The year is coming to a close and as I like to do each year end, I have been reflecting on the changes that have come in these last twelve months. I think the most exciting always every year are the new births-the miracles in life that I think keep us all going and are even more inspiring when they come through a person having struggled with health and conquered that obstacle. Perhaps even more special is that we are often honored to become a part of those baby's healthcare-we may then be able to influence the next generation in a positive way.