Sentence 1: For Ashley, going to medical school it meant leaving behind her life. 
 Sentence 3: Ashley was very scared but she knew that she could handle anything 
 Sentence 4:  Once she moved and started school she got used to the routine 
 Sentence 5:  She learned that moving away isn't so bad after all 
 Option 1: She had gotten into a medical school out-of-state and had to go. 
 Option 2: She had gotten into a medical school out-of-state and decided not to go.