Addie greets her patient, a hugely pregnant woman surrounded by her husband and about thirteen children. "Rose" reports to Addison that she's feeling large, and also cow-like. She tells her kids and husband that she needs a quiet talk with the doctor. The husband takes his brood off for ice cream, and Rose drops this bomb on Addie and Alex: she needs this baby to be her last, so she wants a tubal ligation that day during her C-section, and she really, really wants them not to tell her husband.
Addie informs Rose that her husband is not her legal guardian, so telling him would be entirely up to her. Rose says yes, but if her insurance is charged, he'll see it. She says she's got some money saved up to pay for it privately.Addie understands that Rose wants her to do the surgery and leave no record of it.
Rose says her husband is just incredibly Catholic. "I think God understands what I'm going through, and will forgive me. For Chris, religion isn't like a buffet table where you choose what you want to take and leave the rest. And the Pope says no to birth control, so I need your help."
Addie sits down on the bed and tells Rose, "Before we bring your family in to see you, I wanted to let you know that there was a complication with your surgery. We had some unexpected bleeding that caused damage to both your Fallopian tubes. You won't be able to have any more children." Rose's eyes fill with tears, and she thanks Addie.
Rose apologizes for spilling it to Chris about the "complications." Addie gets very serious. "Rose. I need you to tell him that you asked me to tie your tubes." Rose is all, "No can do, ma'am. For you it's just insurance. For me, it's my marriage." Oh my God. Addie says it's her career, her reputation. Rose says she's sorry, because she's so grateful to her, but she just can't do it.
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