"The mail is the LIMB surgeon complaining about it to Sarif that she won't do that sort of thing again unless she has consent from a conscious patient."
From what I remember it was more about the Typhoon, the augmentations were done because of a clause in Adam's contract (god knows I'd fall into that trap too, who the hell wants to read 50 pages of fine print? Then again, I'd likely be ecstatic if I woke up as a badass like Jensen). The letter you mentioned was the surgeon basically saying "alright, I did the surgery but it will be up to the patient, not you, if he enables a half-tested prototype to be activated in his body". Essentially I think Sarif was pressuring her to insist Jensen enable the Typhoon system to see how well it worked and she just said "nope, I did what was contractually required, now it's his call".
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*+_Charos_+*
"I have often laughed at weaklings
who thought themselves good because
they had no claws."
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