As Bryan eats dinner after returning home from work, he and Kare discuss financial concerns, while Brycen sits on his motherÕs lap. ÒWe spend a lot of time talking about who we owe and who we can afford to pay today,Ó Bryan said. Though Bryan works full-time, medical expenses related to BrycenÕs care for Apert syndrome have strained the coupleÕs ability to keep up with their bills.