Desmond took Dr. Voss’s advice seriously, starting grief counseling three weeks after Nora came home, working specifically with a therapist who’d handled anticipatory health anxiety cases before, given how directly his fear tied back to watching our mother’s actual illness unfold in real time.
Nora had her first dermatology appointment at six weeks old, with a pediatric specialist named Dr. Okafor who spent nearly forty minutes with Desmond and Renee, walking them through exactly what ongoing monitoring would look like, answering every anxious question Desmond brought with him on a folded piece of paper he’d clearly been adding to for days beforehand.
“The nevus itself isn’t actively concerning right now,” Dr. Okafor told them, at that first appointment. “We’ll photograph it today as a baseline, and every visit after this, we compare against that baseline for any changes. Most families in your situation, once they get through the first year of regular monitoring without any concerning changes, find the anxiety settles considerably. I understand that’s easier to say than to actually experience, especially given your family history, but the process itself is designed specifically to catch problems early, long before they become anything close to what your mother went through.”
PART 10
I stayed close through those first several months, partly because that’s simply who I am with my brother, and partly because I understood, better than almost anyone else could, exactly what those first months were costing him emotionally, watching him work through grief he’d apparently been quietly outrunning for five years.
“I used to think I’d dealt with losing Mom,” he told me one evening, about four months after Nora was born, the two of us sitting on his back porch while Renee put the baby down for the night inside. “I went to the funeral. I helped clean out her house. I thought that was dealing with it. I don’t think I actually let myself feel any of it until I was standing in that hospital room looking at the exact same mark on my own daughter’s back.”