The dynamic of this episode.. the way it was cleverly plotted - the way it went. Rachel seems to be acting so fine again and talking care of Ella and being quite good again but her try ends badly when she swallows Rachel's ecstasy. Sick Elizabeth rushes to ER and Mark, who is called by Abby and first think it is Rachel.. the moment when he walk in.. the way it was filmed and the motion there.. it was superb.. Mark tries everything but has to step back and let others to do their job. And like the title of the episode says - even if they try not to do unnecessary things with baby, the damage is already done. Rachel is feeling so down and so sorry but does anyone care? And Elizabeth.. she stays with her and is so sure it will end badly. The pain of the parents - so well portrayed. And the scene where the doctor, who she believes is "angle of death" comes in.. and Romano - one of those good Romano moments. When things are hard, he seems to be acting so much different than usual.
And the other storyline with Carter and her mother - the pain she and he is going trough. Carter do not want to see it again as he has made his peace but she needs that - to make her piece.