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Jane is a 17-year-old patient with biliary atresia (BA). At her last appointment, her doctor began explaining what will happen when she transfers to adult care this coming fall—Jane knew this would happen eventually, but she did not realize it would happen so soon. Her doctor has always told her about a time when everything would be taken care of at the adult hospital, but the conversation always ended there. Now, Jane feels like she has somehow fallen behind; what if there were more she could have done to prepare? She does not know how to renew a prescription or schedule an appointment. She feels like she barely understands her own condition—she knows about her cirrhosis and low platelets, but not about the meaning behind it all, not really. How will she be able to manage all of this on her own?