Must be me but unless I arrange everything, make contact etc I think my close family would have drifted away completely and the subject of a proper 'thank you' for a gift is one example where I would just expect it to be good manners to at least acknowledge the fact that someone has gone out of their way to select a gift for that special person and to thank them for thinking of them. I stopped sending birthday and Christmas presents to 2 nephews and 2 nieces after a few years of having to ask my Mother to ask my brother if they had liked their presents as it was the only way I ever found out!
To go through chemo therapy or choose not to?