It is time-consuming, but, there are nine kids in my family and all of my mother and father's side had big families, so there are always many to keep up with. When someone tells me /emails/texts new info, I put it on the list and constantly update the letter, all year long. It started when I one of my cousins had an aneurism and asked me if someone had one in the family, so now I added on the medical history of the immediate family and their kids. It is actually pretty helpful and we found that my great-great-grandmother died of an aneurysm, as did my brother, at 35 and his son just had one. It seems to be a tad genetic, although they had always thought it wasn't.
I love getting together with special people! If I don't think of gifts now, I am too rushed!
Thanks again! You are the best!