With their medical careers now ruined, Elliot locks Beverly inside the clinic and tries to clean him up, taking pills himself in order to "synchronize" with Beverly. When Claire returns, Beverly leaves the clinic to be with her. After recovering his sobriety, he is concerned about his brother, and goes back to the clinic. There he finds the clinic in shambles and Elliot despondent and intoxicated. Their positions have become reversed as Beverly cares for Elliot. Drugged and despairing, they celebrate their mock birthday and Elliot volunteers to be killed, so as to “separate the Siamese twins" and allow Beverly to live his own life. Beverly disembowels Elliot on an examination table with the same claw-like instrument of Wolleck's that he planned to use on his patient in the operating room.