Private Practice s04e22 Episode Script

You say you've been depressed? Not depressed, really.
I'm not clinically depressed, so don't write down that I'm depressed.
I have a good life a great job.
Good news.
You're six weeks pregnant.
Let's see how those twins are growing.
Okay, I think you're ready to start pushing.
I love my job.
I do.
I can't imagine doing anything else.
The rest of my life is fine.
It's fine.
It's just I miss him.
I'm missing him.
I'm missing my life.
I'm disconnected from my life, like it's a really boring movie that I don't want to watch.
I mean, I spend all day long helping other people have a life.
Need to clear the field.
Almost got her.
And I can deal with that.
I can, if I just knew that something was gonna change.
Something has to change, right? When is my life gonna change? When you make it change.
Private Practice S04E22 Private Practice S04E22 Hey.
- Hi.
- Hi.
Uh, I was just wondering, uh, how do you tell when these things are ripe? Well they smell sweet.
That's how you know if it's ripe.
Thank you.
No problem.
Oh.
Make it change.
You're my mom now, forever and ever.
Forever and ever.
That's good.
Yes, it is.
Is Gabriel my new dad? Um, no, honey, no.
It's just you and me.
But you kiss him.
I u I used to kiss him, yes.
But not anymore.
No, Gabriel's going to go back to Washington, D.
C.
, and you and I are gonna stay here.
That's too bad.
I like him.
Yeah, me, too.
Lucas was asleep before his head hit the pillow.
Mm.
I might be right behind him.
That morning run getting to be too much for you, old man? No.
My morning run is fine.
It's just 6 miles is a little much.
My legs felt like lead.
What is it, Violet? It's a letter from the medical board.
They're suspending my license.
You're kidding me.
Uh, it gets worse.
Now they're coming after the practice.
I can't believe we're being investigated.
I'm sorry.
I never meant for any of this to happen.
You didn't do anything wrong.
The point is, the medical board thinks she did something wrong, - which means they might think we all have.
- Let's not overreact Oh, come on, Pete.
We're under investigation.
- Once they start digging around - Face it.
We're all screwed.
I mean, what, we share confidential information.
We lie to our patients for their own good.
We pushed the line so far back, it isn't even a line anymore.
We're not doctors.
We're friggin' cowboys with guns.
No.
We refuse to follow rules made up by people that don't take the cases that we do the hard cases.
We refuse to let them determine the course of people's lives.
And if we cross a line every now and then, big deal.
- It's for the benefit of the patient.
- This isn't helping.
The the original idea of Oceanside Wellness was doctors working cooperatively to do everything they can to help their patients sharing ideas and debating cases.
It's not wrong.
This works.
It's not a question of whether or not it works.
The question is, are we willing to fight to protect it? And I think that we should.
Am I wrong? An emergency at the hospital.
I have a patient, so You okay? This job is my whole life.
If something were to happen this job is my whole life.
What do we got? female, sustained blunt trauma and possible kidney injury from a sexual assault.
I can get another doctor to look at her, it's just that you were signed up with the rape crisis team and - What's her name? - Kaitlin Mills.
Hi, Kaitlin.
I'm Dr.
King.
Are they still out there? The police? Don't worry about them.
They want me to talk to them but I can't.
Can I take a look at you? There we go.
Easy.
When can I go home? Uh there's blood in your urine which means there's possible kidney damage.
We need to get a scan.
You're gonna have to stay here a few days for observation.
I need to do a pelvic exam.
- We should also do a rape kit.
- No.
I know this is difficult You don't know.
Don't stand there with your fake, practiced doctor compassion, l like you know what this is like.
I'm not gonna lay here and let you no.
No rape kit.
Of course.
No rape kit.
Let's just get you admitted.
What happened? - Routine examination.
She started seizing.
- Epileptic? Juvenile Krabbe's disease.
She already had marked deterioration of her neurological system.
Marisa, mommy's here, okay? - Mommy's here.
- This is our fault.
We reduced her meds this month.
The sedatives were making her a zombie.
Okay, lorazepam's on board.
Phenytoin going in.
- Let's turn her.
- Get her over.
Oh, wait.
Wait, wait.
She's breathing again.
Oh, thank God.
- She gonna be okay? - For now.
She was healthy until about the age of 3.
Um, she's lost most of hearing, part of her vision, and she's slowly losing the ability - to control her own movements.
- Prognosis? - Six months to a year.
- I've been trying to help them to adjust, but how do you get someone to accept that a disease is killing their child? You know, I remember reading about a case like this.
Haven't they had some success transfusing hematopoietic stem cells to slow the progress of the disease? Yeah, I read that, too, the problem is, it has never been used on someone whose illness is this far advanced.
Even so, if there's a chance that we could buy her some real time, where she's not getting worse, isn't that worth a shot? It could exacerbate the damage that's already been done.
- That would give Marisa even less time.
- So what do we do? Poor Violet.
Poor us.
God.
Can't you believe this is happening? It'll all end up fine, right? - I mean, the worst has already happened, hasn't it? - I hope so.
Fife is leaving.
Yeah? Without me, which is which is how it has to be.
I mean, I can't go with him.
I I have Betsey, and she needs me.
I need to devote all my time to her, right? I don't think I'm qualified to give advice on relationships.
I mean, after Sam? You know, I was in the grocery store.
I tried flirting with this guy the other day, and the best I could come up with was "How do you tell if these things are ripe?" - Like some kind of freak or - Dr.
Montgomery, - Neal Chaplin from the medical board.
We spoke - Yes, I know who you are.
This is the guy who interviewed me when Violet was being investigated.
How can we help you? As part of the medical board's investigation into this practice, I'm going to need to sit down with each of the doctors here - and do a comprehensive interview.
- Wait.
- Do we have to talk to this guy? - No, absolutely not.
You could call your lawyers, consult, and then we could start the process of setting up times which are convenient for them and for me and for all of you.
That could be extremely time-consuming.
Please don't come into our office and threaten us.
I have a job to do, but I'd be happy to start by sending in a team to copy all of your files.
And judging by what we've gotten from our review of Dr.
Turner's records, uh, we should have plenty to work with.
Okay, uh, with all due respect, Mr.
Chaplin, you need to turn around and get the hell out of our office.
Sam, you didn't have to tell the investigator off.
- You think that helped? - Look, he came in here, into our office, and tried to push us around.
Y yes, it helps us.
- We're still gonna have to talk to him.
- All you did was make him mad, Sam.
Neither one of you understand what's happening here.
That man is a shark, and he is circling us.
If we give up, then that that's blood in the water.
We're dead.
We may be dead anyway.
No, we need to fight.
We need to stand up and fight for this practice.
How come nobody wants to fight for the We could call our lawyers, get their advice.
Yes, but whatever they say, we do, even if they tell us not to fight.
I could use an A.
A.
meeting.
Want to join me? I'm waiting on a motorcyclist too cool for a helmet.
Oh.
What about after work? - I'll wait for you.
- I'll go with you tomorrow, okay? Like you were gonna go with me yesterday? You've had a lot of excuses lately.
Charlotte, I have a mother, a good mother.
Let her do her job.
Let's go to a meeting tomorrow morning on Montana.
She does it so fast, sometimes I can't even keep up.
I didn't know you knew sign language.
It helps to know a little bit for my deaf patients.
Oh, ha ha ha ha.
So this, um, p procedure, how much more time would it give Marisa? Well, it's impossible to say.
But studies suggest that it could give her an extra two or three years.
Th that's amazing.
That's amazing.
Didn't you hear them? I heard them, but they also said that they weren't sure it would work and that it could make her worse.
The idea of more time with her Jason If this were your child, Dr.
Wilder, would you risk the time you knew you had left with her? Well, this is a very personal decision, and it's really not relevant what Dr.
Wilder or anybody else would do.
It's all about how prepared your family is emotionally to deal with the outcome of this, you know, whatever it is.
What did she say? She wants to know when she can go home and sleep in her own bed.
Do you come here every night? I couldn't get the idea of fresh pineapple out of my mind.
What about you? Do you do you come here every night? No.
I lied.
I hate pineapples.
So tell me about yourself.
Well, I let's not.
Oh.
Okay.
No.
I mean Look, I I could tell you about my ex-boyfriend, my dating history, what's going on at work.
I could tell you all of that, but let's make a change.
You want to make a change? Yeah.
I don't want to do any of the things that I usually do no drama, no games, no history.
Just you and me in the present, start clean.
Is that weird? No.
Not at all.
Okay.
No histories, no names, just here and now.
What, is there do I have some I'm just wondering what it might be like to kiss those lips.
Oh.
Oh, no.
We can't do that.
- I I don't even know your name.
- Hey, you set the rules.
Yeah, but we're in public.
We're in the present.
Best date ever, so far.
Missed you at the meeting this morning.
Yeah, I was wiped out from being on call.
I heard it was pretty slow at the hospital last night.
Okay, um, we just got off the phone with the lawyers, and they felt strongly that we need to be proactive about protecting ourselves as best we can.
What does that mean? It means that we have to start by going back through all of our files, making lists of patients we consulted each other about, and then we need to separate out the instances when the advice was medical from those where we just debated each other for sport.
That is not what we do.
Which is exactly what I said.
Sam, we said we would listen to the lawyers.
And then what? We're gonna just sit back and let them pick us apart? Well, look, we pushed back as hard as we could.
And the bottom line is, the practice is already a target of the medical board.
They don't care about truth.
They don't care that we're trying to help people.
You know, I'm just saying.
The lawyers gave us two choices.
Either we figure out every single point of vulnerability now - and prepare to defend ourselves.
- Or? We dissolve the practice, go our separate ways, and hope that the medical board or the lawyers don't come after us individually.
How's it going? I'm doing good.
Good.
Well, not exactly good, because now I may not have a job to go to, and everything is a mess, but I met a guy over a pineapple.
And that makes you feel better? It makes me feel like my life is changing.
I shouldn't even be here.
Well, apparently, none of us should be.
No, I mean, I just I'm not even a doctor anymore.
You're still a doctor.
I can't practice medicine.
That's not a doctor.
That's nothing.
I'm nothing.
Come on.
You're a wife.
You're a mother.
That I help people, Pete.
It's who I am.
So yeah, yeah, I guess I could learn to bake bread and go to playgroups and learn how to quilt, and I guess everything would be fine for a while, but that's not me.
You know that's not me, Pete.
I I would get sad and dark.
And why is that good for Lucas? Dark mommy with a drink in her hand.
No, I'm just saying that my identity is what I do.
I need to work to feel alive.
What are you trying to say, Violet? My publisher has been after me for a while to do a book tour.
And I think I should do that now.
- A book tour? - Three weeks.
Four tops.
I could bring Lucas and a nanny.
I could help people through my book.
I think that's a good idea.
- You can't just run away from your problems - I know that, Pete.
I'm a shrink.
Oh, wait.
I'm not anymore, which is the point! Just think about it, okay? A a book tour now? Are you kidding? I mean, she needs to stay here and fight this thing.
- Man, you gotta get her to stay and fight.
- She's upset.
She's devastated.
I don't know how I would feel if my license was suspended, but this is such a bad idea.
How does she not see that? Because she's Violet.
All right.
Starting the chemo infusion.
I mean, she blames herself for what's going on at the practice, but that Her pressure's dropping.
Marisa had a severe allergic reaction to the medication.
We were able to resuscitate her, but she was deprived of oxygen for a significant period of time.
She may have sustained additional brain damage.
- I'm very sorry.
- Oh, God.
I'm very sorry.
But she's going to wake up, right? She's only minimally functional, and she's not going to get any better.
No.
This can't be happening.
This morning we could talk to her, and now the two of you pushed us to do this.
Now you took my girl from me.
- I'll go after him.
- No, I will.
Oh.
Kinda quiet around here.
What did you do to all the, you know, patients? I thought you left.
I almost did.
I just thought look, I'm not gonna say all the mushy things again.
But I'm taking one more shot.
I am leaving tomorrow.
Come with me.
Gabriel, I the practice is falling apart, and I can't uproot Betsey - before I've even gotten her settled.
- You could.
If you wanted to, you could.
Okay.
Nice knowing you, Naomi.
I'm not the kind of man I've never talked to my wife like that, much less the doctors trying to take care of my daughter.
It's okay.
No, it's not.
None of it is.
I shouldn't have dropped my guard.
I shouldn't have let myself imagine a future where I could teach my girl how to ride a bike and how to drive a car.
I want to blame someone, but that won't change anything.
I can't watch my baby or Angela suffer anymore.
I can't.
Isn't there another way, a more humane way to treat her? I'm sorry, Jason.
I can't imagine how difficult it is for you, but we've run out of medical options.
That's not what I'm asking.
I want you to help me end Marisa's suffering.
So I had coffee with pineapple guy.
And I kissed him which I have decided is a good thing.
It's new, so right? What? Fife came back.
And he asked me to go away with him again.
And you said? No, again.
You could go.
Start fresh.
Change your life.
I can't.
I can't.
I have to be responsible.
I'm the responsible one.
I I can't leave, not with the practice in a mess, and I can't abandon the practice and I can't abandon you guys and and Maya.
Did I tell you she got into Columbia? What? She got into Columbia, and she wants to go.
How am I supposed to help her with that going to college with a baby and Betsey I mean, I I know I owe it to her to give her the stability that poor child has never managed to have.
I mean, I why can't he understand that? Why can't he understand that I'm just trying to be responsible? What what's what's going on there with your face? I'm just trying not to cry.
Oh.
All right.
For the next ten minutes I'm gonna be the responsible one, and you go ahead and cry.
Go ahead.
It's okay.
You cry.
I'm here.
Hey.
So this whole thing that's going on with the practice Yeah.
Right? I mean I mean, there's gotta be some way we can win this.
I can't stop thinking about it.
Do you want to grab dinner or something and try to figure this whole thing out? I have somewhere to go.
I have a date.
Oh.
Oh.
I'm sorry.
- I didn't want to lie.
- No, it's fine.
I totally I get it.
Uh no, go.
Go have fun.
Go have fun on your date.
Maybe we shouldn't fight it, Sam.
Maybe we should let the practice die and just go our separate ways.
I have an 8-year-old girl who's gone from smiling and signing this morning to a permanent vegetative state, and her father wants me to he wants me to euthanize her.
And I swear to God, Charlotte, I'm seriously considering it.
For the last two days I've been dealing with a patient who was raped.
They brought her in looking exactly like the way I felt just wrecked.
I'm not like Violet.
I can't share everything about my personal life with people.
I'm never gonna write a book.
That's not how I'm built.
But here, even though I wanted to say something, knew I should I couldn't.
- I just folded up.
- I'm sorry.
I didn't tell you to make you feel bad.
I told you because I don't know either.
I guess I'm looking for the same thing you are.
What's that? Someone to tell me how hard to push, how to untangle my patient's best interest from my own.
How do we do this? I think we do what we've always done.
We put our patient's needs ahead of everything else.
We take care of our patients.
Yeah.
So I'm guessing lawyer.
- I'm not a lawyer.
- Anthropologist.
That would be fun, but no.
And stop with the 20 questions.
I thought we both agreed.
We're gonna have to tell each other who we are sooner or later.
On our next date, I promise.
- I don't know if I can wait two whole weeks.
- Two what two weeks? We have to wait two weeks for our next date? I am taking a much-deserved vacation white sand, blue water.
- Oh, I'm jealous.
- Well, you should be.
But hey, I'll bring you back a gift.
Or you could come with me.
Oh, right.
No, I'm serious.
We could spend our days telling each other our life stories.
We could spend our nights having having hot sex in this amazing hut out over the water.
- I can't go with you to Fiji.
- Why not? Why not? What do you have holding you here, uh? You're tempted.
I know you're tempted.
Hey.
Hey.
You don't look so good.
Oh, I've felt better.
Where's Lucas? He's already sleeping.
Do you do you want me to get you something? No, I'm fine.
I just I had a tough a day.
And I know that we have to finish talking about this book tour thing Yes.
Um I have thought about it, and I I need to do this.
Does it matter what I think? Of course it matters what you think.
But I'm hoping that what you'll think is, your wife needs this, and because she needs it, you'll support her.
That's not what I think.
- Okay.
What do you think? - I think you're being selfish.
- Okay.
- This is about what you need.
It's not about what Lucas needs.
It's not about what I need.
It's about you.
Well, this book is important to me.
This book is tearing our practice apart.
Do you want it to tear our family apart, too? Okay, now you're blaming the book the one thing the one good thing - that came from Katie slicing me open - Lucas is the one good thing - You know what I mean.
- I don't want you to go.
It's only for three weeks, and Lucas can come with me.
Lucas is not going.
He can stay here if that's easier for you.
We can make that work, too.
- Pete, I do not want to make you unhappy, but - I swear, Violet, - if you run away again - Again? You dropped Lucas in my lap and you ran! - Because I needed to! - Okay, once again this is not just about you! If you run Just stop it, Pete.
Just stop it.
Don't say anything else, because what is about to come out of your mouth right now sounds like an ultimatum, and I do not respond to ultimatums.
And this isn't the past.
I I know my leaving triggers you.
I know you are triggered.
But this isn't the same.
So please just don't say anything.
Don't do this to us.
Just let's be silent for a minute.
Please.
Just stand here with me.
I'm going.
Yeah, I know.
Violet, I love you.
But right now, I'm done with you.
Hey, Charlotte.
Uh, it's Amelia.
I was hoping you'd pick up.
Listen, uh this whole thing with the practice sort of caught me off guard, and, uh well, now this motorcycle dummy has taken a turn for the worse, so I'm, uh, kinda walking into this pretty tricky surgery, and you know, I probably should've met you for that meeting this morning, but, um anyway, uh You know what? Um it's fine.
I'll be fine.
I just look, forget that I called.
I'm I'll talk to you later.
We're ready for you in the O.
R.
, Dr.
Shepherd.
Is everything okay? Yeah.
Yeah, I just need a minute.
Okay.
There's nothing I can say that's gonna make Marisa better or take away the pain that you and Angela have.
And what you asked me to do, I understand it, but I can't do it.
You don't have to do anything.
Just give me some pills.
She's still your daughter.
In that body is still that girl that you love.
She's suffering.
Can't you see that? I want to end her suffering.
You're the one that's suffering.
And ending her life won't end your suffering.
It won't make it better.
It's crossing an uncrossable line, and it'll destroy you.
I'm supposed to help her.
You're her father, and your job your only job is to love your daughter for as much time as she has left.
And that will help her.
Loving her helps her.
And we will be there with you every step of the way.
Getting through what happened to you is gonna be a special kind of hell.
There's no way around that.
But I'm here to tell you, you can do this, 'cause you're not a victim.
You're a survivor.
You survived this.
There's a way to move forward past the pain the shame the guilt.
You won't forget.
But you will get there.
It's possible.
I know it's possible.
Hey.
You seen Addison? Uh, I think she went home.
There's no reason for her to hang around.
- It's not like we have any patients coming in.
- Yeah.
You okay? Yeah.
Yeah, I'm, you know, I'm just Fife's gone.
I didn't go with him so, you know, whatever.
Oh, Nai.
If I could have made it work with Addison, I would've.
I wish honestly, I I wish that we were still together.
- That makes me feel so much better.
Thank you.
- No, that's I'm sorry.
I'm just saying, it's hard, you know to to find happiness, so you find happiness wherever you can, and if that's with Fife, if he makes you happy - It's not that easy.
- Nai, it's exactly that easy.
No, it's not.
No.
I've got the practice and I have Betsey - Nai, listen to me.
I am the father of your child, - Maya standing here telling you to run off and be happy with another man.
Now you need to listen to me, because this is the only time I'm gonna say this.
Now you're making excuses not to be loved.
Don't stick around for the practice.
I mean, the practice maybe it's time to let it go.
And Betsey all a child needs is love.
And as long as you two are together, she can be loved by you anywhere.
But you and God knows why but I guess you can only be loved the way you need to be loved with Fife.
You deserve to be happy.
You deserve to be loved.
So you should go.
Go.
Hey, sorry I missed your call.
- How'd your surgery go? - Great.
No problems.
I'm glad to hear it.
What about your phone call? It was just a blip.
I'm good now.
Breathe on me.
Do it.
You've been drinking.
You operated on a patient after drinking.
I'm not drunk.
Look, I just slipped, and then I got paged.
Okay, I had a slip.
You get that, right? Starting now, your surgical privileges at this hospital are revoked.
You and I, we're going to a meeting, right this minute.
Screw you, Charlotte.
So I think I'm gonna go.
I mean, you said to change my life, to make a change.
This is a change.
I mean, he's a nice guy, and Sam's gone, and the practice is dying.
Why should I hang out here when I could be with a gorgeous guy in Fiji? You said to make a change.
This is change.
I think it's good.
I do.
Right? Hi, baby.
Hi.
So I'm going away for a couple of weeks.
But I'm gonna see you every day when I call on the computer, okay? I love you.
I love you so, so, so much.
And I'll be back soon, okay? It's just a couple of weeks.
Take care of daddy while I'm gone.
Mm.
Bye-bye, baby.
Bye-bye.
Good-bye.
Bye-bye.
Bye-bye.
Bye-bye.
Oh, I wish I could've saved her.
I wish I could've given her more time.
I wish Cooper, I just came from a meeting.
There's something we say there, and it helps me, and I think it might help you.
God, grant me the serenity to accept the things I cannot change, the courage to change the things I can And the wisdom to know the difference.
Flight 7-2-4 with nonstop service to Miami is now boarding at gate 2-0-4.
Flight 724, with nonstop service to Miami Violet? What what what are you doing here? I'm going on a book tour.
What are you doing? I'm going on a date.
With a suitcase.
Yeah.
Um, good luck with your book tour.
Good luck to you on your date.
Nai? Addison, what are you I'm I'm I'm, uh, I'm looking for gate 211.
There are too many gates here.
- Wh what are you doing here? - Oh, there it is.
I'm I'm I'm trying to stop Fife.
I I want to be with Fife if if he'll have me.
- Good for you.
- Yeah.
But I I I just want to say that listen, I love you And that I will always be here for you.
Wherever I am, I will always be here for you, just a phone call away.
You're my very best friend in the whole world, and I thank you for that, okay? - I'm so happy for you.
- Thank you.
- Go.
- Okay.
Go.
Go get your happy ending.
No, uh, wait.
I, uh I'm sorry.
The gate's closed.
There there is there is somebody on that plane that I really, really need to speak to.
There's nothing I can do.
She really can't open that door.
T.
S.
A.
regulations are very strict.
Gabriel, what why aren't - why aren't you on the - On the plane? Because I knew you'd come rushing after me.
It was easier this way.
I can't believe how cocky you are! Can you still call me cocky if I'm right? You'll have to forgive me not going down on one knee, but, uh Yes.
Yes, yes, yes, yes, yes.
Oh, but, um I'm not going to D.
C.
with you.
We're moving to New York, I've already decided you, me, and Betsey.
Maya's gonna be at Columbia with Olivia, and I'm gonna open an office for the foundation, and we can work together.
Touché.
Last call for Fiji air flight number 2-6-9-6, boarding at gate 215.
We could fight it, what's happening to us.
We could block their interrogations, bar the doors.
Or we could accept it.
Or we could change it.
We could make a change.
I would like us to officially dissolve Oceanside Wellness Group Okay, h hold on a second And open a new practice.
I'll use my money.
I'll fund it.
Meanwhile, we hire a consultant, somebody who's been a medical investigator, someone from the inside to help us figure this out.
But O.
W.
G.
as we know it, it doesn't exist anymore.
We start over.
We start fresh.
We start clean.
We stay a family, but we change.
Make a change for the better.
I missed you.
I missed you, too.
Mm.
I'm still gonna want a baby, Sam.
Not with you.
I know how you feel.
I don't know.
I'll adopt or get a sperm donor.
I don't know, but I'm gonna have a baby on my own.
but having you and having a baby aren't mutually exclusive.
More change.
You'd have to love me with my baby or at least just love me for right now.
Can you do that? I can try.
Whoa! Whoo! Oh.