When you fall asleep - it's your conscious mind that sleeps! Your subconscious mind never sleeps. As a matter of fact, your subconscious mind is responsible for your dreams - good, bad, ugly, beautiful, horrific... The subconscious human mind runs on a totally different power source, than the rest of your body, controlling every function, every thing - in your life.
Every man has the fantasy of being a doctor and getting to examine a young woman. To have her think of him as an authority figure, someone whose orders are to be obeyed. Harvey harbors just such a fantasy. This is the second such episode, after Annie has started college, her friends have scattered across the country, and his built-in linkage to young woman in the community has fizzled. In other words, it's time for circumstances to work in Harvey's favor, and fulfill this latent fantasy.
Isabella has moved to Las Vegas and has a new job as a Tarot card reader on an open phoneline. She is making good money and learning new things about herself. Her stuffed teddy bear knows all her secrets. Then she meets an Indian medicine man who makes a lasting impression right where it really counts.