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After attending the delivery of a baby in a community hospital in Louisville, Ky., Dr. Larry Cook paused for a moment in the hallway, still in his green hospital scrubs. The new baby's grandmother, a woman in her 50s, beaming with joy, approached Dr. Cook and threw her arms around him instinctively. Hugging him she said, "Dr. Cook, 21 years ago you attended the delivery of my daughter and provided her newborn care. And just now, you've attended the delivery of her child."