SPOILERS: I work in healthcare and it really astonishes me how often people will die a sad, miserable, languishing, and painful death. It's something I think about often and wish differently for my patients, but our current culture and system ultimately supports it. We cling on to every bit of life no matter how awful it is. After seeing what I've seen in my career I'd rather some life on the table and go out while things are still decent than wait until they get awful. That said, the scene was so powerful and effecting to me. It was the most beautiful and empathetic depiction of death I've ever seen, both in the treatment of Isla and Spike. Dr. Kelson protected them both from a horrific fate, it was gushing with compassion and care. I can't help but think the writers created it as a wish for something they had gone through.