An exasperated and worried Amelia does not have it in her to deal with her sunshine sister, Maggie. Maybe a positive and optimistic Maggie is the boost she needs, however.
Amelia and Owen have had a rocky relationship, and they have not been on the best of terms for a while, but after Amelia's news, he is being a support system for her.
Amelia takes in her reflection in the mirror after removing a significant chunk of her hair in preparation for surgery. Hair can grow back, it's the tumor growing that is the pressing problem.