Mira: “You start by not letting her die of shame.”

Mira has no attending for two more hours — a test of her (Duty to Direct Care) authority. She can override parental refusal if she suspects life-threatening danger. But doing so means a legal battle, a complaint, maybe her fellowship. Act Two Flashbacks intercut: Mira’s own brother died of a fentanyl overdose at 17, after his parents (religious, ashamed) delayed treatment.

“First of many,” she says.

Cut to black.

Title card: Would you like this expanded into a full spec script or outline for a TV pitch?