The Diagnosis
The dinner at Rosa's favorite diner had been Elena's idea—a chance for all five sisters to gather with their mother without the chaos of holidays or funerals. Nora had slipped into the booth last, still smelling like grease from her shift at the auto shop, her hair escaping its ponytail in stubborn chestnut tendrils.
"Look who finally decided to grace us with her presence," Maria teased, sliding a basket of bread toward her youngest sister.
Nora rolled her eyes but grabbed a roll anyway. "Some of us work for a living."
"Some of us have actual jobs," Sofia shot back with a wicked grin, and the table dissolved into familiar bickering. Rosa sat with a smile on her face, her tired blue eyes dancing with delight as she listened to all five of her daughters bickering back and forth, the kind that only came from shared childhood bedrooms and hand-me-down clothes. Rosa, sat at the head of the table, her warm tired blue eyes crinkling as she watched her daughters argue. Only stepping in when the bickering got loud. She laughed in delight. Her five daughters had been the center of her world since their births. She reached for her water glass, her hand trembling slightly… Rosa’s vision went dark as she collapsed.
The bread basket hit the floor. Sofia screamed. For one horrible, suspended moment, the diner's noise seemed to fade into a distant hum as Nora watched her mother’s eyes roll back and her small frame crumple sideways, her chair scraping against the linoleum.
No. No, no, no—
"Call 911!" Elena shouted, her voice cracking. "Someone call 911!"
Nora was already moving, shoving past her sisters, dropping to her knees beside their mother's still form. Rosa's face was pale, almost gray, her lips tinged blue. Nora pressed her fingers to her mother's wrist, feeling for a pulse, counting the beats the way she'd learned in the lifeguarding class she'd taken in high school 2 years ago.
"Mom, wake up. Mom, please..Mama wake up.."
The next hours blurred together like watercolors bleeding on wet paper. The ambulance. The screaming sirens. The sterile smell of the ER. Her sisters were crying in the waiting room, clutching each other's hands. The doctor finally emerged with a clipboard and a somber expression that Nora would never forget.
"Your mother has stage three ovarian cancer," he said, his voice clinical, practiced. "It's aggressive. We can treat it, but.."
"But what?" Carmen demanded, stepping forward. Her blue eyes narrowed angrily. "But what?" She repeated when the doctor remained silent.
The doctor's gaze shifted to the papers in his hand. "The Treatment for this cancer… It will be extensive. Surgery, chemotherapy, radiation. If they fail there are some experimental trials available we could look into at a later date. But right now ... .We're looking at substantial costs for the first line of treatment. My Administrative office… from what I understand your mother's insurance coverage is limited. Due to the treatment protocols without payment, we cannot proceed with the full course of treatment."
Nora felt the words hit her like physical blows. Without payment. What type of hospital says that? Isn’t it illegal to deny treatment based on financial means and insurance? She signed the paperwork stating she’d take on the medical debt if her mother couldn’t pay with trembling hands, agreeing to everything, anything, just to keep her mother alive. To start her treatment. The first round of treatment began immediately. The surgery happened and then something called a chemo wash. The port for her Chemo therapy set. Radiation schedules made. The waiting room became their second home to all of them. Rotating out in different shifts. When Nora was not at work she lived in the hospital.
Three weeks later, the bills started to arrive one at a time. Sometimes two. They stacked up on Rosa's kitchen table like snowdrifts. Maria added up the numbers one night, her face growing paler with each figure. twelve thousand. twenty thousand. Twenty-seven thousand dollars. And that was only the beginning.
"I can sell my car," Sofia offered weakly.
"I already took out a second mortgage," Elena confessed, her voice hollow.
Nora watched her sisters empty their savings accounts, their retirement funds, their children's college funds. She watched them make sacrifices she couldn't even fathom. And still, it wasn't enough. She'd given every penny she'd had, they all did. They’d come up with exactly half of the money. Nora watched her sisters her heart breaking with each phone call, each estimated value of the things they worked so hard for. They were all struggling but all trying to come up with a way to save their mom.
"I can work more shifts," Nora said one evening, exhaustion making her voice flat. "Triple shifts. I'll.."
"Nora, you're already working two jobs. You are already exhausted." Maria's hand found hers across the table. "We're all doing everything we can. Maybe we can try a bake sale, Car washes, Charities."
It's not enough, Nora thought, staring at the newest bill, this one for another 1,200$. Her heart sank. It's never enough.
It was Sara, her co-worker. A friend, who found her crying in the break room of the auto shop, clutching a pink slip that threatened to end her mother's treatment.
"Hey, hey, what's going on?" Sara slid into the chair beside her, her eyes widening at the paper in Nora's hands. Her hand finding Nora's back rubbing circles.
"The hospital says they'll stop treatment at the end of the month." Nora's voice cracked. "They gave her six more weeks. Six weeks, Sara. And then they'll just let her.."
"Ohhh, Shh, shh, it’s okay. It’s Okay." Sara wrapped an arm around her fully pulling her into a side hug with a small squeeze. Nora let herself be hugged just for a moment. The silence stretched before Sara pulled away. "I have an idea. I know someone. Well, I don't know them, but I know a clinic that pays good money for women like us." she said softly handing Nora a napkin from the dispenser.
Nora blinked at her, wiping her tears with the napkin Sara handed her.. "Like us?"
"Healthy. Young. Desperate." Sara smiled softly yet her expression remained gentle but honest. "Have you ever heard of egg donation? They pay six, maybe seven thousand for a single egg. And surrogacy. Well that can bring in even more. Fifty thousand. A hundred thousand. Maybe more given the wealth of the intended parents."
Nora stared at her, the words failing to compute. "You mean... carrying someone else's baby?"
"It's not for everyone," Sara said quickly. "And it may not be for you either Nora, but… your mom is dying and the medical system is failing your family as it failed mine last year. The clinic I know Faith, Hope, and Trust Fertility. They work with families who can't have children on their own. They need women like us. And if you did both... donated the egg, carried the child..." She squeezed Nora's hand. "It could be enough. It could pay for everything."
Nora sat in silence, the fluorescent light buzzing overhead. The idea of it having an egg removed or a stranger's child growing in her body that she would have to give away made something in her stomach twist with revulsion. She never wanted kids. She was the child-free aunt, the gypsy soul who drifted through life untethered. The thought of being tied to anything, let alone a pregnancy, felt like a cage closing around her. She’d only entertained the idea once before her eldest sister Elena gave birth to her first daughter. She’d been there, seen the pain, the blood, the screaming and then a crying slimly child. An involuntary shiver raced down her spine. She’d decided then she’d not be the one birthing children. Not for a long, long time if ever.
But then she thought of her mother. Her best friend. The woman who had raised five daughters alone, working double shifts and skipping meals so they could have new shoes. The woman who had held her hair back during the flu, who had taught her to ride a bike, who had cried at her high school graduation like she was watching a miracle unfold. Who never once failed to give her love and affection despite being exhausted. She truly was a super hero to her.
That woman was dying. And Nora could save her. "Tell me more," she said quietly, her voice barely above a whisper. "Tell me everything."
Nora’s chest tightened as Sara leaned in, her voice dropping to a conspiratorial murmur. “Last year my fathers medical bills was killing us. We did everything right filled the financial aid paper work, made the payments we could but everything just kept coming. So I looked up ways to help. I found the clinic and did the consultation. I did not donate the egg but just did surrogacy. The egg came from someone else but I did carry the child. It was an amazing experience. I did it last year. For a gay couple two dads, both doctors. They couldn’t have a kid on their own naturally, and they needed someone… willing to give them a baby. I agreed. The dads provided the sperm and someone else the egg. They implanted it into my body and I carried him to term.”
Nora blinked. “You… you carried their baby?”
Sara nodded, pulling out her phone. She swiped through photos until she landed on one a chubby-cheeked little boy with dark curls, grinning at the camera with sticky fingers raised in triumph. “That’s Liam. He turned one last month. They send me updates every few months. Let me know how he’s doing. He’s healthy. Happy. Loved.”
Nora’s throat went dry. “You gave him up.”
“He wasn’t ever truly mine, I gave a child a safe place to grow and develop then.. the parents got their baby. One of their own DNA,” Sara corrected gently. “And in return, they gave me two hundred fifty thousand dollars and paid all medical expenses related to the pregnancy. It was enough to clear my dad’s medical debt and buy my little brother a car. I was even able to put a downpayment on a small house for myself. It was a new start for me” She pocketed the phone, her gaze steady. “I chose to do it openly. They know who I am, and I get pictures. But you don’t have to do that. If you’re not comfortable, you can do it completely anonymously. No names. No contact. Nothing.”
Nora stared at the abandoned coffee cup on the table, her mind spinning. Two hundred fifty thousand. That could cover everything. The surgery, the chemo, maybe even the experimental trial the doctor had mentioned. She could save her mother. She could save Rosa.
“But that’s surrogacy,” Nora said slowly. “What about the egg donation part?”
Sara shrugged. “That’s simpler. You take some hormones, they harvest the eggs, and someone else carries the baby. You’re not pregnant at all. You just… help make it happen. Six or seven grand, gone in a month.” She tilted her head, reading the conflict on Nora’s face. “If you choose to do both the egg and surrogacy that would be a lot more than just 250,000.” She watched Nora’s eyes turn over in her head. “Look, sweetie, it's not for everyone. It's exhausting and mentally and emotionally draining but you asked for a way out, and this is one. It’s real. And it pays and I am living proof.”
Nora’s fingers curled into fists in her lap. The thought of strangers, of needles, of something growing inside her that she’d have to give away. With or without her blood it all made her stomach churn. But then she saw her mother’s face again, pale and slipping away, and she knew what her answer had to be. “Can you give me the clinic's information?”