This photo was taken the last time I remember seeing Grandma Sylvia smile. Alzheimer’s had already set in – she came to our engagement party in a hired ambulance and wasn’t sure why she was there. For the five years thereafter we only saw her in bed, where she withered away until her death. Sylvia suspected she was going to get Alzheimer’s. She saw what happened to her own mother (though it wasn’t diagnosed as Alzheimer’s back then), bought long term health insurance, downsized early and gave her children specific instructions to always keep her at home.