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I'm not sure I know what you mean. I think it makes sense because Sarah kept thinking she wanted to be in Pathology until she saved that person in the ER. I can't even remember what she did but after that she started rethinking her decision. Does that make sense to you?
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I thought that maybe you think that it doesn't make sense for the writers to go there because she chose Pathology specifically that she didn't want to deal with patients and now suddely she is interested in saving them. So I thought that maybe you mean that the writers contradict themselves.