Years later, Lukas navigates hospital life while missing Scarlett after two days apart. Watching her sleep, he reflects that he once tried to thrive without her but no longer wants to. Their playful texts about hating bones and brains underscore the strain of their training and their steady, teasing intimacy.

At home, their cat, Carl XVI Gustaf, begs despite the fridge note that he has been fed, and Lukas relents with treats. During rounds, Lukas finds a hidden note from Scarlett: "Whenever you open this, I’m probably thinking of you." The small gestures sustain them through long shifts.

When colleagues ask about swimming, Lukas says he doesn’t miss it. Someone mentions an orthopedics resident who was an Olympian, misremembering details; Lukas privately corrects them and simply says he is familiar. He and Scarlett compare schedules, joking that they might only meet at a wedding. At a gathering, Pen introduces him as her best friend’s fiancé, and their banter highlights a deep, affectionate bond.

While listening to a talk on ependymomas, Lukas reads Scarlett’s messages about loving medicine but craving more time together. After a 3 a.m. return, Scarlett rolls into him, and he reveals a surprise: a colleague, Art, is covering his shift so they can have an uninterrupted day. They plan to sleep in, visit the pool, and be together, closing on a quiet assurance that their relationship is secure and enduring.