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44 pages 1 hour read

Freida McFadden

Ward D

Fiction | Novel | Adult | Published in 2023

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Chapters 25-36Chapter Summaries & Analyses

Chapter 25 Summary

The narrative flashes back to eight years ago. Jade taps on Amy’s window and gives her the stolen trigonometry test with the problems solved. Amy says she doesn’t want it and throws it in the trash. However, after Jade leaves, the young girl tells Amy that she’ll fail if she doesn’t cheat.

Chapter 26 Summary

Amy has six hours left of her shift. She tries to take a nap in the staff lounge but cannot sleep even after using Dr. Silver’s technique. She walks around, stopping at the seclusion rooms. There’s no sound from Seclusion One, which makes Amy nervous, so she tries to talk to Damon Sawyer but receives no answer. In Seclusion Two, Miguel is singing. Amy decides reading might help her sleep, so she goes to Will’s room to borrow one of his John Irving books. Will is in the bathroom, so she helps herself to a copy of The World According to Garp, but when she opens it, she discovers it’s hollowed out and filled with medication.

Chapter 27 Summary

Will exits the bathroom and Amy covers her intrusion by asking to borrow Cider House Rules; he gives it to her. Thinking about Will’s hidden pills, Amy brings up what happened to Miguel and suggests Will wouldn’t want to be secluded. He becomes closed off and says he’s ready to sleep. Amy leaves, but her concern about Will’s untreated paranoid schizophrenia worries her, so she goes to tell Dr. Beck. Although he seems concerned, Dr. Beck says he’ll switch Will to injections if necessary. Amy tells him about Cameron’s disappearance, and Dr. Beck claims Cameron left a voicemail saying he left for a family emergency.

Chapter 28 Summary

The narrative flashes back to eight years ago. Amy is in math class on the day of the test. She reflects on how much she dislikes the teacher, Mr. Riordan, because of his lack of hygiene, monotone voice, and difficult tests. As Mr. Riordan hands out the tests, he becomes agitated because one appears to be missing.

Chapter 29 Summary

Jade confronts Amy about telling Dr. Beck about Will’s hidden pills. She accuses Amy of not understanding how difficult it is to take such pills and suggests she tell Dr. Beck about seeing things. Finally, Jade accuses her of abandoning her when she needed her most. When Amy apologizes, Jade suggests she and Cameron join her and her boyfriend for dinner when she leaves the hospital; Amy declines.

Chapter 30 Summary

Amy has five hours left of her shift. She reads Jade’s chart, and learns she and her boyfriend attempted to rob several banks with a beer bottle; overall, Jade has struggled to treat her bipolar disorder. Amy hears a strangling noise in Seclusion Two, where Miguel is, and sees blood under the door.

Chapter 31 Summary

Amy struggles with what to do about Miguel. She considers opening Seclusion Two, but then decides to get Dr. Beck. However, when she returns with Dr. Beck, the blood is gone. Amy wants to check on Miguel, but Dr. Beck refuses because he doesn’t want to rile him up. He again tells Amy to sleep.

Chapter 32 Summary

The narrative flashes back to eight years ago. Mr. Riordan keeps Amy and Jade after class the day after the test. He says the janitor identified them as the students he let into the classroom the day the copy of the test went missing. He wants them to explain their actions to the principal the following day. Amy panics, but Jade promises to take care of their problem.

Chapter 33 Summary

Jade accuses Amy of still seeing things, but Amy denies it, claiming she’s just tired. She returns to the staff lounge to sleep, but the lights are off and she realizes someone is waiting for her inside.

Chapter 34 Summary

Will is waiting for Amy in the staff lounge. He saw the blood in Seclusion Two, too, and Ramona cleaned it up. Amy doesn’t trust him because of his diagnosis. She confronts Will about his pills, and he admits he’s been hiding them because he needs to be able to think clearly. He heard Cameron scream earlier and saw him taken to Seclusion One. Amy mentions Cameron’s family emergency, but when she tries to call Cameron on a landline, she discovers the phones are dead. Will connects this to the power outage. He suggests Amy leave, but when she enters the code on the main door, it doesn’t work.

Chapter 35 Summary

Amy asks Ramona about the door code. Ramona says the doors reset when the power went out, and that they have to wait for the morning shift in order to leave. Amy asks what to do in case of a fire, but Ramona dismisses the idea, insisting a fire won’t happen. When Amy asks about the blood in Seclusion Two, Ramona tells her it was strawberry jelly.

Chapter 36 Summary

Amy tells Will what Ramona said, but he doesn’t believe it. He tells Amy to be careful. She sends him to bed, but when she looks down the hall, she believes he went into Jade’s room, not his own.

Chapters 25-36 Analysis

Amy’s conversations with Jade are personal in a way that is contradictory to her supposed fear of her. Jade takes advantage of their previous relationship and manipulates Amy, their Friendship Becoming Adversity, accusing her of having delusions like she did when they were 16. This calls into question her claims of noises and blood in the seclusion rooms. Her own mental health aside, Amy discovers Will is hiding his medication, meaning his paranoid schizophrenia is untreated. This reveal calls into question Will’s credibility regarding the same noises and blood. However, his talk of blood seems truthful, reinforcing the theme of Mental Health Diagnoses and Their Impact on Patients. When dealing with mental health conditions such as schizophrenia and bipolar disorder, it can be difficult to parse a person’s reality and delusions, leaving Amy uncertain if she can trust Will. Again, it is important to note mental health conditions aren’t inherently linked to character—regardless of the novel’s penchant for questioning characters’ perceptions. The use of mental health or similar factors to make characters unreliable is a common trope in horror and thriller media, which, while sometimes grounded in reality, can also be offensive, harmful, and stigmatizing.

Dr. Beck informs Amy that Cameron left Ward D to deal with a family emergency. She accepts this explanation, but again, the main door’s alarm didn’t go off. Cameron also didn’t speak to her before leaving, which seems counterintuitive to his attempts to reconcile. Will’s claim that he saw Cameron taken to Seclusion One also undermines Dr. Beck, calling into question his credibility and repeated suggestions for Amy to sleep. When checking the main door, Amy discovers its lock no longer works, and the landlines are dead. In other words, Ward D is cut off from the rest of the hospital. This creates further tension, as Amy and Will’s visions of blood indicate violence is taking place—and they are without consistent light and outside communication.

In the past, Amy’s struggles with the trigonometry test come to a head when Jade gives her a solved test to cheat. Once again, Amy sees the young girl, who encourages her to cheat or ruin her future. This girl plays on Amy’s insecurities, pushing her to act out of character like Jade. Later, Amy and Jade are caught by their math teacher, putting their academic futures in question. The aftermath of this incident is what leads to Jade being admitted to Ward D. Overall, the flashbacks frame Amy as a victim, someone pressured by other girls to give in to her worst impulses. However, in the present, she is not necessarily portrayed as innocent or faultless, as she is not her best self in the novel: She is exhausted and on edge, the latter of which might be concerning considering her wish to become a health worker, but her own mental health complicates this portrayal.

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