Violence ensues. It's hard to make out the details, because both of them are moving at full speed and their full speed is very, very fast. They're against the wall opposite Isabella's bed - then they're on the floor - then they're up again - then they're against the wall next to the door - then Lalita is thrown clear across the room and into the other cabinet, and the doctor follows him a fraction of a second later. All of this without a word, or even an audible breath, just the various noises of things hitting other things.