Sam and Addison are co-operating on Kim's abdomen. It's bloody and "she's bleeding out" and "There's too much blood in the field." There's beeping, then Sam asks for Addison's hand and he puts it in the wound and asks if she can feel that. She can't, so he asks her to get closer. Their faces are very close together as he tells her to push down and feel that. They gaze at each other and he says, "More suction." Then something about a clamp. And then the pressure's coming up. How did watching that make me feel so dirty? On a bench somewhere, Violet finds Claire's husband to tell him Little Shephard's an excellent surgeon and it will be okay, but he says it won't, because it was hell with Claire before. He says he finally found the woman he's always dreamed of, and she might be gone in a few hours. He's not sure he has it in him to love the old Claire anymore, since he loves her how she is with the tumor. Violet doesn't know what's going to happen after the surgery, but Violet does believe the joy she feels now comes from somewhere deeper than a lesion in her head. He asks if she really believes that, and she looks away, then rubs his shoulder as he cries. It's so sad.
Charlotte barges in to Sheldon's office to lecture him for telling her that Cooper could be more, because she says he's no more than a freak between the sheets and he never will be. Sheldon stands up and says he will be. He says she's right, and should expect more. She should expect everything: for him to be there for her and trust and emotional support and sex and a great haggis recipe. And he says he'll give her all of that, right down to the picket fence. Charlotte: "Sheldon Wallace." Sheldon: "I'm throwing my hat in the ring." He asks her to dinner, and she smiles.
Sam and Addison clean up post-surgery, and she says they were so great saving two lives today and no one would top that at a dinner party. He says they're always great when it's just the two of them. But they live in the real world, where they can be friends and neighbors, but never more than that. He's okay with that now. At Pacific Wellcare, Pete confronts Fife about not giving William the ALS protocol. Fife says he's protecting his research, because when the FDA approves it, it will be more important than saving the life of just one man. Pete thinks if that's the real reason, that's good, but if he's saying no because he wants to get Naomi... Fife wheels away and tells him to mind his own business, but Pete tells him he's pathetic and asks if Naomi knows he's in love with her (actually, she does). Fife points out Pete is the pathetic one dragging Violet through a trial. Pete raises his fist like he wants to fight and Fife dares him to, even raising his chair to make himself seem on equal ground. Fife's sick of being the guy in the chair, who never gets the girl. He says he's getting the girl this time, so screw the chair. Pete says if he lets William die to have Naomi, it's not the chair making him a small man.