The U.S. Surgeon General credits the new surge in COVID cases to "pandemic fatigue," but it's nothing compared to what healthcare workers on the frontlines are going through. TIME recently reported that nurses are experiencing burnout, but it often goes unseen. A nurse recently employed a social media trend to draw attention to the behind the scenes fatigue.

An ICU nurse posted her own "how it started/how it's going" photo on Twitter, and long story short, it's not going that great. The before photo of Kathryn, an ICU nurse in Nashville, was taken in the middle of April right after she completed nursing school. The after photo revealed just how much literal sweat and tears healthcare workers put in while treating people during the pandemic.


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