I genuinely can't understand why some people still think of Anya as a clumsy, squeamish, incompetent bundle of nerves after finishing the game. Like you'd think that, even before the end, players would realize that Jimmy is a very unreliable narrator, what with his manipulative tendencies, the fact that he's literally hallucinating every other scene, and how different the rest of the crew seems to act from Curly's perspective. But no, many seem to take this version of Anya at face value, and it's very sad because not only is she the most important character in the game, but that description of her falls apart once you actually think about her for a split second!
Anya kept Curly, a severe burn victim and amputee, alive with basic medical supplies. This means she had to take care of him tirelessly, debride his wounds, set up and change his IV, change his bandages, set and clean a bedpan for him... Would a squeamish person be able to do that? A clumsy person who constantly forgets about things? Would an incompetent woman who, according to Jimmy, isn't even worth her title as a nurse, be able to take care of such a high-risk patient that needs tending to like clockwork? No, of course not! Anya is driven. Dedicated. Impossibly strong. This isn't just any patient, but her captain, someone who was clearly important to her and then tried to kill everyone (allegedly), which would no doubt add an extra layer of complexity to working with him in this context. And yet he's still alive and breathing and in top shape all things considered.
The only two things that point to her being incompetent is her inability to enter medical school - the reasons why are never so much as mentioned, but Anya herself says she has no savings, and I haven't really seen anyone speculate it could be because of money, not necessarily her lack of skill - and her inability to give Curly painkillers, which clearly triggers an intense trauma response from her, so it's understandable that she'd seek help from someone else to do it. And then there's the fact that it's not just anyone, but her abuser. Would an incompetent person steel herself and try to convince her RAPIST, someone she's so scared of she literally hid the only gun on the ship so he wouldn't be able to take it, to give her patient painkillers? She could've stalled. Could've straight up given up on trying to give Curly his meds. But she would rather face Jim head on than let that happen, because she's brave, and she knows what she's doing, and refuses to let even her very real trauma get in the way of her duty.
See what I mean? It's easy to see her simply as a nervous person, who spaces out and mopes and can't do something as basic as give a guy some pills. But that's the thing - it's easy. Once you go a little further, once you spot the discrepancies between her apparent personality versus her actions and the way she behaved during Curly's sections, you begin to realize Jim is wrong about her, and you are, too.
For a fandom that likes to overanalyze anything (as you should with a game like this), it's genuinely sad how the same effort isn't always extended to Anya.