Carlisle's POV After Breaking Dawn, Carlisle and his family move to a new town out of Seattle, keeping close to Charlie for Renesmee. Carlisle had been working a late night one, where he had been working for five nights with a small two hour break in no way was he able to feed in those five two hour breaks. A nurse, with intoxicating blood gets to close to Carlisle in his office and he kills her, his first taste of human blood and his arrival at home with red crimson eyes ashamed he hides from his family and only Esme knows where he is. Alice's visions was subjective, Carlisle didn't decide to just feed on her it was on impulse.