Tony goes to discuss the issues with Dr. Melfi. He wants to know if mental anguish can cause physical ailments. He wants to know if Pussy's back pain could be caused by a guilty conscience. Dr. Melfi says that it's possible, that some people get physical manifestations of psychological problems. A backache could be indicative of a secret, a psychological heavy load. Tony looks pensive.
Back at the brothel, Tony, the madam, and CWTIPO discuss the Pussy situation. The madam doesn't think it's possible. The men don't care what she thinks. Tony wants proof. He wants to see the report that CWTIPO is quoting. He needs to have solid proof of Pussy's betrayal before he acts. And by "acting," I think he means "whacking." Don't you? Tony and CWTIPO swear at each other for awhile. Then they talk about their childhoods and their fathers and the madam. Then they pick their new names that reflect their true selves, paint each other's chests, dance around a bonfire, hug, cry, and hold each other. Sniff.