"The last treatment didn't respond the way we needed it to." Dr. Voss said it looking directly at her, not at the file open on the desk between them. That was something Celine had noticed about him over the past two years. He rarely consulted the file when she was in the room. Either he had it memorized, or he'd gotten accustomed to her report. "What that means for your prognosis," Dr. Voss continued, "is that the picture has changed." "How changed?" Celine asked him. He laced his hands on the desk. "We're talking about months, Celine. Not years." There it was. She'd known, abstractly. "How many months?" she asked him. "I can't give you an exact number. It doesn't work that way — there are too many variables, and I'd rather be honest about what I don't know than give you a figure that turns out to be wrong in either direction." He paused. "What I can tell you is that if we're going to attempt another course of treatment, the time to decide is now. Not next month." She nodde
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