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Dr. Elena Vance sat at the head of the scratched oak table, her posture rigid. She was a third-year resident in Internal Medicine, a time in training affectionately known as "The Trenches." Her hair was pulled back in a bun so tight it pulled at her temples, and her scrub pockets were weighted down with pens, a reflex hammer, and a tangle of EKG leads she hadn't had time to return.