Addison gave Sam an ultimatum before she left for Seattle. Either they have a baby or they're through. Sam hasn't made up his mind yet. More on that later. Right now, Addy and Sam treat Val, a pregnant woman who has cancer. The only way they can help her is to deliver the baby at 25 weeks. The newborn child could come out with a slew of serious complications. Val says she'll carrying the baby to term even if it kills her.
Val needs to give Gary the baby he's always wanted. She once had an abortion without telling him at a time when her career was starting to take off. Val's condition goes from bad to worse. They need to start treatment immediately, but she won't change her mind. Addison nudges her to tell her hubby the truth. Unfortunately, Gary doesn't take the news well.
Eventually, Gary and Val agree to go forward with the C-section. They love each other and want to have a baby together. This case hits close to home for the doctors involved. Addison can't wait anymore. She wants to have a baby right now. There can be no compromise. This has Sam wondering if that means they are breaking up. Frankly, we're wondering the same thing.
Sheldon's upset because he stopped seeing Marla for Violet's sake. He believes a true friend wouldn't have put him in this position. Violet believes a true friend would have walked away on his own. There's obviously a difference of opinion here. Sheldon says the only thing it seems they agree on is that they are "not" friends. Yeah, that's not really the case. Violet eventually comes around to give Sheldon her blessing to date her nemesis.
One of Violet's former patients is claiming her book violated doctor-patient confidentiality. The plaintiff is the same woman who violently attacked her. Yes, Violet is being sued by Katie. She ropes Cooper into driving her over to the diner where Katie works. She seems better now, but claims she can't move forward with her life as long as Violet's book is out there. Nothing gets resolved.
Later, Katie approaches Violet when she's alone at the office late at night. It's a tense situation. Violet is frightened, but all Katie wants to do is apologize. The next day, Violet learns that the lawsuit has been dropped. That's the good news. The bad news is that an investigation has been launched as to whether or not Violet's license should be suspended.
Cooper is concerned when he discovers that Charlotte held on to a photo of her ex-hubby, Billy. Even though his bride-to-be claims the old snapshot means nothing, Coop can't seem to let it go. That's so him, right? Billy still lives in the area, so Cooper tracks him down and brings him back to the office. Charlotte is shocked to see him, but she's even more blown away by his pronouncement that he's gay.
Charlotte feels like a fool, but she couldn't have known any of this. Billy didn't know himself back then. The two of them have a heart-to-heart that finally gives Charlotte a little closure. Even though her marriage to Billy was a mistake, she's sure she's getting it right this time with Cooper.