In this conclusion to the A case, we learn that Isla Garamond, chief medical officer at Garden Birch Children’s Hospital Center (Garden Birch), and her colleagues on the hospital’s hiring committee supported David Smith, then director of Pediatric Thoracic Surgery, in his bid to be the chair of the Pediatric General, Thoracic, and Fetal Surgery Division. This short B case briefly outlines the events surrounding and following Smith's promotion, including his retirement and post-retirement professional life.