10 Things You Should Know While Leasing a Medical Office Building

Medical office users and practitioners do not relocate typically to new spaces as often as general office and residential tenants. The competition to acquire new patients is increasing day by day. It is steering the medical practitioners to non-hospital properties since they are more conveniently located and are accessible by patients. The growth of the trend is clearly demonstrated with the development of suburban medical office projects and the rise of urgent clinics in the metropolitan community. Heath care providers taking space in smaller community centers located near hospital campuses are a common sight. There are few things you should know before leasing a medical office building.

1.  Use issues

Medical tenants or practitioners make use of hazardous materials that generates biomedical waste. Medical tenants use CT scans, X-Ray machines, and machines that generate hazardous radiation. Before hiring medical office building, you need to account for its usage in the lease document very clearly to ensure compliance.

2.  After hour utilities

Medical tenants need to see patients even after the completion of normal working hours. Urgent care clinics operate 24 hours continuously and so it is vital to see how the after hour the owner caters to utilities. This can save unnecessary utility expenses.

3.  Building’s compliance with ADA or Americans with Disabilities Act

Patients are more prone to have special needs than public. Buildings having health care providers receive ADA scrutiny. Pay special attention to the American with Disabilities Act clause within the lease document.

4.  Landlord inspection

Commercial leases give property owners the right to re-enter your office premise to show the premises to prospective tenants, and for compliance inspection with the lease. They can even enter to make some infrastructural repairs. However, it is your jobs not to allow them enter examining rooms and restricted areas number of hours in the day. Do not allow the proprietor to check your patient’s record.

5.  The anti kickback issues

Ant-kick back laws create some special needs for leases between properties and medical tenants. Properties can be of the physician’s or may be hospital owned and you must address proper documentation and proper compliance if the relationship between the property owner and tenant exists.

6.  Following the exclusivity provision

There is a term called exclusivity provision that means an exclusive use provision whereby the proprietor clearly states not to lease any other space to any party during development as the intended use of the property can be in direct competition with the tenant’s use of the building space. For medical office building, it is wise to look for the exclusivity provision for specific specialty practice.

7.  Provision of death and disability

If you are a solo practitioner then look for death and disability clause in the agreement that provides for the ability for cancelling the lease in case of physician unable to practice due to disability and death. The clause must be sought after in the agreement. You can successfully negotiate the provision in the agreement. This will prevent the proprietor from saying that the insurance company must cater the tenants’ need.

8.  Tenant improvement

Be aware of the repair and maintenance cost of the office. Nowadays, even the simplest repair and maintenance cost may be $50 to $60. The building may require milling, plumbing, and the need for equipment compliance creates extra cost.

9.  Relocation provision

Office leases do comprise of provisions whereby the proprietor may shift the medical practitioner or the medical office tenant from one location to another. Try to resist such provisions of moving on to substitute premises. The tenant may have special build out needs, which may not be catered to by substitute premise.

10.  Liens

Lien rights offered to the proprietor must always be subordinate to Tenant’s lenders when it comes to purchasing medical equipment. There is the cost of medical leasehold improvements and it is the physician who often finances the costs, which moves far beyond the landlord’s allowance.

Look for the restoration provision in the agreement paper very clearly. It addresses the rights of tenants and landlords and their individual responsibility in the restoration of obligations at the end of the lease.

By following the above tips while leasing a medical office building, one can avoid several nuances.

The Importance of Advisory Services in Mergers and Acquisitions

It is a well-known fact that, nowadays, the corporate world is getting a lot bigger, and there is one key factor that is playing a huge role in the constant growth and expansion of industry: globalization.

What difference has globalization made in the world of commerce?

Technological innovations have enabled improvements in transportation and communication. Getting in touch with the other side of the world doesn’t take weeks anymore, it takes seconds. Each individual has instant access to the entire world, and the efficiency of modern transportation means individuals—and businesses—no longer have to restrict themselves to within their own political borders. This is called international diversification—it’s called innovation—and it has made a significant impact on the way corporations can be run. International business arrangements have developed into multinational enterprises and transnational corporations—it has led to an increase in the development of, and the opportunity for, mergers and acquisitions.

Global expansion, however, has also made mergers and acquisitions a lot more critical to the success of the corporation—and it has made things a lot more complex. If you are considering whether a merger or acquisition may prove beneficial for your company, you may want to seek out an advisory service first.

What are the benefits of mergers and acquisitions?

Mergers and acquisitions (http://en.wikipedia.org/wiki/Mergers_and_acquisitions) are intrinsic components of strategic management and corporate finance, and they generally focus on the buying, selling, dividing, and combining of different companies or entities that could make a significant impact on the growth or development of an enterprise within its sector. Mergers and acquisitions refer to the restructuring of one or multiple organizations—a reorganization that could in turn lead to the growth of positive value. On a larger scale, when multiple smaller organizations are concentrated into one or a few larger companies through mergers and acquisitions, the process is referred to as consolidation.

What’s the difference between a merger and an acquisition?

In terms of the economic outcome of both mergers and acquisitions, it can be tricky to distinguish the two terms.  Mergers refer to the legal consolidation of two companies into one. Acquisitions, on the other hand, occur when one company is taken over by another; the company that takes over establishes itself as the new owner, and the other company, the target company, remains as an independent legal entity that is controlled by the acquiring company.  Both mergers and acquisitions, however, can result in consolidation. Generally speaking, when the CEOs from both companies are in agreement that a merger would benefit them both, it is referred to as a merger of equals. When the target company is unwilling to be purchased, though, the deal is known as “unfriendly,” and it is regarded as an acquisition.

Why are advisory services so necessary to the formation of mergers and acquisitions?

Globalization has increased the magnitude and growth of the deal values that are associated with each merger and acquisition. As a result, there has been a recent increase in the occurrence of “mega-mergers.” What this means is there is a lot more at stake in the terms of the agreement, and advisory services have begun to play a more crucial role than ever before.

Advisory services are often sought out during mergers and acquisitions, regardless of the size or global scale of the organisations that face consolidation. Advisory services facilitate the undertaking and can actually help to maximize the overall value of the transaction. Advisory services form an experienced and professional third party to the agreement; they can help to facilitate communication between CEOs of both companies, and can ensure that the outcome of the deal will be as successful and lucrative as possible.

What factors do advisory services focus on to ensure the success of the merger or acquisition?

There are ten key factors (http://umu.diva-portal.org/smash/get/diva2:141248/FULLTEXT01.pdf) that advisory services are instrumental in overseeing and facilitating. Advisory services ensure that:

1.  There are clear and complete objectives and goals, and that the overall scope of the project is clearly considered and expressed to and by both parties;

2.  Clients have been consulted regarding the proposed merger or acquisition and have accepted the proposed terms;

3.  The project manager is both competent enough to manage the merger or acquisition, and that he or she is committed to the success of the project;

4.  The project team members are competent and committed to the project;

5.  Communication and the sharing or exchange of information is being handled effectively;

6.  The project plan is developing properly;

7.  Resource planning has been taken into consideration and is under way;

8.  Time management and confidentiality are being enforced; and

9.  There is a proper price evaluation and financing scheme.

Most importantly, advisory services are instrumental in managing risk. Each of these factors is critical in not only bringing the merger or acquisition into fruition, but also in ensuring the success of that merger or acquisition.

Getting Over An Alcohol Addiction

Getting over an addiction or going to rehab for alcohol can be extremely difficult for a lot of people. The downward spiral that is alcoholism can sometimes seem impossible to get out of. Thankfully, there are so many options for the rehabilitation of alcoholics before things end up getting too out of control. While a lot of people believe that addiction ends as soon as official rehabilitation has ended (for example, a 90-day detox), in reality, addiction never ends. The best thing one can do once a treatment program has ended is to move into a sober living environment. This is a place where alcohol and drugs are not permitted on site. It gives the inhabitants a stable living environment that is not ruled by the drink. There are also out-patient programs that give people a community to rely on for strength, guidance and acceptance.

What it involves

These programs allow for the full circle recovery of alcoholics that rehab does not provide. Through individual counseling, relapse prevention groups, and 12-step meetings, those affected by alcoholism can realize an all-around more fulfilling recovery. In addition to these important components, they also offer social support for those who want to rejoin the workforce and society after being treated for their addictions. Perhaps the most effective tool in the rehab for alcohol and recovery of addicts is education. A lot of times, there is more than one party at fault in the creation of an addiction, like in families where parents enable their children. Through the education of addiction, families are able to realize that more than one person may be to blame.

The cons

Unfortunately, there is a huge issue with motivating people when they are in an out-patient program. Due to the fact that they are not in a full time treatment program, there is a lot of room for the relapsing of a patient. In quite a few cases, people lack the confidence in themselves to actually continue on with treatment once they’ve left a 30, 60 or 90 day rehab alcohol program. The immediate shock of being put into treatment generally wears off and people tend to become, for lack of a better word, lazy in their treatment.  Sometimes they even end up skipping out on meetings in out-patient facilities because of the travel that is usually required.

The bottom line

Realizing and admitting to having a dependency on alcohol or drugs can be a feat in and of itself. For a lot of people, it can be extremely hard to figure out and choose the best treatment program for their situation. It’s important for all of the options to be considered so that an addict can make an informed decision. Rehabilitation does not stop when the rehab alcohol treatment ends, and, for some people, it is a life long struggle to return back to any sort of normal life. The most important thing that people need is to ensure that they have the support of someone—either family, friend or stranger.

What You Need to Know When Contemplating Newborn Adoption

For many couples, family planning doesn’t always follow the traditional plan. Many couples struggle to conceive, either naturally or with a physician’s assistance, to no avail. Adoption is a natural next step for those dedicated to raising children. Some potential parents want to bring a child up from the beginning, opting for newborn adoption. Adoptions are of two types, open and closed. Which type adopters choose is completely their decision. It is important to consider the long term impact, effects, and affects of which type you choose for not just you, but most importantly for the child.

An open adoption lets the potential adopters and the pregnant mother interact freely with one another during pregnancy and birth. They are given the chance to get to know each other, so they all may participate during pregnancy, labor, and birth. The adoptive parents are generally involved with all obstetrician appointments and are privy to important biological family history. In an open newborn adoption, the birth mother’s role usually ends at the hospital, but it may continue. There may be only updates while some birth mothers and fathers even get to visit at some point during the years.

A closed newborn adoption is when there is absolutely no information at all exchanged between the birth mother and the adoptive parents, except for medical conditions and issues. The adoptive parents do not know or ever meet the birth mother or the birth father. This option is good for those to prefer privacy and confidentiality. Many want to avoid having several people involved in their family dynamic and new family development. There are not as many closed adoptions as there used to be, but it is still a popular adoption method taken. When there is a closed adoption, the child never finds out any information about the birth parents, or can access the records, unless there is something specifically written in the agreement that says otherwise.

Regardless of the type of newborn adoption that you choose to go forward with, it is important to have an adoption service to walk you through all steps of the process. There is more than a few things to take care of when deciding on an adoption service. There is an abundance of information and many lengthy steps to take to have a successful adoption take place. A quality service will provide you with all the information, resources, counseling, and legal assistance you require so that you meet all the requirements needed to complete your adoption.

They should conduct detailed interviews with everyone involved so that potential adopters and birth mothers are matched accordingly. Having a qualified adoption expert to handle your paperwork, and all legal filings take the stress out of the newborn adoption process, making it much easier to prepare for your new bundle of joy!

If you are ready to discuss your options for a newborn adoption with a professional adoption specialist, then you should not hesitate to give adoption experts a call. They will love to talk to you about the future of your family, and match you to a pregnant birth mother soon.

How to Achieve a Successful Open Adoption

Expanding your family is one of the biggest – and of course the happiest– decision you will ever make. Many families choose to go through adoption in order to bring children into the home, but once this decision is made, it’s still only the beginning. Parents must then decide whether they want a domestic or foreign adoption, a public or private adoption, and whether they fell an open adoption or closed adoption would be best suited for their family. This last decision is especially crucial, as it will have a direct impact on the child’s upbringing and their perception of themselves and their family identity. Because of the serious implications of this decision, many couples stick with a closed adoption because they feel it will be easiest for everyone to deal with. However, if handled carefully and sensitively, your adopted child can really benefit and find closure and completeness through an open adoption.

KidFor those who don’t know, an open adoption is an adoption where either one or both of the birth parents is still able to see the child and have a relationship with him or her. No two open adoptions are alike, and the frequency of visits, as well as the degree of closeness in the relationship can vary. Some birth parents visit in-person once or twice a year, some only talk on the phone to their birth children, or send letter and gifts. Some birth parents remain quite close to their children, whereas others might be thought of as more of a family friend. In some cases, the child might refer to the birth parents as Mom and Dad, but in many other cases, the birth parents are addressed by their first names only. These are details that are typically determined by the adoptive parents, so you will have many options for your child’s relationship with their birth parents.

If you do choose an open adoption, the key is to plan ahead and decide how and when you will tell your child they are adopted. This will have an impact on birth parent involvement. You will also want to talk to the birth parent ahead of time and clearly establish what the guidelines for contact are. Do you want them to feel comfortable phoning any time? Do you want to restrict them to one or two visits a year as organized by you? Make all of this clear to them. You must also determine what their comfort level is with the situation. Maybe you are comfortable with your child calling his or her birth parents Mom and Dad, but the birth parents themselves might feel uncomfortable with this arrangement.

When it comes to open adoption, communication is the key to success. Communication between you and your spouse, the birth parent or parents and most importantly, communication with your child on the matter as they grow up is necessary. With this communication and a clear plan in place, an open adoption can be a successful and happy family situation for all involved.

Picking a Healthy Juice

When at the grocery store it can sometimes be hard to pick a healthy juice. Sometimes what is labeled as healthy is not always as good as it seems. A juice should have as little extra ingredient as possible with no added sugars. All it takes to pick a juice that is tasty and healthy is to look the ingredients list and the nutritional fact label. If you read both they can show you just how healthy the juice inside is.

Healthy_JuiceWhen you are deciding on a healthy juice one of the first things that you should look at is the ingredients list on the side. When reading the ingredients list, remember that the ingredients are listed from most volume to least.  One thing on the ingredients list that people sometimes overlook when looking for a healthy choice is puree or pulp added. Some people prefer juices without pulp but the pulp or added puree in a juice can actually make it healthier. The pulp or puree that is added to some juices add fiber and will have less effect on a person’s blood sugar.  Another thing to watch out for when reading ingredients list is additives, some companies will add things to make the juice have a longer shelf life, have a more appealing color or to add more flavor to a watered down juice. A good rule to follow is if there is something on the ingredients list that you do not know how to pronounce; it is probably an additive that will not be too good for you.

One thing that is added to juice that should be avoided if you are looking for a healthy juice is sugar.  Any type of added sugar is not good for you but the sugars you should really avoid are the artificial sugars. If a juice is labeled ‘juice cocktail’ then it has a lot of added sugar. Juice cocktails should be avoided at all costs. Most fruit cocktails are made up of some type of unnatural sugar, water, a small amount of actual fruit juice and fruit favors. When drinking a juice with added sugars, you may as well be drinking a soda, it takes away from the health aspect of juice but still tricks you into thinking you are being healthier. The fruit cocktails they sell in stores all have all the same risks attached to drinking them that soda and other sweetened drinks have, just with a healthier looking packaging.

When you are trying to find a healthy juice all it takes is a little bit of knowledge and sometime in the grocery store.  As long as you go with a 100% fruit juice and watch out for any additives drinking juice can be a nice way to get not only your water intake for the day but also to help get the right amount of fruits in your diet. Look out for drinks that claim to be made of all natural fruit but really have very little fruit in them and are filled with unnatural and natural added sugar.

Quashing the Myths About Domestic Adoption

In the United States there are thousands of babies placed for adoption annually. The fees involved are not exorbitant, and exist only to cover costs such as legal consultation. Adoption agencies exist to help with the process.  For anyone wanting to create a family, adoption is the best alternative. When it comes to domestic adoptions, in the court of public opinion there are many stereotypes and misconceptions. In fact, they are surprisingly well established in society. For most people, this type of adoption is painted as:

•         Prospective adoptive parents have to wait five years or longer to adopt a baby born in the same country.
•         They have to pay out thousands of dollars.
•         They constantly live in fear that the mother will return to take the back the infant, or child.
•         Children that are adopted are riddled with identity and behavioral issues.
•         The bond between baby and adoptive families are not as strong as the birth family. However, domestic adoptions continue to be quite common in the United States.


Unrelenting Myths

Due to the movies and sensationalist news stories, domestic adoptions are depicted unfavorably. For example, adoptive parents are commonly asked how much their child cost. Others are often asked if they are fearful that the birth mother will try to take them back. Basically, these questions wouldn’t be asked, if the public had more knowledge of the subject.

Myth: There aren’t any infants being placed for adoption in the United States.

Truth: According to the Alexandria National council for adoption, it is estimated that there are about 20,000 infants placed for adoption yearly in the U.S. This is more than the approximate 19,000 international adoptions.

Myth: Domestic adoptions involve endless wait times and exorbitant costs.

Truth: Typically the wait time is one to two years. As well, in domestic adoptions, fees are not as staggering as they are believed to be. They can range from $4,000.00 – $10,000.00 and incidentally, the fees involved in adoption are to pay for costs such as legal consultation and counseling – not buying a baby – which is illegal. Every aspect of domestic adoptions is regulated by state laws and reviewed by a judge.

Myth: The birth parent can return and take back babies involved in domestic adoptions.

Truth: Despite the highly-publicized cases of Baby Jessica and Baby Richard, that by the way, the father in both adoptions didn’t consent; less than 1% of domestic adoptions end up being contested in the courts.

Myth: Birthmothers are usually troubled teenagers.

Truth: According to adoption professionals, a large number of birth mothers are over 18. Some mothers, and young couples, are finding it difficult nowadays to raise their first child and they lack confidence in being able to handle two children. So they opt for domestic adoptions.

Myth: Birthmothers who place their babies up for domestic adoptions don’t care about them.

Truth: They love them very much. This is why they know that they are not ready to be a parent, and want to give their infants a good home.

Myth: The adopted child will grow up troubled in cases of domestic adoptions.

Truth: The most harmful myth about domestic adoptions is that children who are adopted will grow up to be unreasonably troubled emotionally, and developmentally. According to a study done by the Minneapolis based Search Institute “Growing up adopted,” it was discovered that adoptees are better adjusted than adolescents raised by their birth parent(s).

As well, the adoption study found that teenage adoptees are extremely attached to their adoptive parents.

Domestic adoptions are common in the United States. Adoption agencies exist solely to simplify the process, for the adoptive parents, birth parents and the infant being placed for adoption. Their main goal is to create families.

Pregnant Adoption is a Viable Option

The need for different focus

An unplanned pregnancy is usually portrayed as a distressful event that only causes mental anguish and offers no way out of an unpleasant situation. The focus is usually almost exclusively on the feelings of the birth mother, which is understandable but not very productive. While the feelings of birth parents should certainly be considered in detail, focusing on that does not add or attempt to add anything positive to the irreversible situation at hand. Given recent long-term studies on the effects of the ways that individuals make decisions at such difficult times, it is perhaps more conducive to the growth of our society as a whole to focus first and foremost on the well-being and best interests of the child instead. To talk about the ways that we can change our focus, we would need to discuss pregnant adoption as the most viable and reasonable solution.


What is pregnant adoption in reality?

When talking about adoption in general and pregnant adoption in particular, misconceptions and stereotypes abound. A lot of people that have had no personal connection to adoption issues or were touched by them many years ago misconstrue what today’s pregnant adoption can mean for the birth parents, the adoptive parents and the child. Many would tend to talk about adoption in negative terms, and yet the work of adoption agencies and specialists throughout the United States and beyond, as well as the stories shared each year by thousands that have been through the process, tell us something very different.

The unexpected miracle

Pregnant adoption is one of few moments in life when people who by popular opinion, should be completely devastated and distraught, come together in something magical, kind and inherently human. Those that have a child they did not plan and cannot fit into their lives join efforts with those that have always wanted to have a child but cannot have one. A baby that was the symbol of problems and despair suddenly becomes the symbol of a new life not just for him or herself but for several adults as well.

A few important things to remember

Although the processes of pregnant adoption have become more streamlined and easy to understand in recent years, it is important to remember that it is not a simple option that should be opted for without proper consideration and discussion. Pregnant adoption should only be done through a professional and licensed adoption agency that has experienced staff knowledgeable about privacy laws and the best way to approach each situation on an individual basis. Only through the work of these professionals can the birth parents and adoptive parents be certain to have their voices heard and their values taken into account.

Take a close look

A good agency is the one that will put the child’s best interests first. It is also one that would not be secretive while being respective of your privacy, considerate of the respective needs of each party involved, non-judgmental and friendly. If you are someone you know is facing an unplanned pregnancy, take a close look at the pregnant adoption option. It’s worthy of your attention.

Build Your Business With a Direct Marketing Company

A direct marketing company can help you build your business. A company that specializes in direct marketing offers you the potential to gain further sales from existing customers or clients, and new sales from new customers.

Direct marketing involves building a direct, close relationship with your customers. A direct marketing company can help you market your product or service to the people that are most likely to buy off you.

A direct marketing company can assist you with many tasks, such as:

•    Identifying your market area and customer. A direct marketing company can help you place your customers in specific categories such as occupation, age, income, lifestyle, housing, attitudes, location, etc., making it easier to sell to these customers.

•    Maintaining loyalty with existing customers. A direct marketing company can help you keep you keep these customers loyal and away from the competition.

•    Selling more to existing customers. A direct marketing company can help you present products and services to existing customers.

•    Spending less on advertising. A direct marketing company can help you adopt a more cost-effective marketing approach.

•Providing information to assist in the sales of high-cost items. A direct marketing company can also assist you in preparing information to help the customer purchase.

A direct marketing company will analyze your business, develop a customer profile, suggest methods to reach your customer and then offer assistance in creating tools to reach your customer. An essential part of any marketing and business strategy is developing a customer profile, with a careful understanding of who your customer is, why they buy, where they buy, and why they choose to buy from your company. These behavioural characteristics of your “market,” or potential market determine all marketing, advertising and communication activities.

A direct marketing company can be a helpful way to expand your sales. Once a customer profile is developed, a company can help you strengthen your relationship with existing customers and find new customers. The company can also prepare these materials for you, from the written material, graphic approach to the distribution of the material. You can also measure the results and work out how effective a campaign has been. This could be anything from an email program, a telemarketing campaign, an electronic broadcast campaign, a social media program, print or magazine advertising program, to a carefully targeted website.

A direct marketing company can also help you in choosing the right tools for your product. With such complexity in the business environment, a company that specializes in marketing can advise you the best means to reach your customer. That could mean a variety of tools, such as database creation and management, social media campaign, advertising efforts, or perhaps even your sales force, depending upon the type of product being sold.

A direct marketing company can help you develop a complete package to reach your customer, from the right customer profile, the right tools to reach that customer, to the evaluation of those tools.

Deciding on Open Adoption

No measurement of importance or value can be stamped on the life of a child.  Whether you are someone who desperately longs to care and love for a new addition to your family, or a passionate mother lacking resources and options, you desperately desire the best life possible for your child.   The miracle of life can be one of the most joyous occasions, or it can be a stressful time, cluttered with fear and uncertainty.  Exploring every realistic and possible option in relation to these types of situations, usually could lead to a concentrated amount of focus on adoption.  The topic may seem overwhelming and intimidating, but in reality can be a much simpler and satisfying route, in comparison to an unclear future for a tiny infant.  All relationships still obtain capacity for blossoming through methods like open adoption.


Considering the natural desires a child will have as he/she grows is a high concentration point of an adoption process.  This often leads to an “open adoption”.  A child will most likely want information and knowledge about who their biological parents are, where they are, and why they decided to choose adoption.  Open adoption enables an open flow of communication between both parties, and can often pave the way for a smoother road in the future.  Adoptive parents then gain the right to be present through on going doctor appointments, labour and delivery of the child.  Though the hospital is a common place for birth parents and child to depart ways, the extent of their separation is subject to change and can ultimately be decided by a mutual agreement.

Different people find themselves in different situations, therefore, resulting in a variety of outcomes when dealing with adoption.  Though the idea of an open adoption appears to be rising in popularity since recent years, sometimes a “closed adoption” may be the best option presented to a mother under certain circumstances.  There are agencies that exist who are able to setup and align all the complicating details which make a word like adoption seem scary.  Those seeking privacy and confidentiality after the adoption process, forego restrictions involving communication with the birth parents, or vice versa.  The ideal situation for the child is discussed, strongly influenced by parental preference, and the necessary steps are taken to insure protection of privacy to whatever level decided upon.  Finding the best option concerning each individual’s circumstance should always be the primary concern.

For pregnant woman who are unprepared and not currently able to make the necessary life changes to raise a child, adoption may be a path worth exploring.  Countless numbers of couple’s and families are waiting on lists to accept and adore a new boy or girl into their lives.  Through the support, and options that agencies can provide, especially when dealing with an open adoption, one of the most difficult decisions of a lifetime can be less painful than anticipated.

Nobody can express words that adequately describe the love a mother has for her children.  Speculating the thought of seeing your child intermittently in contrast to continually, or bringing somebody else’s children into your home is a heavy subject, but one worth weighing out accurately before moving forward with an open adoption.