On April 20th, five years ago, I had to make the most painful decision of my life—from a Zoom call. My sister was dying, and I was her healthcare proxy. While my mother and niece sat at her bedside, I gave the word to let her go. That moment changed me forever. I carry it into every EMS shift, every sleepless night, and every word I write. Today, I remember her—not as the woman we lost, but as my sister. The one I tried to save, even from a distance. The Quiet After the Sirens began with her silence.
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