Paul's Dedication to his Work
Can Paul be blamed for interrupting family time to be with patients? I'm specifically referring to cookie baking with his son when Jesse appeared at his door after hours.
Jesse looked like he could have been suicidal. If he actually did it after Paul turned him away, wouldn't Paul have been liable?
Paul's profession is like that of a doctor, cop, or EMT. It demands his full attention at certain times regardless of what else is going on. His wife didn't know what she had signed up for when she married him, so she called him cold and distant.