The hospital where I work is in the foothills of the Appalachian Mountains. Just off to our east is a beautiful mountain range that I sometimes have the pleasure of watching the sun rise over on my way to work. You can only see the display from certain parts of town. Whenever I top a hill and see the dark hills I think about some of the people who live there. I sometimes pass their homes on back roads – dilapidated shacks with smoke rising from wood stoves and dogs running in the yard. They look like child-proofing nightmares.