Was I watching Nip/Tuck or Passions? Because I can't tell the difference anymore...
I've pretty much grown accustomed to the fact that moving to L.A. to "start fresh" translated into changing scenary and making all the same mistakes over and over again (i.e. recycle plots OVER again), but this episode used a classic Nip/Tuck device in a cheap fashion:
The show has always used it's surguries as parallels to what's occuring in the doctor's lives. But that whole Duke Collins father-abandoning-son device was useless, as we all knew that Sean and Matt were going to reconcile anyway. Not to mention, it was also stretching and irrational.
So now it appears that Matt is a running gag now, as his sex life now includes a porn star turned Scientologist turned porn star, a Neo-Nazi, two transsexuals, and now it appears a burn victim. And just like before, they all start off seemingly normal until they degenerate into some depraved, weird relationship that will require Daddies to bail him out...AGAIN.
Glad to see Conor Mcnamara actually exists. But it's pretty much assumed that his conception and his birth were pretty much plot devices used to reconcile Julia and Sean in Season 3's end and eat up some plot time in Season 4.
But yes, the show is really gone off the deep end, as it is no longer a drama series. It truly has become nothing more than a daytime soap opera with Man-ass and S-bombs. Such a shame.