After Carly was declared cancer free she was released from the hospital. Carly was now happy to enjoy a normal life again but how long will it last? Carly shay enjoyed every moment of life but two months after being declared cancer free Carly shay was awoken by difficulties breathing and abdominal pain. At the hospital she learns her cancer is at stage three and that it had spread to her appendix and needed to be removed. Carly was devastated by this. The cancer she thought had gone away had returned. The doctors told Carly that her appendix had to be removed or otherwise it would rupture. Carly told Freddie what was going on and had him come down. Carly and Freddie talked before Carly was wheeled away to the OR for surgery. During the surgery they checked on the tumor to see if they could remove it but they couldn't. After the surgery was over Carly shay was transferred to the Intensive Care Unit to recover. While Freddie was sitting next to an unconscious Carly he noticed Carly putting her hand on the oxygen mask trying to take it off but Freddie stopped her. Carly then said Freddie, what is this thing on my face. It is clear and blowing air at me.
Freddie then said That's your oxygen mask Carly. It is helping you breathe right now so you have to leave it on. Carly then said Ok. About four hours later Carly then found out her cancer had advanced to stage four and had spread to her liver kidneys part of her brain and compromised her immune system to the point that she was no longer able to get out of bed and stand without Freddie's help. The doctor came in and told Carly shay that the end was near and that hospice care was the best route to go since the doctors had done everything they could. Carly was reluctant to do hospice care but caved. All the doctors could do now was make Carly shay as comfortable as possible until she takes her last breathe.