Khalil Gibran who wrote The Prophet, also wrote A Tear and a Smile. This show was a reflection of that very human dilemma as we face the darkness and the light in life. I've thought this show was good all season, interesting medical drama as they go, nice premise a bit unusual, lots well-crafted characters, good challenges for them. This season finale which wraps up several plot lines, at least for now, was outstanding and really well done. Peter Horton directing has a great touch. The final lines of the show were so on point it was amazing. All season I've found the writing excellent. This episode's plot line with the man dealing with PTSD as well as his doctor's professional challenge was one fantastic story line that underlay the others. The difficulties people face who work in public service, especially the medical side along with the insanity of insurance companies that dominate what can and can't be done, the expenses... So smart, dedicated people for the most part deliver the best they can given the larger situation, and that they have moments that are impossible and drives them a bit crazy is a sane reaction to the insanity. The show leaves some unknowns, and I hope we get another season with all the current cast (!) to follow this really good story telling further.