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What is a hemorrhoid and how can you get rid of it? – Fox News

November 20th, 2019

Dear Dr. Manny,

I think I might have a hemorrhoid? But I’m not sure. What is a hemorrhoid and what can I do about it? Is it like a pimple?

Thanks for your question.

Hemorrhoids, or piles, are swollen veins in the rectal area. The walls of these blood vessels often become so thin that they swell and become painful.

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Hemorrhoids are one of the causes of rectal bleeding. While that sounds scary, it’s usually not. The hemorrhoid will go away eventually in a couple of weeks, and the skin will heal up again.

You can’t see hemorrhoids typically, because they are far enough up the rectum to be invisible. They also aren’t likely to hurt very much, because there aren’t as many nerves in that area. Occasionally the hemorrhoid will collapse, and when it does, that hurts. A large pink bump will be visible. It will heal on its own, however.

An external hemorrhoid can develop a blood clot, which makes it purple or red. The clot might make the bump itch or hurt even more. After it dissolves, it will still itch.

DO YOU NEED YOUR TONSILS REMOVED? 

Hemorrhoids occur when someone puts too much pressure on their perineal areas, particularly when they are obese, or if they do heavy lifting on a regular basis. Pregnant women also tend to develop them. People who have constipation or diarrhea will also suffer from hemorrhoids. The way to solve the problem is by eating more fiber, drinking more water, and exercising a little bit, particularly if you are overweight.

Can you pop a hemorrhoid?

You shouldn’t do it yourself. A hemorrhoid is not the same structure as a pimple. It’s a blood vessel. When it’s popped, the recovery becomes much more painful and takes longer to heal.  If needed, get a consultation from a colo-rectal surgeon.

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So if you have a hemorrhoid, don’t pop it. Just give it some time. A bath in Epsom salts, ice and natural creams are the best way to treat the pain or itching. To prevent hemorrhoids, consider changing your diet.

Do you have a health question for Dr. Manny? Email us at AskDrManny@FoxNews.com 

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Taylor Swift Won’t Have Scooter Braun to Attack at AMAs – TMZ

November 20th, 2019

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‘Jeopardy!’ Star Austin Rogers Muses What G.O.A.T. Questions Might Be – TMZ

November 20th, 2019

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Julia Roberts nearly cast as Harriet Tubman in 1990s biopic, screenwriter claims – The Independent

November 20th, 2019

Julia Roberts was suggested to play the 19th century abolitionist Harriet Tubman in a Nineties biopic, it has been claimed.

Gregory Allen Howard, the screenwriter for Harriet, a biopic released in cinemas this week and starring Cynthia Erivo, claimed that a studio executive once stated that it was irrelevant to cast Tubman with a black actor.

“I was told how one studio head said in a meeting, ‘This script is fantastic. Let’s get Julia Roberts to play Harriet Tubman,’” Allen explained, via Entertainment Weekly.

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“When someone pointed out that Roberts couldn’t be Harriet, the executive responded, ‘It was so long ago. No one is going to know the difference.’”

Howard wrote the script for Harriet in 1994, but struggled to get the project off the ground until 2018. Viola Davis was previously attached to the role.

Writing for the Los Angeles Times, Howard explained that Hollywood needed to change in order for a Harriet Tubman story to appear viable and worth telling.

“What I realise now is that the film was not going to get made until the environment in Hollywood changed,” he wrote. “Nobody in Hollywood wants to be an outlier. Hollywood has a herd mentality. There was no herd around the story of a former slave girl who freed other slaves.

“All the people I pitched this to, submitted the script to, were asking themselves one question: ‘How do I sell this story to my boss, to a studio, to my financial partners?’ Fear chilled them.”

Harriet, directed by Kasi Lemmons and co-starring Janelle Monae and Leslie Odom Jr, is released in cinemas on Friday.

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A New Type of Migraine Medication Just Passed a Promising Large-Scale Trial – ScienceAlert

November 20th, 2019

A new class of migraine medication could make a “big difference” for those in desperate need of relief.

The drug ubrogepant has not yet been approved by the United States Food and Drug Administration, but a large-scale clinical trial suggests this oral pill might work safely where other treatments do not.

Within two hours of being taken, researchers found ubrogepant could stop a severe migraine in its tracks, performing significantly better than a placebo and with fewer risks than other drugs.

“Having ubrogepant as a potential new medication for the acute treatment of migraine will provide much-needed innovation for a disease that causes lost time for millions of people,” says neurologist Richard Lipton, a consultant for Allergan, the pharmaceutical company sponsoring the trial.

A debilitating migraine is more than just a bad headache, and it’s much harder for physicians to treat. In the US, more than 38 million people suffer from this neurological disease, and surveys show less than a third are satisfied with their care.

When it comes to effective and safe treatment, each patient is a little different, and in some of the more severe cases, options are limited and can even make things worse.

Since the 1990s, triptans have remained the most popular class of migraine medication for cases where over-the-counter meds simply don’t work.

But while triptans might help reduce pain and inflammation, they also constrict the body’s blood vessels. As a result, these drugs are not safe for people with high risks of heart disease or stroke, and still others don’t respond to them at all.

Even so, there haven’t been any new treatments for acute migraines in a long time. In fact, the FDA only recently approved a novel class of medication, called gepants, which can help stop severe headaches before they even get started.

Unlike triptans, which target serotonin in the brain, gepants use monoclonal antibodies to target a molecule called calcitonin gene-related peptide (CGRP) that has a known role in migraines.

So far, only three CGRP inhibitors have been approved by the FDA and all of these are injections. If ubrogepant is deemed safe and effective enough, it will be one of the first oral gepants that can prevent acute migraines.

In a Phase 3 clinical trial, which was randomised, double-blind, and placebo-controlled, researchers tested out two different doses of ubrogepant on 1,686 patients, all of whom reported migraines between 2 and 8 times a month.

Participants were either given a tablet of ubrogepant containing 50 mg, 25 mg, or a placebo. During the trial, they were instructed to take one tablet as soon as possible, or within 4 hours of a moderate or severe migraine coming on.

If that initial dose wasn’t enough to stop the pain, a second dose was allowed, and this was randomised so that the patient either received a placebo or a repeat dose of ubrogepant. ‘Rescue medication’, like acetaminophen, NSAIDs, opioids, antiemetics, or triptans, was only used in cases where both doses did not work.

Of all those who took the lower and higher dose of ubrogepant, over 20 percent were free of pain within two hours. In comparison, the placebo relieved only 14 percent.

Getting rid of the most bothersome symptoms was a bit harder and required a higher dose of ubrogepant. In this case, only those taking 50 mg were significantly better off than those taking the placebo.

“The current results indicate that 50 mg of ubrogepant has the potential to address key treatment goals in the acute treatment of migraine,” Lipton and his colleagues write.

“Ubrogepant’s mechanism of action may make it an option for people who do not respond to currently available medications.”

It’s an effective drug, but it’s not as impressive as other medication already on the market. Previous research, for instance, has shown that within an hour, triptans can show safe and effective response rates in up to 70 percent of patients.

Neurologist Stephen Silberstein who was not involved in the study told CNN that while ubrogepants might be useful for those who can’t tolerate triptans, they aren’t better and they aren’t a magic cure-all.

Instead, it’s better to consider ubrogepant as a promising new mode of treatment for those patients who have slipped through the cracks.

“For the first time in a long time we’ve gone from no news to lots of good news,” Silberstein wrote in a recent review of the research.

“We’ve gone to these new medicines for the acute treatment of migraine, and we have new medicines for the prevention of migraine.”

Further research will be needed to evaluate the long-term safety of these drugs, but according to Lipton, FDA approval could come as early as next month.

This study was published in JAMA.

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Aaron Carter Is ‘Devastated’ After Claiming Sister Lied in Court to ‘Take Away My 2nd Amendment Rights’ – Yahoo Entertainment

November 20th, 2019
Aaron Carter Is 'Devastated' After Claiming Sister Lied in Court to 'Take Away My 2nd Amendment Rights'Aaron Carter Is 'Devastated' After Claiming Sister Lied in Court to 'Take Away My 2nd Amendment Rights'

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The singer lost his court case this week.
<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="Aaron Carter continues to speak out against his family.” data-reactid=”31″>Aaron Carter continues to speak out against his family.

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="On Tuesday, the singer shared on social media that he lost his court case, as well as claimed that his sister, Angel, lied in court to "take away" his firearms. According to court docs obtained by ET, the Los Angeles Court granted Angel a domestic violence restraining order protecting her from Aaron for a period of one&nbsp;year, which expires November 19, 2020.&nbsp;ET has reached out to Aaron and Angel’s rep for comment.” data-reactid=”32″>On Tuesday, the singer shared on social media that he lost his court case, as well as claimed that his sister, Angel, lied in court to “take away” his firearms. According to court docs obtained by ET, the Los Angeles Court granted Angel a domestic violence restraining order protecting her from Aaron for a period of one year, which expires November 19, 2020. ET has reached out to Aaron and Angel’s rep for comment.

“I am devastated by what happened in court today,” Aaron wrote on his Instagram Story. “My sister lied over and over in an effort to take away my 2nd Amendment rights and she did it on behalf of my brother [Nick Carter] to silence me talking about how he raped and sexually assaulted multiple women. I will abide by the judge’s order, but I will not stop speaking on behalf of victims such as Melissa Schuman. I am saddened by my family and what they have done to me. Your lives have broken my heart.”

Aaron CarterAaron Carter

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Instagram Story

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Instagram Story

He also posted a photo of himself with the former Dream singer high-fiving, captioning the post: “Yes!!! No more fake Halo’s for a year. #NoAngelo TRO IN PLACE FOR 1 more year!! @themelissaschuman.”

ET has learned that the judge ruled that Aaron needed to surrender his firearms on September 20 when the judge entered the initial Temporary Protective Order. On Tuesday, the judge extended the protective order for an additional year, which means Aaron cannot possess firearms for another year. He was also ordered to not come within 100 yards of Angel or Corey Conrad, their home or their places of business, and not to harass or threaten them in any way, including on social media.

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="According to TMZ, Aaron screamed at a judge when he was reportedly told that he was too dangerous to possess firearms. He reportedly told the judge that he would go out of state and buy more guns.&nbsp;” data-reactid=”57″>According to TMZ, Aaron screamed at a judge when he was reportedly told that he was too dangerous to possess firearms. He reportedly told the judge that he would go out of state and buy more guns. 

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="In September, Nick revealed that he and Angel&nbsp;had&nbsp;taken out a restraining order against Aaron, claiming that the 31-year-old had threatened their family. Aaron&nbsp;also visited&nbsp;The Doctors, where he shared that he’s been diagnosed with multiple personality disorder, schizophrenia, acute anxiety and manic depression. He also shared that he was taking a number of prescription medications.” data-reactid=”58″>In September, Nick revealed that he and Angel had taken out a restraining order against Aaron, claiming that the 31-year-old had threatened their family. Aaron also visited The Doctors, where he shared that he’s been diagnosed with multiple personality disorder, schizophrenia, acute anxiety and manic depression. He also shared that he was taking a number of prescription medications.

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="Since then, he's gone back and forth from seemingly apologizing to his family to pushing them away and telling them to leave him alone.&nbsp;&nbsp;” data-reactid=”59″>Since then, he’s gone back and forth from seemingly apologizing to his family to pushing them away and telling them to leave him alone.  

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="ET caught up with Aaron last month, where he opened up about his recent family drama. Watch the video below to hear more.” data-reactid=”60″>ET caught up with Aaron last month, where he opened up about his recent family drama. Watch the video below to hear more.

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content="RELATED CONTENT:” data-reactid=”61″>RELATED CONTENT:

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content=" Aaron Carter Reveals What Started His Opioid Addiction ” data-reactid=”62″> Aaron Carter Reveals What Started His Opioid Addiction

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content=" Aaron Carter Posts Pic From Hospital Bed ” data-reactid=”63″> Aaron Carter Posts Pic From Hospital Bed

<p class="canvas-atom canvas-text Mb(1.0em) Mb(0)–sm Mt(0.8em)–sm" type="text" content=" Aaron Carter Opens Up About Not Feeling Loved By His Late Father (Exclusive) ” data-reactid=”64″> Aaron Carter Opens Up About Not Feeling Loved By His Late Father (Exclusive)

 

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Lie Witness News – Trump Watergate Edition – Jimmy Kimmel Live

November 20th, 2019

Disney+ will soon get the must-have feature that it should have had at launch – BGR

November 19th, 2019

The Disney+ launch wasn’t perfect last week, but the service is certainly a success for Disney, with as many as 10 million users having already signed up. Disney+ is cheaper than Netflix, and already features plenty of interesting content that users got to experience from day one.

And while Disney+ does come with a feature I’ve wanted on Netflix for years, it also comes without a critical feature that I’d demand from any streaming service — one that’s been on Netflix all along.

A few days ago, we learned that you can disable auto-playing trailers on Disney+. There’s nothing that I hate more on Netflix than having to scroll as quickly as possible to stop clips from playing automatically. Yes, you can mute Netflix trailers, but there’s no setting to prevent them from playing.

But Disney+ lacks a crucial feature that every service should have, one that I’ve come to appreciate a lot while binging shows. The Continue Watching feature is the only way to enjoy shows at home. It allows you to pick up where you left off as soon as you start Netflix, and it’s helpful to see exactly how many episodes kept playing after you fell asleep. Unfortunately, this feature is nowhere to be found on Disney+.

The good news is that the feature is coming, as Disney confirmed to ComicBook that it plans to launch it soon. There’s no timetable for it, but Disney is working on it. It’s unclear why Disney left the feature out to begin with, considering that Netflix and other services will show you lists of what you’ve been watching and where you left off. But better late than never.

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This Is Us Recap: Thanksgiving Shrimp – Vulture

November 19th, 2019

This Is Us

So Long, Marianne
Season 4 Episode 9
Editor’s Rating 3 stars ***
Photo: Ron Batzdorff/NBC

Well, well, well. This Is Us is closing out 2019 with one final reminder that it is a show that just loves to trick us. Of course, I’m not entirely sure what the point of that little switcheroo was except to make the audience collectively go, “oh wait a second…” Now, that fact doesn’t make the content of the “twist” any less heartbreaking, it just makes the whole thing feel a little manipulative. But it’s Thanksgiving with the Pearsons, being emotionally manipulated and feeling extremely depressed are basically holiday traditions at this point. So how about some pie, huh?

Things are a little tense as Thanksgiving commences in 2019 Philadelphia after that awful fight Randall and Rebecca had the prior evening. Rebecca is, like, scarily good at the silent treatment. When she sees her son hovering over her, turning off burners at the oven she’s put on, she decides she needs some space and heads out to see a movie. She’ll buy some pie on the way home. Let the woman live!

But the next time we see Rebecca, she’s at a park, looking very confused. So confused, in fact, that she thinks she spots Young William walking by. Obviously, this is not a great sign. Even worse, she walks into a grocery store to hit up the bakery, gets distracted by flowers and completely forgets why she’s there. EVEN WORSE, when she goes to pay for those flowers, she empties out her entire purse and winds up leaving her phone behind. Something is seriously wrong with Rebecca and it is much worse than we’ve previously seen. Remember I said that. WINK WINK.

Randall’s not thrilled with the idea of his mother traipsing about Philadelphia, but this Thanksgiving Dad has another issue to deal with: The box with the Pilgrim Rick hat, et al. was apparently left behind in the move — what are the odds! — and now Randall and Annie are going to drive to the old house in New Jersey and pick them up. Honestly, could you imagine getting a phone call on Thanksgiving Day from the previous owner of your home who is asking you to climb up to the attic and look for a box with a pilgrim hat in it? The audacity!

Randall and Annie are joined by someone surprising on their excursion to the Dirty Jerz: Uncle Nicky. Yes, Uncle Nicky and Kevin have arrived from Bradford and Nicky looks great (he thinks he looks like he’s in a Viagra commercial, to which I say: is that a bad thing?), but once he starts looking around at old photos Randall has out of Jack and his family, this thing he was not a part of, Nicky needs to get out of there. You know you have a real cool party going on when everyone is fleeing.

And although Randall rescues the Thanksgiving box and a case of CDs his mother once gifted him, the mini-road trip only makes things worse for Nicky. Being reminded that Jack completely erased him from his family’s life is overwhelming. It certainly doesn’t help that he can’t stop thinking about his last Thanksgiving with his brother — a week before Nicky was drafted in the Vietnam War. Thanksgiving was always a terrible time for the Pearson brothers, so finally, that year, with their father screaming inside the house, Jack decides the two of them are going to bail on Thanksgiving. They head to the bar, where Nicky ends up winning boatloads of money betting against the Cowboys (his dad’s favorite team), and the boys head to a restaurant where they proceed to eat five pounds of shrimp. Way better that cheese dogs rolled in saltines, huh?

In 2019, Randall has Nicky pick out a CD from the case and he goes with a Leonard Cohen album. When Randall puts on the song “So Long, Marianne,” he starts telling Nicky about how much Jack loved this song and how he’d always explain the meaning behind it. Randall heard about it so much, he can repeat the speech verbatim. Nicky is visibly moved by this. Back in 1969, post-shrimp binge, the brothers are listening to music in the back of Jack’s truck and the same Leonard Cohen song comes on — but Jack doesn’t like it at all. Nicky goes on to explain what the song’s about — it’s the same speech Randall knows by heart. In the car with Randall, Nicky is trying to hold back tears because this means that Jack didn’t completely erase him from his life or his children’s lives. Jack always kept a part of Nicky with him.

Anyway, you can bet your ass that by the time we get to Nicky telling the Pearsons about his Best Thanksgiving Ever and offering them five pounds of shrimp as a new Jack Pearson-inspired tradition to add to the day — one the brothers had promised to continue but never got the chance — that I am A PUDDLE. It’s so lovely and Nicky’s entire arc on this show has been such a highlight. I mean, the dude touches Kevin’s face and tells him to go live his life. Face touching! From a sad and grateful man! If I were at that house, I’d be bawling into that five pounds of shrimp by now.

There is some actual joy to be had at a Pearson Thanksgiving! But not too much, let’s not kid ourselves. Randall might be chatting with Kevin about Kevin’s dream to get married and have kids by 40 — which, Randall reminds him, is just nine months away — but mostly Randall can’t shake the thought that something is wrong with Rebecca. He promised he wouldn’t bring up their argument with anyone else, so he can’t even bring his siblings in on this. (I mean he could and he should, but you know R&R.)

After the grocery store, we find Rebecca eating lunch at a Chinese restaurant. When she realizes she doesn’t have her phone, she freaks out. She needs to call her son! She doesn’t have his number! She is very distraught and I don’t like seeing mom this way. Eventually, the police pick her up, she explains that she’s in town visiting family for a special occasion, and they take her home.

Only it’s not to Randall’s house in Philly. It’s to the family cabin. And it’s Kevin who answers the door, so happy she’s safe. You guys, all of the Rebecca stuff once she was in her chic little trench coat was nine months in the future. It’s August 2020 and the Big Three are turning 40. Kevin, Kate, and Miguel are there, getting Rebecca situated — this isn’t the first time — oh, and Kevin’s fiancée is in the back room dealing with some morning sickness (!!). When Rebecca asks where Randall is, Kevin, quite frustratedly I might add, tells her that he’s not coming, he and Randall aren’t speaking to each other. Because I guess we just can’t have nice things. Like, ever.

So the next nine months should be very interesting. Especially because in 2019, Rebecca returns with her pie and after Randall apologizes for the way he’s been treating her, she informs him that she only made it halfway through the trailer for CATS before she forgot what movie she was going to see. Something is really wrong and Rebecca needs Randall’s help. And thus continues the cycle of us thinking this show could not get sadder and This Is Us showing us all up. The back half of season four is sure to be emotionally devastating in new and horrible ways. See you in 2020 for more self-inflicted torture!

This Is the Rest

• KaToby is imploding. When Kate unloads on Beth about hating “Crossfit Toby,” Beth warns her sister-in-law that it’s not a great thing when you’re talking to everyone except your spouse about your marital issues… and then Kate goes and sees Toby is doing exactly that with his Crossfit friends on their group text. He’s being especially consoled by someone called “LadyKryptonite5.” In the flash forward, Kate’s wearing her wedding ring, but Toby doesn’t seem to be at the 40th birthday bash.

• Be still my heart, that gorgeous little Beth and Deja scene! Beth’s feeling insecure after she sees how well Shauna’s doing, and how easy she and Deja are falling into their relationship. Randall’s the only father Deja’s known, but where does Beth fit in? (Jack Pearson much?) But when Deja gets upset seeing that her mother got her life together once she wasn’t in her life, it’s Beth who knows exactly how to comfort her. That little lean-in hug on the bed? Just going to go cry into some pie.

• Speaking of adult/child bonding moments: Kevin helps Tess come out to her classmates via a practice round at a drive thru window that gives her the courage to post a pic of her celebrity crush, Zendaya, on Instagram. Has Uncle Kevin ever looked so proud? I need more pie.

• The shrimp tradition lives on! We get a quick cut to Adult Baby Jack Pearson and his now pregnant wife, prepping for Thanksgiving dinner in the future, and Jack puts out five pounds of shrimp. Never has seeing five pounds of shrimp made me so happy! Just kidding, five pounds of shrimp will always make me happy.

• Justice for Miguel Rivas in 2020! I mean, the man’s Instagram handle is ‘BigMig45,’ he deserves to be treated with some respect!

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‘This Is Us’ Midseason Finale: Dan Fogelman Unpacks Emotional Reveals Made During Pearson Family Thanksgiving; Teases Answers To Looming Questions – Deadline

November 19th, 2019

SPOILER ALERT: This article includes details about tonight’s midseason finale of This Is Us.

It wouldn’t be a Pearson family Thanksgiving with joyous smiles, celebratory laughs and a shocking reveal that will annihilate all your emotions. As the NBC drama reaches its season 4 midpoint, we were treated to some heartbreaking news that will certainly alter the future of the Pearsons — specifically Rebecca (Mandy Moore). By the end of the episode, you may have been in tears or just frustrated that we have to wait for answers, but either way, it will stir the soul.

Ron Batzdorff/NBC

The episode titled “So, Long Marianne” follows the typical emotional time-traveling trajectory of a This Is Us episode and it filled with familial moments that range from the joyful to the downright devastating. As the Pearson family preps for Thanksgiving at Randall (Sterling K. Brown) and Beth’s (Susan Kelechi Watson) house, some loose ends are tied up and more are unraveled.

Kevin (Justin Hartley) introduces Uncle Nicky (Griffin Dunne) to the Pearson family fold; Kate (Chrissy Metz) and Toby (Chris Sullivan) butt heads about Kate lying about baby Jack eating solid foods for the first time; Beth struggles with Deja’s (Lyric Ross) mom coming to Thanksgiving dinner; Tess (Eris Baker) looks to Kevin for advice about coming out; Randall bonds with Nicky on a road trip back to their old house to retrieve lost Thanksgiving decorations and in a flashback, we see how Jack (Milo Ventimiglia) and young Nicky (Michael Angarano) celebrated Thanksgiving in their dysfunctional family which involved five pounds of shrimp cocktail. Finally, Randall and Rebecca (Mandy Moore) attempt to reconcile after the last episode when he was worried about her health, well-being and general behavior — which is the pulse of the episode.

True to This Is Us fashion, problems get resolved but it doesn’t take long for other issues to sprout up. The family takes well to Nicky and he opens after waxing nostalgic about the fond Thanksgiving memories he had of Jack, presenting the family with the new tradition of serving five pounds of shrimp. Tess comes out on Instagram with the help of Kevin and Beth realizes that she is a good mother to Deja despite her insecurities. As for everyone else, Kate admits that she hates “Crossfit” Toby and just when she thinks she is getting over it, she reads a text on his phone from a woman from his Crossfit group that makes her question the integrity of their marriage.

Ron Batzdorff/NBC

The biggest reveal involved between Randall and Rebecca. After arguing before Thanksgiving dinner, Rebecca takes a walk to cool off and after she’s gone for a long period of time, the family wonders her whereabouts. Throughout the episode, we see that her memory is fading and she ends up at a restaurant feeling frantic and lost. By the end, we see her being driven back to the house in a police car — but when she arrives its not Randall’s house. In fact, it’s not even the same time period where we first started. Turns out those sneaky This Is Us writers pulled a fast one and brought us to two points in time in the last five minutes of the episode.

When we see Rebecca exit the police car, she’s at what seems to be Kevin’s house in the near future for the Big 3’s 40th birthday celebration. In this new point in time, Kevin has a pregnant fiancee (although we don’t see her) and he and Randall aren’t speaking.

In the present, Rebecca returns safely on her own to Randall’s house after everyone was worrying about her. She says everything is fine but in a private moment with Randall, she something is wrong and she needs to see a doctor…and that’s where the episode ends.

As usual, this midseason finale left us with a lot of questions so we asked show creator Dan Fogelman all about everything: What’s with Rebecca’s memory? Who is Kevin’s pregnant fiance in the future? Is it Cassidy? Will we see more of adult Jack? He divulged as much as he could — including some juicy teases — without revealing too much about what to expect at the end of this season.

Ron Batzdorff/NBC

DEADLINE: The big reveal was Rebecca’s heartbreaking memory decline. Has this always been a reveal that has been in the works and have you been leaving us bread crumbs?

DAN FOGELMAN: We haven’t definitively diagnosed anything yet. We are certainly in the early, early days and there’s a long journey ahead. There’s a definite plan in place that we have been working on very carefully in terms of whatever is going on with her.

We obviously play a lot with time on the show and at the end of this episode, we obviously jumped forward nine-ish months…ostensibly you’re getting a glimpse of where we are going to be in the season premiere.

DEADLINE: Will Jennifer Morrison return as Cassidy? And what can you divulge about her relationship with Kevin? 

FOGELMAN: Honestly, I can’t talk about it a lot without giving too much away. I think it’s fair to say she’s played a gigantic part in Kevin’s story. This chapter has been one of the formative chapters in his life. Whether it’s the end of her journey on this show has yet to be determined, but no one really ever goes away forever on our show.

DEADLINE: Could she possibly be the mother of the Kevin’s child that we saw in that flash-forward?

FOGELMAN: We love the actor and Kevin’s character and there have been many people who have been in and out of his life romantically and friendship-wise that are all possible mother to his baby — it’s an answer that should be gotten by the end of this season.

Ron Batzdorff/NBC

DEADLINE: Speaking of, will we be get more flashforwards in the second half of season 4? We see adult Jack briefly in the episode, but can we expect to see more of him?

FOGELMAN: You’re definitely going to be seeing more of him. The premise of the show is to play in time and tell full story of this family generationally. While in the first three seasons we have often gone backwards we are also able to go forward a little bit. This episode did something new for the first time as we jumped forward almost a year — not a massive jump, but just a little jump into the future. So now you understand that the rest of our season will catch us up to the moments we see in flash-forwards at the beginning of next year. It’s our way of showing a full picture of a family three generations in time. We’re not scared to go backwards…but we’re not scared to go forward either.

DEADLINE: Was there a certain theme that you wanted to explore and unpack in this season that hasn’t already been fully explored in the previous seasons? There seems to be a deep-dive into parenting this season.

FOGELMAN: One of the things that we were excited about this season is the fact that the age of the Big 3 children during that 12-year-old period is similar to the age that Tess and Deja are at in Randall’s own family. You’ve also got Kate having a baby for the first time and you got Kevin talking about the possibility of becoming a father. So families, starting families and being at the midpoint in a family is very much in the air in all of our storylines.

In the first seasons of the show, it was easy for us to tell a present-day story and see how the childhood of the characters reflected on it. Now we are actually able to attach things thematically and say “This is not just a story of how Randall’s childhood as an adult, but its talking about the thematics of parenting that may have affected Jack and Rebecca as parents and now may affect Randall and Beth as parents.” That’s interesting to have in our tool belt.

DEADLINE: For this midseason finale, did you fit everything you wanted into this episode?

FOGELMAN: One of our challenges is that when we have a lot of stories to end or provide midpoints, is how to get that into 42 minutes of screen time which we are bound by. It was an exceptional script from one of our writers who has been there from the very beginning. K.J. Steinberg has taken a huge leadership role in our room. It was one of those scripts that when you read it, you were like, “This really does an incredible job of servicing all these characters and stories in one coherent and cohesive episode of television.”

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