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At home, she brewed more coffee and opened the inbox. A resident had written with a question about a challenging culture; an alumna thanked her for the sepsis slide that had reminded her to act quickly. The file sat on her desktop, a small artifact of transmission — not viral, but pedagogical. It contained images, algorithms, references, and a few cautious footnotes. It also contained stories: the nurse who noticed a trend, the patient who recovered because someone checked a chart again, the student who had asked a question that made her refine an explanation mid-lecture.