Barbara arrives in a hurry at Kiner Memorial Hospital's oncology department, where she meets Marie.
Marie reveals Barbara's acquaintance, Olivia, has a slow-progressing form of cancer that is monitored regularly.
The condition has started progressing slightly faster, but it has not metastasized, and Olivia is living with it rather than dying from it.
Olivia has something important to tell Barbara, who is concerned but also preoccupied with school and her poetry.
Olivia, using a pair of canes, joins Barbara and Marie after an MRI, mentioning the indignities of old age and medical procedures.
Olivia questions Barbara about the concept of screaming and initiates a conversation about coping with emotions in difficult settings.
Olivia gives Barbara an envelope from the Penley Committee, revealing that she is shortlisted for a poetry honor.
Barbara becomes emotional upon confirming she is still in the running for the Penley award and the opportunity to be published by Random House.
They leave the hospital and return to Ridge Road, with Olivia providing lighthearted commentary during the journey.
Once home, Olivia encourages Barbara to release a scream of joy in celebration of her poetry achievement.
Olivia expresses pride in Barbara's success, noting that she is the youngest and the first to be shortlisted among those she has mentored.
Olivia acknowledges that while there are still challenges ahead for Barbara, she has already distinguished herself among a talented and dedicated group.
Although exhausted, Olivia insists on discussing further matters with Barbara before resting.