Excerpted from hbo.com episode guide:
Rosalie Aprile is hit especially hard by Karen's death. "There's no release," she tells Ralph, "I'm surrounded by death . . . my husband, my son, my friend . . . " Ralph, ever the caregiver, responds by telling Rosalie that he wants out of their relationship. In short order, he shows up at Janice's, happily declaring, "Now I can devote myself completely to you. Now there can be no guilt, no fear . . . just sex." But Janice has been having misgivings about her relationship with Ralph and a visit to the grief-stricken Bobby only confirms them. She tells her therapist, "I was so moved by him. Then I look at Ralph . . . " So the next time Ralph shows up at her house, she breaks up with him -- by shoving him down the stairs.
Ralph's popularity is taking a lot of hits lately. Johnny Sack is openly hostile towards him, even going so far as to knock an envelope of cash -- a nursing school graduation gift for Johnny's daughter -- out of Ralph's hand. "Stick it in your ass," the normally unflappable Johnny hisses at him. Why the animosity? During one of his clandestine collect calls to Johnny, Paulie informed him of a disparaging remark Ralph made about Ginny Sack's weight. He also let Johnny know about the money Tony made re-selling Junior's old warehouse. Carmine wants a taste of those profits, since, as Johnny puts it, "the property's hot because of the Esplanade, (and) we share the Eslpanade." Tony agrees to "work something out," but he's clearly furious, at one point telling Silvio, "Somebody's talking too much. And it's costing me money."