“This is what it looks like to have a dream,” Samantha Kortenhoeven said as she holds her stethoscope on Saturday, Oct. 26, 2024, in her home in Lawrenceburg, Kentucky. "If I'm not sleeping, I'm studying. If I'm not studying, I'm in class. If I'm not in class, I’m at practicum," Kortenhoeven said, describing her life as a nursing student.