Brain on Fire: My Month of Madness: Chapter 45 Summary & Analysis

Susannah returns to work in September. Though the HR department suggests that she ease back into work, Susannah dives in as though she'd never left. She tackles every article with enthusiasm, though she works slowly and must record interviews because she can't write as fast as she once could. Both Angela and Paul discreetly help her.

The week before her return to work, Susannah and her parents attend her final appointment with Dr. Arslan. Susannah tells him that she feels totally back to normal, and both Mom and Dad agree. Dr. Arslan releases Susannah from his care with a smile. However, Susannah tells the reader that she was actually far from a full recovery. She was in a stage of recovery in which patients are mostly back to normal by others' assessments, but still struggle with tasks that were once easy. This stage can last several years.

Right after her return to work, Dr. Najjar finally gives Susannah permission to color her hair. The stylist dyes Susannah's hair blond and cuts bangs to cover up her biopsy scar. When Susannah shares some of her story with the stylist, she puts Susannah's hair in rollers to mitigate some of the strange texture changes caused by her medication. Susannah feels amazing as she walks to the subway, but is quickly brought down to earth when she hears an ex-boyfriend calling her name. He apologizes for not calling and they exchange pleasantries, but Susannah feels off balance when she sees the pity in his eyes. She catches sight of herself in a window and notices how chubby she still is, and hates how much she's changed.