She is mad.

"So you cannot come back if the vote against you is sixty-four percent?" Jessie asked and Isabelle shook her head. 

"If the vote for me is less than sixty-four percent." She said, both ladies sat in the dim restaurant that overlooked the city, Jessie gushed about how she had picked the restaurant because of the view but Isabelle could not look at the view without remembering her house, and when she did she remembered Asher, how she was living with him and then she felt guilty she couldn't tell her.

"You are looking at me weirdly, am I not going to be able to come back?" Isabelle asked.

"Well, I will vote for you obviously, but I don't know about the other doctors, it is going to be difficult seeing as you have never worked in the general hospital before, all they heard about you is bad news and they are all whipped for your cousin."