What We Have Here... is the nineteenth episode of the fourth season and the 73rd overall episode of Private Practice.

Short SummaryEdit

Katie threatens to take legal action against Violet for "breach of confidentiality," and although Violet feels that she hasn't done anything wrong, she soon realizes she'll have to defend her actions to more people than just Katie. Meanwhile, Cooper suspects that Charlotte may be hiding some lingering feelings for ex-husband Billy, only to find out that Billy has been hiding some feelings of his own.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Katie Kent
  • Val Woodward
  • Gary Woodward
  • Billy Douglas
  • Mechanic Guy
  • Bike Courier

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Val WoodwardEdit

  • Diagnosis:
    • Pregnancy
    • Burkitt's lymphoma
    • Superior vena cava syndrome
  • Treatment:
    • Supplemental oxygen
    • C-section delivery
    • Chemotherapy

Val was 25 weeks pregnant and got diagnosed with cancer. Since it hadn't been there on previous exam, they knew it was aggressive. She didn't have a few months to wait for the baby to be born, so Addison suggested they deliver immediately so she could begin chemotherapy. Val decided she wanted to wait, potentially at the cost of her own life. Val confessed to Addison that she'd previously had an abortion without telling her husband. She then struggled to breathe and had to be given supplement oxygen. The cancer had given her SVC syndrome. Her husband encouraged her to change her mind and have the baby delivered immediately so she could start treatment, but she resisted because of the past abortion. When she told him about it, he left. Addison later talked to him and informed him that he would lose Val if he didn't talk to her. Val agreed to have the c-section.

Baby WoodwardEdit

  • Diagnosis:
    • Prematurity
  • Treatment:
    • NICU care

Baby Woodward was delivered at 25 weeks so her mom could start cancer treatment.


Song Performer Scene
"We're On the Run" Gold Motel
  • Amelia makes breakfast and asks Addison how Seattle was.
  • Addison tells her about the ultimatum she gave to Sam.
"Search and Destroy" Sanders Bohike
  • Sheldon and Charlotte talk about him dating Marla.
  • Amelia catches Addison watching Sam through the window.
  • Addison doesn't want to have to choose between a baby and Sam.
  • Pete catches Violet looking through her book and they talk about the lawsuit.
  • Pete is upset that Violet is considering caving to Katie.
"With All My Lungs" Jason Poe
  • Violet gives Sheldon her blessing.
  • Val and her husband look at their baby.
  • Charlotte and Cooper sit down to get their wedding invitations ready to mail.
  • Charlotte throws away the picture of Billy.
  • Pete says Katie dropped the lawsuit. Violet is relieved.
  • Pete says Violet will still be investigated by the medical board.
  • Addison sees Sam while she's jogging. She tells him why she wants a baby and believes she's waited too long. It's time and she can't wait anymore.
  • He asks if they're breaking up.

Notes and TriviaEdit

Private Practice 4x19 - PROMO - What We Have Here..

Private Practice 4x19 - PROMO - What We Have Here...

  • This episode scored 6.68 million viewers.
  • This episode's title probably originated from a popular line from the 1967 movie Cool Hand Luke.
  • This episode is the last one not to feature Naomi while Audra McDonald is still credited.
  • The dress Addison wears in the beginning of this episode is the same one Cristina will wear later, attending Callie and Arizona's Wedding.


Episode StillsEdit


See AlsoEdit

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