When you need to cope with difficult circumstances, it's useful to be able to laugh about them. Raising special needs kids is often frustrating and exhausting, and we occasionally make jokes that would, out of context, be absolutely horrifying. George felt that it would be best to clarify that when we say awful evil horrible things about our children, we don't really mean it, we're just making one another laugh.
We segue (badly) from there into discussing the endocrinologist that George was referred to. Which happens to be the same one he had the hassles with back in the spring, 'round abouts episodes 4 to 10. Thankfully, this time around they seem much more supportive.