It doesn’t change the story. Someone looks at the list with the shifts, names and “events” and this is how the story starts? It is too subjective. Either the doctor is paranoid or…unless…
Unless the whole story started differently? I can imagine different situations, Lucy came to a confession and told the priest, or she told her therapist or another person living with her heard something. Someone reported because of conscience but had to be protected because of the profession. This is the only logical way to look at it.
But unless we hear this beginning, if it exists, (and we have not! Nothing!), the whole story how it started doesn’t make sense. The shift sheet makes no sense, Dr. Breary’s thinking makes no sense, Dr. Jayaram’s deposition is simply untrue.
I do have a certain suspicion that we were presented only with the tail of the story, and this is why it is so illogical. But since we were not told anything else, we are where we are. I think that Lucy’s story will end with letting her out because the public has unanswered questions.