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When Charlie refused to turn in the progress report, it created tension between him and Drs. Nemur and Strauss. They viewed his reluctance as a sign of regression and a lack of cooperation, which strained their professional relationship. Charlie's desire for autonomy clashed with their expectations, leading to a growing disconnect between him and the doctors who had been guiding his transformation. This moment highlighted the increasing complexity of Charlie's identity and his struggle for independence.

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