hmm he would've been in the states at the time! he kind of traveled up and down the east coast learning from the best/volunteering a majority of his time in hospitals. i would like to think that he'd been there, maybe doing a visitation and then taking her on as a patient while he was at the hospital. it wouldn't have been very long, up to the point that she was at least capable enough for him to pass her off to another doctor. if the headaches or issues occurred he could continue to see her now that they're at least in the same city