems to quietly hold them in place. On the surface, it can all look the same: food, clothing, shelter, wound care, a listening ear. But over time, I have learned that…
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Continue reading →: When Help Makes Things Worse
I want to talk about something that is uncomfortable to name, especially in spaces where compassion is the currency and good intentions are assumed. Sometimes, help makes things worse. This is not an argument against caring, generosity, or community involvement. It is an observation formed over years of working in…
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Continue reading →: Why I’m Starting to Write
I have gone back and forth about writing publicly for a long time. I have written plenty in private, in charts, in policy drafts, in meeting notes, and in the quiet margins of my own thinking. What has held me back has never been a lack of things to say,…






