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Royal Pains: Hurts Like A Mother

Hank's newest patients are a mother and daughter who are seemingly totally different, yet their conditions may have a common cause. Paige's involvement with the new clients provides perspective on her relationship with her parents. Divya throws a dinner party to introduce Rafa to her friends while Rafa privately sees Jeremiah about a medical issue.

Episode Info

Episode number: 4x12
Production Number: RP412
Airdate: Wednesday September 05th, 2012

Alternate Airdates:

AU (Seven) Nov 08, 2013
IE (RTÉ TWO) Jun 15, 2014


Guest Stars
Ben ShenkmanBen Shenkman
As Dr. Jeremiah Sacani
Kat FosterKat Foster
As Dr. Harper Kubelick
Bob GuntonBob Gunton
As General William Collins
Lisa BanesLisa Banes
As Ellen Collins
Khotan FernandezKhotan Fernandez
As Rafa
Carrie PrestonCarrie Preston
As Jackie Van Ark
Amelia Rose BlaireAmelia Rose Blaire
As Fiona Van Ark

Co-Guest Stars
Maximillan TapperMaximillan Tapper
As Boot Camp Instructor

Rosanna ArquetteRosanna Arquette
As Paige's birth Mother
Main Cast
Mark FeuersteinMark Feuerstein
As Hank Lawson
Paulo CostanzoPaulo Costanzo
As Evan Roth Lawson
Reshma ShettyReshma Shetty
As Divya Katdare
Brooke DBrooke D'Orsay
As Paige Adele Collins


Hank and his new girlfriend Harper are headed for their morning exercise class and talking about getting together for dinner. Both have busy schedules but they arrange to meet at a diner close to a bookstore in case one or the other gets called for an emergency...

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Episode Notes
Jackie and Fiona are suffering from Hereditary angioedema, otherwise known as Quincke edema or Quincke's disease, named after the doctor who discovered it.

Episode viewers (millions, Live + Same Day): 3.59

ArtistSong TitlePlayed When
Katie HerzigHey Na NaEnd of episode

Episode Quotes
Hank: Wait and see where I'm taking you for dinner tonight.
Dr. Harper Kubelick: Oh, I have a meeting with a referring doctor tonight. Tomorrow?
Hank: I'm on call.
Dr. Harper Kubelick: Oh, wait. So am I.
Hank: Typical workaholic doctor.

Evan: (to Paige, talking about her cleaning around his house) Okay, "A," you don't have to do this. "B," how dirty do you think we are?

Hank: Is everything okay? You seem unusually anxious.
Divya: Do I?
Hank: Yeah and honestly, for the last few days, you've seemed unusually giddy.
Divya: I've met someone.

visual: Hank is engrossed in the romance novel he got from Jackie.
Evan: Can you take a break from the housewife porn for one sec?
Hank: Jackie sent it, I'm just reading it to be polite.
Evan: Look, I don't care what kind of weird stuff you're into, I just need your advice.

Evan: (talking about Paige) She just seems so lost. I want to help her! I have no idea how. There are no... pep talks for this. There are no sweet fiancee things I can do to fix it for her.
Hank: You can't fix it. But you can be there. That's plenty.

General William Collins: We wanted Paige to feel secure and loved.
Evan: She did. She, she does.
General William Collins: She has every right to be angry with us. We kept this secret too long. I've always been too willing to keep secrets. But I honestly believed I was protecting my family... the only way I knew how.
Evan: You know Paige. You know she loves you. She just needs time.

Dr. Harper Kubelick: Give it to Divya, she sure goes all out to make a statement.
Hank: Not usually, right Ev?
Evan: Yeah, it's pretty un-Divya.
Hank: She's usually so...
Evan: Uptight?
Hank: I was gonna say "reserved".
Evan: Yeah, me too.

Evan: So Rafa may be dying?
Dr. Jeremiah Sacani: Uh... actually I've only performed an X-Ray. He needs more tests.
Evan: You've only... what? So he may not be dying?
Dr. Jeremiah Sacani: Uh, maybe not.
Evan: Why would you start with the fatal stuff? Aren't you supposed to rule out the little things before you go scaring the hell out of people like me?

Paige: Evan... I miss my mom and dad. They're my parents. They've taken care of me my whole life and they know me better than anyone. They may not have made me, but... they made me who I am. Will you come home with me?
Evan: Of course I will. Right now?
Paige: Yeah.
Evan: Let's do this.

Hank: In all out negotiating about how this relationship would work, don't you think we skipped a step?
Dr. Harper Kubelick: What do you mean?
Hank: The fun, falling for each other, "throw caution to the wind" part. We skipped it.
Dr. Harper Kubelick: Yeah, you're right. There hasn't been much falling, more like a controlled descent.

Evan: Are you looking for Paige?
Paige's birth Mother: Yes. Yes.
Evan: Oh. What's it regarding? I'm her fiancee.
Paige's birth Mother: I'm... her mother.

Cultural References
Jackie Van Ark: It's an Étagère. It's built to display delicate objets d'Art.

An Étagère is a piece of furniture from the late 18th century in France used to display ornaments and small art objects.

Episode References
Paige: I'm doing it again.
Evan: You're doing it again.
Paige: Yeah. I am filling my time care-taking, instead of facing the thing I should be facing.

In episode 3x12, Some Pig, Paige finally comes to the realization that she has been catering to her parents' needs rather than fulfilling her own ambitions and goals.

Other Episode Crew

CreatorJohn P. Rogers  |  Andrew Lenchewski
Executive ProducerAndrew Lenchewski  |  Michael Rauch  |  Constance M. Burge  |  Rich Frank  |  Paul Frank  |  Jeff Kwatinetz
Co-Executive ProducerKerry Orent  |  Jack Bernstein  |  Jon Sherman  |  Carol Flint
Supervising ProducerJessica Ball (2)
ProducerKathy Ciric  |  Antonia Ellis (1)  |  Mark Feuerstein
Associate ProducerJeff Drayer  |  Margo Johnston
Production DesignerRay Kluga
EditorGary Levy
CastingSteven Jacobs (2)  |  Bonnie Finnegan
Unit Production ManagerKathy Ciric
First Assistant DirectorEric Yellin
Second Assistant DirectorDeanna Leslie
MusicJames S. Levine
Music EditorLesley Langs
Music SupervisorOliver Hild  |  Alicen Catron Schneider
Costume DesignerCaroline Duncan
Key GripSal Lanza
Camera OperatorCarlos Guerra  |  Michael Caracciolo
Set DecoratorMila Khalevich
Location ManagerMichael Fucci
Property MasterMax Sherwood
Construction CoordinatorRonnie A. Petagna Jr.
Production Sound MixerBrian Miksis
Script SupervisorMary A. Kelly
Production CoordinatorBrette Billow
Script CoordinatorHelen Berger
Assistant EditorMyles Sorensen  |  Matthew S. Nickelson  |  Marnee Meyer
Post Production SupervisorSean Varga
Supervising Sound EditorLouis Bertini
Re-Recording MixerBob Chefalas
LeadmanChris Vogt
GafferSteve Ramsey
On-Line EditorPat Kelleher
Director of PhotographyJoseph R. Collins
Story EditorSimran Baidwan  |  Aubrey Villalobos
Stunt CoordinatorCort Hessler
Production SupervisorPeter Sabat
Art DirectorWing Lee
Assistant Production CoordinatorJohn Sesumi  |  Ryan Wilson
Post Production CoordinatorDavid McElfresh
Medical AdvisorAudie Liametz  |  Barry Rosenthal
ConsultantJohn P. Rogers
Makeup Department Head Francesca Buccellato
Art Department CoordinatorMichael Dicenzo
Visual Effects SupervisorChris Healer
Main Title DesignRandall Balsmeyer  |  J. John Corbett
Production AccountantLynda Van Damm
Transportation CaptainSteven R. Hammond
Casting AssociateSabrina Hyman
Original CastingSusie Farris
ColoristRoger Doran
Assistant To The Executive ProducerSteve Lerner  |  Yvette Gonzalez  |  Caty Zick  |  Chris Luttrell
Assistant Costume DesignerJared B. Leese
Assistant To The Co-executive ProducerCharlie Kessler
Costume CoordinatorCaitlin Doukas
Assistant AccountantMichael Drew Collins
Hair Department HeadAnita Roganovic
Key Set CostumerSarah Cuno  |  Ghilaine Boudana
Digital Imaging TechnicianLewis Rothenberg
Special Effects Make-upCraig Lindberg
Wardrobe SupervisorKenn Hamilton
Charge Scenic ArtistJoseph Garzero
TailorAnne Wingate
Main Title Theme Performed ByThe Blue Van
"A" Camera First AssistantJohn R. MacDonald
Loop Group CoordinatorSondra James
Background CastingGrant Wilfley
"B" Camera First AssistantMalcolm A. Purnell
Transportation Co-captainPeter Clores
Background Casting AssociateJoanna Vanadia
Costume PAElisa Devincenzi  |  Hannah Hogan (1)  |  Sallyann Turnbull
2nd Assistant Costume DesignerSky Switser
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