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'Til Death Do Us Part is the fifteenth episode of the third season and the 46th overall episode of Private Practice.

Short Summary[]

As Violet continues to help Sam with Maya's wedding, Naomi refuses to take part as she works with Addison and Pete to save the life of a 25-week-old premature baby. Meanwhile, Cooper suspects that Charlotte's new boyfriend is abusing pills.

Full Summary[]

Episode in detail.

Cast[]

Main Cast[]

Guest Stars[]

Co-Starring[]

Medical Notes[]

Shira Cole[]

  • Diagnosis:
    • Pregnancy
    • Placental abruption
  • Treatment:
    • IVF
    • Resonance therapy
    • Acupuncture
    • Surgery

Shira was 25 weeks pregnant and having contractions. Pete was treating her with acupuncture and resonance therapy to stop the contractions. She and her husband had conceived with Naomi's help through IVF. Before Pete could start the acupuncture, Shira had a placental abruption, so they had Addison ride along in the ambulance with them. Shira delivered the baby in the ambulance because Addison was unable to stop it. Once at the hospital, Shira was rushed into surgery while Addison tended to her baby. They were able to fix the problem and Shira was stable after surgery.

Ike Holden[]

  • Diagnosis:
    • Hernia
    • Ischemia
  • Treatment:
    • Surgery

Ike was examined by Cooper after having a hernia repaired by Dr. Becker. His father was amused that he wasn't making sense, which Cooper attributed to an anesthesia hangover. Cooper later got a call that Ike had to have another surgery because he'd developed ischemia. Before he could operate, Charlotte asked him to declare that he hadn't taken anything that day.

Scott Barker[]

  • Diagnosis:
    • Drug addiction
  • Treatment:
    • Oxycodone
    • Talk therapy
    • Rehabilitation

Scott said that he had messed up his back playing a video game. He asked Cooper to write him a prescription for some Oxy for the pain. Cooper was suspicious because that's a heavy drug for a video game injury. He later didn't show up to discharge a patient, so Cooper went to him and suggested he talk to Violet. He agreed to do it. Later, when he went to operate on a child, Charlotte confronted him and asked him if he'd taken anything that day. He later voluntarily checked himself into a rehabilitation program.

Maya Bennett[]

  • Diagnosis:
    • Pregnancy
  • Doctors/Medical Personnel:
  • Treatment:
    • Prenatal care

Maya was at the practice for a prenatal visit with Dell.

Langston Cole[]

  • Diagnosis:
    • Prematurity
    • Electrolyte imbalance
    • Cerebral hemorrhage
    • Necrotizing enterocolitis
  • Treatment:
    • Surgery

Langston was born at 25 weeks weighing less than two pounds. He had a cerebral hemorrhage that was exacerbating by the convulsions brought on by a severe electrolyte imbalance. He also had necrotizing enterocolitis. Addison said she could operate, but she advised the Coles that it wouldn't just be one surgery. It'd be a series of surgeries and he'd be in pain the whole time and suffering. She said it might be better just to allow him to die. They decided that they wanted the surgery, so Addison agreed to operate. In surgery, she saw that there weren't clear margins, so she had to close without removing any part of his bowel. She went back to the Coles and gave them the news. Addison said that because of the situation, she wouldn't continue to work on Langston. Faced with the reality that he was going to die, the Coles agreed to stop care. They turned off the machines and were allowed to hold him until he died.

Music[]

Song Performer Scene
"Dog Stars" Kaiser Cartel
  • Charlotte asks Scott if he's taken anything. He goes to enter the OR, but Charlotte stops him.
  • The Langstons have consulted another doctor to take over. Naomi comes in and Shira talks about all the hopes and dreams they had for their son.
  • Naomi says they can let go and have a chance to hold him. Shira agrees, but Matthew is still opposed.
"Bridal Chorus from 'Lohengrin'" Richard Wagner
  • Sam walks Maya down the aisle.
  • Addison and Naomi talk about Maya.
"(I've Got) Beginner's Luck" Sara Rue
  • Shira rocks her baby and rocks him.
"(I've Got) Beginner's Luck" Ella Fitzgerald
  • Sam makes a toast at Maya's reception.
  • Violet admires the wedding she planned for Maya.
  • Addison tells Sam his toast was beautiful. Sam tells Addison he doesn't want to see her.
  • Sam cuts in to dance with Maya.
  • Dell pulls Naomi out to the dance floor.

Notes and Trivia[]

  • This episode scored 7.59 million viewers.

Gallery[]

Episode Stills[]

Quotes[]

See Also[]

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

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