Where does one start? Parental neglect, family dysfunction, violence, bullying, enuresis, abandonment, 7 schools before HS graduation. Very sick mother ( COPD/cigarettes ) Attacked at West Point Military Academy, labeled by town, no family support, 3 marriages-two divorces-two children in next 3 years, 60 hour work weeks, 21 credit hr. semesters, massive guilt, shame, fights and flights, mother dies, anesthesia school and massive stress, in last month of school 8 yr. old boy put into irreversible coma, I was student on case. It devastated me.( many details, will leave out, it was Anesthesiologist who gave 10 times dose of Atropine that fried the brain, I didn't learn about this for two years, already out in practice. ) Fast forward, another child, many affairs, fights, social isolation, anesthesia burdens, 17 moves, 15 jobs and 29 years of anesthesia another child dies!!! 2005, 2/14/2005. 9 yr. old girl. Normal appendix ( she had RLL pneumonia ) Case uneventful, extubated awake, following all commands, oriented, good breathing, okay tube out, quit breathing, unresponsive, cyanotic, reintubated, pink, stable, re-reversed, awake, responsive, following commands, re-extubated, stable, pain free, to recovery room. Find out from grandmother ( mother had abandoned her ) she has sleep apnea. Put in ICU ( small hospital, no trained nurses ) stayed with her from 1700 to 0100 had two more episodes of unable to hold airway, chin lift, reversals, finally stable. Made big mistake, left hospital, gave nurses instructions, went home. Called back at 0540, she mottled, blood tinged bubbling from mouth, comatose, soon dead, could not resuscitate her. Grand-mother let out primordial scream that has never left my soul. I killed her. I killed a kid. Chart was sealed ( legal ) three years later I took time to read nurses notes, the apnea started at 0230 and untreated for 3 hours, she developed ARDS from negative inspiration trauma, her lung lining changed and she filled with fluid and blood and drowned. All it would have taken was a chin lift. The nurses were inexperienced and didn't react. I should have stayed. No treatment, no time off, depression, agoraphobia, shame guilt, massive fear, several episodes of screaming at OR personnel ( never did before ) Children having marital problems, helping them, overwhelmed, crying all the time, quitting job without notice, wife falling apart, new job, crying every morning before work, disassociation, avoidance, worsening agoraphobia, hired back by old hospital, 9 more years of cases, about 3600 all reliving the girl's death, sleep disturbances, eating disorder, 125# weight gain, HTN, SOB, family dysfunction heightened, ties severed, finally quit for good, on SS now and very reclusive and fearful. I used to walk alone all over desert, exploring and hunting, now can't make it outside very often and when I do, I rush back in and hide. I am a freaking mess. Death sounds so peaceful. But I believe in JC and want the peace of eternity. And I am loved by my wife of twenty years and don't wished to stick her with a suicide and all it's mess. I am still trying. Thanks for reading.