The topic of anal cancer has gotten a lot of media attention lately because of Farrah Fawcett’s very public battle with the disease. And it’s raised a lot of important questions about advances in cancer treatment and the future for patients fighting the battle of their lives.

What is anal cancer and who is at risk for it?

Anal cancer is characterized by the growth of a tumor around the anus ― which is opening at the end of the intestinal tract — and it’s completely different from colon cancer. A large proportion of anal cancers have tested positive for human papillomavirus (HPV), which is a sexually transmitted disease, but this isn’t the only cause.

Other patient populations at a greater risk for developing anal cancer include patients with multiple sexual partners, those who participate in anal intercourse, smokers, people with immunosuppressive diseases, such as HIV, and people with chronic inflammatory bowel diseases.

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What is the treatment for anal or intestinal cancer?

If it’s caught early, the most common treatment for anal cancer is surgery. But in patients whose cancer affects the anal sphincter, having surgery to remove the tumor and cancerous cells can lead to fecal incontinence causing the need for a permanent colostomy. So often for these patients, radiation and chemotherapy may be the preferred course of treatment. For later stage anal cancers, doctors treat patients with a combination of radiation and chemotherapy.

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What is the cure rate for anal cancer?

Well ― like any cancer, early detection greatly increases the chance of survival. If it’s caught in the early stage, there is an 86 percent five year survival rate. If the cancer has spread to the lymph nodes, the survival rate decreases to 54 percent. Up to 10 percent of patients treated for anal cancer will develop cancer elsewhere in the body.

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What kind of advances are we making in cancer research?

We have made advances with regard to the surgical treatment of cancers by offering minimally invasive surgeries. In some cases, we’re able to provide surgical treatments with less negative side effects and shorter recovery time. Clinical studies have shown that other treatments like radiation and chemotherapy may be just as effective as surgery without many of the negative side effects.

With regard to medical treatments, there have certainly been advances in the kinds of treatments we’re using. New medical technologies are making it possible for doctors to individualize a patient’s treatment by studying the genetic makeup of their particular cancer — ultimately decreasing the chances of recurrence or spread of the cancer, and increasing a patient’s survival outcome.

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What are the major milestones/accomplishments we’ve seen in cancer research recently?

Well again, one of the major milestones is being able to identify the genetic makeup of cancers individual to each patient.

The other advancement is the research that’s been done in molecular-targeted therapies. These therapies target the development of cancers by inhibiting the growth of the disease at the cellular level — which we hope will be able to limit or potentially even stop the cancer from spreading.

Molecular-targeted therapy is a more specific treatment than chemotherapy, because chemo treatment kills off not only the bad cells — but also the healthy cells in the body. So with a therapy that is very specific in its attack of cancerous cells, the hope is that it should more be effective in stopping the development of the cancer.

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What are some tips for preventing cancer?

We’ve all heard it time and time again — good health comes from making healthy choices. So my first tip would be stop smoking! I’m sure I don’t have to tell you, cigarettes are full of cancer-causing agents and have been linked to the development of many cancers in the body.

Second, everything in moderation including alcohol! If you’re the kind of person who enjoys a nice cocktail, make sure you do it in moderation, which means 1 or 2 glasses — preferrably of red wine — or else,  just avoid alcohol all together.

Make healthy dietary choices. Try to maintain a diet rich in omega-3 fatty acids and fruits and vegetables. Both provide essential nutrients and antioxidants which help ward off disease. Limit the amount of read meat you consume, since high levels of it have been linked to certain cancers.

Recent studies have shown that vitamin D may play an important role protecting against the development of certain diseases. Because exposure to small amounts of sunlight causes the body to produce healthy amounts of vitamin D, people who live in cold environments or places with extended seasons of darkness may want to consider getting their vitamin D levels checked and taking supplements.

And finally — know your family history so you can better determine your risk for other cancers, because your screenings for certain cancers may start earlier than what is recommended to the general population, and preventive therapies may be an option for you.

Dr. Cynara Coomer is an assistant professor of surgery specializing in breast health and breast cancer surgery at Mount Sinai Medical Center in New York City. She is a FOX News Health contributor providing medical expertise on a variety of topics in cancer research with a focus on women’s health, breast diseases and tips for healthy breasts at any age.

A recent story about a 17-year-old Boy Scout who died suddenly during a 7.7-mile hike in Florida has everyone wondering what went wrong. Every time I see a story like this, where an unexplained death occurs in a young person – especially an otherwise healthy teenage athlete – it makes me wonder whether it’s a good idea to have in-depth annual physicals performed on adolescents contemplating participating in high-endurance sports.

Most children get an annual physical as required by state law to attend school or play sports. I have three children, and for the most part, their physicals constitute a review of systems, blood pressure, weight and height documentation, vital signs and maintenance of vaccination schedules.

So the question is: Should adolescents have more in-depth assessments done to evaluate the status of their cardiovascular health?

This of course is a controversial question to ask because doctors can’t seem to agree on what tests should be done. And with the swelling numbers of uninsured Americans and the escalating costs of preventive medicine not covered by insurers, we’re immediately challenged with the dilemma of who’s going to pay for cardiac testing, and what happens if we do find something wrong?

A perfect example of this is the current criticism of prostate cancer screening. Many studies are now suggesting that these screenings may lead to unnecessary procedures and negative side effects — that ultimately are ineffective in changing the course of the disease.

Now I can understand evaluating the effectiveness of prostate cancer screening versus cost and quality of life issues – especially because of the nature of the disease and the age group that it typically affects.

But when it comes certain heart diseases in the adolescent patient population, we’re not looking at quality of life issues – but often, the difference between a life saved and a life lost.

One condition in particular that I think that teenagers should be screened for, is hypertrophic cardiomyopathy (HCM). This is a genetic condition that affects one out of 500 people and is the leading cause of heart-related sudden death in people under 30. And unfortunately, if it goes undetected, most parents only find out about HCM after their child dies on the field or court.

Hypertrophic cardiomyopathy is a condition in which the heart muscle becomes abnormally thick, making it harder for the heart to pump blood and sometimes interfering with its electrical rhythms. HCM tends to run in families, and children of parents with the genetic mutation for the disease have a 50 percent chance of inheriting it.

The reason HCM often goes undiagnosed, is because it rarely presents any noticeable symptoms. And while it can lead to severe cardiac problems at any age, but I would argue that if the condition is identified in the teenage population, proper monitoring could lead to a decrease in sudden, unexpected death among athletes.

Many states are looking into mandatory cardiovascular assessment of young athletes in an effort to identify patients at risk. Still cardiologists are not sure what the best method of screening should be — whether routine electrocardiography or echocardiograms prior to the start of the sports season would provide the most cost-effective, comprehensive data to aid in identifying athletes at risk.

I know that this debate will go on for quite a while, but I think that any parent with a teen or child participating in sports should have a conversation with their pediatrician.

Dear Yvonne,
What does it mean to be a “trisexual?”
—Horace

Dear Horace,
Labeling yourself “trisexual” can mean one of two things:
1. You’re willing to “try” anything sexual.
2. You’re not limited to being sexually intimate with males and females, but people who may identify as another gender. (While our society largely recognizes two genders, other cultures have been known to recognize a third or even fourth gender).

Dr. Yvonne Kristín Fulbright is a sex educator, relationship expert, columnist and founder of Sexuality Source Inc. She is the author of several books including, “Touch Me There! A Hands-On Guide to Your Orgasmic Hot Spots.”

Potatoes are healthier than people think. Potatoes contain more potassium than a banana, vitamin C, fiber and even protein. The only problem is that many people often prepare potatoes in unhealthy ways. People mostly choose to fry them up, drown them in cheese or mash them with fattening butter and cream and since potatoes don’t contain fat or cholesterol, why would you add it to them?

Stuffed Baked Potato:
The key is to look for healthy toppers. Filling your baked potato with vegetables is a healthy way to add even more vitamins, without adding fat. Instead of using full-fat sour cream, mozzarella cheese or cheddar use their low-fat or fat-free alternatives to save on half the calories and fat. Use salsa for a bold topper —  you’ll crank up your metabolism. Capsaicin, the substance that gives kick to peppers and chilis, has a thermogenic effect, meaning it causes the body to burn extra calories for 20 minutes after you eat them. 

Baked Fries:
A typical serving of French fries — which usually takes a bath in vegetable oil — can contain about 600 calories. Your healthiest bet would be to spray Pam calorie-free, non-stick cooking spray on a roasting pan. Slice your potatoes and add salt and pepper and any seasonings you like. For a metabolism kick try making spicy fries. Studies have shown that spices like cayenne pepper can speed up your heart rate and metabolism.  Eating a very spicy meal can actually speed up the metabolism by about 25 percent for up to 3 hours.

Mashed Potatoes:
This is one of the most classic comfort foods, however once it is mashed with butter and cream and the gravy is poured on top, you have a creamy bowl or artery clogging fat. Most of the nutrients that are found in potatoes are located in the skin. Therefore to increase the amount of vitamins and minerals, leave the skin on. Use skim milk, roasted garlic and onions, and a little parmesan cheese instead of whole milk and butter.

Potato Salad:
What’s a party without a potato salad? One cup of this salad contains as many calories as half your daily requirement.  Food for thought, one tablespoon of mayonnaise contains 90 calories and 10 grams of fat. Let’s be honest, usually the potatoes are dripping in mayonnaise. For a creamy, rich flavor and an added boost of protein, use non-fat Greek yogurt as the base to save on half the calories and fat. If you must use mayonnaise, switch to low-fat versions. Substitute an artificial sweetener like Splenda in place of sugar. Add chopped veggies for an added boost of fiber, vitamins and minerals.

Soups:
Instead of opting for a creamy-based potato soup, opt for a broth-based hearty vegetable one. The hearty mix of potatoes and other vegetables will fill you up on few calories. You can also add in some lean meat for a hearty fiber-filled meal that will keep you full without filling you out.

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

Everyone can remember their first day at a new school; the nerves that undoubtedly built as you entered a strange building, stared at a sea of unfamiliar faces, and struggled to establish new friendships. Your child will surely face these same fears as she enters her new school, but fortunately there are things you can do to ease her stress and facilitate a smooth transition.

There are many reasons for a change in schools. Some parents are unhappy with their child’s placement and seek a new experience more in sync with his needs. Some simply graduate and move on to the next school in their district. With job losses still climbing in the U.S., some families are relocating to a new city for job opportunities and a fresh start.

While it’s best to transfer schools at the start of a new academic year, when everyone else is learning the new routines as well, some moves cannot be avoided and must take place mid-year. If the change is scheduled for the fall, you can still start preparing your child now. These tips will help you whenever the move is scheduled.

• Be clear about why your child is changing schools. Ensure her that she did nothing wrong and that the move is meant to bring her more positive experiences. Give her warning about when the change will take place. Marking it on the calendar gives a clear visual for the timeline of the transition.
• Fill out all necessary paperwork in a timely fashion. Being called down to the office is an embarrassing moment for a child and keeping these distractions to a minimum will help him focus on his work. Completing health forms are especially important because many schools mandate all medical forms be complete in order to participate in any physical activity. Your child could be isolated and unable to participate in gym class, causing more stress.
• Contact the Parent-Teacher Association (PTA). Become an active member and use this opportunity to network with other parents. This gives you a chance to get to know the families you will be spending time with and will lessen your apprehension when your child asks for a playdate at a new friend’s house. It also shows you are excited to join the school’s community.
• Visit the school while it is in session and also at least once in the summer. Your child will have the chance to meet teachers, students, and other staff when they are present. Visiting in the summer gives your child time to “wander” around and learn her way without the stress of a crowd.
• Write a story together. Make your child the main character and have him generate ideas for the plot. Pose the question: “What type of things do you think might happen on the first day at your new school?” You can discuss situations that may cause anxiety and the appropriate way to handle them. This type of role-playing prepares your child for new interactions and gives him a script to fall back on. Always end the story on a positive note, for example, “James was so happy to meet children who like basketball, just like him!”
• Make sure your child has closure at her old school. Have a going-away party with her friends to celebrate the big move. Give her an address book so she can write down her friends’ contact information and have the option of keeping in touch once the move has happened.

As always, keep an open line of communication between you and your child as the transition begins. Ask questions like “Tell me your favorite thing about your new school” or “What is one thing you miss about your old school?” Talking about the change helps your child make it through the transition successfully.

Also, check with the school social worker and see if they have a “buddy” system for new students. Having a buddy show them around the first few days helps your child feel comfortable and she won’t have to worry about having someone to sit with at lunch.

If you see your child is still having a hard time adjusting four to six weeks into the new school experience, touch base with the school guidance counselor. Establishing a connection with an adult in school gives your child a place to share his anxieties or concerns during the day. The guidance counselor may be able to facilitate some productive interactions between peers in your child’s class, as well as work with the staff in the school to support your child

Stay positive! Show your child that you are making an effort to adjust to the new school routine as well and help her see this is an exciting journey for the whole family!

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Infuriated by a deteriorating economy and blatant abuse of American taxpayers, the public is taking a strong stand to prevent banking executives from getting away with fiscal robbery. What many have failed to realize is that another industry — the health insurance industry — is getting away with murder, perhaps literally, by putting their bottom lines above your welfare, and this time it could be hazardous to your health.

Across the health care community from doctors to pharmaceutical companies to hospital organizations, steps have been taken to implement ethical standards. Codes of conduct are hardly a new idea. Most are self-imposed by professional organizations or trade groups on their members, often in an effort to voluntarily level up their members’ general behavior, especially in the wake of legal or political scrutiny. For example, the pharmaceutical industry substantially revised its code governing interactions with health care professionals after public and professional criticism. Managed care organizations, however, are the only remaining hold-outs that have not adopted a Code of Conduct, leaving them highly unsupervised. Sadly, the very companies Americans often think help pay their bills are undercutting the quality of American health care in their pursuit of a fatter bottom line.

The game works like this: Health insurers’ profits increase as outlays for patient costs decrease. One such way to keep patient costs down is by prescribing generic drugs over name-brand drugs. In a practice known as drug switching, patients are switched from more expensive, name-brand drugs to generics, even if the name-brand drug was working and the patient experienced no negative side effects.

Managed care companies go to great lengths to make sure the switch appears innocent — a doctor is trying to help a patient reduce his or her medical expenses, and therefore recommends the generic. However, behind the closed doors of invite-only dinners and receptions hosted by managed care organizations, many doctors are lured into drug switching programs that offer attractive fiscal incentives, and there is no mechanism in place to regulate these practices.

Doctors are paying the price as well. In a survey done by the Toledo Blade last year among Ohio doctors, ninety-five percent of respondents said insurers interfered with decisions about prescriptions, 91 percent with testing, 74 percent with referrals, and 69 percent with hospitalization decisions. Eighty-six percent said interference compromised patient care, 76 percent said it adversely affected their patients, and 65 percent said they were unable to successfully protest denials. Most shockingly, 14 percent believed interference from an insurer had contributed to the death or serious injury of a patient.

This prompted a response from our now President:

“I am deeply troubled by The Blade’s report of how insurance companies, not doctors and nurses, are making decisions about patient care,” said Senator Barack Obama in a statement to The Blade. “Medical decisions should be made based on what’s good for your health, not what’s good for an insurance company’s bottom line.”

As managed care organizations seek to maximize profits and survive the economic downturn, the public can likely expect increasing use of cost-driven practices. These aggressive tactics must stop, and a comprehensive Health Insurer Code of Conduct must be implemented by which managed care organizations agree to abide by ethical standards such as transparency, clinical autonomy and, most importantly, patient safety and welfare.

The best Rx for every American is access to quality health care and medicine. It’s time to ensure the health insurance industry puts your safety before profits.

For more information about the National Health Insurer Code of Conduct go to: www.insurepatientaccess.org.

Fox News Health Tips:

• Know your medicines. Talk to your doctor about your prescriptions. Are they generics or brand names? What are they supposed to do? Are there less-expensive options? What are the risks and benefits of taking the drug?
• Be on guard. If anyone wants to switch your prescription, ask why. Will the new drug interact with existing medications?
• Appeal. With your doctor’s help, use your health plan’s appeals process to seek coverage for your desired medication.

For someone who is trying to stop smoking, a cigarette is the first thing you will think about when you’re bored and a popular reason to begin to smoke again. In the past, smoking cigarettes kept your hands and mouth very busy a lot of the time.  Therefore the outcomes of quitting smoking, often causes one to gain weight.

Your taste buds begin to improve which leads you to constantly need something in your mouth. Smoking also increases your metabolism, so when you stop smoking, your metabolic rate begins to fall and your weight increases because your body now burns fewer calories. Plus, the absence of nicotine causes your insulin level to rise, leaving you hungry.

Instead of grabbing for a bag of chips or a snickers bar, it may be helpful to keep your hands and mouth busy by turning to healthier options which will not only allow you to feel better, but look better as well. Below is a list of foods that are sure to keep you busy without sabotaging your diet:

High-fiber cereals: As you’re well aware, cereals contain a satisfying crunch factor for your teeth and mouth.

Carrots and celery: This will keep you healthy while giving you a satisfying crunch throughout the day — and you can eat tons of without worrying as much about calories.

Sugar-free gum: A calorie-free way to get through the day.  Chomping away on sugar-free gum allows one to go through the motions of eating without actually eating.

Sugar-free mints: Similar to chewing gum, these breath-fresheners give the mouth an activity without calories.

Pistachio Nuts: Opening up each shell will keep you busy and satisfied when craving a smoke

Apples: They’re filling, and they boost the body’s energy level significantly. Apples are a sweet, large and crunchy route to satisfaction.

String cheese: You pull on it in tiny pieces and it comes off like string. It can easily take up 20-25 minutes of your crave time if you want it to.

Low-fat popcorn: Popcorn is a healthy snack that contains a lot in a bag on few calories. Microwave a bag to keep your hands and mouth busy. 

Popsicles: Do to the fact that they are so cold, it will take you a long time to lick and get to the bottom.

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

Are food allergies really on the rise?  Well it is estimated that up to 6 percent of young children and 3-4 percent of adults in our country have food allergies.  There are recent studies looking at a rise in the prevalence of food allergies over the past several decades.  In fact, the rate of peanut allergy doubled in children over a five year period.  In one study, only half the adults affected with severe food-allergic reactions sought any evaluation of this condition by a medical professional. 

Over the years, Food Allergy and Anaphylaxis Network (FAAN) have been at the forefront of progress in food allergy research. Findings from research studies have been used to change federal and state laws, improve school policies, raise public awareness, improve the daily lives of individuals with food allergy, and provide education for patients, caregivers and health care providers.

One recent study looked at the failure of many schools throughout the country in having a food allergy action plan in place for food-allergic children, as well as ways to improve on them, by working with your local allergist. 

In 1997, Food Allergy and Anaphylaxis Network (FAAN) created Food Allergy Awareness Week to educate others about food allergies.  Spread the word about the 12th annual Food Allergy Awareness Week (FAAW), May 10-16, 2009. This year help those with food allergies “Take Action, Prevent Reactions.” Mark the week this year by working to increase awareness at schools, talk to your elected representatives, and plan a fundraiser. You can hand out fliers, put up posters, or display educational materials.  Make it a time to learn more about food allergies and prevention strategies, as well as preparedness at home, at school and at camp.

FAAN has also promoted the “Be a PAL: Protect A Life™ From Food Allergies” program that is designed to educate parents and educators, and teach students about food allergies and how to help their friends and classmates who may have food allergies.

The basic tenets of the PAL program designed to keep food-allergic kids safer are:

• Food allergies are serious. Don’t make jokes about them.
• Don’t share food with friends who have food allergies.
• Wash your hands after eating.
• Ask what your friends are allergic to, and help them avoid it.
• If a friend who has food allergies becomes ill, get help immediately!

And lastly, FAAN is also sponsoring a Food Allergy Walk this year in a community near you.  The goals of this program are to increase awareness of food allergy. The walk is “to provide understanding, hope and an opportunity for a child with food allergy to simply be a child!”

Dr. Clifford W. Bassett is an assistant clinical professor of medicine at the Long Island College Hospital and on the faculty of NYU School of Medicine. He is the current vice chair for public education committee of the American Academy of Allergy, Asthma and Immunology. No information in this blog is intended as medical advice to any reader or intended to diagnose or treat any medical condition.

As we watch swine flu through the rear view mirror, and our concerns begin to fade, it is easier to see it in a more proper context. I tried to do just that in my oped in USA Today.

Even as we turn our attention to the southern hemisphere, and watch via the World Health Organization FluNet tracking system for the extent of the virus over the winter, I can’t help but comment on the WHO handling of the Pandemic Alert System as it applies to the swine flu outbreak.

The problem is that the current alert system was put in place in 2005 in reaction to the Avian Flu scare. Of course a tracking system in response to a scare has a built in tendency for overreaction. I don’t have a problem with the notion that level 5 involves sustained transmission of a new flu strain from person to person in 2 countries in the same region. Nor do I have a problem with the idea that a full pandemic (a scare term which is too vague to be descriptive) involves a sustained outbreak in different regions of the world. What I do have a problem with is the lack of statistics —number of cases and number of deaths don’t factor in. So it is possible to have a pandemic with only a few thousand cases. Where would the Bubonic Plague or the Spanish Flu, diseases which killed many millions of people, fit on a pandemic alert scale where a relatively small outbreak of Swine Flu is already listed near the worst possible ranking?

Not only that, but these pandemic alerts are used by the U.S. and other countries as a justification to divert needed health resources from other essential medical problems to the fear of pandemics. Sometimes that is justified, but often it isn’t. Keep in mind that Tamiflu and vaccines (which are stockpiled and then mobilized in anticipation of a pandemic), are perishable. We have already discarded hundreds of thousands of doses of unused smallpox and anthrax vaccines. How much excess expensive Tamiflu will we also discard when it expires?

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: The Truth About the Epidemic of Fear“ and “Bird Flu: Everything You Need to Know About the Next Pandemic.”  Read more at www.doctorsiegel.com

Dawn Drexel, the mother of missing teen Brittanee Drexel, told WHEC News 10 in Rochester, N.Y. that she believes her daughter may have been kidnapped or may not be alive.

Brittanee, 17, has been missing since April 25 when she went to Myrtle Beach, S.C., for spring break.

Brittanee’s mother is no longer a stranger to the darkest possible chapter in a parent’s life story: the feared or actual loss of a child.

I have worked with several parents who have survived their own children. I have struggled with them against tides of grief that seem never to recede, but simply to become more expected, so they lose the power to sweep these bereaved mothers and fathers off their feet.

Losing a child lays bare the miraculous connections that can hold families together through thick and thin. No matter how contentious the relationships mothers and fathers may have with their children, the bond between them can’t be reproduced or entirely obliterated. At the ages of 50 and 60 (and older), my patients still want to make sense of the way they related to their parents in childhood, young adulthood and beyond. They are still sons and daughters, even if they have lost their parents.

So Dawn Drexel, brave enough to speak to the media at an unspeakable moment, may wander tonight into Brittanee’s room. Maybe she’ll lie down on her daughter’s bed, maybe she’ll let herself smell her daughter’s pillow. She may think she hears Brittanee’s footsteps or voice or her car pulling into the driveway. That’s no surprise when we consider the sounds of togetherness that come to play like music in the backgrounds of our daily lives, sounds that we stop hearing after a while, maybe because we take them for granted, maybe because no parent’s heart could maintain its rhythm while bearing full witness to the unspeakable, unfathomable beauty of one’s own child. We don’t hear a tenth of what we could, if we thought the music might end.

For those of you reading these words  — the lucky parents out there with children still close enough to hug, I hope you’ll give it a try tonight. Sit for a few minutes and listen to the sounds of your children in the house: their footsteps, their fingers clicking keys on a computer, the opening and closing of their closet doors, their voices on the phone and their breathing as they sleep. Let yourself marvel at the fact that your life has spawned another life and that you have the continuing, rare and wonderful opportunity to shape not only your existence, but that of another human being. Let yourself smile at the thought of their favorite toys (if they’re still young enough), their favorite clothes, the posters on their walls, their best friends, the sports they’ve come to enjoy, the hopes and dreams they’ve embraced.

Stay silent a minute longer. Then close your eyes, think about Dawn Drexel and her missing daughter Brittanee and pray for them both.

I’m going to do that right now. My children are asleep, a few dozen feet away from me. I am a lucky man and I know it.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com.