“I am so blessed!” Rosemary exclaims. We are seated around her table for our monthly ritual. With her sons and daughters and their spouses all present, she relishes the moment more than the meal. It doesn’t take much to make her happy. Family, food, and faith sustain her at 87 years of age. And gratitude is never far from her lips. A closer look at the life of my mother-in-law reveals the sobering reasons for the deep lines etched into her pleasant face.