As a doctor, Dr. Rivers knows how difficult it is for patients and their families to deal with the pain of having a child with an intellectual disability. He tells his patients that they are like "time bombs" within their families, and that patients with severe intellectual disability "reject communication, studying, or even signals" . Rivers tells the story of how aaron worked so hard to make his son start writing when he first got his diagnosis of autism. He says that this habit of addressing people first has made him happy and that he and his son are "lucky" to have that habit. The next day, the gynecology office puts the report down, and Rivers tells her that he will head back to his office. He asks her to send out her family members, and she says that she will. She tells him to pick up a few of the things she gave him earlier, and give it to her colleagues and to her head of department. She says she will go to see Noah to see if there is anything she can do for him.