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If you want the couples to become promiscuous just do one of the strip poker plots, or maybe the spin the bottle tropes, or just have them both sneak and cheat without the other spouse even knowing. I remember one of these swapping stories where the two couples finally decided to switch partners for life. Hey, why not, its just sex. Its not like any of these people take marriage seriously.
Seriously.
Retribution was dealt to the dentist - I assume you BTB types (bastard in this case) are happy - all the broken bones and botched joints are no fun. The lead did however end up paying for it - or his ex-wife did, in the subsequent divorce. If it made much difference, is something the author would have to decide.
The wife was not a stable person. The wife was never a stable person. However, there was this baby on the way.... and it worked for a while. I did say to a friend that the problem with getting involved with a lunatic (and she was a very cute lunatic) is that you can never, ever, be a lunatic yourself. You are on, 24/7, or it doesn't work. Here, he tried but MRSA laid him low, and then the cracks widened.
An understandable story, if the message was a bit grim perhaps it was necessary.
I'm surprised the dentist married her. but he was a nut case as well.
And those who think that the people this kind of thing happens to don't count... well, let's hope they never run things.
Green-something