Staying Fat for Sarah Byrnes

What advice does the counselor give to the narrator when he first visits his friend at the hospital?

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When Moby first visits Sarah Byrnes at the hospital, Laurel tells Moby to talk to Sarah Byrnes just like he normally would and to assume that she can understand what Moby is saying to her. In short, Laurel advises Moby to make everything as normal as possible.