Know When to Fold is the ninth episode of the second season and the 18th overall episode of Private Practice.

Short SummaryEdit

Charlotte worries she may be pregnant, Violet and Sheldon Wallace go out on a date, Addison clashes with a doctor at St. Ambrose who calls her "Monty" and Kevin refuses to take Addison's medical advice, Naomi tries to learn to just supervise, Dell comes up with a money maker plan for the practice but starts to regret it and feeling threatened by Charlotte's practice, Pete and Sam become impulsive.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Dell Parker
  • Sam Bennett
  • Violet Turner
  • Sheldon Wallace
  • Judy
  • Ray Daniels
  • Monica Daniels
  • Leah Hudley
  • Wyatt Lockhart
  • Kevin Nelson
  • Carrie Sinclair
  • Matt Sinclair
  • Collin
  • Admitting Nurse

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Leah HudleyEdit

  • Diagnosis:
    • Stage II ovarian cancer
    • Colon perforation
  • Treatment:
    • Clinical trial
    • Surgery

Leah was diagnosed with stage II ovarian cancer when she came in to have a cyst removed. She was eager to jump into treatment, but when Addison said she needed surgery to remove her ovaries and uterus, she objected because she wanted children. She told Addison she was going to get a second opinion, which she did from Wyatt Lockhart, who offered her a clinical trial which didn't involve surgery. When one of the drugs caused a perforation of her colon, Addison operated. While she was operating, Lockhart encouraged her to check for the tumor. She couldn't feel it and said they could send a sample to pathology. The samples showed that the tumor was shrinking, but Leah decided she didn't want to die and asked Addison to do the surgery. Addison said she'd do it and then they'd find a way for her to have her family.

Ray DanielsEdit

  • Diagnosis:
    • Knee injury
    • Hypertrophic cardiomyopathy
  • Treatment:
    • Medicine

Ray, an cyclist, had a knee injury and wanted to get treatment for it so he could continue to race. His wife informed the doctors that he'd retired not because of the knee, but because of his heart. He had hypertrophic cardiomyopathy. Sam and Pete cautioned him not to continue training as it could kill him, but he was desperate to keep racing to support his family. He raced against their advice and Sam and Pete monitored his heart rate on the race website. He was stable until after he crossed the finish line. By the time Sam and Pete got to the hospital, Ray was dead and in the morgue.


  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Prenatal care

Judy was at the practice for an ultrasound because she was pregnant. She told Dell she'd been thinking about adoption and she was matched with the Sinclairs, who wanted a baby.

Carrie and Matt SinclairEdit

  • Diagnosis:
  • Treatment:
    • Psychiatric evaluation

Carrie and Matt Sinclair had been evaluated by Violet to adopt a child. They were approved and matched with Judy, who was pregnant.

Charlotte KingEdit

  • Diagnosis:
    • Food poisoning
  • Doctors:
  • Treatment:

Charlotte continuously vomited, leading her to suspect she might be pregnant. She took a pregnancy test and it was negative. She later found out it was food poisoning from the lobster in the breakfast buffet they'd had for the patients.

Sheldon WallaceEdit

  • Diagnosis:
    • Erectile dysfunction
  • Doctors:
  • Treatment:

Sheldon experienced erectile dysfunction during an encounter with Violet and she went to Pete for a solution, which he gave her, saying it was a secret recipe. Sheldon declined the medicine and didn't want to go out with Violet again.


Song Performer Scene
"Seether" Veruca Salt
  • Addison, Naomi, and Violet walk together and talk about their lack of sex.
  • They arrive at work to see a free breakfast set up by Charlotte for their new patients.
  • Sam and Pete meet Sheldon at the breakfast. Sheldon asks if Violet's single.
  • Addison enters her office for a meeting with Leah Hudley.
"All for Love" Serena Ryder
  • Addison sees Kevin putting on running shoes and questions him. He says he's going back to work. She tries to stop him.
  • They argue and Addison leaves to go on a walk.
  • Charlotte looks through the box of stuff Cooper gave back to her. She throws up in it.
  • Sheldon takes Violet home and they start kissing.
  • Sheldon and Violet sit together on the bed naked.
"I Might Be Crying" Tanita Tikaram
  • Cooper and Dell talk about the adoption and Cooper's experience.
"Here Goes Something" Nada Surf
  • Addison helps Kevin up the stairs.
  • Naomi teaches Sam to ride a bike.
  • Pete finds Violet in her office and they talk about Ray.
  • Violet tells Pete she's lonely and they start kissing.

Notes and TriviaEdit

  • This episode scored 6.86 million viewers.
  • This episode introduces Addison with a new, shorter haircut.
  • Sarah Drew appears in this episode as Judy. Later, she became a regular on Grey's Anatomy, playing the role of April Kepner.


Episode StillsEdit


See AlsoEdit

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

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