HAPPY BIRTHDAY!
I am so proud of you!!
Beautiful and Bright!
And soon to be have a M. D. degree!
They gave you first choice for your Residency.
And then you took your first choice.
I miss you. And I love you.
We'll have your Birthday Dinner, when you say; cake? creme" brulee?
Your wish is my command.
Love, Grandma OOOXXX