"Orphan: First Kill,” kicks off just months ahead of the events of "Orphan," and we learn at the very beginning that Leena Klammer (Fuhrman) is a violent patient in an insane asylum who makes a bloody escape and assumes the identity of Esther. Being that Isabelle Fuhrman was a child when she first played Esther, she clearly approached the role from a much different angle as an adult.