The chapter opens with a discussion between Dr. Rivers and his wife, Dr. Watson. Rivers is worried about a young patient who has been admitted to his depressed department. The patient's parents are against surgery, and the young woman does not want to go through with it. The young woman has a long line on her face saying that she is very kind and that she will take advantage of her. Rivers says that he has no idea what she thinks of his job as a doctor, and that even if he were fired, his parents would still support him. He says that they have different personalities, but that he finds it easier to talk to patients and families than he does. He tells his wife that he does not find it difficult at all to deal with people and their families. He also says that violet is not doing well at her job. She has a good attitude, but she is unable to treat patients well. She takes advantage of patients who are very sick. Rivers tells her that she should not force her ideas on her, but he says that if this continues, she will never get a promotion. He asks his wife if she thinks it is appropriate for her and her husband to sleep