I have worked in TB control for a little over 4 years after spending 30+ years in hospital nursing in Pediatrics.I was a little anxious as I have never worked with the adult population but was looking forward to no weekends or holidays having to work. Besides lack of adequate staffing my biggest stressor is having patients so acutely ill,and not hospitalized-the lack of back-up emergency equipment and the lack of other 'eyes' to assist in assessments. Also their social needs are so great I sometimes feel like a social worker trying to get them the assistance they need. I never would have guessed how attached to these clients I become, we become part of their extended families and the I feel as if I am really making a difference in their lives. Seeing them go from so acutely ill to returning to work is very satisfying.