Silvio was largely MIA in this episode. He was in one scene, with no lines. Same with Bobby B. Phil Leotardo and Janice were among those not seen at all. No more Little Vito, either, thank goodness. It was almost completely Tony, Carm, A.J., Dr. Melfi, Paulie, and (in the starring role) Christuffuh.
Any episode without Janice is fine with me. Same goes for Little Vito - the episode last week (where little Vito had all the behavioral problems) was horrible.