It’s hard to believe Thanksgiving is just days away, and the end of the year is drawing to a close. While images of a beautifully laid table and my children holding their forks correctly complement my image of the holiday, it is the feeling of gratitude that consumes me this week.

After a particularly long pause, my family traveled to Los Angeles to visit my husband’s siblings, in particular my sister-in-law, Anna, who has early onset Alzheimer’s disease.

Only 5 percent of Alzheimer’s patients are diagnosed under age 65, making it a particularly isolating experience. She was diagnosed in her 50s after a series of forgetful episodes such as reversing a.m. and p.m. when catching a flight.

Bizia Greene is an etiquette expert and owns the Etiquette School of Santa Fe. Contact her at hello@etiquettesantafe.com or 505-988-2070.

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