In the book the relationship with Katharine and Almasy is sort of only in the patient's mind.
“The first sentence of every novel should be: Trust me, this will take time but there is order here, very faint, very human. Meander if you want to get to town.”
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Whatever happens in life is fine - just trust in that.
Quakers almost as good as colored. They call themselves friends and you can trust them every time.