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Marital sex just needs to be varied. If the couple won't do it together, then clearly they will still do it secretly each separately! I think this home variation is acceptable, in any case it is not as extraordinary as entertaining a large group of swingers. My wife and I once invited me to one of these, against her this clip is just sex puritanical family!
If a paramedic dreams about sex, it means he's got full balls. And in his dreams he can come right in his pants. I wish the nurses hadn't laughed and saddled him for real - why let it go to waste!