First of all, Paris Hilton's appearance in the show added nothing extra to it. Second, there's a subtle point in this episode: the doctors waiting for Earl to die to take his organs. That's why I am not an organ donor. Most doctors will try less to save you since you contain so many healthy organs that could save a few other people. So, letting you die to save others is worth it in their eyes. Anyway, the episode was great. This was always a good show, but never good enough to actually make it part of my watch-it list. With this episode, it just made it onto my list.