Research indicates that young breast cancer survivors have a harder time recovering emotionally from cancer than women who develop the disease later in life.

In Australia, a quality of life survey including 300 women found most survivors adjusted normally within 18 months after diagnosis. But women under the age of 50 reported more of a struggle with their emotional health.

Perhaps it's the direct threat to her life, or her fertility, or her sexuality, or her body image that brings on the added challenge for a young woman. Regardless, there are no easy solutions or quick remedies for lightening the load that weighs heavily on young minds.

Breast cancer changes everything, and bouncing back from the disease takes time. And this research validates the need for programs targeted at younger women, as well as further research to more clearly identify how to better help breast cancer's youngest victims.

I was driving down the highway today when I looked to my right and saw out of the corner of my eye a blue pick-up truck. The driver -- a man -- wore a cowboy hat and his passenger -- a woman -- wore a turban and a mask that covered her nose and mouth. It was similar to the yellow paper-like mask I wore during chemotherapy when low blood counts and fevers knocked my body all out of whack. So when I briefly glanced at this woman, I diagnosed her -- with cancer.

I guess my medical radar could be off, my diagnosis could be wrong -- but I suspect not. It was an all-too-familiar sight -- the bald head obviously disguised, the mask warding off germs and infection, the eyes the only visible marking of a face. Yet it was still a startling sight, a sad sight, a sight that never loses its power over me as I travel the highway of life.

I am thankful to still be on the highway -- to not have been tragically run off the road -- and the woman whose path I crossed today may be just fine after her journey with cancer runs its course. But it's such a dismal sight -- the ravages of cancer visibly displayed on the undeserving victims of a harsh disease.

Maybe my approach is all wrong. Perhaps it would be better if my vision today prompted thoughts of a spirited warrior bravely battling a fierce opponent with victory the likely outcome. But instead I saw sickness and sadness. Because this is how I felt -- sick and sad -- when my appearance was marked by a hat and a mask.

But now I am healthy and happy. And I am confident I will one day see my co-survivors in a more hopeful light. There is hope, after all, for each of us diagnosed with this life-threatening disease.

Perhaps after I've been on the road to recovery for a while longer, dismal will turn to dazzle. Perhaps then I will see as much shine in those wearing cancer on their sleeves as I saw today in the blue paint of the truck that passed me on the highway.

As Larry Stewart tells it, the story begins 26 years ago, when a week before Christmas he was fired from his job. It was the second year in a row he had been fired from a job the week before Christmas. As he sat in his car at a drive-in restaurant commiserating his untimely employment fate, he noticed the car hop was not wearing a warm coat as she worked in the elements of winter cold for nickels and dimes in tips. Although his recent unemployment status made his financial security uncertain, he decided to pay for his meal with a $20 dollar bill and told her to keep the change.

What happened next changed his life and the lives of countless others who would come to benefit from the generosity of a stranger. The car hop began to cry. She told Stewart he had no idea how much the extra money would help. Touched by her reaction, he went to the bank, withdrew $200 dollars, and then drove around looking for people who might need a few extra dollars.

Over the last 26 years, the cable television and long-distance telephone service businessman, who went on to earn millions after his rocky start in the working world, has given away over a million dollars. Anonymously. Stewart never wanted anyone to know his name or the name of his company. Until now.

Stewart has been diagnosed with cancer of the esophagus that has spread to his liver. He thinks it is time to reveal the mysterious identity of the Secret Santa many in Missouri and elsewhere have wondered about for the last 26 years. Why? By speaking publicly about giving, he is hoping to inspire others to give. According to Stewart, "that's what we are here for -- to help other people out."