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Although he and Maris are childless, Niles (David Hyde Pierce) begins wondering if he'd make a good father. To "prepare" himself, he begins to carry a ten-pound sack of flour all around Seattle. While Niles is thus occupied, his brother, Frasier (Kelsey Grammer), is asked to sign a get-well card for a fellow KACL employee who is going to the hospital. Unaware that the man is undergoing a risky kidney-transplant operation, Frasier has laced the card with some inappropriate "dark" humor -- and not unexpectedly he soon comes to regret his misguided mirth.