In other words, fuck everything. Which is where Silas used to live, so he knows how this will play out: We got ourselves a situation that won't respond to logic or traditional therapies. Plus, he doesn't care to be anybody's boss anyway -- he just wants everybody to be okay -- so he shrugs and puts Shane in the lead.
Then, of course, Silas steals the plastic cup with all their cash when Shane's not looking. I would say this is about 60% wanting to be the favorite, 30% annoyance with Shane's constant cockblocking and newfound independence from consequences, and 10% attempting to do the right thing by teaching Shane a little lesson about responsibility.
Andy is troubled by going on the grid, especially considering the pediatrician isn't even Jewish or Asian, but Nancy lets him whine. She's more weirded out by the fact that she's back in a pediatrician's office after all these years. (In Mexicali it was so easy: You paid the doctor to come to you, in your locked up Rosemary's Baby Suite.) Point is, they let you pay cash.
Filling out the forms with lies takes a sudden turn into weird conversational gambits. Andy immediately criticizes her choices, changing "Avi" to the much more interesting "Clovis Ludwig McKenzie-Newman," and when she clucks he makes fun of her for losing her mischievous streak. Nancy used to be, he says, "Like a minx." Well, my kid's sick. And having just realized I have a baby, I'm all about that today.
Luckily, the next question is all about Nancy, which is her favorite topic, so she puts down "Skydiver" as her occupation. It's not wrong, exactly. Andy jokes about putting down "Homewrecker" instead, and she blows it off. For dad's occupation, Andy gets very wiggly and excited. "Scrappy do-gooder. Or hunky alpha male. Roving sex god!" Nancy writes down "Dead," because that's how she feels and how she will always feel, but her explanation is that it's easier to do it that way.
Why that is, is because he called her out for not being fun, and so she did something fun to get his approval back, so now he has to eat twice as much shit and she has to demonstrate that he still doesn't have any power or anything separate from her: Okay, yes, we can have fun on this form, but not so very much fun that you think we're teammates. This is a sidekicks-only gig. Daredevil Girl works alone.