I have been an R.N. on my city’s pediatric hospital’s Hem-Onc/BMT unit for a little over a year now and recently I’ve been having a difficult time coping with patient deaths. Not that I didn’t care/feel sad before, but the deaths recently have been patients dying from secondary cancers/complications (GVHD) from treatment from their initial diagnoses. I think maybe it’s because in my first year of nursing I was so focused on getting my skills down (this is my first “big girl” job!) and building confidence that I didn’t understand all the facets of my patients’ medical histories and what relapses truly entail. Has anyone else in this sub-specialty felt this way? I have cried out to my trusted loved ones, asking what’s the point in torturing these children and teens with horrible treatments if they’re “just going to die anyway” (absolutely horrible, I know, but it’s how I feel sometimes). This overarching sadness and despair makes the challenges of bedside nursing (short-staffing, for example) unbearable. I feel defeated and like I’m not making a meaningful difference and dread going to work. I try to focus on positives in my life (vacations, new house) but this is a big part of my life too and this sadness is overwhelming. Any words of encouragement or insight is appreciated. Thank you for reading this far.