In that moment joan regonized that mr.behrman was her guardian angel. He gives her the opportunity to think positive about her own life and that she doesn´t believes when the last leaf falls from the vine outside the window ,she will die.With the secretly paint a leaf on the wall -a leaf that would never fall, he inspiring Joan to fight mentally her illness. He gives his healthiness to save this from Joan. When I considering that,it was cold and wet from painting in the icy rain I realize that he also caught pneumonia and died.
So the surprise ending was the final realization that the last leaf was not real but a painting seemed to have a magical healing power to renewed Joans will to love and to defeat her pneumonia.
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