I didn't doubt a moment B'Ellana would live through her wake-dream ordeal in sick-bay. With the doctor and Tom and the captain watching every moment. There she meets Kayless and the 'first' Klingon and she has another argument with her mother. It's one of the few shows that seems so un-immaginative.
In "Tinker, Tailor, Doctor,Spy the doctor asks for more power and sub-programs for his already affluent program. This he receives but only because of Janeway's generosity.