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A Family Thing

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A Family Thing is the season two premiere and the 10th overall episode of Private Practice.

Short SummaryEdit

Addison disagrees with Naomi on the designer baby methods she did for Molly and Eric Madison in order to save their 7 year old son. But when 6-month pregnant Molly decides to bring on her labor as her son's condition deteriorates it is up to Addison to save the baby and reluctantly donate the core blood to the baby's brother. Meanwhile, Cooper and Charlotte continue their behind closed doors affair and it causes him to abandon his usual annual holiday with Violet. Elsewhere, Pete asks Addison out just as Kevin comes back on the scene, Dell quits and Naomi tells Addison that the practice is in trouble which causes Sam to relieve her of administrative duties.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Dell Parker
  • Sam Bennett
  • Violet Turner
  • Kevin Nelson
  • Molly Madison
  • Robin Miller
  • Mark Miller
  • Dean Miller
  • Eric Madison
  • OR Nurse (center)

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Molly MadisonEdit

  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Selective IVF
    • C-section delivery

Molly came into the practice 27 weeks pregnant. Naomi had helped her conceive as a donor for her older son and since he was dying of leukemia. When his condition deteriorated, she came in to convince the doctors to induce or do a c-section so they could use the cord blood immediately. When Addison refused, Molly broke her own water with a knitting needle, forcing Addison to complete the delivery.

Jason MadisonEdit

  • Diagnosis:
    • Acute lymphoblastic leukemia
  • Treatment:
    • Cord blood transplant

Jason, 7, had ALL. They had a partial match donor lined up, but that donor ended up with pneumonia, so he couldn't donate, but since Jason had been prepped for donation, he had no immune system, leaving him vulnerable to infection. Desperate to save him, his mother induced labor while only 27 weeks pregnant, as her baby had been selected using IVF to be a match for Jason. The cord blood was harvested after her birth and transplanted into Jason.

Dean MillerEdit

  • Diagnosis:
    • Human immunodeficiency virus
  • Treatment:
    • Anti-retrovirals

Dean, 14, had HIV, but wasn't aware of his condition. When he confessed to Cooper during an exam that he was going to have sex with his girlfriend, Cooper encouraged him to use condoms, because his parents were unwilling to tell Dean about the HIV. When Cooper backed the parents into a corner, forcing them to tell Dean, he confessed that he and his girlfriend had already had sex.

Baby MadisonEdit

  • Diagnosis:
    • Prematurity
  • Treatment:
    • Liquid ventilation

Baby Madison was born at 27 weeks gestation after her mother broke her water with a knitting needle. Desperate to save her, Addison tried liquid ventilation, an experimental procedure. It improved her condition.


Song Performer Scene
"On and On and On" Wilco
"Groove is in the Heart" Deee-Lite
"10 AM Automatic" The Black Keys
"Dizzy Spells" Ryan Auffenberg
"Maybe Maybe" Nico Stai
"Mercy, Mercy" Don Covay & The Goodtimers
"Devil's Thunder" Rachael Cantu
  • .

Notes and TriviaEdit

  • This episode scored 8.16 million viewers.


Episode StillsEdit


See AlsoEdit

A complete overview of this episode's crew can be found here.

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