Suzanne Doyle sits quietly thumbing through a stack of books and photo albums she helped create. She's a middle-aged woman with a soft spoken demeanor. Doyle is the founder of Lumina, a program at BJC Hospice that helps patients leave statements that go beyond a simple good-bye. Her eyes begin to moisten as she recalls a recent patient, Courtney Strain, who died of brain cancer last summer at the age of 25. In the months before Strain died, she met weekly with Doyle where she revealed one constant frustration. Strain said she felt like an outcast, that people didn't know what to say to her, so they said nothing at all.