At the airport, Livia and her sister are complaining that they can't understand anything the airline people are saying over the intercom. Two airport security people walk over to Livia and call her by name. Close-up on Livia looking shocked and scared.
Tony falls asleep sitting up. "Oh, Pussy," he says.
Melfi opens her office door. Tony is sitting on the couch, wearing brown pants and a wife-beater shirt. "Come on in," she says. Tony stands up, boasting a raging erection.
"Who's your friend?" Melfi asks Tony after they've taken their seats inside her office. Tony thinks for a second. "Pussy?" Melfi asks. "I'm confused," Tony admits. "Isn't Pussy your friend?" Melfi asks. Tony says that Pussy is indeed his friend. Melfi says that Pussy was the same friend that was almost carried off by the ducks. Tony says that the worst part of this is that he knows he's dreaming right now. He asks if when she says "pussy," does she mean his friend Pussy, or pussy pussy. "Whatever seems to be dominating your thoughts," Melfi responds. Tony says he usually has pussy on the brain. Probably the lowercase variety of pussy, I'm assuming. There are strange noises playing in the background as Tony tells Melfi that he's always wanted to fuck her. She says she finds him immensely attractive and that he goes out of his way to repulse her. Tony says that she likes that, and she's the one that's fucked up. "Anthony, Anthony, Anthony," Melfi says with a smile. "What are we gonna do with you?"
Tony slams Melfi on her desk. They rip at each other's clothes. The sound plays a different lovemaking scene, with them making noises that we're not seeing. They fuck on the desk.
Cut to Tony's face spinning. He's sweating and trembling. Doctor Cusamano asks off-camera if he's smiling. Carm says he's gritting his teeth. They wake Tony up. Tony tells the doctor that he's dying. The doctor says that Tony's just got a little E. coli, and that he'll live. He tells Carm to give Tony ice chips to suck to keep him hydrated. He says that it probably wasn't the Indian food that did it to him. Carmela says that Meadow's graduation is tomorrow. Tony closes his eyes and smiles. He sings the theme song to Gilligan's Island as Carm and the doctor leave.