Ghostwriting: Novels

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Chapter 1: Welcome to the Show

I remember my first day in healthcare like it was yesterday. Fresh scrubs, a name badge that felt too official, and a nervous energy that I tried to suppress with deep breaths and forced confidence. I walked through the automatic doors of the hospital, stepping into a world I thought I understood. After all, I had spent years studying, training, and preparing for this moment. I thought I was ready.

I wasn’t.

Nothing prepares you for what it’s really like to work in healthcare. You can memorize every protocol, every medication dosage, every emergency response drill—but nothing teaches you how to feel when you’re standing in a room with a grieving family, when you're racing against time to save someone who doesn’t want to be saved, or when you're watching an overworked nurse take their first break in 12 hours just to cry in a supply closet.

People think healthcare is about healing. That’s the lie we all tell ourselves when we sign up for this life. The truth? Healthcare is about survival—ours and theirs. Patients come to us at their worst, their most desperate, their most vulnerable. And we are expected to be the calm in their storm, the unshakable presence that assures them everything will be fine, even when we know it won’t be.

You learn quickly in this field that caring is dangerous. It pulls you under. It makes you believe in things like fairness, justice, and gratitude—concepts that don’t exist here. The reality is that the system isn’t designed for us to care. It’s designed for efficiency, for numbers, for profit. If we start caring too much, we burn out. If we stop caring completely, we become the very thing we swore we wouldn’t—apathetic, robotic, detached.

So, welcome to the paradox of modern healthcare. How to care enough to do the job, but not so much that it destroys you.

This book isn’t about how to be a better nurse, doctor, or technician. It’s about how to survive in a system that doesn’t care about you, how to navigate the politics, the impossible expectations, the moral contradictions. It’s about learning how to not care—just enough to keep going.

Because if you don’t? The system will eat you alive.