A clown also came into the ER, laughing hysterically and flailing his arms around. Might not seem like unusual behavior, but we learned he had 20 to 30 such uncontrollable episodes daily. While Patrick ran tests, Spinelli tried to face his life-long fear of clowns and forge a friendship with the man who obviously needed a friend. Yes, a fear of clowns might almost seem as unlikely as a clown whose uncontrolled episodes scare the daylights out of his young audience, but it's actually not as uncommon as you might think. Of course, Spinelli, even when he's weirded out and battling his own demons, has a way of doing so with such joyous humor. The clown, like most people, wasn't quite sure what to make of him.
Patrick's test confirmed a brain tumor, one nicknamed the joker face because of the symptoms. He suggests immediate brain surgery with a hopeful diagnosis for the future, while I’m left simply amazed at how many brain tumors and head injuries come into the ER on a regular basis. Spinelli accompanies him to the operating room, doing his best to cheer up the clown along the way.
Patrick's patient from two weeks ago, Jared, was still in a coma and his parents were beginning to lose hope, though his father admitted to Jason that the way the two battled since Jared had reached puberty, it might be a blessing in disguise. Robin offered his mother hope, remembering Jason's similar accident and injury from long ago and detailing the circumstances.
Jared did regain consciousness, and much like with Jason, had a completely different personality. The difference in Jared's case was that instead of being combative he was now loving, caring, and apologetic to his parents for his past actions. When Patrick suggested they could try some different drug therapies to restore his original personality, his father was animatedly against it saying as long as Jared was not in danger he wanted to leave well enough alone.
Robin was just as disturbed as I was by the father's selfishness surrounding his son's recovery, and found herself talking about that and her own fears about becoming a parent with Jason while Patrick quietly observed and overheard. It wasn't quite clear if was more upset about her rekindling her friendship with Jason, or the topic of parenthood she seems to continually revisit, but he was bothered by something; almost as much as Robin was upset by finding Patrick on the roof with Layla – twice. The second time was completely innocent as it was the now traditional roof scene at the end of the episode and many of the doctors and nurses were greeting the new day and the end of their shift while dancing to the song on the radio. The first time, in contrast, Robin found Patrick comforting Layla who had once again been accused of killing Mrs. Storch.