For me, the ending implies paralysis. Dr Powell said the final report was
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... the drug contains a substance of some toxicity that could seriously affect the central nervous system, possibly leading to paralysis.
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I agree that Dick’s conscious decision to miss the plane and take his last trip would be harder to forgive than the unconscious attack. It would be hard to trust him again after that, as it must be for anyone dealing with an addicted person, whether it’s drugs or alcohol or gambling or whatever.