Addie ultrasounds Rose and asks if she's sure about this. Rose says when they were first married, they were so broke that she went on the pill for a while, and Chris stopped taking communion. "When he does that, he thinks he's..." "...Going to hell," Alex finishes for her. Addie shoots him a look, but he is unapologetic. Rose tells them that the reason they haven't had a baby in four years is because they abstained for three. Wow. Addie suggests the pill again. Rose says he would find out, she can't hide that. Alex: "If he found out, what? I mean, he won't divorce you. He doesn't believe in it." Ha! Addie, clearly wanting to kill, says Dr. Karev was just leaving. Rose says she can't have her husband looking at her like the way Alex is looking at her right now, which is with contempt and disgust; she also can't have any more babies. Addie doesn't know what to do, so she stands there looking conflicted. Alex stands there looking evil, which...heh. I'm sorry, I know he's awful, but I love him.
Mere, Izzie, and Cristina take a little snack break in the middle of the day. Mere's eating some delicious-looking ice cream and asking Izzie if she really dumped Alex for a heart patient. Cristina interjects that Mere can't talk; she's going out with a vet. Mere says she's just considering going out with him, and warns Izzie that Bailey's on the warpath about her and Denny, so watch out. Izzie nonchalantly munches on a plum, one she probably stole from the icebox, and which someone was saving for breakfast.
Rose's C-section. After the baby is delivered and wheeled away, Addie starts closing up. She says she sees some extra bleeding. Alex tells her he doesn't see any, nope, sure doesn't, and Addie asks icily, "Are you the surgeon here, Dr. Karev?" Alex looks on angrily as Addie severs Rose's "bleeding" Fallopian tubes. Drums of Drama start to play as we go to commercial.