Content Warning: This study guide contains depictions of genocide, rape, sexual assault, suicide, and drug addiction. 

While on duty at the hospital, Cilka notices that one doctor’s patient records contain minimal information and that he pays little attention to each file. She tells Yelena, who agrees with Cilka but cautions her against accusing the doctor, Gleb, of wrongdoing. Another day, Yelena and Cilka discuss religion. Cilka’s religion is tied to her childhood memories, but her experiences have challenged her faith. She tells Yelena that if she ever talks about her past, it would be with her, and Yelena responds by telling Cilka to find her whenever she’s ready. This conversation and memories of her family overwhelm Cilka, and she runs to a linen closet and sobs.

Eventually, Cilka returns to her work. Gleb sees her and tells her to watch a patient named Isaac for his time of death before leaving the hospital for the day. Cilka examines Isaac and becomes determined to save him. She brings him out of unconsciousness and tells Yelena, who warns Cilka that there might be consequences for her interference. Yelena sends Cilka home with Josie. When Cilka returns the next day, Gleb and a prison trustie await her.