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Summary
He told Mikey he wouldn't touch another pill for as long as he lived, something he's sure the guy has heard from every passing person who's entered inpatient, sat in those hard unforgiving metal chairs. They probably stopped keeping a tally of how many showed back up again with the same solemn promise as if they forgot they already broke it the first time.
Addiction is a constant fight, where the opponent learns how to lose more than they'll ever win. Relapse expected, it's just how it goes.
Frank just has a devastating reason to be so terribly certain he won't.
In the aftermath of a harsh sober reality, Dr. Frank Langdon returns to The Pitt to face whatever mess he left behind while trying not to fray apart at the seams.