When the author's water broke at 20 weeks pregnant, it marked the beginning of labor and delivery after learning she was carrying twins. A previous ultrasound had revealed that one of the twins, referred to as Twin A, no longer had a heartbeat. For the remainder of the pregnancy, the author carried both a living fetus and the remains of the deceased twin, a situation she described as being cursed to carry both life and death.

The author detailed the agonizing decision-making process leading up to the birth. She had spent weeks grappling with the reality of saying goodbye to the twin who had ceased to exist, yet was still present within her body. The prospect of bringing the remains into the world meant confronting the loss she had instinctively avoided for nearly five months.

Labor and delivery were described as painful and exhausting. After nearly 24 hours, she delivered her living son, whose arrival was met with the expected fanfare. Following the birth of her son, she was instructed to push again. This time, there was no cry, no warm body to hold, only an emptiness. She closed her eyes, whispered a goodbye, and pushed.

What followed were what she was told were nearly unidentifiable remains. Her physician offered her the chance to see what would have been her second son. After considerable thought about this moment beforehand, she instinctively said no and turned away, choosing to focus on her newborn son. Both her boyfriend and best friend, who were present, looked at the remains of the deceased twin. They later described him as looking "not human" and "more like an alien."

In the years since, the author has grappled with regret over her decision. She wonders if her second son, born five years later, resembles the twin she lost. She carries the weight of not honoring her deceased son by bearing witness to his only physical form, a fear that has marked her profoundly. Despite covering wars, school shootings, and other tragedies as a journalist, she continues to pay homage to the son she felt she could not honor in the same way at his birth.