BILLINGS, Mont. — It happened so fast, Joey Traywick missed it.

“I’ve been doing this for a long time” he said. “I know how much time I have.”

But not this time. Traywick, a 48-year-old registered nurse, had misjudged how acute his patient’s illness was. By the time he returned to her room, she was gone.

She had died alone.

“And I thought, ‘I’m never going to let that happen again,’” Traywick said, choking back tears. “It snuck up on me, and it surprised me because it’s so relentless. … I (no longer) miss it. If I have to stay late after working, if it means doing it on…



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