Elena seems charmed by the orphans and Giuseppe explains to her that love has many pathways. At home, it becomes clear that Nina and Giuseppe have grave financial difficulties. He won't give up seeing patients, but comes up with an idea.

Pasquale is a bit heavy-handed in his attempt to manage the collecting of money from the more well-to-do patients and Giuseppe has to step in. He and Nina sell off many of their possessions and Nina has a hard time of it. At the end of a long day, Giuseppe gets a surprise visit

Elena goes to see Giuseppe together with little Antonio. She notices right away that the apartment is empty. At the hospital, one of Mussolini's federal agents is visiting and gives Moscati some troubling news.

Giuseppe goes to see Giorgio to see if he has the power to save the hospital from the new "reforms," but Giorgio has other priorities and rebuffs him.

Giuseppe's health is failing, but he won't accept Arcangelo and Nina's advice to get some rest. He seems to be well aware of his true condition and writes a letter to his loved ones. Elena brings Antonio home.

Even though Giuseppe's health is failing, he goes to see the needy in the poorest sections of Naples. Even when he gets home for dinner, the patients keep coming. He doesn't turn them away.

Giorgio is on his way home, but changes his mind and goes to Piazza del Gesù.

Giuseppe is very happy that Giorgio came to see him. The two friends have an important and sincere conversation.