Some real oddities in the doctor-sister letter:

1. "Caity" is the made up name for the sister? Usually the pseudonym is a common spelling of some kind. Why not spell it "Katie"? Makes me think Caity might actually be the sister's real name. Either that or the doctor thought about it WAY too long.

2. Little sister in her upper 20s is "considering" becoming a doctor? This implies she's not even in med school yet. Assuming she can even get in, she still wouldn't be a doctor until she was pushing 40, by which time big sister will have had her practice established for over a decade.

3. "Changing careers at this point is not a realistic option" for big sister? Who in their right mind would abandon being a doctor? Moving to a different city doesn't come to her mind? And speaking of changing careers, if little sister has always been so much smarter and more talented, why exactly is she ditching her current career? Apparently everything hasn't come up roses for her, else she'd be enjoying her professional success too much to consider going back to school and trying something else.

4. The doctor decides writing Prudie is the best option? Therapy never came into her mind?

Well, the letter writer did basically lift the plot of "Frasier." I'm guessing it's made up.

Maybe, in addition to making up fictitious names, the LW also made up a fictitious career path. It could be in real life that they're both actuaries or landscape designers.

If you think back to high school, a lot of those popular kids are sub-par today. That's why I'm so blessed to have been a fuck up until I was like 29 1/2. Nah-- who am I kiddin'!-- 31!

Even following older sis at this point is a sign of failure. It's also a compliment to older sis. But at some point younger sis is not going to able to follow older sis.

Yggy - I completely hear that: I was a complete train wreck until I was 45! Then...

Wait. I AM 45. Shit. Screw THAT theory. At least you got it going on, though!

Where's my weed? Need more before rehab tonight...

But at some point younger sis is not going to able to follow older sis.

Oh, there's always death.

I was puzzled by the whole "Caity" thing, too. Have crazy-arse spelling variations of common names become THAT ubiquitous?

Also, I think the first thing I'd do in her place is go to Khaytee and ask her, "Er, why are you going into the same specialty as me?"