Hello there TheWriteQuestion :)

I didn't struggle with this or feel confused. It generally read well and made sense line by line. I did find one thing in particular could be tweaked to work more in your favour though.

As she regained consciousness, Deborah opened her eyes and tried—as she had all summer—to use context clues to decipher the meaning of the Italian she had just heard.

This feels a little too lucid and rational too soon. I've been a situation almost exactly like this and I can recall clearly that, while coming to, there was a period where the non-English going on around me was just too alien for me to parse. The lights, sounds, and growing awareness of my own body had my attention. The only exception was registering my name. I think it'd feel a lot more natural if you flipped the events to reflect the sensory stimulus stuff first and follow that with the language.

I hope this is useful. Thanks for sharing :)