Review of Triumph

The Alfred Hitchcock Hour: Triumph (1964)
Season 3, Episode 9
I'm stumped
24 June 2009
Warning: Spoilers
This is not a review, it's a question. Can someone explain the plot to me? I don't get it.

We see the older woman sneak into the younger woman's bedroom with the scalpel. Then we hear a scream, and see someone collapse behind the bed screens. The doctor sees this, but visibly does not participate in any way. But in the end, we find out that the young woman is NOT dead, she's masquerading as the older woman and running off with the doctor. This leaves a couple big questions unanswered: 1) HOW????? How on earth did the sleeping younger woman somehow kill the older woman, who was armed with the scalpel? Huh??? 2) When the young woman's husband digs up the grave and opens the coffin, how did he not *notice* that it wasn't his wife in the coffin, but in fact the older woman? I mean, come on, they didn't look anything alike, and surely he can recognize his *own wife* or not! 3) If the younger woman did somehow manage to kill the older woman, why is she secretly running away and all? She's innocent, it was legitimate self-defense.

In short, I don't get this episode. I've searched the net and cannot find a full plot summary that explains it. I was hoping to find one here, but no such luck. Anyone with answers, please post an explanatory review!

ADDENDUM: I thank patricw for the reply. I've since watched the episode again, and it still doesn't hang together for me. How could the young woman be prepared for the older woman's attack? How could she have known it was going to happen that night? Short of being armed with a gun (we don't hear any shot), how could she have been assured of safely defending herself against a scalpel?

The cut up face is an interesting idea for why the husband doesn't recognize the corpse as not being his wife. Not sure I fully buy it, but at least it's a good attempt at an explanation.
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