Worlds Apart is the tenth episode and mid-season finale of the second season and the 19th overall episode of Private Practice.

Short SummaryEdit

Cooper worries his patient may have been kidnapped, Violet and Pete deal with their feelings for each other, Meg returns, Naomi considers working with Wyatt Lockhart and Addison's patient who wishes to become a medical student surprises Addison by getting a job as a call girl. Meanwhile, Sam tries to stop Naomi from making a mistake, Charlotte protects Cooper and Kevin begins seeing too many differences between himself and Addison.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Dell Parker
  • Sam Bennett
  • Violet Turner
  • Meg Porter
  • Frank
  • Claudia Jenkins
  • Carley
  • Porter
  • Wyatt Lockhart
  • Kevin Nelson
  • Mara

Main CastEdit

Guest StarsEdit


Medical NotesEdit


  • Diagnosis:
    • Diabetes
    • Infection
    • Seizure
  • Treatment:
    • Antibiotics
    • Insulin pump
    • D50

Porter, 12, came into the practice for a checkup. He had diabetes and was on the road with his father. Cooper looked at his insulin pump and diagnosed an infection around the site. He hadn't be able to keep it clean because he'd been sleeping the car with his father. His father was told he'd need a new insulin pump, which had to be ordered and would take a few days. When Cooper ran the serial number on his current pump, he found out it was registered to Evan Dawson. He thought the kid had been kidnapped. It turned out his father had taken him because he said his mom's boyfriend was hitting him. While talking to Cooper, he had a seizure because his blood sugar dropped. At the hospital, he had a new pump placed and he stabilized.


  • Diagnosis:
    • Fractured ribs
    • Punctured lung
    • Tension pneumothorax
    • Contusions
  • Treatment:
    • Annual wellness exam
    • Aspiration

Carley came into the practice for an exam with Addison. She was concerned because she'd had more than her average number of sexual partners. She'd been putting herself through school working as a call girl. She was healthy, but later called Addison after being hit by one of her clients. When they arrived at the hotel, she found her severely injured, so they called an ambulance. She had a tension pneumothorax due to fractured ribs puncturing her lung. Addison relieved the pressure and Carley was taken to the hospital. During her hospital stay, Addison told Carley she couldn't be her doctor anymore because of what she was doing.

Claudia JenkinsEdit

  • Diagnosis:
    • Stage II adenocarcinoma
  • Treatment:
    • Chemotherapy
    • Radiation

Claudia, 35, had stage II adenocarcinoma. She was in full remission after chemo and radiation. She decided she wanted a baby, so Naomi was called in to get her pregnant.

Call GirlsEdit

  • Diagnosis:
  • Treatment:
    • STI screening

Several college call girls came in to see Addison for exams and STI screening.


Song Performer Scene
"Goodbye Girl" Squeeze
  • Kevin and Addison finish having sex. Kevin says he's healed, so he should go back home. Addison tells him to stay and enjoy the luxury.
  • Sam and Addison look around the practice.
"Swing Gently" Leona Naess
  • Cooper watches Charlotte leave.
  • Addison visits Carley and tells her that once you start, it's hard to stop.
  • She says she can't be Carley's doctor anymore.
  • Violet tells Cooper she slept with Pete. He thinks she's lying.
  • Wyatt gets on the elevator with Sam. Sam warns him not to hurt Naomi.
  • Kevin tells Addison that they live in different worlds. He gives her some money and leaves.

Notes and TriviaEdit

  • This episode scored 6.61 million viewers.


Episode StillsEdit


See AlsoEdit

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

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