It's my birthday

So this is what I look like at 45.
According to my endocrinologist (and many other sources) I'll probably live for another 45 years or more.
My grandmother will turn 90 in July, but sometimes I get the feeling she's not very happy about that.  It all comes down to the quality of life, not the quantity, I guess.  

“Live each day as if it’s your last’, that was the conventional advice, but really, who had the energy for that? What if it rained or you felt a bit glandy? It just wasn’t practical. The trick of it, she told herself, is to be courageous and bold and make a difference. Not change the world exactly, just the bit around you. Go out there with your double-first, your passion and your new Smith Corona electric typewriter and work hard at … something. Change lives through art maybe. Write beautifully. Cherish your friends, stay true to your principles, live passionately and fully and well. Experience new things. Love and be loved if at all possible.”
~ David Nicholls