Cooper finds Doctor Douche passed out in the lounge. Not the one Pete and Addison had sex in, but a different one. Cooper calls him out on his drug using bullshit and reminds him that he is a doctor with, like, responsibilities and patients and, oh yeah, he could hurt someone! Doctor Douche doesn't care... unless Cooper is threatening him. Is Cooper threatening him? Cooper is not threatening him yet, but suggests he go talk to Dr. Violet... OR ELSE HE GOES TO CHARLOTTE. Um, the same Charlotte who already shot down your slanderous innuendo? That Charlotte? Yes, THAT Charlotte. For some reason Doctor Douche goes for it. It must all be a cry for help.
Meanwhile, Addison is doing the surgery, but it is not going well. The baby survives the operation, and she is able to stop his bleeding brain, but this is not cause for hope, people. The parents are hopeful anyway. So Addison harshly adds that there is most likely brain damage, the kid has no digestive system, and is most likely going to go blind. Mom and Dad aren't really buying it. And I can't blame them, because who would want to buy that, right? Addison says the kid has less than a one percent chance to live outside the NICU and the parents' ears perk up at that. Addison tries to squash the hope like it is Tinkerbell in mosquito form and Pete and Naomi just sit there while Addison kicks them while they are down. Addison just gets stonier and stonier in light of their Pollyannaishness and finally she refuses to do any more operations and storms out of the room.
Dr. Douche is talking to Violet who is wearing her Sane Face for the occasion. The doctor offers her his entire bottle of Oxy if he can just leave before she traps him in there with her for all eternity playing tea party and "Misery". Dr. Douche gets all defensive-y and yell-y and Violet gives him her sad face and he settles right down. He doesn't want Charlotte to know about his bottle of Oxy. Violet asks him to stay and talk a little longer... just a little longer, pleaseeeeeeeeeeee. She can help him. He just has to stay with her.