When I read something powerful -- a quote, a story, a reflection -- I write it down or cut it out or make a copy of it and drop it into a file folder I've titled inspiration. This file, among others, has been on many a moving van and has traveled with me all over the East coast, from city to city, house to house. And every once in a while, when I need a lift, this is my go-to file -- I go to it, pluck something out, and refresh my mind and spirit.

This file has been with me since at least 1997 -- the date on a photo-copied Ann Landers column I have sitting before me. It's 10 years old, but there's nothing dated about the words printed on this single sheet of paper. They are as touching and moving and relevant now as they were when I first read them. They may be even more meaningful today, because of the thread of cancer that is now woven throughout my days.

These are life lessons, offered by a publisher of the Mount Pleasant News in Iowa, for students about to graduate from high school. They go like this:

Dear Graduates:

There is the kind of education you get in school and the kind you get afterward. Both are important. Put them together, and you have wisdom. The trouble is, life is generally half over before you figure out what is going on.

Graduating seniors can save 25 years of trial, error, and hard knocks by memorizing the lessons of life listed below.

On the average, you learn about one big lesson per year after you leave high school. In really tough years, you learn two or three. Some years, you don't learn anything. After 40, you forget things and have to learn them again.

Some of this information is borrowed. Some is stolen. Some may even be original, but that's doubtful. It's pretty hard to be original in a world as old as this one.

25 Things You'll Need To Know After High School

1. Don't sweat the small stuff, and remember, most stuff is small.
2. The most boring word in any language is "I."
3. Nobody is indispensable, especially you.
4. Life is full of surprises. Just say "never" and you'll see.
5. People are more important than things.
6. Persistence will get you almost anything eventually.
7. Nobody can make you happy. Most folks are as happy as they make up their minds to be.
8. There's so much bad in the best of us and so much good in the worst of us that it doesn't behoove any of us to talk about the rest of us.
9. Live by what you trust, not by what you fear.
10. Character counts. Family matters.
11. Eating out with small children isn't worth it, even if someone else is paying.
12. If you wait to have kids until you can afford them, you probably never will.
13. Baby kittens don't begin to open their eyes for six weeks after birth. Men generally take 26 years.
14. The world would run a lot smoother if more men knew how to dance.
15. Television ruins more minds than drugs.
16. Sometimes there is more to gain in being wrong than right.
17. Life is so much simpler when you tell the truth.
18. People who do the world's real work don't usually wear neckties.
19. A good joke beats a pill for a lot of ailments.
20. There are no substitutes for fresh air, sunshine, and exercise.
21. A smile is the cheapest way to improve your looks, even if your teeth are crooked.
22. May you live life so there is standing room only at your funeral.
23. Mothers always know best, but sometimes fathers know too.
24. Forgive your friends and your enemies. You're all only human.
25. If you don't do anything else in life, love someone and let someone love you.

If you like organization and you like pink and you like your purchases to make a worldly difference, the Ampad Breast Cancer Awareness Filing Folder Kit may be just up your alley.

This kit comes complete with 12 letter size pastel pink folders and 12 pastel pink hanging file folders for the on-line price of $15.30, plus shipping. A portion of all profits are donated to the National Breast Cancer Foundation in support of breast cancer research and education.

For 18 months, New Zealand resident Heather Kubiak lived with undiagnosed breast cancer. It was no fault of her own that her disease was left undetected for all this time. It was the fault of the hospital staff who lost her file -- marked urgent -- and thus failed to communicate with her about the cancer living in her body.

In December 2003, Kubiak had both breasts removed because her cancer had spread. And so began the battle for her life -- and the battle against a system that admittedly botched up her medical care due to organizational failure.

It took years to resolve her claim but earlier this year, Kubiak, a wife and mother of four, received a lump-sum compensation of -- $9,000. That's $16.66 per day for every day of the 18 months her undiagnosed breast cancer continued to spread.

It was important for Kubiak to see her hospital held accountable -- and while $9,000 hardly makes up for what she has lost -- she is happy the legal ordeal is over. And she hopes her experience will motivate others to actively pursue their own medical misadventures.

"I do worry for people who aren't articulate enough or strong enough to fight the system because you have to keep on and on," she says.

Nearly half of all cancer patients and others in their households have trouble coordinating cancer care, according to a recent public health poll.

Many who participated in a recent telephone poll revealed they were confused about prescriptions, were sent for duplicate tests, and received conflicting information about their treatment plans.

Experts say choreographing care is one of the most important challenges in the world of cancer. Navigating the maze of medical madness can be emotionally draining and can even hurt a patient's chance of recovery.

Now is the time to become advocates for our own health -- before we are left behind. So get ready to take charge -- and consider these seven thoughts on actively coordinating your own cancer care.

• Today, cancer patients spend more time at home and not in hospitals like they did generations ago. This leaves them to manage much of their care on their own -- often a monumental and overwhelming task. Patients, or a designated friend of family member, should document every tidbit of medical information, including names, phone numbers, medical records, instructions, medications, dosages, appointments, questions, responses, and more. Jot down symptoms and worries and concerns. File away pamphlets and handouts and bills and receipts. Don't count on memory alone to provide all the details. Allow for back-ups. They will serve you well.
  

• Most cancer patients need a whole team of doctors -- radiologists, pathologists, medical oncologists, radiation oncologists, surgeons -- but each doctor may handle only one aspect of care while no one runs the show. It's the perfect scenario for disrupted and piecemeal care, says one doctor. Consider searching for comprehensive cancer centers where a variety of professionals are housed under one roof and patients can often meet with all their doctors at one time. Currently, only about 10 percent of cancer patients are seen at this type of large center.

• Many doctors are stuck in electronic gridlock because doctors in one building may be unable to access the records of doctors in other locations due to incompatible computer systems or paper charts. Patient advocates say all patients should have easily accessible electronic medical records. One cancer center hopes to start a program that would allow for storage of patient records on small, portable USB flash drives. Patients would keep the drives and could plug them in at home or at their doctor's office.

• Cancer patients often suffer from lack of information. Long-term survivors, for example, often have trouble recalling exactly what was done to them. And over time, doctors may relocate or pass away, leaving survivors with little to reconstruct their journeys.
  

• Shortly after diagnosis, patients should request from their doctors a care plan -- an outline of how doctors plan to treat their cancers.

• Patients should also receive a treatment summary at the end of therapy. This should outline all surgeries, chemotherapy, radiation, medications, and dosages.

• A plan for ongoing care should be offered to all cancer patients so they know how to monitor their health. This plan should include guidance on screening tests, follow-up visits, and potential long-term side effects.

"A lot of anxiety results from not knowing what comes next", says one patient advocate. "People armed with good information tend to make better decisions."