You would think the mere mention of cancer would warrant an A-story placement on The Real World, but then again, this IS Bunim/Murray, the same production outfit that shoved the tragic death of Alton's brother into a rock-climbing montage during the Las Vegas season. As a result, the show first focused on easy-going Karamo. And by "easy-going," I mean he's still currently holding a grudge against his blanket for falling off in the middle of the night.

When last we saw Karamo - literally - he was swooning in the arms of Dorian, the dreamy personal trainer from Philly. A storybook romance, right? Well, not anymore. Karamo informed us that "Dorian's noticed I have some distrust issues." You see, Karamo has a hard time distrusting people. He trusts so damn easily! Oh, wait, he probably meant TRUST issues, which would make sense since he's managed to push away everyone who's tried to be close with him. He elaborated by saying "I need umph." Was that code for butt sex? Actually, not necessarily. You see, Dorian likes 80s R&B, but Karamo likes Hip Hop. OF COURSE! Well, I never met an Anita Baker fan that mixed well with a G-Unit junky. Maybe these guys should just break up. I mean, 80s R&B??? Psssh. Well, I'm glad that Karamo found a legitimate reason to end this relationship.

Over in Sarah World, life was for once not revolving around her implants, her sex life, or even her... sex life again. No, Sarah actually had serious, non-snarky issues to deal with, mainly her mother's cancer. Of course Sarah has never been one to shy away from broadcasting all the traumas of her life, and as she sat down with some people to generate sympathy, I couldn't help wondering which card she would play. Would it be the rape card? The cancer card? Neither! If you answered "Eating disorder", you are correct! Sarah managed to use discussion of her mother's illness as a springboard for her own demons, mainly bulimea. In an odd pairing that surely did not suit the heavy issues at hand, Sarah explained to a clearly drunken MJ that when her mother came down with cancer, she developed an eating disorder. MJ's response: "So, do you wanna makeout?"

Actually, MJ didn't say that, but he could not have appeared more disconnected than if he had taped a pillow around his head (although then he would have suffocated and died, but I suppose that supports my analogy). As Sarah described how her mother was initially given 5 to 10 years to live, you could see MJ trying to piece together something thoughtful to say: "So... are we coming up to year ten? Is that what I'm hearing? Did she beat the spread? What's the over/under?"