A willingness to live in harsh or unpredictable conditions and to overcome obstacles is a necessity for a missionary nurse. Victoria Okhman, a nurse at the Upstate Golisano Children‘s Hospital, tells of her experiences in Russia, dealing mostly with orphan children, where she learned to appreciate the job's potential and accept its limitations. Okhman also tells how she applies the experience to her work at Upstate. A willingness to live in harsh or unpredictable conditions and to overcome obstacles is a necessity for a missionary nurse. Victoria Okhman, a nurse at the Upstate Golisano Children‘s Hospital, tells of her experiences in Russia, dealing mostly with orphan children, where she learned to appreciate the job's potential and accept its limitations. Okhman also tells how she applies the experience to her work at Upstate.