Megan Monroe sits with her 16-year-old brother, Keegan Voss, on the edge of his bed as she slowly opens a green envelope.
A pile of toys lie next to the bed; and in the background, greeting cards are strung from the ceiling, almost reaching the floor.
Wearing a Kermit the frog T-shirt, Keegan lets out a gasp of excitement and a half-smile as Monroe takes the greeting card out of the envelope. He then holds it, opens it further and pushes his face into the center of the card, trying to read over the words.
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