The start of new life feels like like a very positive thing for Kate, who remarks to her doctor that she's very aware of how her age and her weight can complicate matters.
This week in "Still There," we're provided with a potent reminder that Rebecca comes from an even more dysfunctional mother-daughter relationship - and it's one that we get to watch play out at its ugliest.
Earnestness has long been both This Is Us' greatest strength and its greatest weakness. But this episode piles on the "Big Conversations" to such a degree that they can't all be redeemed by the show's nuanced execution and stellar acting.