however, as ray drives away it is revealed that he is experiencing visual hallucinations from psychological trauma resulting from the incident earlier that day. in reality, peri died from the fall, and ray accidentally killed joanne after pushing her. the trauma of realizing he'd killed his family caused ray's mind to construct a new reality in which both his wife and daughter are alive. ray believes he is rescuing them, but it is revealed that he has kidnapped a random patient from surgery, while his wife and daughter are lying dead in the trunk of his car.