Kathleen Deska Pagana, PhD, RN, Professor Emeritus, Department of Nursing, Lycoming College; President, Pagana Keynotes and Presentations, Williamsport, PA and Timothy J. Pagana, MD, FACS, Medical Director, The Kathryn Candor Lundy Breast Health Center and The SurgiCenter, Susquehanna Health System, Williamsport, PA