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This personal essay speaks to the life-altering impact of adoption, even in the case of a carefully planned and successful open adoption. The essay describes the experience of a birthmother over the course of twenty-two years in an open adoption.

The coordination of services for patients with suspected or newly diagnosed lung cancer produces improved patient outcomes, particularly in their quality of life. Evidence-based practice demonstrates improved outcomes from the multimodality therapies offered today, especially for patients with lung cancer; however, navigating through the healthcare system is especially challenging for patients. In developing the Multidisciplinary Lung Cancer Clinic at Frederick Memorial Hospital, navigation challenges in the healthcare system have been addressed. Patients are receptive and pleased with the approach, in which a nurse practitioner coordinates services and provides guidance and support for patients. The program offers benefits to patients with lung cancer in the community hospital setting. A similar program can be implemented in community cancer centers for patients with other diagnoses to improve outcomes and satisfaction with the healthcare system.

I WANTED my son to become the kind of person who appreciates the beauty of the world around him, so I smiled when, at 6, he asked to borrow my camera in case he saw \"something beautiful.\"

During those months, my son's mother, Holly, observed that birth mothers have to accomplish in one day the monumental task of letting go that most parents have 18 years to figure out.