For episode 45, we are joined by Lily from Washington State, USA, who is 19 years old and was born with IA/ARM, as well as associated VACTERL issues. Lily shares her truly remarkable story of being born in China, and then taken to an orphanage and eventually taken in by a foster family at nine months old until the age of five and a half when she was adopted by an American family. We discuss the lack of specialised medical care in China and the ramifications of this when she got to the USA and had to endure many surgeries for her medical issues. Lily is now in college studying to be a pediatric nurse and I'm sure everyone will be inspired by this wonderful young woman's incredible journey and positive outlook on life.