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If this is/was intended to set up a spin off it would explain some weird things like Jazz being an intern there (to test the audience’s reaction...

Wasn't it a hypothetical "joke"? I'm sure it was half serious but it sounded like she suggested doing that when Jaron is in college.

There were a couple of comments guessing scleroderma. She does seem to have stiff and contracted arms. But her mouth seems to sag more than...

She is controlling if he is dilating.