The page title refers both to Demetrius being alive (despite Ash’s worst fears) and to the comic itself for reaching its 250th page (despite years of delays and hiatuses).

In the first draft of this page I wrote out full-sentence text messages from Demetrius’ mom explaining that there was a hazardous weather driving ban and that they had gotten pulled over, explaining why they are so late getting to the hospital. After a bit, it occurred to me to think about how Demetrius would feel receiving texts all day for years and years while being unable to coherently respond to them. That’s when I realized he could use emojis, and that spawned the emoji conversation shown here in the final product. I’ve made it canon that all of Demetrius’ family and closest friends text him exclusively in emoji.