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You should always stick to a dream. You start from the beginning by going to nursing school. Nurse Anesthetist is a masters so start from the bottom and work your way up. You may change your mind once you get into nursing school. Nursing school exposes you to all types of jobs you can have with a nursing degree. You may start nursing school and that will be the starting point to where you want to go from there. There is a lot of variety in the nursing field for all interests a person may have. Your dream may steer you to another dream but you won't be able to get your dream if you do not start the walk from the beginning. You have to take steps forward to pursue a dream and there are many roads and crossroads to that dream. :) You can't get there if you don't start walking toward your dream and goals.