Addison has to perform and emergency C-section on a woman, Lauren, who was fished out of the water by the Coast Guard. Both baby and mother were saved, but the infant is having a tough time. Violet discovers Lauren has been distraught since her husband left her. Unless Sam operates on her, Lauren will die. Unfortunately, that’s still exactly what she wants. She won’t consent to heart surgery.
Lauren is still hoping her husband Michael will come back. Addison tracks down Michael only to discover that he wants nothing to do with her or the baby. Addison wants to keep this a secret until Lauren has the surgery. Sam doesn’t want to give her false hope. It’ll be like fixing her heart just so it can be broken again. There’s a not-so-subtle subtext to their conversation, as it parallels their current relationship. Told ya it was awkward.