Cooper knocks on Charlotte's office door. He wants her to hear him out, but she says no more talking and expressing, because it's done. He tells her it could be done, that would be fine, and he wouldn't be that much of a mess because she's not pregnant and they don't live together, and she hasn't left so much as a T-shirt at his house. (Right, except that you already returned a box of stuff to her several episodes ago, forgetful Cooper!) But he's not ready to let go. She tries to slam the door, but he stops it and tells her they're not the cute couple, but they're still a couple and he loves it. He's nowhere near ready to give up. She's tear-eyed. He says even if she's giving up, he's not. She says, "Well won't that be lonely?" Man, all that because she humiliated herself? How is that Cooper's fault? She should be mean to herself, not to him, right?
Violet goes into Pete's office, where he immediately asks if she'll sign a "5150" to force Keith into a psych facility, where they can choose to give him treatment. She argues against it, and then brings up kids, saying they can sometimes inspire things in people that adults can't. Then he says it's good he never had kids, because he's too selfish, and he's "past that window." So, will she sign the 5150? She tells him that if you force something on someone that they don't want, they'll never fully commit. Wait, is that a no, or just her realization that she can't tell Pete she's pregnant either? Also, can I just say that I hate this: If you are pregnant, you tell the father if he is in your life, even if he doesn't like kids. Plenty of people who don't like kids end up having them, and guess what? They like their own. Almost everyone does. Wouldn't a therapist be smarter than this?
In surgery, Jane's still stroke-talking, asking "Baby?" And Addison is talking baby-talk to her. When the baby comes out, it's not breathing, so Addison has to intubate. She's successful, of course. She's Addison Forbes Montgomery, Miracle Worker. She tells Jane the baby's okay.