My sister Karen had pulled over to the side of the road to call me. She was in tears, practically inconsolable.  Karen was on a mission to inspect nursing homes for our dad and she had just visited her first one.  In between her tears she expressed her grief.  The thought of our dad living in a nursing home was devastating.  After a while she caught her breath, and we shared our painful disbelief that this was indeed our reality – this was his reality.  His health was spiraling out of control – dementia, amputated legs, mysterious infections – our eating-right regularly-exercising dad was deteriorating before our eyes, and a nursing home, sadly, was where he needed to be.  And so, after we wiped away our tears and took a deep breath, Karen pulled back into traffic and continued her search for our dad’s new home.