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Drenching rain pummels Nimipuu County as Helen, an idealistic middle-aged American History educator, sits alone in her kitchen recovering from a double mastectomy and looking at a pile of bills and an employment termination letter. What makes more sense than suicide? Newly retired social worker and rookie crisis hot line volunteer, AJ sits alone in the office desperate to save Helen from herself. As Helen slips between the worlds after eating a huge assortment of pills, Elizabeth "Betsy" Pennington greets Helen and takes her on a journey designed to convince her to return and invent a new kind of educational model. Pineapple and Other Options braids the stories of three women into a - literally - constructive theatrical experience.