If there's no background, no foreground, no opposition, no complements, then there's no change becasue there's no subject and object.
When he nodded, the physician disappeared into thin air, and then a moment later, Payne felt a warm palm encompass hers. It was Vishous's un-gloved hand against her own and the connection between them eased her in ways she couldn't name. Verily, she had lost her mother. . . but if she lived through this, she still had family. On this side.