The Joker, now at Arkham Asylum and designated as Patient #4479, begins his therapy with Dr. Harleen Quinzel.
The video sessions continue and this time they debate over the need for The Joker to remain at Arkham and not be sent to Blackgate Prison. But the doctor/patient roles are soon reversed when the topic of mortality is mentioned.
An unwelcome gift for Dr. Quinzel turns into a philosophical look at mortality and making every second count. Because just like for Steve, it could be the last.