Dr. Voss’s temporary office was a rented suite across town with a cardboard box of files still unpacked in the corner, and she didn’t offer them coffee, which told Sienna everything about the shape of the next hour before a word was said. Dean sat down like a man bracing. “I want to be precise,” Voss said, “because imprecision is how situations like this get worse. Cal Brandt’s baseline results are not an emergency. He is not in danger tonight. But they are not normal. There are asymmetries in his testing — balance, processing speed, a pattern in his responses — that in a thirty-four-year-old with his history I am not willing to call ordinary wear.” She folded her hands. “He needs a full workup. Imaging, specialists, weeks, not days. And in my professional judgment he should not play unt

