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Voices from the inside: 35 years as a nurse in health care

Virginia DeFranco, RN
Conditions
May 19, 2025
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After 35 years in health care, I thought I’d seen it all—until it happened to me.

We talk about burnout, compassion fatigue, and systemic issues in medicine. But there’s something more silent, more painful, and far more personal happening in hospitals and clinics across the country: Generational warfare.

The young eat the old. And the old? We’re expected to disappear quietly.

In my early years, experience was respected. Elders were mentors. Wisdom mattered.

Now, you’re more likely to be dismissed, side-eyed, or undermined—not for what you’ve done wrong, but simply for having done it too long.

I’ve seen younger nurses and staff treat seasoned professionals as if they were obstacles, not assets. I’ve seen leadership turn its back on those of us who carried the weight for decades, pushing us out with polite HR language and ice-cold smiles.

And when you try to stand your ground?

You’re labeled “resistant,” “outdated,” or “hard to work with.”

I was called “problematic” for speaking up when I saw something unsafe—something that could have hurt a patient.

I didn’t stay silent. I did the right thing.

And for that, I was fired.

That was the moment I knew it wasn’t just a toxic system.

It was a system designed to chew you up once you’ve outlived your perceived usefulness.

The saddest part? It doesn’t have to be this way.

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Health care should be a place where knowledge is shared across generations, not hoarded or weaponized. Patients suffer when staff are divided—when wisdom walks out the door and no one bothers to hold it open.

Getting older shouldn’t be a liability. Not in life, and certainly not in medicine.

But I’m here to tell you: If you stay long enough, they come for you too.

And it’s heartbreaking—not because you’re no longer needed, but because you still have so much to give.

Virginia DeFranco is a nurse.

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