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Walsh, dissatisfied with the sanitary conditions of the office area in the Nuka-Town USA clinic, sent an email to his coworkers to remind them to throw away their unfinished food and to clean up afterward. When the senior physician, Dr. J. MacDonald, left for his two-week European vacation, Walsh occasionally filled in for the acting senior physician, Dr. Michaels, during some shifts to ensure Michaels got time off.
Having treated and reported hundreds of injuries and two fatalities caused by recent ride malfunctions, Walsh bypassed his unreceptive superiors on July 14, 2077 to voice his concern with the safety at Nuka-World directly to John-Caleb Bradberton. Bradberton, who secretly underwent Project LEAP-X in his personal vault on April 2, 2077, would have been impossible to reach without contacting his proxy, Peyton Huxley. It is unknown whether Bradburton or Huxley ever received the holotape, as the report is found on the reception desk in the clinic.