A few days later, feeling the need to reconcile with Richard, Karina visits him again, bringing pierogies and wine with her. Bill, one of Richard’s home health aides, welcomes her inside, and she is stunned to see a wheelchair, currently vacant, in the living room. Bill leaves since his shift is over.

Richard thanks Karina for the pierogies but sips a milkshake instead of eating them. Karina is surprised to note the progression of his symptoms, including his motionless arms, soft voice, and occasional drool. Richard explains that the wheelchair isn’t needed yet, but it’s best to buy them well in advance. Karina urges Richard to inform Grace of his diagnosis, but he asks her to tell Grace for him; she refuses.

Before she leaves, Karina scratches the top of Richard’s head at his request. Richard’s eyes tear up as Karina leaves.

Forced to lie flat on his back each night, propped up by several pillows to help him breathe, Richard rarely sleeps well. Smelling his freshly laundered sheets one morning, he remembers his childhood, including tasty breakfasts and satisfying piano lessons.

Getting up, Richard goes to the bathroom, spilling some urine on the floor.