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James Allen Young is a Kansas native with an undergraduate degree in History and Science from Harvard College, and graduate degrees in Medicine from Duke University and Management from Tulane University. He is a retired physician with a 35-year career in the practice of adult cancer medicine and cancer program management, and he has nourished lifelong interests in American history, ancestry, and the magnificent beauty of the American West. He lives with his wife of 45 years in Colorado Springs, Colorado, and he has three adult children and five grandchildren. This is his second book; his first was Red Geranium: A Kansas Family History in Letters, 1880-1960.

Decisions Shaping a Privileged Journey
Based upon memories and stories from a life of over seventy years, this memoir weaves a narrative of good fortune, family, community, and compassion. With insight, humility, and humor, the author describes a journey beginning with the optimistic early years of the American middle class in the 1950s, through the traumas, tragedies, and triumphs of the 1960s, and the gift of fortuitous breaks leading to excellent education, medical training, and mentoring. The story spans the evolution of historic developments in the science of cancer medicine and probes the management challenges facing the delivery of cancer care in the late-twentieth and early twenty-first century. The author shares memories of courtship, family, and career decisions, and he offers candid reflections and learnings from painful loss, challenging ethical dilemmas, mistakes, and difficult life choices along the way. Most importantly, this memoir probes the tensions in the “fourth quarter” of life between the satisfaction of a life well-lived and the anxiety around imperfect decisions, missed opportunities, and regret.
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