When Mark lost his wife of fifty-three years, the world went quiet. He stopped going to his woodworking club. His daily phone calls with friends trailed off. Family dinners became shorter. His daughter, Lily, noticed the silence first — not just in the house, but in his voice. “He’s there,” she told a friend, “but he’s not really with  us anymore.” When early signs of cognitive decline followed, the loneliness deepened. Conversations confused him; visits exhausted him. He beg