The reality of hospital care in small town America is very different from the well-stocked, well-staffed flashy urban medical centers on TV. We have the same struggles – every emergency that happens in the big city, happens here – with the added challenges of limited funding, limited equipment, limited personnel, and unlimited unique characteristics of our population. This means every caregiver in our medical network must wear multiple hats and must often come up with creative solutions to deal with the health care needs of our community – whether it’s responding to a farm emergency, treating a child’s ongoing illness, or softening the natural consequences of old age – all within the minimal operating margins of a rural facility.