If your personal health limits your presence, your seat on this board may have to go to someone who can build for the future.”

Spencer leaned forward and fiddled with his cuff links again, but he kept his eyes on the financial spreadsheet in his hands.

“Mother is just addressing the administrative structure, Vivian.”

“She’s talking about my board seat,” I said.

“She’s talking about the firm,” Spencer said.

At two fifteen, the waiting room at St.

Jude Fertility Clinic was silent except for the low hum of an air purifier in the corner.

I sat across from Dr.