Hi, We are planning to relocate our young family (a four year old and two year old twins) from San Francisco to North Raleigh to be closer to family. If there is anyone out there who has made a similar move and could offer some advice and encouragement regarding the salary drop and surviving the culture shock, I'd greatly appreciate it. Specifically, I'm in a bit of a panic regarding the large drop in salary. I was expecting around a 40% drop, but it appears it will be closer to a 50-60% drop. I'm currently working in a PACU at a major university medical center. I have 17 years of experience in PACU, critical care, and bone marrow/stem cell transplant. I am currently rotating through both adult and pediatric PACUs. I was hoping to work in North Raleigh, which is where we will be buying a home. But, the salaries at Rex and WakeMed just won't cut it. Is commuting to Duke from North Raleigh an option? What are the salaries at Duke (I couldn't find any reference to compensation other than "competitive"). Thanks for any advice or help.