Cue extended montage of plastic surgery videos, where Christian has to take over, because although his own 40th birthday is just two weekвЂ™s after SeanвЂ™s, heвЂ™s dealing with middle age a little differently and consequently doesnвЂ™t have a problem вЂњoperating.вЂќ

Happy birthday! Oh, and she wants him to help her out with a little plastic surgeryвЂ¦ a facelift (rhytidectomy) and a brow lift / forehead lift. Hey, you know what would really help? If his mother-in-law (played by JuliaвЂ™s real life mom, Vanessa Redgrave) would just come to stay for a while.

Sean of course has had incredible performance issues at home, so he certainly doesnвЂ™t need вЂњthe shakesвЂќ at work, especially given that heвЂ™s the talent. Colonel Sanders didnвЂ™t throw in the towel! Take a chill pillвЂ¦ oh, yeahвЂ¦ heвЂ™s already doing that. McNamara really have to be stressed about? Dumping a dead patientвЂ™s body in the Everglades? Committing adultery with a patient who later died (and who he really loved)? Removing, at gunpoint, breast implants filled with liquid heroin from a drug lordвЂ™s вЂњmulesвЂќ? His sex-less, on-again/off-again marriage? Relax. How did he treat it? вЂњQuit the circuitвЂ¦ took the Jack Daniels route.вЂќ Sean takes a different roadвЂ¦ Alprazolam, a prescription drug that not only treats anxiety disorders but also poses a real risk of dependencyвЂ¦ not good. SeanвЂ™s doctor had a brother-in-law (a golfer) who suffered from the yips. SeanвЂ™s problems run deeper, though, than a few wrinkles heвЂ™s also hiding a mind/body condition heвЂ™s developed referred to as, вЂњthe yips.вЂќ Basically, itвЂ™s a nervous disorder brought on by anxiety in which the hand shakes uncontrollably at the most inopportune times, such as during plastic surgeryвЂ¦ not good. And, itвЂ™s not just women who are giving themselves the gift of smoother, more youthful looking skin, as men accounted for over 10% of all BOTOXВ® Cosmetic procedures in 2003вЂ¦ hey, better than buying a Corvette, if you ask me (and cheaper). Good, more for me!ДЄccording to the American Society of Plastic SurgeonsВ®, BOTOXВ® Cosmetic was the number one cosmetic plastic surgery procedure in 2003 with 2,891,390 procedures performed вЂ“ an increase of 157% over 2002вЂ™s numbers and up 267% from 2000. McNamara doesnвЂ™t believe he needs it (or at least, doesnвЂ™t want to believe it). Troy, who gives his best friend and business partner a syringe of BOTOXВ® Cosmetic as a gift heвЂ™s even willing to inject it right there and thenвЂ¦ done. I know, IвЂ™m not helpingвЂ¦ and neither is Dr. IвЂ™m joking! In fact, hereвЂ™s a comprehensive list of late-bloomers:ДЇeel better? I donвЂ™t. In fact, he canвЂ™t name anyone whose life improved after 40вЂ¦ well, a quick Internet search, and you know what I found? Nothing. McNamaraвЂ¦ happy birthday to you.вЂќ SeanвЂ™s turning the Big 4-0, and heвЂ™s having whatвЂ™s known as a little mid-life crisis. While IвЂ™m doing impersonationsвЂ¦ in my best Marilyn Monroe, вЂњHappy birthday to you, happy birthday to you, happy birthday, Dr. IвЂ™m going to call this episodeвЂ¦ DaddyвЂ™s Little Helper Okay, IвЂ™m rarinвЂ™ to go, so fasten your seatbelts boys and girls.

I wonвЂ™t be ignored, Ryan Murphy! A little Glenn Close for you. Season twoвЂ¦ finally! How long has it been? Too long! 245 days to be exact.

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