Chapter four was being so difficult, I skipped ahead to what would happen immediately after I got through the hospital bit.  Oddly enough, considering I only vaguely knew where I was going after the hospital bit, it worked.  Now I’m back to chapter four and filling in the transition.  It reminds me of that scene in Dead Poets’ Society (won’t quote since I only ever saw the movie in the theater)–in essence, stand on the desk to get a different view of the same old scene.  Change your perspective, and suddenly, it’s all much clearer.  I don’t know why, but it works.