To economize, she cleans her own home. When Michael finally states that they'll have to sell their home, she pitches a hissy fit. No, this is Susannah's home, Susannah's memorial. Family Practice has a realism that drew me into the story. What happened to Michael and Polly does happen to everyday people who face a tragedy.
Communication does break down.
Sex becomes lackluster or even an obligation. Lack of true purpose becomes an issue. That's exactly what happens to Polly and Michael. I found it painful to read. These two love each other, yet are unable to express that love.