Readers have known Robert and his pride for some 500 pages, so they won’t find it surprising that he refuses to go down without a fight. His life after the hospital job is not much different from his life before it, but it affects his perception of California because it confirms that prejudice, whether racist or ageist, exists there all the same. This shows that Robert was probably right to spend his career running his own private practice. Others—especially white-run institutions like hospitals—would never recognize his brilliance in the same way as fellow Black Southerners (including his patients) could.