Second Chances is the fourteenth episode of the second season and the 23rd overall episode of Private Practice.

Short SummaryEdit

Addison finds it hard to work with Archer, Naomi and Sam confide in each other about their love lives, Violet gets pregnancy cravings and tries to find out if Pete and Sheldon like babies, Dell gets hit by a drug addict, Pete forces his patient into going to the psych ward and Charlotte continues to ignore Cooper after he refused her marriage proposal.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Dell Parker
  • Sam Bennett
  • Violet Turner
  • Archer Montgomery
  • Sheldon Wallace
  • Sharon
  • Sonya Nichols
  • Keith Embry
  • Tim Williams
  • Ellen Embry
  • Jane Williams
  • Nurse

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Jane WilliamsEdit

  • Diagnosis:
    • Pregnancy
    • Stroke
  • Treatment:
    • Endovascular clot evacuation
    • Terbutaline
    • Blood thinners
    • C-section
    • Spinal block

Jane, who was 33 weeks pregnant, had a stroke and was taken to the hospital. Archer wanted to do an endovascular clot evacuation, but Addison pushed him to do a less risky tissue plasminogen activator. Archer ultimately did it his way. During the procedure, Jane started having contractions. Addison pushed terbutaline to stop the contractions and Archer continued. He captured the clot and extracted it. She was stable after the procedure, but they had to wait to see how much good it did. Jane later went into active later and Addison had to do a c-section. Because she was still on blood thinners from her first surgery, Addison consulted with Archer because she'd have to reverse them to do the c-section. They decided to do the c-secion with a spinal block while Archer monitored with an EEG. The baby was delivered successfully and Jane had good motor function and was able to speak afterward.

Keith EmbryEdit

  • Diagnosis:
    • Hepatitis C
    • Drug addiction
    • Overdose
    • Bacterial endocarditis
  • Treatment:
    • Narcan
    • 5150 psychiatric hold

Keith came into the practice looking for Pete. While waiting for Pete, he overdosed. Pete pushed narcan and said he also had Hep C. When Keith came to, he pushed Dell into a shelf and ran out the door. Keith was later found on the beach and brought to the hospital, where he was diagnosed with bacterial endocarditis. Pete found out Keith had traded the clean needles he gave him for more drugs. Pete asked Violet to sign a 5150 to commit Keith, but she declined. Another doctor agreed and Keith was committed.


  • Diagnosis:
  • Treatment:
    • Hormone therapy
    • Psychiatric evaluation

Sharon, 52, came into the practice after her daughter and son-in-law died. The embryos they had made with Naomi's help had been left to her and she wanted to use them to get pregnant. She'd gone through hormone therapy with her own doctor and Naomi said that she was ready for implantation, but she was wary about doing the procedure. After speaking to Violet, who had treated Sharon's daughter, Terri, Naomi learned that Terri hated her mother and would not have wanted her mother to raise another child. Violet then evaluated Sharon, which gave her new understanding of the situation.

Dell ParkerEdit

  • Diagnosis:
    • Laceration
  • Treatment:
    • Stitches

Dell's forehead was lacerated when he was pushed into a shelf by a patient. Sam stitched up the wound.

Jane's BabyEdit

  • Diagnosis:
    • Prematurity
    • Aspirated meconium
  • Treatment:
    • Suction

When Jane's baby was born, he aspirated meconium and had trouble breathing. Addison suctioned his mouth and he started to breathe normally.

Sam BennettEdit

  • Diagnosis:
    • Anxiety-induced asthma
  • Doctors:
  • Treatment:
    • Butterbur
    • Dried ivy

Sam had anxiety-induced asthma that was keeping him from consummating his relationship with Sonya. Naomi took him to Pete, who have him butterbur and dried ivy to help.


Song Performer Scene
"Last Train Home" David Mead
  • Addison tells Archer to go.
  • Charlotte gets on the elevator with Cooper. He wants to talk, but she says she's embarrassed and humiliated.
  • Pete goes to Ellen's door looking for Keith. She hasn't seen him in months and thinks Pete's enabling him.
  • Tim asks Addison about Jane. She gives him an update.
"100 Yard Dash" Raphael Saadiq
  • Sam and Sonya are interrupted by a phone call.
  • Sam talks to Naomi as Sonya gets undressed.
"Loneliest Man in the World" Max Morgan
  • Cooper comes to Violet's and they talk about Charlotte, Pete, and Sheldon.
  • Violet wonders about raising a kid by herself. Cooper says he'll be there for her.
  • Addison tells Archer to stay out of her personal life, but they can work together.
  • Sam and Sonya have sex.
  • Archer goes to Naomi's door. He cancelled his date to be with her. They start to kiss.
  • Charlotte comes to Cooper with food. She wants to make things right and move in together.
  • He tells her he's moving in with Violet.

Notes and TriviaEdit

  • This episode scored 7.74 million viewers.


Episode StillsEdit


See AlsoEdit

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

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