âI hate him.â
At the manicure station next to me, Abby glances over with a raised brow. âDo you hate him because you wanted him to kiss you, or because you didnât want him to kiss you?â
âI hate him because I wanted to kiss him and he hugged me, Abby. Like I was his grandmother.â
Itâs been three days since the kitchen incident, and my fragile female ego is still wounded. I know Tyler wanted to kiss me. Hell, he even started to lean in. Then he stopped short like a switch flipped in his brain, and he left me hanging like a fool.
I suspect it all circles back to my older, and decidedly overprotective, brotherâdespite the fact that who I hook up with is none of his business. Chase is clam-jamming me without even realizing it.
That, or Iâve misread the situation to a catastrophic degree. That canât be the case, could it? Tyler admitted he still thinks about that night at XS. Unless, god forbid, he was trying to spare my feelings. Usually Iâm pretty good at reading guys, but Iâm starting to second guess myself.
Maybe I friend-zoned myself when I suggested that the day I moved in. That would be ironic.
Abby shrugs. âNo one ever said guys were smart.â
âThey definitely arenât.â Which is why Iâve never wasted much time or effort on them, and also why Iâm extra irritated Iâve let that change.
Despite my venting, thereâs no denying my stomach does a happy little somersault every time one of Tylerâs messages pops up on my phone. Theyâre like little dopamine hits throughout the day. Iâve been living for every single text.
Can girls be simps? Because right now, I feel like one.
Abby gives the manicurist her right hand, placing her left beneath the LED light to cure her burgundy nails. âAre you ever going to reaffiliate? I hyped you up to Allie and Gina, and they keep asking me when youâre going to submit your application. Allie is the president, and sheâs a third-generation Kappa, which meansâ¦â
I try to follow what sheâs saying, but itâs hard to make myself care. There are more pressing items on my plate than rejoining a sorority, like picking a major and figuring out what I want to do with my life. Worrying about my momâs health. Things that have long-term implications.
âAre you even listening to me?â Abbyâs voice breaks in.
âYeah. Um, Iâll try to get that Kappa paperwork done as soon as I can.â I clear my throat. âJust having a bit of a rough time right now, thatâs all.â
âDonât worry, Robâs party tonight will help you take your mind off things.â
âHopefully.â Iâm not overly optimistic. Not even a fresh manicure is turning this day around. My nails are transforming into the most glorious shade of pale pink, and Iâm still grumpy.
I have to find some way to get over it, though. Iâm taking my mom to a checkup with her oncologist after lunch, and the last thing she needs is a cranky daughter. It doesnât help that Iâm running on approximately three hours of broken sleep after tossing and turning all night, dreaming up all kinds of terrible hypotheticals. Iâm a nervous wreck. What if we get bad news? What if sheâs not responding to treatment the way they hoped? Itâll be ten years this spring since my dad died. I canât lose her, too.
If Iâm being honest with myself, I might admit my mood has a lot more to do with all of that. But itâs easier to blame Tyler.
Two coffees laterâa decaf white chocolate mocha for me, and a hazelnut latte for my momâI exit the Starbucks drive-through and head for the highway to her house. Itâs an additional twenty-minute drive from town, so I pass the time with more of my audiobook. The hero just angrily kissed the heroine in the kitchen after she was flirting with someone else. Toxic as it may be, I live for a good jealousy scene.
Unfortunately, the story only helps so much. The closer I get to my destination, the harder it is to focus on anything other than what lies ahead. In a way, I just want to get it over with, and I feel bad for that.
Mom climbs in the passenger side, and my gaze lingers on her, concern creeping in. As recently as Thanksgiving, her chestnut hair was thick and wavy, all the way down to her collarbone. Now itâs wispy and short, tucked beneath a blue-patterned scarf. Her already-thin frame is even thinner, too. Sheâs as beautiful as ever, but she looks fragile.
In the console, my screen lights up with a text from Tylerâor Hades, as heâs listed in my phoneâand a tiny thrill runs through me. Itâs immediately followed by a whopping dose of guilt. I should be focused on other, more serious things right now.
âYou look smitten, Ser-bear. Whoâs the guy?â My mother teases me, her tone playful. Her cancer treatments have taken a toll on her energy level, but she still has the same upbeat attitude.
I glance over to find a knowing smile on her lips, her sparkling emerald eyes crinkling at the corners as she studies me. Either Iâm being painfully obvious, or motherâs her intuition is better than I realized. Iâm hoping itâs the latter.
âOh, um⦠no one.â Even if I wanted to tell her, it feels weird when weâre en route to her oncology appointment. Not sure how sheâd take the news that Iâm living with the guy Iâm crushing on, either.
âSure seems like someone.â
âJust a guy Iâve been talking to. Itâs not even a thing.â
And at this rate, it never will be.
âMrs. Carter?â A petite nurse in pink scrubs stands in the doorway, scanning the waiting room until my mother stands up. âThe doctor can see you now.â
My heart races as I follow my mother and the nurse down the wood-paneled hallway into Doctor Wilsonâs office. With a sprawling glass desk and two leather guest chairs, it looks more like something Iâd expect to find at a law office rather than a medical practice. But heâs one of the best oncologists on the East Coast, so that might explain the decor.
The first half of the appointment involves a lot of medical jargon, some of which I didnât fully understand, but I ask questions and take ample notes because the chemo gives my mom brain fog and she likes to be able to re-read things later. I relax slightly as Doctor Wilson explains that they expect her to respond well to the protocol theyâve designed, and her overall prognosis is excellent. For her type and stage of cancer, the rate of survival is nearly ninety percent with early aggressive treatment like sheâs receiving. Probably even better in her case because she was in such good health before. All things considered; sheâs doing great.
While everything has been encouraging until this point, the mood in the room shifts markedly when he mentions something about genetic testing, reaching for a folder on the tray next to his desk. My nerves skyrocket again, and I hold my breath, waiting for him to continue. Did they find something else wrong with her?
He clears his throat. âAs we discussed, we conducted a comprehensive genetic testing panel during the diagnostic process. The results have come back, and youâre positive for the BRCA-1 mutation. Itâs helpful that your daughter is here with you today; when a patient has a positive result, we recommend testing all immediate relatives since thereâs a fifty percent chance theyâve also inherited it.â
My vision tunnels, and the room turns sideways on me.
BRCA.
Fifty percent chance.
I try to make sense of what he just said, but Iâm lacking critical information. I donât know what it means other than itâs something bad, and I might have it too.
Mom reaches over and covers my hand with hers, giving it a squeeze. âI know it sounds scary, sweetheart, but itâs better to get tested and find out. If youâre negative, itâll be a weight off your shoulders.â Despite her reassurance, her expression is tight, and thereâs fear beneath the brave face sheâs putting on for me. She looks more upset than when she told me about her diagnosis.
âWhy? What does it mean if Iâm positive?â I ask, trying to hide the wobble in my voice.
âSera, letâs not get aheadââ she starts.
âNo, tell me. Please. If you donât, the first thing Iâm going to do when I get home is Google it, and thatâll be worse.â
Doctor Wilson laces his fingers together, giving me a sympathetic look. âI need to emphasize that statistically speaking, thereâs an equally good chance youâre not a carrier. With that said, individuals who carry the BRCA gene are at a higher-than-average chance of developing breast cancer and are more likely to develop it at a young age. Thereâs an increased risk of ovarian cancer as well.â
This is more or less what I expected, but somehow hearing it out loud makes it even worse.
âRoutine cancer screenings begin sooner and are conducted more frequently,â he adds. âSome patients may also opt for a prophylactic mastectomy and/or salpingo-oophorectomy to reduce their risk of cancer down the road. Even if you test positive, you have some time to weigh your options in that regard.â
âSal-what?â I echo, not even able to process the mastectomy part that preceded it. When I came here today, I had no idea we might discuss anything in relation to me. Part of me wishes my mother had warned me in advance, but I also understand why she didnât. The stricken look on her face says it allâshe was hoping the results would be negative and that she wouldnât need to.
âRemoval of the ovaries and fallopian tubes,â he clarifies.
In other words, surgically eliminating my ability to get pregnant.
Panic claws at my throat. âHow much time are we talking?â Iâm in no hurry to settle down but I want to have children someday, and I assumed I had plenty of time to make that happen.
He hesitates. âIt depends how aggressive the patient wants to be. Most risk reduction strategies recommend the procedures between the ages of thirty-five and forty or when childbearing is complete, whichever is sooner. The risks are incremental, and they increase with age. Statistically speaking, most women with BRCA1 develop breast cancer eventually.â
The good news is the intervention timeline isnât as immediate as I feared. Iâm almost twenty-one, so weâre talking roughly fifteen years in the future.
The bad news is that working backwards, this wouldnât give me as much time as I thought I had to start a family.
The worst news is being a carrier would mean Iâm a ticking time bomb.
My chest is so tight it aches. âI see.â
âLetâs not get ahead of ourselves,â he says, shuffling the papers on his desk. âThe first step would be to book you in for testing. We can facilitate that if youâd like. After that, you can be referred out for additional genetic counseling if necessary.â
âWhat about men? Could Chase be a carrier?â He made me promise to message him the minute we finished, but this isnât a conversation for text.
He nods. âMen can carry the gene too.â
âSeraphina.â My mother touches my forearm, drawing my attention to her. Her lips press into a grim line. âIf you donât mind, honey, Iâd like to hold off on telling him about this for now. Just for a couple weeks. Heâs got a lot on his plate to deal with, and I donât want to add to his stress.â
I swallow the boulder sitting in my throat. âRight. I wonât say a word.â
We gather our things and I numbly trail behind my mom, my head spinning and ears ringing. When we step back into the lobby, I spot a woman standing at reception. Sheâs hardly older than meâwell under thirty for certainâand like my mother, sheâs clearly sick. A pink-and-purple scarf covers whatâs left of her hair and her olive complexion is wan.
My eyes dart in her direction again. Sheâs beautiful, with wide dark eyes and full lips. I canât get over how young she looks. Twenty-four or twenty-five, if I had to guess. How old was she when she was diagnosed? Did she even suspect she might get sick? Did she do the same genetic test Momâs doctor mentioned?
Could that be me someday?
The reality of what Iâm facing slams into me. People always say you have your twenties to figure everything out. I always assumed that was true, but everything seems different when youâre looking down the barrel of a diagnosis.
While I have a hazy, imprecise understanding of what I want out of life, I couldnât articulate it if I tried. My plan for the future is vague and amorphous, filled with terms like âone dayâ and âeventually.â Like an apparition you see out of the corner of your eye that vanishes when you try to grab it.
I want to get married eventuallyâthat much I know for sure. And if Iâm a carrier, that has consequences for both of us, not just me. It could even impact how many children we have. What if I canât have kids in time? Or what if I do, and then I get sick?
Deep down, I know itâs irrational to get ahead of myself before I get tested and receive the results. Thereâs a decent chance Iâll be BRCA negative. But what if Iâm not?
Iâm spiraling and I canât help it. There are too many unknownsâand many of them are terrifying.
Fueled by a morbid sense of curiosity, I steal another peek at the young woman. A million questions swirl through my mind. I wonder how much life she got to experience before her diagnosis. Did she get the chance to fall in love? Does she have a partner to help her now? To my stepfatherâs credit, heâs been there for my mother more than I expected, even picking up cooking and cleaning around the house. Iâm not sure sheâd be doing nearly as well without him.
As we pass, I overhear part of their conversation.
âStill with Cigna?â the receptionist asks.
âNo, thatâs notâI have new insurance. We just got divorced. Iâm not on his anymore.â Her voice is shaky as she looks down and rifles through her purse. âIâll find it, I know itâs in here somewhere.â
A pang of sympathy tugs at my stomach, followed by overwhelming nausea. I canât imagine going through a divorce while battling cancer. Losing your marriage on top of everything else would be heartbreaking. Iâve heard it happens not infrequently. Something about the stress of the illness straining already struggling marriages. Whatever happened to in sickness and in health?
Sure, dating isnât on my current priority listâI donât need another disappointment on top of everything else. But sheâs older than me. Sheâs had more time to meet someone, and a lot could change after graduation. If Iâm lucky enough to find the right person later, would they stand by me through something like that?
Would they even want me in the first place? I bet it would be a dealbreaker for a lot of men.
Maybe living in the moment is the only way to keep my sanity and heart intact until I know.
âSera?â
âPardon?â My gaze slides over to my mom, whoâs looking at me expectantly. Weâre standing next to my car in the parking garage beneath her doctorâs office. I have no recollection of taking the elevator down.
âI said, do you want to go for dinner?â
âSure,â I say distantly. âYou pick.â