Daniela is the youngest of three daughters born to Dominican expats, growing up in New York City. After a chaotic childhood that nearly tore her mother and sisters apart, Daniela struggles to find her way in the world. After wanderlust and the need for change following a messy breakup leads her Upstate where she studies to become a nurse, Daniela slowly builds her life and her career outside of the confines of Manhattan. When things back home take a tragic turn, Daniela finds herself in the position of being the thread that holds her estranged sisters together. Titrate to Effect: A Nurse's Story of Life & Love in the Presence of Life & Death is the story of a nurse, and the impact of nursing on life and all that comes with it. It is an inside look at a world that few can truly understand, and how a calling to the profession shapes the one on the path as well as those that love and surround them. It is a story of a nurse finding her way, written by a nurse who knows the journey well.