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If You Don't Know Me By Now

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If You Don't Know Me By Now is the eleventh episode and mid-season premiere of the fourth season and the 65th overall episode of Private Practice.

Short SummaryEdit

Addison's mother, Bizzy, aggressively demands her daughter do whatever it takes to save her partner from dying - including working with Dr. Rodriguez once again. Meanwhile Amelia and Pete's medical consultation is complicated when a patient's wife and his mistress disagree on the course of treatment, Charlotte and Cooper try to be intimate with each other again, and Violet considers publishing a personally-revealing book she's written.

Full SummaryEdit

Episode in detail.

CastEdit

  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Bizzy Forbes
  • Eric Rodriguez
  • Susan Grant
  • Patricia Ramsey
  • Janel Chase
  • Paramedic
  • E.R. Nurse

Main CastEdit

Guest StarsEdit

Co-StarringEdit

Medical NotesEdit

Susan GrantEdit

  • Diagnosis:
    • Stage IV ovarian cancer
  • Treatment:
    • Surgery
    • Heated chemotherapy

Susan had stage IV ovarian cancer and Addison was tasked with trying to treat it. Addison consulted with Eric in order to find any possible treatment option. Addison took Susan into surgery to see what she could do, but the cancer had spread beyond what they had seen. It had invaded her liver and the major vessels. Addison told Bizzy there was nothing she could do. Bizzy pushed her and Addison looked into it and decided to use the Da Vinci Surgical System to get to places she couldn't with her own hands. She recruited Eric to use hot chemo to kill any cells she left behind. They were able to remove all the cancerous tissue and place the port successfully.

Corey RamseyEdit

  • Diagnosis:
    • Skull fracture
    • Cerebral edema
  • Treatment:
    • Mannitol
    • Intubation
    • Surgery

Corey, 31, was in a car accident. He had a skull fracture. Pete intubated, pushed mannitol, and paged Amelia. His brain was swelling and Amelia prepared to operate. His wife was warned that he would have deficits, but could lead a good life. Because his intellect was so important to him, his wife decided not to let Amelia operate on the off chance that he would recover on his own and go back to how he was. When his girlfriend showed up, she said that Corey would be okay with the reduced intellectual ability, but she had no authority to make those kinds of decisions. When his condition worsened, his wife let his girlfriend make the call and they took him into surgery. They had to remove more of his brain than they thought they would, but he was responding to stimuli after surgery.

MusicEdit

Song Performer Scene
"Brand New Shoes" She & Him
"Pennies in the Snow" Farryl Purkiss
"I'm in Here" Sia
"31 Flavors" Little Jackie

Notes and TriviaEdit

Private Practice 4x11 Promo00:31

Private Practice 4x11 Promo

  • This episode scored 7.67 million viewers.

GalleryEdit

Episode StillsEdit

QuotesEdit

See AlsoEdit

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

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