Over in Eugene Foote's room, the genius violinist is telling Burke he would like his pacemaker removed. Burke doesn't understand; Eugene's heart function has improved exponentially since they put the pacemaker in. Eugene says that may be, but Burke's contraption has changed his heartbeat, and his rhythm. "I can't play, and that's a sacrifice I am unwilling to make." Cristina asks if he'd be willing to sacrifice his life for his music. Foote says they are one and the same. Aw, Eugene. I love a man who loves his music. I do not love hearing the exact same guitar riff one frillion times in one night of practice, but it's a small price to pay for being married to a man who leads the best drunken sing-alongs this side of the Mississippi. Uh, anyway. Burke tells Mr. Foote to let him try one more setting on the pacemaker before they do anything drastic. Eugene reluctantly agrees to this, but looks like he already knows how it's going to turn out.

Addie greets her patient, a hugely pregnant woman surrounded by her husband and about thirteen children. "Rose" reports to Addison that she's feeling large, and also cow-like. She tells her kids and husband that she needs a quiet talk with the doctor. The husband takes his brood off for ice cream, and Rose drops this bomb on Addie and Alex: she needs this baby to be her last, so she wants a tubal ligation that day during her C-section, and she really, really wants them not to tell her husband. Dramatic music plays as Addison gapes at Rose, and we finally get us some credits.

When we return, Addie informs Rose that her husband is not her legal guardian, so telling him would be entirely up to her. Rose says yes, but if her insurance is charged, he'll see it. She says she's got some money saved up to pay for it privately. Addie understands that Rose wants her to do the surgery and leave no record of it. Alex gets the wrong impression, and tells Rose that if she's being abused, there are people she can talk to. Rose says her husband is anything but abusive -- he's just incredibly Catholic. "I think God understands what I'm going through, and will forgive me. For Chris, religion isn't like a buffet table where you choose what you want to take and leave the rest. And the Pope says no to birth control, so I need your help." Alex tells her flatly that she doesn't need their help; if her husband isn't abusing her, she doesn't get to lie to him and blame it on the Pope. Whoa! And...why not? I can think of lots of things I'd blame on the Pope. Stupid Pope. (My grandmother just had a heart palpitation and doesn't know why.)