Richard accidentally kills doctor, gets medicine for Isabella

Richard rides through the rain in the night until he reaches the doctor's house. Richard enters the house against the wishes of the servant. The doctor is sitting at a table eating and refuses to go see Richard's wife because they live near El Socorro, which is a half day journey away.

The doctor says that he has medicine that will help though, but it is expensive. He goes to the cabinet to get the medicine, but then realizes that Richard does not have enough money. Richard offers him Isabella's gold cross and tells him "now you have everything." The doctor throws it on the ground as says that it is worthless. Richard grabs it from the floor and begs the doctor for help.

They struggle as Richard grabs the medicine and he pushes the doctor who hits his head on the table. As the doctor bleeds on the floor, Richard panics and runs out of the house with the medicine past the servant.

So we see here, that Richard is another person who came to the island with a dark past. He is another person that Jacob hopes will show the man in black that all people are not corruptible once they are given a fresh start. Later in the episode, we see that struggle pull Richard between dark and light.

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.