Alphonse remembers too much about that year; the stifled cries that come from the surgery room, the exhaustion cutting so deeply not only into Granny's face but Winry's, too. None of them complain; not Brother nor either of the Rockbell women but Alphonse knows how much it has to take out of them.
What hurts him most is there isn't anything he can really do to help aside from staying out of the way.