One flew over the cuckoos nest
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Much of this is reflected in Nurse Pilbow. Nurse Pilbow is a Catholic woman with a prominent birthmark that she attempts to wash away. She is intensely affected by feelings of guilt over her job and her sexuality.Nurse Ratched warns Nurse Pilbow that McMurphy is a "sex maniac." This makes Nurse Pilbow even more nervous about her own sexuality. McMurphy stresses her to the point that she can't dispense pills properly.