Addison's patient is a Catholic mother of seven who wants her tubes tied secretly. Derek treats a divorce attorney who is having seizures. While Izzie and George are talking about their personal lives they "overhear" part of Derek's conversation with the divorce attorney who calls herself one of Seattle's best. Alex gets in trouble with Addison yet again for not being able to keep his mouth shut when other people think he should. A legendary concert violinist who had a Pacemaker that was installed by Dr. Burke refuses to see medical reason. The musician is Burke's musical hero. Finn cooks for Meredith. Addison and Derek try to re-energize their love life.