Ray’s still in the hospital and it’s Ana’s birthday. There’s very little kink content in chapter 18, even less than the Aspen chapters.
I could take this opportunity to discuss how a D/s relationship should handle the intrusion of a real life crisis like the serious illness of a family member, but I wouldn’t call what Ana and Christian have a D/s relationship. It’s really a marriage that occasionally has BDSM play. There isn’t an overarching agreement that regulates their interaction. Ana has been more involved in their BDSM interactions, but this particular plot thread is very slow. We’re in the last third of the book three, and their BDSM relationship is still in the very early stages.
If you’re interested, Ray wakes up when Ana reads the sports section to him.