it too bad a lot of people do not understand this and the next episode . but do not worry . ill explain it too you positive . this episode be split in 2 part . first part be tony dream in his coma . second part be what happen in real life . now what people do not understand be that tony dream be more then just a dream . in this episode it about his preparation for his death . he lose his own identity and eventually even forget himself and thus he disconnect all his binding with this world . you will notice what i be say at the doctor scene and where tony say he have lose his briefcase which contain his life . they maker really do a superb job of interpret theyre own thought of what happen when you die . if you understand the whole plot you will find this and the next episode an unique thing and with great spiritual meaning . like every soprano episode the acting and filming be superb . only thing i do not understand be what the role where of the monk . gon na re watch it till i get this . anyways this episode really touch me and and i do not think anyone else can make a good view of what happen in a almost death experience . positive no doubt .