So what I see as Alex is dying... I see Eliza and Angelica sitting by him, and he asks them to sing for him. Eliza sings Helpless softly as Angelica whisper-sings Its Quiet Uptown. The girls pause as Alex looks past them at Aaron, who's in tears. He says, "smile more." Aaron smiles.
Alex looks at the girls and says, "Angelica, Eliza.." and though she is not there, he adds, "and Peggy," showing he hasn't forgot his sister-in-law.
The girls continue singing, using past words like "had" instead of "have", and Angelica goes silent after "We were standing in the garden, Eliza by Alexander's side..." and then takes up "In New York you were a new man, in New York you were a new man, in New York you were a new maaaaan," with Eliza, and then before Eliza can finish with "helpless" like she did in the song "Helpless," the doctor feels Alex's face and says, "its helpless."
If that made you cry I apologize
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"Whatever nightmares the future holds, are dreams compared to what's behind me."