During the investigation, Scully and Mulder are going over some files when a drop of blood appears on the top sheet of paper they are reading over. Scully is experiencing a bloody nose brought on by her cancer. While in the washroom, she sees an apparition of a dying girl and the words "She Is Me" written in blood on the mirror. She goes to the doctor to get a check-up following the nosebleed. After getting a blood test, Scully takes the opportunity to visit the counselor she talked with in the 2nd season episode "Irresistible". When asked if she feels she owes it to Mulder to keep working, she denies it. "I guess I never realized how much I rely on him before this. His passion. He's been a great source of strength that I've drawn on." She explains the image and tells the counselor that the woman appeared to be trying to tell her something. But she claims not to know what the message was. "Are you sure?" the counselor presses. Scully asks what of the other people that also had the visions. Mulder says Harold had an additional connection with all of them. They were all dying. S: I saw something, Mulder. The 4th victim. I saw her in the bathroom before you came to tell me. M: Why didn't you tell me? S: Because I didn't want to believe it. Because I DON'T want to believe it. You can believe what you want to believe, Scully. But you can't hide the truth from me, because if you do then you're working against me. And yourself. I know what you're afraid of. I'm afraid of the same thing. As she sits behind the wheel, she gives in to her overwrought emotions and breaks down, beginning to cry.

Elegy The X-File involves an autistic man, Harold, who works at a bowling alley and lives at a psychiatric center. Harold has been seeing the victims of murders just before or as they die. They appear to be speaking to him, as if they want to make some final form of communication. During the investigation, Scully and Mulder are going over some files when a drop of blood appears on the top sheet of paper they are reading over. Scully is experiencing a bloody nose brought on by her cancer. She goes to the restroom to wash up and probably to escape Mulder's concern. While in the washroom, she sees an apparition of a dying girl and the words "She Is Me" written in blood on the mirror. At that moment Mulder knocks on the restroom door distracting her from the apparition and when she looks back, it is gone. Mulder came to tell Scully that there has been another death. It's the girl Scully just saw. She doesn't share this experience with Mulder; out of fear or denial, only she can say. Scully tells Mulder she's going to let him handle this latest aspect of the case while she goes to the doctor to get a check-up following the nosebleed. After getting a blood test, Scully takes the opportunity to visit the counselor she talked with in the 2nd season episode "Irresistible". She tells the counselor of her cancer and its untreatable nature. The counselor asks why Scully has kept working. Why it's important to her. Scully seems hard-pressed to formulate an answer. She says Mulder has been concerned and supportive. When asked if she feels she owes it to Mulder to keep working, she denies it. "I guess I never realized how much I rely on him before this. His passion. He's been a great source of strength that I've drawn on." The counselor asks her what happened to bring her in for a session. She confesses that she "saw something" but she doesn't know if it was due to the stress, because the image had been suggested to her, or if it was an image borne of her fears. "Your fear of failing him?" the counselor queries. Scully gives a slightly pained laugh and says, maybe. She explains the image and tells the counselor that the woman appeared to be trying to tell her something. But she claims not to know what the message was. "Are you sure?" the counselor presses. Scully, with tears in her eyes, seems to shake her head no but with uncertainty or an unwanted knowledge in her eyes. Mulder goes to Scully's home to bring her up to date. She is sitting in quiet contemplation when he rings the bell. Launching into the case and his request for her medical advice, Mulder barely catches himself and remembers to ask after her health. With a typical "I'm fine" from Scully, they get back to the case. He tells her of the bowling alley owner's death and how Harold had an apparition as it happened. He then launches into his theory. He thinks Harold's autism kept him from forming typical bonds with people he cared about. He says the bonds he formed were almost psychic, beyond the temporal. Scully asks what of the other people that also had the visions. Mulder says Harold had an additional connection with all of them. They were all dying. One of emphysema, one cancer, one a heart condition, and he wants Scully's medical opinion on Harold who he's convinced will also show signs of some fatal condition. What he doesn't realize is the impact that his theory is having on Scully. She never mentioned her vision to him but he does know she has cancer so he might have tempered his talk of mortality. Poor Scully. At the conclusion of the case, Harold is dead and the killer apprehended. As they leave the psychiatric hospital, Scully reveals to Mulder what she's been holding back. S: I saw something, Mulder. The 4th victim. I saw her in the bathroom before you came to tell me. M: Why didn't you tell me? S: Because I didn't want to believe it. Because I DON'T want to believe it. M: Is that why you came down here? To prove that it wasn't true? S: No. I came down here because you asked me to. M: Why can't you be honest with me? S: What do you want me to say? That you're right? That I believe it even if I don't? I mean, is that what you want? M: Is that what you think I want to hear? S: No. M: You can believe what you want to believe, Scully. But you can't hide the truth from me, because if you do then you're working against me. And yourself. I know what you're afraid of. I'm afraid of the same thing. S: The doctor said I was fine. M: I hope that's the truth. S: I'm going home. M: (heavy sigh) [This whole exchange smacked a bit of Mulder's self-centered nature to me. This is, of course, my unsolicited opinion but it seemed almost an afterthought when he threw in the line "And yourself". Up until then it was all about how her withholding the vision was effecting him and the work. What about how the cancer and her impending death is effecting her? Her feelings. Her fears. Even when he softens a bit and says he knows what she fears and that he holds the same fears, her next statement brings the double edged comment, "I hope that's the truth." He hopes she is fine but he also hopes she's telling him the truth and not holding anything back from him. I know that their partnership is based on trust and that he wants them to be on an even playing field, but he might consider for more than one second what she's going through. As she pointed out in "Never Again", it's not all about him.] Scully leaves the hospital and gets in her car. As she sits behind the wheel, she gives in to her overwrought emotions and breaks down, beginning to cry. An ambulance with sirens wailing goes by and as she watches it pass, her gaze goes to her rearview mirror. She sees Harold sitting in the back seat. When she turns around, the back seat is empty. It was another vision. Possibly, another harbinger of death.