What if? Krieg secrets

What if the Sammy krieg says in the crawmerax dlc is doctor Samuels from the doctors orders echo’s?

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What if?
She IS the same Sammy from the Doctor’s Orders mission.

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This was also discussed shortly after that HH pack came out.

The real question is : did she become a Psycho or did she used the Psycho language ? (TFTB Episode 1, Fiona uses the Psycho language to communicate with the psycho in her team)