One could safely say that she didn't see that coming. the door went flying her way. The red hot spear tip punched right through the metal door but the herm didn't, and she with the door, and her spear, were thrown to the ground. That must have hurt... she didn't get out from under it so she must have been knocked out. Meanwhile doctor "fucko" was scrambling to get out of the room she was in and quickly ran out of an adjacent door.