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Something Old, Something New

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Something Old, Something New is the twentieth episode of the fourth season and the 74th overall episode of Private Practice.

Short SummaryEdit

The day has arrived for Cooper and Charlotte to marry, but not everyone is in a celebratory mood, leading the couple to second-guess their wedding plans. Meanwhile, the doctors of Oceanside Wellness are torn between the future of their practice and protecting one of their own, as an investigator is sent to question them about Violet's breach of confidentiality case.

Full SummaryEdit

Episode in detail.


Main CastEdit

  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Augusta King
  • Marion
  • Gabriel Fife
  • Mr. Freedman
  • Mrs. Freedman
  • Neal Chaplin
  • Richard Huvane
  • First Class Passengers
  • Las Vegas Minister

Guest StarsEdit


  • Lynne Alana Delaney as First Class Passenger #1
  • Ruben Roberte Gomez as First Class Passenger #2
  • Timothy James Driscoll as Las Vegas Minister

Medical NotesEdit


  • Diagnosis:
    • Diabetes
    • Depression
  • Treatment:
    • Insulin
    • Residential care

Marion was seen by Naomi, who said her blood sugar was high and asked if she'd been taking her insulin. She seemed not like herself. Gabriel suggested a brain surgery that could treat her depression. But Marion refused it. Naomi sent Sheldon to talk to her. Sheldon believed Marion needed talk therapy. They thought her grief stemmed from the loss of her friend Walter. But Gabriel said she thrived after the loss of her husband, so it should be possible for her to get over the loss of Walter. He went to see her and she said that she loved Walter, but she felt like she was betraying her late husband, Jerome, so she never told him. Gabriel said he had to know that she loved him.


Song Performer Scene
"Heart & Arrow" Matt Duncan
"Violin" Amos Lee
"The Winter From Her Leaving" William Fitzsimmons
"Love is You" Chrisette Michele

Notes and TriviaEdit

Grey's Anatomy 7x20 & Private Practice 4x20 WEDDING EVENT Promo00:31

Grey's Anatomy 7x20 & Private Practice 4x20 WEDDING EVENT Promo

  • This episode scored 6.89 million viewers.
  • This episode's title originated from the traditional rhyme for what a bride should wear at her wedding for good luck. 


Episode StillsEdit


Amelia: (to Charlotte) Are you getting pre-wedding jitters? You gonna choke Cooper at the altar? Because I will drive the getaway vehicle, no questions asked.

See AlsoEdit

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

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