Sarah and Paula are waiting for Alan at his practice. Alan sees Paula first, much to Sarah's disappointment. When Paula's conversation turns to how good a job Matt does for her, Alan overly-aggressively drills into her tooth, destroying it. His assistant, Jessica, questions what he is doing, and he snaps out of it. Alan asks Jessica to finish for him, but after he discovers she has sent Paula home, he fires Jessica. When she pulls out April's pantyhose and threatens to expose him, Alan kills her.