His wife Tracy was involved in an accident that left her comatose, and no matter what he and the medical community tried, they couldn't find a way to restore her consciousness.
The aftermath of the incident causes Derek to be reassigned back to his old hospital for the remainder of Chapter 4, where we see that he's clearly a shell of his former self and struggling to keep up with basic tasks.Granted, things improve over time, but it's no wonder why Angie's occasional harsh words toward Derek made her a divisive character in the series. In the next chapter, Derek recalls back to Hoffman's word from the first game, and while trying to treat Adel for a disease he contracted from in the first chapter, he loses his Healing Touch. The other doctors try to nullify Angie's bitterness by saying the incident would've happened to them if they were in Derek's spot, but Stiles sided with Angie's words more than them. Even worse is that after that incident, Derek gets a scolding from Angie who calls him out for overestimating the power of the Healing Touch and having a patient die because of it.
The death of Emilio is already a sad moment considering things were getting better at that point.Possessing the Healing Touch made it all the more difficult to accept. But its consequences were more than he could bear. Chapters 5, 6-1, 6-3, 6-7, 7-1, 7-3, 7-4: The next day, Derek Stiles did not show up at Caduceus USA.
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