His birthday. Candles, seventeen of them, white and black stripes and black with white polka-dots, stood tall on the cake the kids decorated. It is a family tradition that the kids decorate their own cake, with the help of their siblings. The Birthday Child has full artistic control. In this case it was Ben. Four years and some months ago I sincerely wondered if we would see this day. His rheumatologist and nephrologist visited our semi-private room on the seventh floor of the Medical University of South Carolina in Charleston. What seemed as many as 15 or so residents and nurses gathered just inside the door, to learn how to deliver unacceptable news, in the case of the young doctors, and to lend support,…