The Controversial ‘Golden Girls’ Episode That Shocked Viewers

THE GOLDEN GIRLS, Bea Arthur, Jeffrey Tambor, 'Sick and Tired, Part 1', (Season 5, epis. #501, aired September 23, 1989) 1985-92
© Touchstone Television / courtesy Everett Collection

The Golden Girls, the beloved NBC sitcom that aired from 1985 to 1992, is remembered for its witty banter, sharp one-liners, and the undeniable chemistry among its four iconic leads: Bea Arthur as Dorothy Zbornak, Betty White as Rose Nylund, Rue McClanahan as Blanche Devereaux, and Estelle Getty as Sophia Petrillo. Often dismissed by non-fans as a creaky comedy about retirement, the show was actually anything but lightweight: behind its pastel outfits and cheesecake-fueled chats was a series unafraid to dive into weighty subjects like LGBTQ+ rights, grief, ageism, addiction, and terminal illness. 

While The Golden Girls had already delved into controversial territory early in its run, few episodes captured the emotional gravity and raw vulnerability of real life quite like Season 5’s two-part premiere, “Sick and Tired.” In these episodes, the show abandoned its usual rhythm of sarcastic rejoinders and sunny escapades to explore a far more sobering reality — what happens when a woman isn’t taken seriously by her own doctors. 

The Gut-Wrenching Plot of “Sick and Tired” 

 

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The two-part episode opens with Dorothy feeling … off. She’s been battling relentless fatigue, confusion, and joint pain. These aren’t the symptoms of a simple cold, and she knows it. Her friends try to be supportive, but even they have trouble understanding what she’s going through. Dorothy, always the voice of reason in the house, suddenly finds herself unable to muster energy for simple tasks, and she’s uncharacteristically terrified. 

Seeking answers, Dorothy visits Dr. Budd, a smug, dismissive man played by Michael McGuire. After barely listening to her symptoms and brushing aside her concerns, he concludes, without a shred of evidence, that Dorothy is simply “getting old” and perhaps a little bored. The diagnosis is not only patronizing, but dangerously negligent.  

As the two-parter unfolds, Dorothy continues her search for answers by turning to her neighbor, Dr. Harry Weston (Richard Mulligan, who played the character in Empty Nest). Harry believes Dorothy and sends her to Dr. Chang, a compassionate and competent doctor who finally gives her a real diagnosis: Chronic Fatigue Syndrome, a then-relatively unknown condition that had yet to receive widespread medical legitimacy. While Chang admits that CFS isn’t curable (although its symptoms are manageable), his diagnosis is taken as a moral victory by Dorothy, who finds validation in finally being taken seriously.  

The most cathartic moment comes in the final scene of Part 2, when Dorothy and the girls decide to celebrate Dorothy’s diagnosis by dining out, only to spot Dr. Budd at the same restaurant. Incensed but calm, Dorothy approaches him and explains exactly how it felt to be treated like a hysterical woman instead of a human being, unleashing a fury-filled monologue that even wins over the doctor’s wife. In a series known for cheesecake-fueled debates and witty comebacks, it’s this quiet confrontation between a wronged woman and a smug doctor that remains one of The Golden Girls’ most unforgettable moments. 

The Aftermath of “Sick and Tired” 

When “Sick and Tired” aired in 1989, Chronic Fatigue Syndrome was not widely recognized by the medical establishment. Many physicians questioned whether it was even a real condition, often diagnosing patients — primarily women — with depression, anxiety, or hypochondria instead. The show raised awareness of the illness, giving a voice to the millions of women who felt unheard and unseen by a healthcare system that too often viewed their pain as laughable. 

“Sick and Tired” was deeply personal for Golden Girls creator Susan Harris, who wrote the episode based on her own struggle with CFS. Far from the typical “very special episode” written for ratings, this was a demand to be believed, grounded in the experiences of real women like herself. 

The Legacy of “Sick and Tired” 

The Golden Girls may have been filled with innuendo and sass, but at its core, it was a show about women standing together in a world that didn’t always respect them. “Sick and Tired” was a perfect example of that mission: a quiet but forceful reminder that every woman’s voice—and every woman’s pain—deserves to be taken seriously. 

Bea Arthur was always the rock of The Golden Girls, known for her dry wit and towering presence. But in “Sick and Tired,” she shows a different side of Dorothy: vulnerable, frightened, and quietly enraged. Her journey from confusion to clarity, from dismissal to empowerment, is one of the finest performances in sitcom history. 

In the years since the episode aired, awareness of Chronic Fatigue Syndrome (now more widely known as Myalgic Encephalomyelitis or ME/CFS) has grown, but stories like Dorothy’s are still painfully common. For this reason, “Sick and Tired” continues to resonate, even all these years later. 

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