In the short fiction Reasons for Elevators, I believe the person describing situation is bogged down with too many pharmacy products.  It seems to make zero sense to me.  I do not on any level enjoy reading something that is written that seems to be incoherent.  Much like for me going to a gallery and viewing extreme abstract paintings.  My mind does not function best when I have to try to track someone else's thoughts especially if I feel they are not grounded in their thoughts.

Okay so now there is extreme clarity in the story.  For me it begins to become a dire situation with grave emotion.  It has taken full turn since the beginning and the mystery has unfolded to become the exact opposite outcome than what was initially desired.  The description begins to pull at your heart strings and you are made aware that this human is very vulnerable.

Now there is the introduction of the sibling of the child who was never allowed to be born alive.  This sibling has knowledge of some sort of a brother or sister that did not live.  This sibling seems to be experiencing guilt from the mother whether that guilt is imagined or real from the mother.  The child is not feeling well or unconditionally loved by the mother.

This statement seems to be relaying the thought that these are not thoughts that are going to go away. Every year there will be this huge unspoken wet blanket of a gloom that will fall over her.