Back to the Salvador saga; Abe says that from what he's heard, he's more worried about husband killing wife because, posits Abe, "She's driving him nuts." Lyla takes issue with the term "nuts," which is understandable since the Barbra Streisand movie by that name did incalculable damage to the popular image of the mental health field. Wondering what Heather has to say about the wife, Lyla suddenly notices her absence. Turns out she's upstairs, testifying to the review board, which flusters Lyla. As she makes a beeline for the water cooler, an ample nurse comes over to offer the first bit of support Lyla has gotten throughout this entire episode. "Girl, you know you did nothing wrong," says the nurse. "Listen up. Show no fear, and when they're all done wasting everybody's time up there, you and me are going to Bloomingdale's and try on some French bras, and then we're gonna get us one of those Hawaiian pizzas." Nice. A woman comes in to tell Abe that two she-males are fighting in the other room (yup, there they are, hormone-aided breasts dangerously close to visible), the phone rings, and Lyla is informed that they're ready for her upstairs. The boost she got from the kindly nurse fades, and she looks frightened as she steels herself for the Special Review board. As she walks out of the room past the whining trannies, Abe says, "You'll be fine." "I know," says Lyla, "I know," and closes the door.
General activity in the ward; one patient paints a mural on the wall, one does pushups on the floor, and one starts bugging Neil and Bobby as they wander through the hall discussing Rickle. "Can you see me?" asks the patient, as Bobby explains that the lawyer has scheduled an immediate competency evaluation in the hope that the medication won't have kicked in and that Rickle will still appear crazy as a loon, or something like that. This, says Bobby, is the same strategy that failed in the Ferguson case, as Neil looks through the window of Rickle's cell, where an orderly is administering the fought-over meds. Except, in Neil's eyes, the orderly becomes Lyla, standing next to Rickle as he rubs her pregnant belly, and she stares at Neil with a defiant look. Neil and Lyla obviously took the same bad acid at breakfast this morning. Neil stands completely still, gaze fixed, as Bobby yammers about Ferguson's decision to represent himself and the patient reappears for another round of "Can you see me?" "Yes," shouts Bobby, and the patient skitters away down the hall, happy that he can be perceived by others. "Could you imagine Rickle defending himself?" Bobby asks Neil, who is still rooted to the spot, even though the orderly has returned. "That would be some really compelling Court TV," says Bobby, before realizing that Neil has left the building. Bobby snaps his fingers in front of Neil's face, who leaves his reverie to remark, "What was she thinking?" He's referring to Lyla's decision to wrestle Rickle for the needle, leading Bobby to surmise that Neil is blaming Lyla. "It's not Rickle you want to kill, it's Lyla," says Bobby, explaining Neil's eviscerating attitude toward Lyla for the entirety of this episode. Bobby reminds Neil that "at the end of the day, she's still your wife," and wanders away, leaving Neil to ponder the value of any statement that begins with such a stupid, overused fragment. It's not the end of the day right now, Bobby, so stick a sock in the platitudes. Ignoring this advice, Bobby stops to comment on the mural and says, "I feel like I'm tripping back in 1974 all over again," subtly indicating that the Lou Reed tattoo might not just be for show. Bobby is a man with a past.