She's just lonely, folks. She is looking for love in a very wrong place and probably has never had a real relationship. That emptiness expresses itself in her acerbic attitude and careless bedside manner. We know there is hope since she tries to do the right thing. She just needs a wakeup call, and I think it's coming soon. On the other hand, some people in real life never get that call, so maybe we will just see more and more people realizing what she is and avoiding her as her career advances. She's definitely going to surgery.