Tubal Ligation Reversal

Chapel Hill Tubal Reversal Center.

Friday, May 18, 2007

Tubal Reversal Doctor Nominated As A Great Family-Building Professional

Patients who chose Dr. Gary Berger as their tubal reversal doctor have nominated him for the INCIID Family-Building Professional Award. INCIID is a non-profit organization that helps couples exploring their family-building options. Because of his dedication to his patients and to the field of tubal reversal surgery, Dr. Berger has been nominated for this award by his patients and staff.

Posted by 6luvbugs (Member # 7752) on April 21, 2007 07:24 AM: Hello I just nominated Dr. Berger, what a deserving man and staff .. hope with all the ladies out there we can get the most votes Bari in Florida
Posted by Simonsen6 (Member # 10172) on April 21, 2007 10:42 AM: I just nominated Dr. Berger too.What a wonderful man he is-Lots of Love,Becki
Posted by amberfb (Member # 10785) on April 21, 2007 11:12 AM: HEY....i just nominated Dr.B, hope this helps...
Posted by angelsbaby629 (Member # 1996) on April 21, 2007 11:39 AM: How could you not do this for them???? Mine is done and sent, good luck dr. B!can anyone nominate him???? I have a BIG Family!!!!! Jess
Posted by KPJ (Member # 7043) on April 21, 2007 12:08 PM: I got mine in! I keep track of INCIID and definitely have put in my nomination! Wishing you luck and BLESSING, Dr. Berger!Kattie J
Posted by kwilson (Member # 9288) on April 21, 2007 12:10 PM: Got my nomination in! Dr Berger definitely deserves this! He is amazing!Kristie
Posted by jarz (Member # 9286) on April 21, 2007 12:54 PM: Absolutely done! with pleasure.Jo
Posted by DMZ (Member # 7451) on April 21, 2007 01:15 PM: Done! Hope he wins! Dancy
Posted by Annjeana (Member # 10632) on April 21, 2007 01:49 PM: GO Dr. B [Smile] I sure hope he wins.
Posted by kjohnson208 (Member # 9216) on April 21, 2007 02:49 PM: Done!!
Posted by mary1974 (Member # 10660) on April 21, 2007 02:52 PM: I just voted, and
Posted my comments about Dr. B too!YOU GO DR. BERGER!!![Kiss]
Posted by robintim (Member # 5448) on April 21, 2007 04:54 PM: I just filed it out and I hope he wins it because he the THE BEST!!
Posted by Crecia (Member # 6023) on April 21, 2007 07:02 PM: I got my vote in and it's all for Dr. Berger he is such a great doctor.You Go Dr. BergerCrecia
Posted by Renee Steele (Member # 7604) on April 21, 2007 07:06 PM: Just filled mine out! Go Dr. B!
Posted by Gary S Berger MD (Member # 3) on April 21, 2007 07:53 PM: Wow! I was taken by surprise by the post that our Webmaster put on the board this morning. I appreciate each of your kind messages and efforts on my behalf. Thank you all!!! [Smile]
Posted by Tanya from VA (Member # 9507) on April 21, 2007 08:55 PM: Done! WTG Dr. Berger!!!Tanya TR 9-7-06
Posted by jamilah (Member # 8731) on April 21, 2007 09:02 PM: Just filled mine out good luck Dr. BergerJAMILAH
Posted by USMCMP Wife (Member # 9691) on April 21, 2007 09:07 PM: I too did the survey. My vote is in and way to go Dr. B!!!...Rodger, Heidi and RJEDD 6/13/07If Induced 5/31/07[Love] [Smile]
Posted by CarmencitaR (Member # 5931) on April 21, 2007 09:33 PM: WTG Dr. Berger!!!Carmencita
Posted by mommyb53 (Member # 10427) on April 21, 2007 09:53 PM: Dr. B got my vote too.. thank you and good luck.
Posted by jami (Member # 9521) on April 21, 2007 10:07 PM: i got mine in! he's the best doc in the world!!!jami - lexington, nctr 5-19-06tr baby girl ella born 2-21-07 (9 months and 2 days later!)
Posted by sherinjay (Member # 10276) on April 21, 2007 10:28 PM: I was wondering if we should do this even if we have yet to have our TR? I hope this isn't a silly question?Sheri
Posted by CDG44 (Member # 5396) on April 21, 2007 10:35 PM: Dr. berger totally deserves this,I put in my vote.Chris'04 TR Patient
Posted by dedit (Member # 10640) on April 21, 2007 11:37 PM: I am in ..I voted and would love to 100 times more ..I truly cant thank you enough for Kayla and Abby ... THANK YOU Dr. Berger WE LOVE YOU!Stacie
Posted by duffygirl35 (Member # 10236) on April 22, 2007 12:12 AM: You've got my vote!!1TR oct 5th 2006 Positive preg. test Jan 27, 2007Due Date Oct 5 2007.Best decision I ever made. Wonderful Experience Phenominal Dr.Thank You so much! Susan
Posted by LOVE & LUCK (Member # 9504) on April 22, 2007 03:45 AM: I too voted. I hope it makes a difference.
Posted by Emmie (Member # 10376) on April 22, 2007 10:14 AM: Just added my vote too!
Posted by BirthdayBaker Judy (Member # 10176) on April 22, 2007 12:49 PM: Cast my vote for Dr. B. and forwarded it to my DH so he can vote, too. Thanks Dr. B for my success. LOL to all those still waiting upon the Lord to Bless you.Judy
Posted by georgia_peach01 (Member # 6521) on April 22, 2007 01:35 PM: I just put in my vote and comments. Good luck Dr. B. you deserve it. You and your staff are GREAT!!Annette
Posted by apicolet (Member # 10776) on April 22, 2007 02:47 PM: cast my vote
Posted by jeannie (Member # 8333) on April 22, 2007 05:43 PM: I just filled out the form. I sure hope you win Dr. Berger and staff...You all are wonderful.
Posted by Peach (Member # 6668) on April 23, 2007 09:22 AM: All set. Been nominated!!! I feel better now! Good luck Dr Berger
Posted by Eric'sGirl (Member # 10652) on April 23, 2007 10:17 AM: Just put in my nomination.... and it still doesn't feel like enough for everything he does!Chrissy
Posted by Eric'sGirl (Member # 10652) on April 23, 2007 10:21 AM: Sheri- (and all you other "ladies in waiting" out there!)I cast my vote even though I didn't have my TR, yet.... I think that is the greatest testament to his services.... he treats all of us the same... whether we have physically walked through his doors or not!Cast your vote if you haven't!
Posted by PA-Grl (Member # 10954) on April 23, 2007 01:05 PM: My votes in....Thanks Dr. B and staff, you are truly amazing.TR 1/30/07
Posted by Sandra Coleman (Member # 7823) on April 23, 2007 01:27 PM: I have voted! I truly believe Dr Berger and his staff go beyond the call of duty. No one is more deserving of this award than Chapel Hill Tubal Reversal Center and Dr. Berger.Sandra [Kiss]
Posted by Sweetpea (Member # 2742) on April 23, 2007 02:29 PM: Dr. Berger and his staff get my vote too!!Veronica
Posted by Marty (Member # 10659) on April 23, 2007 02:39 PM: They got my vote also. Got TR on 3/23-07 and 4/20 BFP he HAS to be the BEST!
Posted by Carol Ann Sellers (Member # 6801) on April 23, 2007 04:07 PM: GO DR. BERGER!! [Smile]Here is my nomination:On ,June 10, 2003, I had a tubal ligation reversal performed by Dr. Berger. After much research, I decided that reversal surgery would be my best option in trying to conceive another child. There were many doctors to choose from, and even one that was located four hours from my home. But I was most impressed with Dr. Berger and his staff. He and his staff are very informative and his website is filled with much information that helps to educate patients and potential patients about reversal surgery. I chose to fly from Texas to North Carolina to have my surgery performed by Dr. Berger, and have since then referred him to many friends. My family and I are very grateful for Dr. Berger, because without him our family would not have been blessed with a new addition, Rodney "Logan" Sellers, Jr. I believe that Dr. Berger is worthy of "double" honor!Carol Sellers, Baytown, TX
Posted by andsasha (Member # 9659) on April 23, 2007 05:45 PM: What a great honor to comment how him and his staff has changed many lives. We are all here for support! [Big Grin]Go get'em Dr and Staff [Love]Pauleen
Posted by Luckypj's (Member # 9974) on April 23, 2007 06:21 PM: He's got my vote!
Posted by sherinjay (Member # 10276) on April 23, 2007 08:34 PM: I also sent mine in tooo. Congrats Sherilyn N Jeremy
Posted by Joy04 (Member # 10194) on April 23, 2007 09:42 PM: Just nominated Dr Berger too!!He deserves this honor and is staff they are just awesome!!! [Kiss]
Posted by DayBreen (Member # 7613) on April 24, 2007 12:01 AM: Anyone who has walked into the office at CHTRC could not possibly deny that Dr. Berger is by far the most caring, concerned, compassionate and attentive surgeon out there! He has my nomination and a quite lengthy letter full of reasons why - ranging from before we chose him officially to the incredible manner in which he and his office have proven how much they care and are willing to help us even years after surgery our surgery is over.Good luck to you Dr. Berger! This honor should definitely be yours!
Posted by Gary S Berger MD (Member # 3) on April 24, 2007 07:33 AM: Dear Friends,Thank you for your continuing messages on this thread. I already feel honored by your compliments and expressions of support, regardless of what comes of this with INCIID. [Smile]
Posted by KPJ (Member # 7043) on April 24, 2007 09:32 AM: Dr. B, are you going to need help getting your head through the door? ROTFLMBO! I know I would... it has to make your heart swell to hear so many singing your praises and to know you've fulfilled so many people's dreams of having/expanding their families! And you know, it has even more far-reaching affects. Do you realize how many children are going to be in the world that are wanted, loved, encouraged and brought up in loving environments? That has even more far-reaching affects than you can imagine, because the more children that come into the world to parents who don't take them for granted, the better the world is because the better the people are that are in it!Continued BlessingsKattie
Posted by mamato7 (Member # 10498) on April 25, 2007 07:55 AM: I just voted for Dr. Berger, now they need to do one for his nurses, wouldnt that be great?....Jessie
Posted by sivad71098 (Member # 10816) on April 25, 2007 08:53 AM: Add my vote to the list - just completed the form.Gwen DavisTR 4/05/07
Posted by Brandon, ST (Member # 9908) on April 25, 2007 12:26 PM: All of this support for Dr.Berger is wonderful thank you all so very much. I know we all feel grateful just to be apart of this process and reading these posts makes it all the more fruitful.Great thanks,Brandon, ST
Posted by Jamie Moss (Member # 9553) on April 26, 2007 08:35 AM: just added mine!! good luck Dr. B!
Posted by Julia Smith, RN (Member # 10) on April 26, 2007 04:57 PM: Thank you everyone! As Brandon wrote, we all think Dr. Berger is a very deserving nominee. But it means a lot to have the acknowledgement of our patients, too.Julia Smith RN
Posted by Tina54729 (Member # 6640) on April 26, 2007 05:41 PM: Just added my vote, even though I have not had my TR!
Posted by angelsbaby629 (Member # 1996) on April 27, 2007 11:43 AM: ok, one question, when do we find out who was nominated? ( I sure hope one of you post that Dr.B's the one) but when do we get the results????Jess
Posted by TR Moderator (Member # 5545) on April 27, 2007 04:35 PM: The results will not be announced until November, so hopefully others will join in and send votes as well as keeping this topic live as long as possible. The entire staff at Chapel Hill Tubal Reversal Center thanks all of you for your support! We think this would be a very nice recognition for the work Dr. Berger does day in and day out, year after year, to help couples to build their families.
Posted by Jennifer K.Garza (Member # 8951) on April 27, 2007 04:47 PM: I also voted i cant wait to see the outcome.Thanks Dr.Berger We Love You.. [Kiss]
Posted by sparks8366 (Member # 10195) on April 28, 2007 03:23 PM: I dont see how to vote?
Posted by Annjeana (Member # 10632) on April 28, 2007 03:30 PM: CLICK ON THIS LINK and it will take you right to the page.
Posted by De-Rod (Member # 10967) on April 28, 2007 04:01 PM: I just voted for the best specialist in the world. That's you Dr. Berger.
Posted by sparks8366 (Member # 10195) on April 28, 2007 09:03 PM: Thank you.
Posted by Simonsen6 (Member # 10172) on April 29, 2007 03:58 PM: bumping [Big Grin]
Posted by pslmommie (Member # 10687) on April 29, 2007 04:44 PM: Well I for one sure did just vote. and I will vote again every week until Novemeber bc I just found out Yesterday 4/28 that I have been blessed with my Berger Miracle. TR on 3/9/07 THANK YOU!!! [Smile]
Posted by Eric'sGirl (Member # 10652) on April 29, 2007 10:11 PM: can we vote more than once?
Posted by sayviree (Member # 10825) on April 30, 2007 10:29 AM: I know that Dr. Berger deserves this recognition. Thanks so much for all you give to families everywhere Dr. Berger!TR 10/26/06R 5.5, L 6.5 (falope)Me: 40BFP 2/10/07 [baby]EDD 10/26/07
Posted by Donnell (Member # 9137) on April 30, 2007 10:11 PM: Thank you so much Dr. Berger for giving me the opportunity to try again. I have not
Posted on the boards lately, still having a hard time, however, I believe you deserve all of the thanks and gratitude. You are not only an amazing doctor, but a wonderful and caring person.Thanks!Donnell
Posted by Ericka Pamplin (Member # 1953) on May 01, 2007 10:29 AM: I've added my vote! Dr. B. is the best!
Posted by AR1977 (Member # 9246) on May 02, 2007 07:47 AM: My vote is definetly in....Dr.Berger is the best!Abby
Posted by Lori RN (Member # 10610) on May 03, 2007 02:33 PM: It is wonderful as a staff member to see all of the positive comments written about Dr. Berger and the care that we give here. We have a very rewarding job with helping women realize the dream of becoming pregnant. It is still nice to be recognized for the expertise of Dr. Berger and the care we give.
Posted by ChucksGirl (Member # 8875) on May 06, 2007 11:52 AM: I already knew Dr. Berger was the best! But reading these messages sure gives a person a feeling of confidence about their choice of tubal reversal doctors!!CG
Posted by scblueeyes (Member # 10814) on May 06, 2007 12:55 PM: bump
Posted by DawnMarie (Member # 9023) on May 06, 2007 07:39 PM: Sorry for taking too long...my vote is in!!! I sure hope Dr Berger gets what he deserve for his professionalism and down to earth personality. I truly love him and I'll be thankful the rest of my life for giving me the gift of getting pg again after fifteen years having my tubes tied. Eddie Jr is our little angel from above! [baby]Warm regards from the bottom of our hearts, Dr Berger,Dawn Marie, Eddie Sr. & EddieJr[Love] [Love]
Posted by pam mills (Member # 617) on May 07, 2007 07:50 AM: Thanks to all of our wonderful message board members for voting for Dr Berger. We think he is certainly deserving of this award and we truly appreciate your help.Pam Mills, CRNA
Posted by Kathy, ST (Member # 8285) on May 07, 2007 08:25 AM: It is so great to see all the nominations and praises for the work Dr. Berger does in the field of tubal reversal surgery. He is the expert and has helped so many women. He has my vote!Kathy
Posted by Jo Ann01 (Member # 3764) on May 07, 2007 09:17 AM: Here is my 2 cents worth:Dr. Berger runs the most professional, patient-care oriented practice that I have ever had the pleasure to encounter. Every aspect of my experience with the clinic from the very first phone call I made to their office, to their sending me my Berger baby tee-shirt when my TR son arrived was with the utmost of care. The nurses call and email for follow up. If a patient has a question about TTC post-op, one can email a nurse or even Dr. Berger himself and receive an answer with hours. His commitment to his patients is simply amazing! He is not only a top notch surgeon, but a compassionate and passionate man. Please consider him for your award, as he embodies all you are trying to recognize and reward.Jo Ann
Posted by Sally, RN (Member # 7389) on May 07, 2007 11:37 AM: Jo Ann--Thanks for your two cents worth. I believe your post "says it all". Again thank you for posting.Sally, RNCHSC
Posted by Stephanie RN (Member # 460) on May 09, 2007 08:53 AM: I just wanted to thank everyone for their kinds words about Dr. Berger. It would be an honor for him to receive this recognition.Best wishes,Stephanie, RN
Posted by Laura RN (Member # 1387) on May 11, 2007 08:49 AM: Thank you ladies for posting your kind comments! It is rewarding to see so many of our patients expressing positive comments about their experience with Dr. Berger and CHTRC. Those of us who work for Dr. Berger certainly feel he deserves this recognition!
Posted by Eddie, ST (Member # 9769) on May 11, 2007 04:37 PM: Hello All,I can see why everyone has great things to say about Dr. G. Berger. Since I have been working at CHSC, I have enhanced my knowledge about GYN surgery, and all of this I owe to Dr. Berger. He not only is a very great surgeon, but the benchmark in his profession. No one is perfect in this profession, but I must admit his effort, and works has to come close. I have never been involve with someone who has such great standing with their patients. In my own words, a person should try to leave their mark on the world in some positive way, and he has given life to many who had no hope. I quote something I read in his office " Love is the greatest gift, but life is the greatest gift love can give." Dr. Berger Bravo, I could only work harder to achieve the things you have accomplished. Thanks to everyone for the nice word in regard to him, and I say yes, yes, yes he deserves to be nominated, and selected for this recognition. Without a doubt he is the best in this field. His caring,and dedication to what he is accomplishing not only shows in the outcome of his patients, but the satisfaction many people have when they come in contact with him. It is a pleasure working under him, and Thank You Dr. B. I wish you noting but greater success!E. L. Bell, ST
Posted by Rhonda Brown, RN (Member # 9485) on May 16, 2007 05:16 PM: Thank you all for the kind words about Dr. Berger. I can think of no other physician that would deserve this award more than Dr. Berger. The effort that he puts into patient care is remarkable. By reading the remarks that patients have made, one can see that he has touched so many lifes in such a positive way. He is a physician that treats each patient as an individual and not a number. He definately should be recognized not only for his acheivements but for his excellence in patient care. Rhonda

Saturday, May 12, 2007

Celebration of Mothers

World's Most Cherished People - Mothers!

To All Of Our Patients At Chapel Hill Tubal Reversal Center

Mother's Day is a special occasion for reflecting on the meaning of motherhood and the hopes and dreams of all of the women who come to Chapel Hill Tubal Reversal Center. http://www.tubal-reversal.net/mothers-day.htm

History of Mother's Day

In the 1600's in England there was an annual observance called "Mothering Sunday." It was celebrated during Lent, on the fourth Sunday. On Mothering Sunday, the servants, who generally lived with their employers, were encouraged to return home and honor their mothers. It was traditional for them to bring a special "mothering" cake along to celebrate the occasion.

In the United States Mother's Day was first suggested in 1872 by Julia Ward Howe (who wrote the words to the Battle hymn of the Republic) as a day dedicated to peace. Ms. Howe would hold organized Mother's Day meetings in Boston, Mass ever year.

In 1907 Ana Jarvis, from Philadelphia, began a campaign to establish a national Mother's Day. Ms. Jarvis persuaded her mother's church in Grafton, West Virginia to celebrate Mother's Day on the second anniversary of her mother's death, the 2nd Sunday of May. By the next year Mother's Day was also celebrated in Philadelphia.

Ms. Jarvis and her supporters began to write to ministers, businessman, and politicians in their quest to establish a national Mother's Day. It was successful as by 1911 Mother's Day was celebrated in almost every state. President Woodrow Wilson, in 1914, made the official announcement proclaiming Mother's Day as a national holiday that was to be held each year on the 2nd Sunday of May.

While many countries of the world celebrate their own Mother's Day at different times throughout the year, there are some countries such as Denmark, Finland, Italy, Turkey, Australia, and Belgium that also celebrate Mother's Day on the second Sunday of May.



"Happy Mother's Day" means more

Than have a happy day.

Within those words lie lots of things

We never get to say.

It means I love you first of all,

Then thanks for all you do.

It means you mean a lot to me,

And that I honor you.

But most of all, I guess it means

That I am thinking of

Your happiness on this, your day,

With pleasure and with love.


Happy Mother's Day.





Thank Dr. Berger for our wonderful little miracle.

She's a very happy baby. How blessed am I?

This wonderful blessing of life.

"M" is for the million things she gave me,

"O" means only that she's growing old,

"T" is for the tears she shed to save me,

"H" is for her heart of purest gold;

"E" is for her eyes, with love-light shining,

"R" means right, and right she'll always be,

Put them all together, they spell "MOTHER,"

A word that means the world to me.

Howard Johnson (c. 1915)


"Of all the rights of women,
the greatest is to be a mother."
Lin Yutang



"All that I am or ever hope to be,
I owe to my angel Mother."
Abraham Lincoln

"You may have tangible wealth untold;
Caskets of jewels and coffers of gold.
Richer than I you can never be --
I had a mother who read to me."
Strickland Gillilan

"The hand that rocks the cradle
is the hand that rules the world."
W. S. Ross


"There is no velvet so soft as a mother's lap
no rose as lovely as her smile, no path so flowery as that imprinted with her footsteps."
Archibald Thompson

"God could not be everywhere and therefore he made mothers."
Jewish Proverb


My mother was the most beautiful woman I ever saw.
All I am I owe to my mother.
I attribute all my success in life to the moral,
intellectual and physical education I received from her."
George Washington


"By and large, mothers and housewives are the only workers who do not have regular time off.
They are the great vacationless class."
Anne Morrow Lindbergh

"The mother's heart is the child's schoolroom."
Henry Ward Beecher

"When a Father takes the child by the hand, he takes the Mother by the Heart."
"The most important thing a father can do for his children is to love their mother."
David O. McKay

Honor your Father and Mother
That it may be well with you, and that you may live long on the earth.
Ephesians 6:2-3







A few of our "Berger Babies"
I had my tubal reversal surgery in August '04 and two months later I was pregnant.We just love our baby so much and know without having my tubes reversed, he wouldn't be here.Here is a recent picture of our two reversal Berger babies.'OurMiracles do come true! We waited 2 years after tubal reversal for our angel.I would love to go on your testimony board and let the whole world know how wonderful you guys have been in my life.I tell everyone who will listen about the miracle you have allowed us to have in our lives.

You did my tubal reversal April, 2001. Nathanael was born April, 2002.We had our tubal reversal on November 5, 2001 and became pregnant the next cycle.11 months since tubal reversal, and now I have a healthy baby girl.We are expecting our second post tubal reversal baby.It must be really something to have the work that you do day in and day out change the world one family at a time.She's a very happy baby. How blessed am I.A year to the day of my tubal reversal, our little Matthew arrived.

We announce the arrival of our second tr baby.We have a little miracle - just 11 months after our tubal reversal.Less than a year after having my tubal reversal! I had a healthy 9 month pregnancy.My baby SOFIA VALENTINA born on February 14, 2003, She is truly an Angel.Thank Dr. Berger for making this possible for me and many other women.It has been only 2 and a half years since my tubal reversal, and we are blessed with a second tubal reversal baby.Many thanks to Dr.Berger and the entire staff for helping us in this journey.

Our new tubalreversal baby.Each day I am so grateful to you and your staff for allowing me to be a mom again.To this day we know we picked the right Doctor to do this procedure.To this day we know we picked the right Doctor to do this procedure.My TR with just the left tube.From check-in to the post examine you all treated us with respect and a heart of gold.I had my tubal reversal less than 12 months ago and I now have a baby.

Sunday, May 6, 2007

Had Tubal Reversal yesterday feeling ok!

Posted by sockmonkey (Member # 10589) on
May 05, 2007 11:10 AM: Tube lengths was a 4 Right and 7 Left



Posted by KPJ (Member # 7043) on
May 05, 2007 11:16 AM: Welcome to the other side! Congrats!Kattie J


Posted by jarz (Member # 9286) on
May 05, 2007 11:22 AM: Welcome!!! Congrats!!!!! Great lengths, now relax, recover. Sending babydust your way Jo


Posted by BabyBird (Member # 10834) on
May 05, 2007 12:03 PM: Sockmonkey: Congrats! I had TR Moday, R&L 5.5 cm. Take it easy even if you feel great. I have had a slower recovery and yesterday was the firsy day I was well enough to get up and move around a bit. Great lengths...good luck on your journey!Kim


Posted by Rhonda Brown, RN (Member # 9485) on
May 05, 2007 01:18 PM: Dear sockmonkey,I am glad to hear that your surgery went well. I wish you a speedy recovery and many positives. Keep us posted.Rhonda


Posted by Julia Smith, RN (Member # 10) on
May 06, 2007 10:40 AM: Congratulations on your results. The majority of our patients return to work in 3 - 5 days and are able to return to the majority of their normal activities within 3 - 5 days. We will be in touch with you this weekend regarding your recovery, please let us know if you have questions or concerns. Julia Smith RN