Outlandish dream sequences depict Pearl's attempts to write fiction, including a scenario in which she works on the loading dock at a hospital named for ER's George Clooney. When Pearl runs into a creative roadblock trying to write fiction, she decides to do some embellishing by incorporating her real life in the story, in part one of a special two-part episode. Alice Cooper guest stars as himself, playing Frankie's guardian angel. While Pearl is writing her roman à clef, Joey's ex-wife arrives in town, Annie is placed in charge of the loading dock, which now also functions as an emergency room; Amy tries to seduce Pynchon, and Frankie, after receiving guidance counseling from Alice Cooper, decides to major in heavy metal.