Love it. Sounds like you’re going in the right direction. And you might end up using some of those ideas you had in different ways later on – you never know what your Muse will give you.
Conceiving fits great for the first signpost here! I wonder if it’s kind of like, they have this assumed relationship based on their work roles which isn’t deep or personal … But after the nurse tells the surgeon she knows he’s haunted, they begin to conceive that they’re actually connected in a very different and deeper, scarily personal way. Kind of a “uh oh” moment for the relationship.
EDIT: forgot to mention this thread has inspired me to draft a blog post about how multiple throughlines can end up coming together in the same scene, even when you don’t plan it. Part of that was realizing my process is pretty similar to @jhay 's – I think I tend to plan RS “moments”, at least. Hopefully I’ll get it to “publishable” soon!