“Why are you doing all this?” I asked her once when she was falling asleep over my calculus homework at 11 p.m. “You work full-time. You’re exhausted. Why push me so hard?”
She looked up and her eyes were fierce.
“Because your biological parents told you that you were average, that you had no potential. That your sister’s future was worth saving and yours wasn’t. I’m going to prove them wrong. We’re going to prove them wrong. You’re going to do extraordinary things, Sarah Torres, and the whole world is going to know it.”
By 16, I’d caught up to my grade level. By 17, I was ahead of it, taking college level courses. Rachel’s house was always filled with books, study materials, and the smell of coffee as we worked side by side. Her on nursing journals, me on AP homework.
But it wasn’t all academics. Rachel made sure I had a life, too. She took me to concerts, museums, and plays. She taught me to cook and let me make disastrous messes in the kitchen. She introduced me to her friends who became my aunts and uncles. She made sure I went to therapy to process everything I’d been through.
“Healing isn’t just physical,” she’d say. “Your heart needs care, too.”
When I turned 18 and got the five-year all-clear from Dr. Patterson, meaning I was officially in remission with minimal chance of relapse, Rachel took me out to our favorite restaurant.
Over pasta and breadsticks, she pulled out a small box.
“I know you’re technically an adult now and you don’t need me to be your legal guardian anymore, but I want you to know you’re my daughter. That’s never going to change. Whether you live here or move away, whether you’re 18 or 80, you’re my kid always.”

Inside the box was a ring, simple and silver, with both our birthstones.
“To remind you that you’re never alone,” Rachel said.
I wore that ring every single day.
During my senior year of high school, Rachel and I started talking seriously about college. My grades were exceptional, 4.0 GPA, perfect scores on AP exams, strong SAT scores. I discovered a passion for medicine during my treatment, wanting to be like Dr. Patterson and Rachel, someone who helps people through their darkest times.
“I want to apply to Johns Hopkins,” I told Rachel one evening. “Their pre-med program is one of the best in the country, and their medical school, it’s a dream.”
Johns Hopkins was also obscenely expensive. Even with financial aid, it would be a stretch. Rachel didn’t hesitate.
“Then that’s where you’re applying. We’ll figure out the money. You apply to Hopkins, and you’re going to get in.”
She was right. In March of my senior year, I got my acceptance letter from Johns Hopkins University with a substantial scholarship. Between the scholarship, grants, and federal loans, the cost was manageable. Rachel insisted on covering my living expenses.
“You focus on school,” she said. “I’ve got this.”
“But no buts. You’re going to be a doctor. You’re going to save lives. You’re going to be extraordinary. That’s worth every penny.”
I cried when I opened that acceptance letter and Rachel cried with me. We’d done it. Together, we’d proven everyone wrong.
I spent four years at Johns Hopkins working harder than I’d ever worked in my life. Pre-med was brutal. Organic chemistry, physics, biology, endless labs and papers and exams. I called Rachel almost every night. Sometimes just to hear her voice. Sometimes to cry about a bad grade or a hard day.
“You can do this,” she’d say every single time. “You’re Sarah Torres. You beat cancer. You can beat anything.”
During my sophomore year, I came home for Christmas break and noticed Rachel looked tired. Thinner. I asked if she was okay and she waved me off.
“Just working extra shifts to help with your expenses. I’m fine, honey.”
I later learned she’d been working 50 to 60 hour weeks, picking up every extra shift she could to make sure I never had to worry about money. She never once asked me to get a job or contribute. She just worked herself to exhaustion so I could focus on school.
By my junior year, I was at the top of my class. By senior year, I was applying to medical schools and getting interviews at prestigious programs. And Johns Hopkins School of Medicine accepted me.
“Four more years,” I told Rachel on the phone when I got my acceptance. “Four more years, and I’ll be Dr. Torres.”
“I’m so proud of you. I could burst,” Rachel said. And I could hear the tears in her voice. “Your biological parents have no idea what they gave up.”
“They lost me,” I agreed. “But I gained you. I’d say I got the better deal.”
Medical school was even more intense than undergrad. The coursework was relentless, the clinical rotations exhausting, the pressure enormous. But I loved it. I loved learning how the human body works, how to diagnose diseases, how to help people heal. I specialized in oncology, wanting to help kids like the one I’d been.
Rachel came to every milestone, my white coat ceremony, my first day of clinical rotations, my residency match day. She was always there, always proud, always supportive.
And through all of this, 13 years of school, hundreds of miles between us, sometimes countless stressful nights and difficult days, I never heard from my biological parents. Not a single call, email, or text. They’d moved on with their lives, and I’d moved on with mine.
Or so I thought.
In April of my fourth year of medical school, I received the news that I’d been selected as valedictorian of my graduating class. Out of 120 brilliant students, I had the highest academic standing, the best clinical evaluations, and the strongest research record. I would give the student address at commencement.
I called Rachel immediately.
“Mom, I have news.”
She’d started asking me to call her mom during my sophomore year of college.
“You are my mom,” I’d said. “The only one who matters.”
“What’s the news, baby?”
“I’m valedictorian. I’m giving the speech at graduation.”
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