Sue always thought of her offspring as Amanda. Allowing her to name the child had been one of the last indulgences that Brian had seen fit to bestow. Even then he had not the generosity to conceal his displeasure at her choice. Pretentious. Snobbish. Affected. The baby had been 'Mandy' from the day of her birth and, once Brian had really got the hang of high-rise/comprehensive linguistic mores, 'Mand'.
... Amanda said in that surgery would have meant bankruptcy that's what health ...
... used to mean that someone like Amanda showing a physician's assistant ...