Private Practice s03e23 Episode Script

Okay, you ready to roll, Mr.
Hagen? I think God's kind of pissed off at me.
- I crashed the car.
Oh, let's not worry about the car.
Let's worry about getting you back together in one piece.
Yeah, but it's not just the car, I I screwed up.
Well, everybody screws up.
God knows that.
You're gonna be fine.
He put you on my table, didn't he? He must have some idea of what he's doing.
They page you a lot? They page me when a helicopter lands at my hospital.
But if a helicopter hadn't landed at your hospital, you wouldn't have found some other reason to call it a night? You think I faked a helicopter landing - to bail on our date? - No, no, but You wanna bail on a date, you fake a headache.
Not a two-ton flying machine that can be seen from miles away.
Right, right, I just wanted to make sure.
Sheldon, the insecurity thing? You want me to stop thinking about Cooper, stop acting like him.
I'll wait, maybe you'll be done in a few minutes and Okay.
I need hand and wrist film, please.
What have we got? - Maya? - And Dell, MVA.
She's in labor.
On our way here some guy blew through a red light.
Contractions are minutes apart.
- Pain at a seven, maybe eight.
- Sir, you need to sit.
- No, I'm fine, okay, Maya's Sit down.
He okay? So far, some lacerations, probably a fractured wrist.
We need a fetal doppler.
Where is Radiology? - How you feeling, sweetheart? I'm okay.
My contractions were pretty bad, but it's much better now with the epidural.
What epidural? Dell? Maya, how's that feel? What? I'll page Neurosurg.
- Call Amelia.
Call Amelia.
- She doesn't work here.
Sam's in the OR, Nai is on her way.
She knows about the labor, but nothing else.
- Addison, she break? - Sit down.
I need a CT of her spine.
Now, please.
Hey.
We don't have films yet, but she's got distal sensory loss.
- What? - Can't feel her legs.
- She fractured her spine? - We don't know yet.
- Means she fractured her spine.
- Pete.
Charlotte, you're sweating.
You're not a sweaty girl.
Is Maya gonna be all right? Naomi's gonna blow in any minute expecting contractions, heavy breathing.
Can we focus on that? Now go.
Sam's got a body open in OR 2.
I got another cardiac surgeon on his way.
Gonna take him half an hour to get here.
- I got it.
- Hi.
- Not now.
- What do you mean? I called you, I texted you, I tracked you down.
Jan at reception said there was a helicopter here, which I missed.
But I just need a moment of your time.
We should have dinner tomorrow night.
- Um, no.
- Sheldon.
- Excuse me.
- Cooper.
Can you just tell him what's going on? - I'd rather not, frankly.
- What the hell? Nai Naomi.
- Hey.
Maya's in labor.
Oh, God, she's in labor.
Oh, my God.
I'm hyperventilating.
I think I'm a bit of a hypocrite because I've been against this from the get-go, but now all of a sudden I am just seized with the urge to, like, knit booties and coo.
I don't knit, so maybe I'm more seized with the urge to go and buy booties.
Naomi, you I think the universe is giving me a break today.
You know, Gabriel is giving William the ALS treatment, William's taking the ALS treatment.
I just feel like it's my day.
The universe is gonna tolerate just a bit of hypocrisy Naomi.
Something has happened to Maya.
She's got peripheral anesthesia, possible fracture at L-2 or 3.
- Is the cord transected? I don't know.
The baby? - Gonna do a C-section.
- We're going in now, the OR's ready.
- Naomi, I am so sorry.
Dell, you didn't do this.
- Mom, I can't feel my legs.
- You're gonna be okay.
- You're gonna be okay, Mommy's here.
- Where's Daddy? Hang in there, okay? We're gonna go have your baby now.
Let's go, now.
Let's go.
Hey, you got nothing better to do on a Friday night? I need you for a consult.
Can you step out for a sec? It could be a while.
This guy avulsed his pulmonary artery.
Smashed his Beemer.
Smashed his rib cage.
Thinks God's pissed off at him.
That's the guy that hit Maya and Dell.
On Sam's table.
Under Sam's knife.
- I know that.
- Does Sam? What am I supposed to do? We can't duct tape the guy closed.
Sam's gotta keep operating until Mason gets here.
You got a better idea? C-sections are bad.
I wanted to have him the regular way.
Oh, C-sections are not bad.
They are fast and they are safe.
Addison has done a gajillion of these.
She could do this in her sleep.
You just focus on the fact that you're gonna see your baby, Maya.
Okay, there we go.
- You got a nice looking uterus, kid.
- Ew.
Okay, lap pad.
- What? - Her pressure's dropping.
- Open up her IV.
- Why is her pressure dropping? I don't know.
Run the fluids wide open.
Maya, Maya.
BP's down to 80/30.
- What did you do? I tilted her uterus, checking the baby's position.
- She bleeding? - Don't know.
Naomi, you need to get out.
Dell, get her out.
- Naomi.
- Do not touch me.
Uterus must be tamponading the artery.
Can't move the baby, she'll bottom out.
Pressure's dropping, you're losing her.
You need to get out of here or you shut up.
The baby stays in, pack the wound.
Tachy at 140.
- Not picking up the pressure.
- Okay.
Full pressors.
Pull the crash cart.
Maya, stay with me.
Baby, stay with me, okay? You stay with me.
- How long can the baby stay in once? - Not very long.
Let's just wait and see what Amelia has to say, okay? - I almost lost her.
- I know.
I'm here, I'm late, I'm sorry.
But I got the camera, so she can start pushing.
What? Was it a false alarm? What? I was just gonna come find you.
I set up the drip in Pete's office.
You can lie there and stare at all those jars, wonder what the hell he does with them.
We're not going to do the treatment.
You're going to go to the hospital and I'm going to Sun Valley.
Naomi's daughter was in a car accident.
- She may have broken her back.
- What? You mocked me for having three assistants.
When you've three assistants, you know what's going on.
Valerie's the best one of the lot, you should use her when I'm gone.
What are you talking about? The treatment won't work.
You know that.
It's too late.
You couldn't tell that to Naomi? She needed something to hope for.
What's in Sun Valley? A daughter who doesn't like me and who I don't understand.
And what, you're just gonna go there to die? You're not even gonna say goodbye to her? Tell her the The drugs are helping.
Tell her I'm resting, that she shouldn't bother me.
And when Maya's out of the woods, tell her I left.
And I love her.
You love her, too, don't you? Be a better man than you have been.
It's gonna be a long night.
I could stop by your house, pick up clothes.
No, I've got some clothes back in my office.
I just haven't had a second to put them on yet.
Thanks, though.
You're sweet.
I'm not, but under the circumstances, I'm willing to fake it.
- I got it.
- Yeah.
- Hey, guys.
- Hey.
Hey, uh, Lucas is with Danielle.
The sitter from up the street I told you about with the hair.
She's at the house, She knows it's gonna be a long night.
- Okay.
- I'd have told you earlier, the confusion - I'm sorry.
- You don't have to explain anything to me.
I kind of do.
It's co-parenting.
That's what we're doing.
I tell you where the kid is.
It's not a hardship.
Well, thank you.
I'm gonna go wait for Sam.
See right there? Fracture at L-2.
And another shard of bone here at L-3.
Baby was stabilizing the whole area, so when you shifted the uterus, hell broke loose.
So, what are our options? Naomi, grab a cup of coffee and we can talk Just answer the question.
Nai, I think that Amelia wants to brainstorm a little, so it's easier when the mother's not here.
Well, I'm sorry if this is difficult for her, but just stop managing me.
- Spit it out.
- Okay.
Take out the baby, cord strokes out, she's paralyzed from the waist down for life.
If I decompress the cord anteriorly, we could lose the baby.
If I do a posterior approach, we could lose the baby.
If I try to repair the artery first, she could bleed out on the table and I kill them both.
Does anybody have a preference? That guy's blood won't clot for love or money.
- Thank you.
- Walk with me.
Five minutes while they put him on the pump, then I get out of here.
See how Maya's labor's progressing.
- Come on, just walk.
- Okay, thank you.
- Drink this.
- I'm good.
- Too much sugar.
- It's late, you've been operating, just - What is this? You sound like my aunt.
- Just drink.
Okay, I'm gonna drink it.
Why are you being so weird? Maya and Dell were in a car accident on the way to the hospital.
Maya broke her L-2, possibly L-3.
They're in the ICU.
Hypothermia? You lower body temperature, you decrease metabolic demands and you limit damage to the spinal cord.
Gives Shepherd more time to work.
Maybe she's got a shot at avoiding paralysis.
Yeah, but there's a baby inside of her.
Hypothermia? - It would kill the baby.
- It may kill the baby.
- It will save the spinal cord.
- It may save the spinal cord.
So, what, so if we save her child, then we ensure that she's paralyzed for life, but If we kill the baby then she will walk again? Is that what we're saying? Is that what we're saying? Look, I'm not usually the glass-half-full guy in the room, but she's not gonna die.
I understand that's progress from the initial diagnosis.
- But she may never walk again.
A chair's not a death sentence.
I mean, people told me that every day.
Much as it made me wanna smack them, they were right.
- Save her legs, I want her to walk again.
- Wait, wait, what about the baby? - That's a full-term child she's carrying.
- I am aware of that.
She wanted that child.
I am aware of that.
You've wanted this child gone since it's been conceived.
- This is your daughter.
- The moment its been conceived.
- Conceived, Naomi.
- Okay, stop it, stop it.
Both of you, just take a breath.
Everyone, just Dink? You're her husband, father of her child.
I don't, uh I don't know how to I mean, can't you save them both? - Why didn't I think of that? - Amelia.
I'm a kid, they don't teach you how to choose between your paralyzed wife and your dying baby in mathletes.
- I mean It's okay.
You heard the man.
You're gonna have to save them both.
- How fast are you? - I'm fast, but This is a long shot.
If the baby's temp's not down for too long, I - It's not ideal, but - You'd have to be pretty damn fast.
Sam.
I'm sorry.
I need you.
The patient's ready for bypass.
Okay.
Okay.
- Sam.
- Yeah? Hey, I, uh I just wanted to see if you were okay.
I mean, obviously you're not okay, but l - I don't know what I wanted, I - Yeah.
- I ought to head back inside.
- Wait.
Could you just, uh, stand here with me for a minute? Okay.
- All right, I got to - Yeah.
They're waiting till Maya's contractions stop before they start the hypothermia.
Part of me can't believe I'm stuck in here.
Part of me's relieved that I got something to do with myself.
Yeah.
Hey, Sam, l - Is his hand moving? What? His hand is moving.
What are you talking? Whoa, he's waking up.
His hand's waking up in your left.
Get it away from the wound.
Push another 0.
3 of Etomidate.
- That's what I'm doing.
- Up the sux infusion.
- There.
- What the hell is going on here? What was that? - Were you falling asleep? - Back off, the guy's a drunk.
His blood alcohol was 0.
3.
He's going through the anesthesia like it's iced tea.
So then are you saying that? He's plastered out of his mind.
How do you think he crashed his car? - Is this the guy that hit Maya? - Sam.
Of course it is.
- I should've figured it out.
Dr.
Bennett.
He's dropping his cardiac output, you've gotta get back in there.
Sam.
He almost killed my daughter.
And her baby.
- Pete, she may never walk again.
He's gonna crash, Bennett.
Sam, it's not the same guy.
The guy that hit Maya didn't make it.
Charlotte was talking about it in the waiting room.
It's L.
A.
, right? A car accident every four minutes.
You look at me in my face.
- Are you lying? - No.
I swear it, it's not the same guy.
- Bennett.
- Shake it off.
Uh, Satinsky.
You're damn right God's pissed off at you.
She called Dell.
Dell.
If I hadn't turned my back on her, then she would have called me when she went into labor.
She would've called me to drive her to the hospital.
And we wouldn't be standing here discussing whether she might die of hypothermia or merely never walk again.
I know you didn't crash the car, Dell.
- I know you didn't crash the car.
- I'm gonna go get some water.
- Do you want anything? - No, I'm fine, thanks.
Stop beating yourself up.
Just for five minutes.
Can you do that? - Oh, God, William.
- Oh, he's fine, don't worry about him.
- You start the treatment? - Yep, all good.
Yeah, are you checking in? How's he tolerating it? Uh, no nausea, nothing.
- He's off to a good start.
- Okay.
- Good, I should call him.
- He's sleeping, let him rest.
- Well, then they'll call you if he wakes up? - Yeah.
Hey.
What are you doing? Waiting for damn Mason to get here and take over for Sam.
The guy can operate, but, boy, he drives about as fast as a dead cat.
- They didn't start on Maya yet, did they? - No, they're transfusing platelets.
You know, she came to see me once when she was like 8.
Sam and Naomi had given her the birds and the bees talk, and she didn't believe them.
She wanted to check with a medical expert.
Hmm.
You think she walks again? I'm focused on "does she survive the procedure?" You need to marry me.
- What? - I want you to marry me.
- Don't be hysterical.
- I'm not.
I was gonna do it tomorrow with dinner and flowers and Etta James, but l - Yeah.
- If you could just not talk The fact that we're all strung out and everybody's heart's beating a little too fast does not mean you get to start throwing around words I was gonna do it tomorrow.
But, God, I mean, a year ago Violet almost died and now Maya.
Life is scary and short.
And I love you.
And I've been stupid and I can't be stupid anymore, and I can't carry this ring around anymore.
And I have to be with you.
We have to be together.
And something good has to happen tonight with all this horror everywhere.
Please.
Charlotte King, I wanna spend my whole damn life with you.
Marry me? Okay, now you can speak.
Seriously, now you have to say something.
Hey.
We're just circling the wagons, do you wanna come? - Addie, I've been horrible to you.
- Nai.
- I've been horrible to Maya.
- Nai, no.
- To everyone.
- Don't do this.
- We've all been horrible.
- No, please.
Let me do this, okay? You're about to operate on my baby, you have to let me do this.
Please forgive me.
I forgive you.
God, there's nothing to forgive.
You didn't do anything.
You didn't sleep with my husband.
He's not my husband.
And you didn't sleep with him.
You were thinking about me and you were trying to protect me.
I don't know why I couldn't see that.
- I don't know what the hell I was doing.
- Nai.
- Please forgive me.
- I do.
Do you hear me? - I do.
- Okay.
I love you and I love your daughter.
I delivered that kid.
I was there when she cut her first tooth.
I recorded her singing "Wudolph the Wed Nosed Weindeer" before she could pronounce her R's.
And I listened to it on my tape deck every night for a month.
I will take care of that girl.
Okay? Okay.
Come on, let's go.
Oh, thank you.
Sorry they took so long.
He got stuck in traffic.
Charlotte, my daughter's in ICU, I really don't wanna hear about traffic.
- How far did you get? - The vessel's done.
- Just get him off bypass.
- Thanks for hanging in there.
And operating under these circumstances and on this guy no less.
You're a good man.
That's the driver.
She lied to you.
You lied.
You knew? We save lives, Sam.
No matter who it is, no matter what they've done, we save lives.
I'm sorry, if I thought there was any Unh! What else are you gonna take away from me? What else? Dr.
Lei, call extension 2273.
Dr.
Lei, extension 2273.
Here.
- Yeah.
- Do you want one? - No, I'm okay.
- You sure? I'll take one.
Thanks.
Are we all just waiting for me to have a PTSD freak-out? - No.
What? Of course not.
Why would? Who am I kidding? I am freaking out.
We should all be freaking out.
I mean, a year ago A year ago I was dying.
We got through that, we got another year under our belts.
And once again, here we are.
In the same place.
With somebody else.
I just wanna scream to whoever keeps doing this to just stop.
Stop bringing us here.
- With another one of our own dying.
- She's not dying.
She's not.
Almost worse being the ones out here waiting for the news, right? You know, I gotta be honest, it's actually worse being the one sliced open and bleeding on the table.
It's I'm sorry.
I know it was a bad day for you too.
It was a really bad day.
Anyway, um, let's not talk about anything so morbid.
Okay? I have something.
This was supposed to be for Lucas' birthday because I wanted to do something.
- Of course.
- Yeah, okay.
Well, this might be blowing the surprise, but I wanted to get a picture of you and Lucas, so I swiped your camera.
Because I was gonna download one, but you're a single dad.
So all the pictures are just of Lucas.
There's none of you two together.
So I looked at all your phones.
And everybody has at least one picture of Pete and Lucas, but If this isn't the crappiest collection of out-of-focus cell phone pictures.
I mean, look.
- Look at this.
- Oh, wow.
- Right? - Yeah, that's bad.
I can't put any of these in a frame, it's just embarrassing.
Oh, wow, you're good-looking, but you do not photograph well.
Well, I took this one.
It's not bad.
- It's Lucas and my nostrils.
- Yeah, well, it's in focus.
I kind of like this one.
- It looks like he's gonna eat your face.
- Or swab me.
That kid can drool, I'm telling you.
Look at that.
Look at that one.
- What's happening? - So far so good.
Maya's temp is down, her pressure's holding.
Baby looks good on the monitor.
Amelia's about to get started, so, uh - I'll keep you posted.
- Thank you.
Okay.
Well, if we're looking for a cheerier topic of conversation Yes.
Yes, we are.
- I'm, uh, getting married.
- What? - To whom? - To Charlotte.
- What? - Are you serious? - Got a ring, popped the question.
- Got a ring? You said, "Go get your girl," I went shopping.
You said, "Go get your girl"? Well, I meant take her out to dinner, not marry her.
I was taking her to dinner.
Well, I'm sorry, Sheldon.
But they are sort of made for each other in a twisted way, but for dating.
You are not marrying her.
- I kind of am.
- Cooper.
I think congratulations is what we're trying to say, right? - Congratulations.
- It's fantastic.
Congratulations.
- Just say it, say the words.
- Congratulations.
Dell, Sheldon, even you, man.
Come on, sorry, just Okay, maybe that was a little too much to ask.
Dell, come on, give the man a hug.
He's getting hitched to a difficult woman.
- Hey.
- Dell? Dell? Dell, wake up, sweetie.
Wake up.
- Dell.
Dell, Dell.
He's unresponsive.
Oh, God.
We have a patient down in the OR waiting room, send a crash cart.
We are not catching a break today.
Give me some mannitol.
He's bradying down.
He's got a bleed in his head.
- He's herniating? - Yep, get me a twist drill.
- Burr holes? - I need to relieve the pressure.
- Is he good? - Who are you? - I'm Marcel, his life partner.
Is he good? - He's done this plenty of times.
Maybe call over to the OR, see if Amelia can step out? No, no stepping out.
- His brain is exploding.
Yeah, and Maya's spine is flapping in the breeze.
- Can we get the back-seat drivers out? - Y'all shut up or get out.
- Nobody took a picture? - No.
Come on, there was a guy drilling a hole in my head with six of you watching.
Nobody pulled out a cell phone? You gonna make me sedate you? Get some sleep.
Hey, Cooper proposed to Charlotte.
- That's crazy.
- I know.
Ugh.
Ow.
- What "ow"? - Nothing, just killer headache.
Well, they drilled a hole in your head.
- Hands up.
- Okay.
- Like this, don't move.
- Okay.
- Damn it.
- What? It's Dr.
King, I need a ventriculostomy setup and a head CT.
No, right now.
Charlotte? Yeah, there's a bleed on the contralateral side.
The pressure was holding it, now it's all over the place.
- What does that mean? - You gotta crack your patient open.
- How much longer you got in here? Don't know, maybe an hour.
- Think you can do it after? - She's had a long night.
- Page Steiner.
Out.
James is covering.
- James missed it.
It's an honest mistake.
- I mean, with a bleed like that It's Dell.
The patient's Dell.
I'll be out as soon as I can.
This is a crap day.
It's another bleed.
And it's expanding.
- But we can get it.
Just means we need to do some more damage to your skull.
And Amelia's almost done with Maya, so she can do the procedure.
Says she'll get a kick seeing your brain.
Meanwhile, I'm gonna get the most attractive of our nurses to come and shave your head.
And you can work that buzz cut for a few weeks until that mop grows back.
Um Betsey's at home with a sitter named Andrea.
I want you to bring her here.
- Come on, Dell.
- Violet.
- It's the middle of the night.
Violet.
- Get Betsey.
- I'll go.
So I got into medical school.
- You did? Yeah.
UCLA, I got in.
- How we doing, ladies? - The cord's decompressed.
- Having trouble placing the graft.
What can we do to expedite? Is it the baby? Bradycardic.
How bad? Pretty bad.
- You've gotta get out.
- You're just full of good ideas.
If the heart-rate stays that low we're gonna have a dead baby.
You move that baby, you slice her spine in half.
Amelia.
- This supposed to help? Because it's not.
I know guinea pigs like carrots and cucumbers.
They're definitely crazy about those, you can give him those, okay? But the pretzels just aren't so good for him.
It's nice that you wanted to share.
It shows you were thinking about him.
I bet that made him feel pretty good.
You know, you're a super special person, Betsey.
A lot of people love you.
A lot of people care about you.
I love you more Yeah, that I love you so much there aren't even enough words to say it.
A lot of people love you.
When your mom died, that was a really bad thing.
And I got hurt today and that's bad too.
And if anything ever happened to me I want you to remember that just means that all the bad stuff that's gonna happen to you already happened.
You shouldn't be a scared person.
Or a sad person.
You should just be happy because all the bad stuff will all be over for you.
You had it all at one time.
It's kind of a good deal.
Do you think he likes tomatoes? Yeah, yeah, I think he probably does like tomatoes.
Come here.
Who goes first? Me.
I should go first.
Maya's fine.
Her BP is up, her vitals are good.
She's out now, but she's doing great.
- Okay.
- And what about the? She's strong and screaming.
You have a beautiful baby girl.
Oh, that's what I'm talking about.
Addison Montgomery, ladies and gentlemen.
Nice work.
Amelia? How's she doing? She's so strong.
I don't know when that happened.
Dell spent the whole day taking care of her.
Nobody worried about him.
Nobody even looked at him.
You want me to explain why you can't beat yourself up about this? Oh, no, not really.
No.
- I should call William.
- Can you sit down for a sec? No, I wanna call William, then I wanna get back in with Maya.
- I want you to sit down for a sec.
- Gabriel.
You can't call William right now.
Sit down.
Betsey has an aunt in Portland.
She's flying down tonight, she should be here in a couple hours.
She's ready.
- Violet.
- Yeah, I think so.
If she made it through tonight, she can make it through a night with Lucas.
Not for Lucas.
For you.
It's okay.
You and I will always be there for each other, always.
We'll be friends.
We will.
But she loves you and you love her.
It's okay.
There's a bunch more paperwork I gotta deal with before I can get out of here.
That's okay.
Can I just hang out while you? While you do it? So it turned out it was kind of a crappy day for proposing.
Not really the story you wanna tell about how we got engaged.
I could take it back, un-propose.
We could do the whole thing again tomorrow.
Do it again or are you just trying to get yourself out of this mess? Woman, look at me.
You are everything I never knew I wanted.
I cannot live without you.
I propose again tomorrow, what are you gonna say? I'm gonna say yes.
- Is that, uh? - That is what is supposed to be.
- That's very level-headed of you.
- Yeah.
- You buying it? - No.
Is there some glaringly obvious reason why I'm everybody's second choice? You and me both.
Uh-uh.
Anybody that could choose you would.
You just can't quite decide what you want.
- Yeah, well, apparently I want everything.
- Yeah, you do.
And you should get it.
You're just scared of what it will mean.
And being scared? No one lays on their deathbed wishing they had less.
Less love, no one.
So if you love the guy, Addison, for God's sake, just don't let it get away.
Do I make you happy? - Yes.
- Yeah.
You make me happy too.