The good thing I will say about having so many clients is the variety, and that it keeps my skills fresh. I have a bit of everything: gtubes, B/CPAPs, trachs, glucose checks, O2 admin, seizure precs, etc. Plus I've learned a mountain of knowledge, treatments, and care for all sorts of conditions: SMA, Duchenne's MD, lissencephaly, Q6 chromosomal deletion, shaken baby syndrome, epilepsy, CP, prematurity & BPD, tracheomalacia, hyperinsulinism, Rett Syndrome... that's more than 10 kids I've worked with in the past year. (Right now I have 6-7 active cases I go to.) So it's not all bad, for me and my ongoing education, that is. Plus, some of those places would drive me crazy if I had to be there every day! As far as the parents go... I've always tried to be respectful and friendly, not too intrusive, not to be too chatty but still giving them the opportunity to get to know me so they are more comfortable with me and remember me for next time.