I bought plane tickets for the whole family, but at the airport my daughter-in-law gently told me they had given my seat to her own mother because the kids feel ‘closer to her,’ and my son quietly agreed. I froze for a moment, then smiled and walked away without raising my voice. One minute later, after I’d calmed myself, I changed the entire $47,000 Hawaii vacation with a single polite phone call and quietly rearranged my $5.8 million estate in a way no one expected.

Everything perfect. Everything planned with love.

I showered, put on comfortable travel clothes—black leggings, a soft Northwestern sweatshirt, the running shoes I use for my four-mile jogs along the lakefront—and double-checked my suitcase one more time. Passport. Wallet. Printed confirmations even though everything is in an app now. My cardiology brain doesn’t trust a single point of failure.

At 5:00 a.m., a black sedan from a local car service pulled up in front of my brownstone. The driver loaded my suitcase into the trunk while I locked the front door of my house that I’d bought years ago when the hospital bonuses were coming in strong and the Chicago housing market was still forgiving.