Sam lets Raymond know that he has nothing to do with the man he's become. He has no right to have any pride for that. Sam is a match for the lung donation. He'll give it up if that's what his dad wants because that's the type of man his mother raised. Raymond doesn't want Sam to cut out a piece of his body for him. He's ready to go home to die. He also says no one can take away how proud he is of the man Sam has become even it was in spite of him.
Sam shakes Raymond's hand as he exits the hospital. He also thanks him for the stethoscope he gave him as a kid. Across the way, Sarah's dad speaks about how it is a parent's job to protect their children. Inside, Sam talks to the camera about all the things he hasn't done in life. His identity has always been his family and friends. It's always been enough until now. Sam wants to know what's next. Unfortunately, he doesn't really know what he's looking for.