Happy Birthday! You are 61! Wow! The first word that comes to mind is ‘hallelujah!’ With living cross-country from each other—from California to Pennsylvania—for seven years now, I am so grateful to be in Pennsylvania with you today to celebrate this monumental occasion. You are the oldest to live in our immediate family with PKD. You are breaking records and I am so proud of you and happy for you and our family. With the special bond that we share, I can’t fathom how hard it was for you to lose your mom when you were in your early 20s. She was 53 and tirelessly battled PKD until it unfortunately won. I regret that I didn’t get to meet the woman who created you. I sometimes imagine the three of us together. I know I would have loved her.