This is the fourth book about my life with Alzheimer’s. I have written these books to encourage people get the diagnosis made early in the course of the disease. My first neurologist asked me, "What difference does it make?” My diagnosis was made in December 2017, and I think it made all the difference in the world. In the year 1 book, I wrote about getting the diagnosis. In the year 2 book, I wrote about traveling with Alzheimer’s. In the year 3 book, I write about making a transition to more alternate medicine. The present year, the fourth book, I write about maintaining a good cognitive state without much deterioration. I believe each year is different and much more than just a diary. As a physician, I showed my long journey in educating myself and opening myself to new ideas. I hope this gives people with the diagnosis of Alzheimer’s hope and shows them different possibilities of approaching their diagnosis. Next, I will write year 5 of my saga.