Richard in Tenerife, Canary Islands, 1867, Isabella is very sick

In Richard's first official flashback, we are taken to Spanish island of Tenerife in the Canary Islands in the year 1867. He is riding a horse to his modest home where is wife Isabella is.

When he enters his home, his wife Isabella is sick in bed. He dampens a cloth to cool her head and when she coughs on the cloth, he sees blood on it. He tells her that he's going to get a doctor and he'll be back before dawn.

Richard gathers all the coins they have and says that he hopes it will be enough. Isabella takes the necklace from around her neck with a cross and tells him to give it to the doctor. Richard resists, but takes it. She tells him to closes his eyes and that they will always be together. He kisses her cheek and tells her "I will save you," then leaves.

Isabella telling him to close his eyes will be revisited and will be pivotal later in the episode when Hurley is talking to Richard.