Most nights River is sure to pray that his pectus excavatum will go away when he hits puberty. We won’t know if he’ll need surgery to correct it until he goes through puberty. At that time, his chest will grow normally, or it will continue to be caved in and potentially interfere with his lungs and heart and need surgery. Naturally, it’s not a surgery he wants, so he prays about it every night.
Ocean is concerned about this as well, so he also makes sure to include it in his nightly prayers. Only he’s not careful in his pronunciation, and it usually comes out “kektus excabottom”.