It was already three in the afternoon by the time Wren Whitaker returned to Stellaris.
She hadn’t even had the chance to organize the files she brought back from the hospital before Phoebe Price pushed the door open, looking grim.
"The Institutional Review Board sent their follow-up feedback."
Wren set her bag down.
"Already?"
"It’s suspiciously fast." Phoebe handed her the tablet. "They aren't rejecting our symposium altogether, but they are demanding additional explanations."
Maya Merritt rushed in from outside, clutching a half-empty cup of coffee. "Let me state for the record, I only got four hours of sleep last night. If anyone asks me to add a pause button for the pause button again, I’m going to pause myself permanently."
Phoebe ignored her, keeping her eyes fixed on Wren.
Wren looked down at the document.
Point One: Once a patient withdraws consent, how is historical data handled, and does the system allow for complete deletion?
Point Two: In cases where a minor patient and their guardian have conflicting opinions, how is the final decision-making authority defined?
Point Three: How does the system differentiate between 'silence' and 'refusal,' and is there a risk of inducing doctors to over-interpret patient behavior?
Point Four: Does the Stellaris team possess independent data security auditing capabilities?
Every single point was reasonable. Highly professional.
But the problem was that these questions came too quickly, and they were far too targeted. It felt exactly as if someone had watched Stellaris’s symposium yesterday, circled every single vulnerability, and handed the list directly to The Institutional Review Board.
Maya leaned over to look, her expression turning stormy.
"What does point three even mean? We fought tooth and nail to code in 'silence does not equal consent,' and now they're asking how we differentiate silence from refusal. What, are we supposed to run a semantic analysis every time a patient keeps their mouth shut? Do we need to hire a linguist now?"
Phoebe sighed. "They’re worried the system might give doctors misleading cues."
"But we can't just default to assuming all silence is meaningless just because we're scared of misreading it, right?"
"Rehabilitation isn't about slicing a person into strings of data, but guiding them back into human connections."
Maya stared at the text, scoffing in disbelief.
"Did she seriously take our presentation from yesterday, flip it inside out, and repackage it?"
Phoebe crossed her arms. "She packaged it brilliantly. We argued that when a patient doesn’t want to communicate, the system should stop; she countered that some silences need to be embraced. It makes her sound incredibly compassionate, while we look like a bunch of robots chasing patients with laptops, demanding to know if they want to refuse treatment."
Wren remained silent.
She read through the quotes one more time.
Willow was undeniably smart.
She didn’t attack their procedures, nor did she argue professional ethics. She simply took the 'boundaries' that Stellaris emphasized and translated them into 'coldness,' while framing Langford Medical’s 'companionship' as 'warmth.'
That contrast of cold versus warm was more than enough to force the uninformed public to pick a side.

Comments
The readers' comments on the novel: Sign the Papers Mr. Langford