At Ponyville General Hospital, Nurse Sweetheart was making her daily rounds. Then suddenly, she heard the familiar sound of the stretcher being rolled across the floor. At first, she thought that it would be much different than usual. But, once the stretcher came into view, she immediately recognized the patient as her own daughter. "Diamond Tiara! Oh dear Luna, my baby! We'd better get her into a bed right away." She anxiously stated. After Diamond Tiara was placed in the bed, the doctor came in and examined her. After he did, he reported "There's some odd residue near her mouth and I am unsure of what it is. But, I am certain that this is a clear case of poisoning." Everyone gasped in disbelief. "You're saying that somepony poisoned my dear daughter?! Who would do such a thing?" Nurse Sweetheart questioned. "We need to get her to the Intensive Care Unit stat!" the doctor ordered. Once the medical staff moved her, they immediately began treating her shortness of breath and administering IV meds in an attempt to bring her out of her coma. "If you'll excuse me, I'd better write a letter to my husband to have him come down here and I think I should pick up some of my daughter's belongings while I'm at it. She wouldn't want to be spending the night without them" "I understand, Nurse Sweetheart" "Thank you, Doctor."

In the waiting room, Silver Spoon and the Cutie Mark Crusaders were all sitting next to each-other not saying a word. Silver Spoon turned away from the others and a few small tears gleamed in her eyes before they finally dropped. "Silver Spoon, if you don't mind me asking, if Diamond Tiara treated you so badly why are you so upset about all of this?" asked Scootaloo. "Let's just say that Diamond Tiara isn't really who she seems and that she just wanted some attention." "What do you mean by that?" asked Sweetie Belle. "She didn't want to bother anypony with her problem, including her parents. So I promised I wouldn't tell a soul." Just then, Filthy Rich (Diamond Tiara's father), came in. "Hello, girls" he said "Hello, Mr. Rich" said the Cutie Mark Crusaders. "I'm glad to see that you've all come to see Diamond Tiara. It's really nice to know she has some friends who care so much. I'm sure you all want to see her, so I'll come get you after I pay a visit to her.

Meanwhile, Nurse Sweetheart was gathering up her daughter's belongings. When she went to get her daughter's favorite blanket, she noticed her diary sitting out. This could tell me if someone was threatening my daughter, she thought. But she wouldn't like it if I read her diary. Well, I guess I don't have a choice if I know what's good for her. So she picked up the diary and opened it. She eventually came to one page that really caught her attention. This is what was on it:

Dear Diary

I've been feeling really sad lately because my life has just been one big mess. Since my parents always seem so tired and I don't want to bother them, Silver Spoon was the only one I could talk to and now she's left me. True, I have my butler and so many other ponies but they're always so busy taking care of other things to listen to me. All I want is some attention, but I don't know how else to get some. I've tried everything but nothing seems to work. My life is hopeless right now .

After she read it, she finally realized what was really going on.