Lauren’s letter to her father details her latest pneumonia-induced stay in the hospital. She hates seeing sick children in the hospital and wishes she could give her remaining time to them.

Back in reality, Lauren wants to take a trip to Hawaii but decides against tainting the memory of their honeymoon destination with her illness. They instead travel to Turks and Caicos, which she compares to Hawaii. Unlike on their honeymoon, Lauren now uses oxygen almost everywhere she goes. When Josh and Lauren dine at the resort, an older couple pays for their dinners, prompting a furious outburst from Josh. Josh pinpoints his true sources of anger: Lauren’s sickness and life’s unfairness. Lauren feels heartbreak rather than anger toward her husband. Josh later sends an apology and gifts to the couple from the restaurant. Later, Lauren has an epiphany about how to help Josh after her death. 

Lauren and Josh alternate between bantering about Josh perhaps marrying Beyoncé and the UPS man in the pornography they watch and reflecting on their love and what lies ahead. Fighting tears, Lauren details her final wishes: She only wants Josh present, doesn’t want to die at home, and wants to say goodbye to everyone.