As the Fitzgeralds prepare to say goodbye, it appears as if Brian was right in accepting that Kate would not survive her hemorrhaging—but, importantly, he concedes that he's glad they attempted every last treatment before letting her go. This is by far the closest the Fitzgeralds come to losing Kate, but the faint movement of her hand at the end of the chapter confirms what the reader already knows: despite the near-impossible odds, Kate is going to live.