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Royal Pains: Vertigo

Hank's policeman patient continues to experience medical problems; A orchestra conductor becomes a HankMed patient after a fall; Paige inadvertently gets more involved in the dispute between Evan and Blythe.

Episode Info

Episode number: 5x5
Airdate: Wednesday July 17th, 2013

Alternate Airdates:

CA (SHOWCASE) Sep 26, 2013
United Kingdom Jul 06, 2014
AU (Seven) Aug 10, 2014


Guest Stars
Frances ConroyFrances Conroy
As Blythe Ballard
Brad BeyerBrad Beyer
As Don O'Shea
Alexandra SochaAlexandra Socha
As Molly O'Shea
Alexandra SochaAlexandra Socha
As Molly O'Shea
Stephen SpinellaStephen Spinella
As Russell Berger
Stephen SpinellaStephen Spinella
As Russell Berger
David AlpayDavid Alpay
As Santi

Co-Guest Stars
Deema AitkenDeema Aitken
As Slack
Sal RendinoSal Rendino
As Stu
Sal RendinoSal Rendino
As Stu
Zachary LukeZachary Luke
As Assistant
Michael RoseteMichael Rosete
As Barista
Michael RoseteMichael Rosete
As Barista
Ward HortonWard Horton
As Brandon
Johnny RameyJohnny Ramey
As Young Officer
Main Cast
Mark FeuersteinMark Feuerstein
As Hank Lawson
Mark FeuersteinMark Feuerstein
As Hank Lawson
Paulo CostanzoPaulo Costanzo
As Evan Roth Lawson
Paulo CostanzoPaulo Costanzo
As Evan Roth Lawson
Reshma ShettyReshma Shetty
As Divya Katdare
Reshma ShettyReshma Shetty
As Divya Katdare
Brooke DBrooke D'Orsay
As Paige Adele Collins
Brooke DBrooke D'Orsay
As Paige Adele Collins


Evan, Divya and Paige are attending a youth orchestra performance where Evan is more interested in observing his nemesis Blythe Ballard than listening to the music. Hank is late and runs into Don O'Shea, the police officer who he treated for kidney stones and has failed to follow up with Hank. Don is keeping an eye on the crowd as well as his teenage daughter Molly who is picking up trash from the event as community service and attracting unwanted (by Don) teenage boy attention in the form of Slack, a neighbor kid...

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Episode Notes
Don is suffering from Sarcoidosis, a chronic collection of inflammatory cells that from nodules in the lymph nodes or lungs.

Santi is suffering from a temporal bone fracture, the skull bone containing part of the ear canal, the middle ear, and the inner ear that can be fractured by a blow to the head.

Episode viewers (millions, Live + Same Day): 3.82

Youth orchestra
Interschool Orchestra NY
Jeffrey Grogan
Waddy Thompson

ArtistSong TitlePlayed When
Modest MussorgskyNight On Bald Mountain 

Episode Quotes
Blythe Ballard: I'm impressed you think you can gather enough signatures to get on the ballot on such short notice.
Evan: Or one could pay a filing fee.
Blythe Ballard: Yes, you do have the option to forgo public support, if that's the kind of candidacy you want.

Evan: Wait a second. Since when did classical dudes get groupies?
Divya: I'm not a groupie. I am a philharmonica.

Evan: You can be my eyes and ears. You can get inside (Blythe's home) and expose her corrupt nature.
Paige: Or I could be professional and do my job.
Evan: Or you could do that.

Hank: I had a surgery last winter, and afterwards I couldn't stand to look at those pills by my sink. Just knowing they were mine, it was depressing.
Don O'Shea: Are you okay now?
Hank: I am.
Don O'Shea: And you're off all the meds?
Hank: Yep.

Divya: Am I crazy to think that his composition could be based on autophony?
Hank: No, his fall may have caused cracks in the temporal bone in his inner ear.
Divya: Santi, I think that your music reflects bodily sounds that you are literally hearing in your head because of a thin or cracked ear bone. You've been hearing your blood pulse, your eyes moving in their sockets, maybe even the creak of your joints.
Santi: Well, so much for inspiration.

Evan: You know what I think? I think she's threatened. Blythe Ballard is threatened by me.
Paige: Okay, that's ridiculous! Sorry. I didn't mean to sound so emphatic.

Evan: What this town needs is dissent, Paige. It needs an outside voice. It needs me.
Paige: Oh, boy.

Episode References
Don O'Shea: (to Hank) Yeah, no more kidney stones.

In episode 5x02, Blythe Spirits, Hank treated Don for abdominal pain that turned out to be kidney stones.

Other Episode Crew

CreatorAndrew Lenchewski  |  John P. Rogers
Executive ProducerConstance M. Burge  |  Carol Flint  |  Andrew Lenchewski  |  Michael Rauch  |  Rich Frank  |  Paul Frank  |  Jeff Kwatinetz
Supervising ProducerAntonia Ellis (1)  |  Jessica Ball (2)
ProducerJeff Drayer  |  Kathy Ciric  |  Mark Feuerstein
Associate ProducerKaren Clark  |  Margo Johnston
EditorGary Levy
CastingSteven Jacobs (2)  |  Bonnie Finnegan
Unit Production ManagerKathy Ciric
Second Assistant DirectorBrendan Walsh (1)
MusicJames S. Levine
Music EditorLesley Langs
Music SupervisorAlicen Catron Schneider
Costume DesignerCaroline Duncan
Key GripSal Lanza
Camera OperatorMichael Caracciolo  |  Carlos Guerra
Set DecoratorMila Khalevich
Location ManagerMichael Fucci  |  Peter Sabat
Property MasterPeter Dancy
Construction CoordinatorRonnie A. Petagna Jr.
Production Sound MixerBrian Miksis
Production CoordinatorBrette Billow
Script CoordinatorHelen Berger
Assistant EditorMatthew S. Nickelson  |  Myles Sorensen
Re-Recording MixerBob Chefalas
GafferSteve Ramsey
On-Line EditorPat Kelleher
Director of PhotographyJoseph R. Collins
Stunt CoordinatorCort Hessler
Art DirectorJordan Jacobs
Assistant Production CoordinatorJohn Sesumi  |  Ryan Wilson
Medical AdvisorAudie Liametz
ConsultantJohn P. Rogers
Makeup Department Head Francesca Buccellato
Visual Effects SupervisorLuke DiTommaso
Main Title DesignJ. John Corbett  |  Randall Balsmeyer
Production AccountantLynda Van Damm
Transportation CaptainSteven R. Hammond
Location ScoutChristopher Arena  |  Shannon Dennard
Casting AssociateSabrina Hyman
Original CastingSusie Farris
ColoristMark Wilkins
Assistant To The Executive ProducerHillary Messenger  |  Caty Zick  |  Chris Luttrell  |  Alice Elizabeth Hunter
Assistant Costume DesignerJared B. Leese
Assistant AccountantMichael Drew Collins
Hair Department HeadAnita Roganovic
Digital Imaging TechnicianLewis Rothenberg
Special Effects Make-upCraig Lindberg
Wardrobe SupervisorShelby Saboy
Assistant Location ManagerJay Scala  |  Mark O'Brien (2)  |  Jason Kadlec  |  Stephen Hartman
Charge Scenic ArtistRalph Cava
Main Title Theme Performed ByThe Blue Van
"A" Camera First AssistantJohn R. MacDonald
Loop Group CoordinatorSondra James
Background CastingGrant Wilfley
Transportation Co-captainPeter Clores
Background Casting AssociateSteven Vago
Locations CoordinatorPriya Shelly
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