Sam wanders into the dim living room and follows the sound of tearing paper, saying, "Hey, hey, hey, hey, hey!" He rushes over to the tree, where Jamie is angrily tearing the gift wrap off a huge keyboard. Sam gently tries to restrain him and hold him in his lap. Karen and Judy look on. Sam says, "You can't just go into somebody's house and mess everything up, okay?" He tells the kid to look at him and says, "This is not your house; none of this stuff is yours." Jamie, insulted, says he knows that. The adults just sit there looking sad.
"Okay, I know you want to push, but just try to hold on," Lily coaches. Tiffany wails, "I know! 'Cause you had two perfect babies, and your perfect husband, because you're perfect!" Lily looks like she's been slapped. "I don't know where you heard that," she says, laughing at herself and remembering that she had twenty-two hours of labor with Grace, and she was "screaming for drugs," and with Zoe, she "was so wiped out [she] just gave up."
Time passes, and Tiffany starts relating that her mom always told a story, when she was drunk, about how she almost died having Tiffany, and Tiffany always thought she was just being horrible and mean. Lily leans in and whispers, "Hey, you're not gonna die. You're just having a baby." Tiffany laughs and immediately starts crying.
More time passes, and Tiffany's now pounding the bed and screaming that she wants to go to the hospital. "I can't do it," she whines. Lily points out that she is doing it, and "doing it beautifully." She tries to get Tiffany to focus on the fact that pretty soon she's going to have a baby. This doesn't exactly soothe Tiffany, who shrieks, "I'm not ready! I don't even like babies!" Lily takes a seat on the bed and gives her a pep talk, telling her, "From the first moment you look into this little baby's eyes, your heart is going to open in ways you never dreamed possible. Just hang on. It won't be much longer."