There's something about Coop's satisfied "Here, good" when Jackie enters that lets you know shit is about to get bureaucratic. Good. Maybe if he's being a cocksucker he'll forget to talk about Twitter for like one second. The patient has Stage III lymphoma, which is bad, but his third-round chemo nausea is so intense that he's terribly dehydrated. Man. This show is so many ticking timebombs that you forget just how dirty your body can get on you. Jackie runs through all the possible medications he's tried -- while simultaneously holding the barf bucket and starting his IV -- and all the side effects that resulted. It's depressing. Coop completely tunes out how bad it is, and the guy's like, "I know you've seen worse, but maybe I should just die." Jackie suggests he try pot, and Coop's jaw drops to the floor.

"I'm a tour guide for the Red Line. I do crosswords and I sing in a barbershop quartet. And I'm single. Obviously. Where's a guy like me gonna find pot?" Coop finally jumps in there to interrupt before Jackie can offer him an actual connection, and she wraps him up so tenderly I will admit, a few tears sprung up. Outside, Coop flips out for a sec before Jackie even figures out what he's flipping about, and then she's like, "Oh God no," like, we're really going to go here. Coop instructs her at length, and she calls bullshit: "Is this part of the new image? The Top 25 New York Fucking Douchebag Doctors?"

Jackie points out that on any other Showtime show, or in lots of other states, he'd have already at least gotten to try medical marijuana, and she's really cool about it, talking to him like a man for once. Of course, Coop is officious and awful about it, and she stands her ground and says that she's going to go ahead and do her job, which is offering solutions to the guy's horrible situation. "No you're not!" Coop bitches. "I make suggestions, you listen and agree!" He offers to go over Gloria's head -- which is who, God? -- and Jackie snorts as if there's anybody more special or authoritative than Fitch Cooper, and it's fairly devastating even though she says it to the back of his head.