After hearing a patient's chilling confession, Violet turns to Sheldon for advice. Meanwhile, Addison tries to keep her grief a secret, Cooper and Charlotte adapt to their new reality and Sam confronts Sheldon about his denial.

In an episode told from Cooper's point of view, we follow him from the moment of conception through a nasty fight with Charlotte, which inadvertently threatens the lives of their triplets. Meanwhile, Violet comforts a friend who is being advised to take her partner off life-support.