When Anna, an unmarried schoolteacher, is diagnosed with ATD, Acquired Toilet Disease, a fatal new malady with a high risk factor for elementary school teachers, she and her brother Carl take flight to Europe. Anna decides she wants to drown herself in the sensuality of food and sex, while Carl becomes involved in a wild Third Mannish espionage scheme to find a cure for his sister on the Continent. Something is not quite right with the scenario, and the largest hint is dropped when Anna shows slides of their trip to Europe where each frame looks exactly like Baltimore. Carl's quest for a cure dead ends with a mad Viennese quack. Their European idyll is broken by Carl's death, and the tragic revelation that the entire play was Anna's valiant fantasy to keep alive her brother's spirit when she could not save his life.