Talia's health begins declining again during the winter following our Nairobi case celebration, Dr. Osei's treatment finally reaching its natural limits after nearly two decades of successful management.
"I want to be honest with both of you," Dr. Patel tells us during a difficult consultation, addressing Talia and me together given our shared medical history throughout this extraordinary journey. "The deceleration treatment has run its course. We're seeing acceleration resume, though considerably slower than the original untreated progression."
Talia receives this news with characteristic composure, though I recognize the careful control beneath her steady exterior.
"How much time?" she asks directly.
"Difficult to predict precisely," Dr. Patel admits. "Potentially three to five years
