It's Monday. Every Monday since she has come to the asylum, the doctors have typed up reports on their patients to be filed in the asylum archives. She knows that today she will type two reports for Tobias.
One report will state that he has made no progress. It will be the first report in months that will not contain bad news. It will be the first time that the other doctors will read that Toby's mental state has not deteriorated any further since the last report.
She knows that this report is inaccurate. The other report states the truth: that Tobias has made a great deal of progress. She files the first report and hides the second under her bed, where it will remain until she can extract from him what it is he would like to do. Once she learns this, she will help him.
She knows that this is unethical. She also knows that she fought for the position she now has, and that no one helped her along the way. But she is strong, and she is cold, and Tobias is tender and weak and needs her help.
Knowing that she wants to help him makes her wonder if she really is as cold as she thinks she is, but she suspects Toby would have this affect on anyone. She knows that she will never test this hypothesis because she will never allow someone else to take over his diagnosis and care. No one, she decides, should take him his food unless they have been with him when he would not eat.