Well, before Pam can even think about silvering herself or going to ground -- much less get her feet under her for the next attack on Tara -- she's going to need to get pretty again. The best thing that you can do on your worst day is dress up pretty, and Pam's known that longer than anyone alive. So before day falls, she summons good old gobliny Dr. Ludwig -- last seen debreeding Sookie's Jamiroquai attack -- to give her a truly horrific spa treatment. Chemical peels, injectables and all the rest give us a little bit of Real Housewives satire -- "Best I can do is remove the outside rot, you're still decomposing on the inside" -- but it's a little more compassionate than it seems, even as satire, because you have to realize that even when people define themselves by awful shit, like appearances, that's still how they define themselves. That when Ludwig says Pam will have to keep doing this every day for the rest of her existence, that there are some deals you can't unmake.
Which leads back into the other thing, the main deal of the season, which is all about faces, wearing other people's faces, scarring your own face to become somebody else. When you burn a witch, it's her face you must burn last, Jessica's first thought is to eat Marntonia's face, Tommy walks in skins, Tara gets her hair straightened. Pam's appearance defines her behavior and self-control: "I am not a zombie!" she screamed at the rubberneckers earlier tonight. If you really looked on the outside the way you do inside, would you be more beautiful? Or less?
Sam has brought dying Tommy to the hospital in whatever nearby town, and they've fixed him up. I forgot until this episode that Luna precisely said she got super sick after the first time she skinwalked, or Tommy's barfing would have made sense. Anyway, there's a list of symptoms that we'll eventually link to skinwalking, but in the meantime Sam's so worried about his brother -- having abandoned him for the housefires on his properties -- that he just wants to make him better. Tommy tries like hell to get out of there, and Sam graciously allows the personnel to feel his own forehead to prove that Mickens boys run hot, and eventually they're cleared to leave.