Anna, a single school teacher in Baltimore, finds out from the doctor that she has contracted Acquired Toilet Disease from the toilet in her classroom. In an attempt to find a cure, she, and her brother Carl, plan a trip abroad to see Dr. Todesrocheln in
Vienna. At the airport, on their way to
Paris, Carl makes Anna hold his stuffed rabbit as they walk through security. Once in Paris, the pair visit the
Eiffel Tower and Anna notices a man in a trench coat and beret carrying an identical stuffed rabbit that Carl has. She feels convinced they are being followed. Carl waves the suspicions away and they continue to a French bistro. After their meal Anna sleeps with the Garcon, while Carl wanders the
Louvre. Anna spends the rest of their trip in Paris afflicted with the six stages that affect terminal illness patients. It is after Anna reaches the sixth stage, Hope, that she feels the desire to continue their trip to Vienna to see the doctor. In
Holland, Anna sleeps with The Little Dutch Boy at Age 50, a reference to
Hans Brinker, or The Silver Skates. When Anna returns from her trip, she spots Carl on the
Magere Brug. Carl meets the man in a trench coat and sunglasses. Both hold stuffed rabbits. Upon meeting in the middle of the bridge, the two stroke each other's stuffed rabbits before parting in opposite directions. That night, Carl refuses to explain what happened and says that they must leave for
Germany immediately. On the train, on the way to Germany, Anna and Carl show the audience slides from their trip. However, their descriptions of the German countryside are combined with pictures that do not match. For example, when Carl speaks about
Neuschwanstein Castle, the slides show a picture of the castle at
Disneyland. The pictures are primarily of Baltimore or the
Johns Hopkins Hospital. In Germany, Anna continues to sleep around as tensions rise between her and Carl. Carl feels frustrated that Anna is not spending time with him. Once he and Anna make up, Carl convinces her to go to Vienna to meet up with one of his college friends, Harry Lime, because he might be able to get them medicine. Upon arriving in Vienna, Carl meets Harry on a ferris wheel. Harry Lime sells blackmarket medicine that he makes in his kitchen—he is a self-proclaimed businessman who sells hope. Harry Lime and Carl fight over Carl's stuffed rabbit. Meanwhile, at the doctor's office, Anna and Dr. Todesrocheln discuss his work with urine. While they speak, Dr. Todesrocheln fights with himself over drinking Anna's urine sample. He drinks it and Anna recognizes him as the Doctor from the first scene. Anna rushes back to the hotel room to find Carl laying stiff in bed with a white sheet over him. She gets him to stand up and they waltz before the Doctor pulls a white curtain across the stage. Anna stands in the
hospital lounge as the Doctor delivers the news that her brother Carl is dead. It is revealed that they did not travel abroad and Anna did not have ATD. ==Background==