After he finishes examining Madeline, the E.R. Doctor (Sydney Pollack ) takes a tablet out of his pocket and puts it under his tongue as he explains to her and Ernest about her condition. The tablet is a nitroglycerin tablet. This indicates that the doctor has heart issues as that nitroglycerin is used to treat chest pain and heart problems. In the next scene where Ernest is looking for assistance from the medical staff, he sees almost all of the staff trying to revive the same doctor after he dies from a heart attack after he had examined Madeline. The fatal heart attack was most likely caused by the extreme shock of discovering that Madeline is legally dead yet is somehow alert and communicative, and drinking from Ernest's flask before he took his medication which can have serious repercussions when the two chemicals are mixed. This also means that Lisle's immortality secret dies with the doctor. Had the doctor lived or was more healthy, he probably would have found out about the cause of Madeline's condition and possibly reveal this situation publicly, which would've ruined Lisle.

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