Things are getting hot between the ladies of ‘Married To Medicine,’ and based on a sneak peek of the next episode, the tension is about to boil over.

During Toya Bush-Harris‘ 4oth birthday party, the ladies get into an intense face off when Quad Webb-Luncefod overhears Mariah Huq and Simone Whitmore mentioning her in a convo. Toya doesn’t make it any better when she confirms that the ladies were indeed bad mouthing Quad before she arrived.

Get into the clip below.