"Dr. Boyer wears flip-flops and a short-sleeved button down shirt, vaguely Hawaiian. He looks more surfer than doctor. Probably not much older than her sister. She’s always surprised by people her own age or younger who have made it in the world. The confidence required. The lack of self doubt. Not caring what others think. Some people were like that. She wondered how they lived, how they came to be that way, so far from her own hushed existence."