I’m tapping the fingers on one hand as I grip my coffee with the other. My eyes are intensely looking out the window as I take deep breaths trying to sum up some patience as I wait for my sister who is always late. Eventually Julia breezes in the coffee shop on the phone and eyes darting to find me. Her face has a serious look and her mouth is tight so this is not a casual conversation. I hear her say thank you Dr and she hangs up and tears well up. I throw up my hands in a questioning manner but she can’t speak and takes a seat. I give her a napkin and say nothing but my breathing quickens. With downcast eyes she begins to wring her hands and finally says Mama is sick and may have Alzheimers. Now my eyes are full of tears and we clasp hands saying nothing just synching our breathing.