Vladislav's hypnotism is failing, Viago's money has run out, Deacon hasn't paid rent in decades, and no one knows where the hell Nick is. There are bills to pay, and they can't lose this house— not with everything else that's gone wrong lately. When Deacon finds a violent way to earn money, it solves one problem, but opens up the door to countless more.
Shiv and Tom have a child. It goes as well as it can, which is to say, not very. They do their best, which is to say, not well. Everyone else tries to help. Which is, to say, they don't. A certain uncle doesn't bother to try to help because in his own words, he can't be fucked. And so he does.
Of course, one knows already about the multiple, obvious injustices of Nadja's life. What most people don't know is how badly, though for a very short period of time, she wanted a baby. "This is the song for Baby Birch Though I will never know you."