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{{Episode Season 4 (PP)
  
{{Episode Season 4 (PP)
−
|name = ...To Change the Things I Can
  
−
|season = 4
  
 
|episode = 22
  
|episode = 22
−
|image = [[image:PP4x22-5.jpg|250px]]
 +
|image = PP4x22-5.jpg
−
|caption = Naomi crying in Addison's arms.
 +
|caption = Naomi lets go of being the responsible one.
 
|airdate = May 19, 2011
  
|airdate = May 19, 2011
 
|writer = [[Craig Turk]], [[Steve Blackman]] & [[Debora Cahn]]
  
|writer = [[Craig Turk]], [[Steve Blackman]] & [[Debora Cahn]]
Line 10: Line 8:
 
|previous = [[God Bless the Child]]
  
|previous = [[God Bless the Child]]
 
|next = [[God Laughs]]
  
|next = [[God Laughs]]
  ⚫
}}'''...To Change the Things I Can''' is the [[Season 4 (Private Practice)|season four]] finale and the 76th overall episode of '''[[Private Practice]]'''.
−
}}
  
−  
⚫
'''...To Change the Things I Can''' is the [[Season 4 (Private Practice)|season four]] finale and the 76th overall episode of '''[[Private Practice]]'''.
  
   
 
==Short Summary==
  
==Short Summary==
Line 34: Line 30:
 
PP4x22GabrielFife.png|Gabriel Fife
  
PP4x22GabrielFife.png|Gabriel Fife
 
PP4x22JasonWindsor.png|Jason Windsor
  
PP4x22JasonWindsor.png|Jason Windsor
−
PP4x22MrsWindsor.png|Mrs. Windsor
 +
PP4x22MrsWindsor.png|Angela Windsor
 
PP4x22NealChaplin.png|Neal Chaplin
  
PP4x22NealChaplin.png|Neal Chaplin
 
PP4x22BetseyParker.png|Betsey Parker
  
PP4x22BetseyParker.png|Betsey Parker
Line 40: Line 36:
 
PP4x22MarissaWindsor.png|Marisa Windsor
  
PP4x22MarissaWindsor.png|Marisa Windsor
 
PP4x22GateAgent.png|Gate Agent
  
PP4x22GateAgent.png|Gate Agent
−
PP4x22Nurse.png|Nurse and Charlotte King
 +
PP4x22Nurse.png|Nurse Debbie and Charlotte King
 
PP4x22ORNurse.png|OR Nurse
  
PP4x22ORNurse.png|OR Nurse
 
</gallery>
  
</gallery>
Line 60: Line 56:
 
*[[Michael Patrick Thornton]] as [[Gabriel Fife|Dr. Gabriel Fife]]
  
*[[Michael Patrick Thornton]] as [[Gabriel Fife|Dr. Gabriel Fife]]
 
*[[Joshua Malina]] as [[Jason Windsor]]
  
*[[Joshua Malina]] as [[Jason Windsor]]
−
*[[Lisa Sheridan]] as [[Mrs. Windsor]]
 +
*[[Lisa Sheridan]] as [[Angela Windsor]]
 
*[[Michael Bofshever]] as [[Neal Chaplin]]
  
*[[Michael Bofshever]] as [[Neal Chaplin]]
 
*[[Hailey Sole]] as [[Betsey Parker]]
  
*[[Hailey Sole]] as [[Betsey Parker]]
Line 69: Line 65:
 
*[[Kevin Koster]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|Shrink]]
  
*[[Kevin Koster]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|Shrink]]
 
*[[Caroline Gillette]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|Gate Agent]]
  
*[[Caroline Gillette]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|Gate Agent]]
−
*[[Erin Harrington]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|Nurse]]
 +
*[[Erin Harrington]] as [[Nurse Debbie|Nurse]]
 
*[[Sonia Navarro]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|OR Nurse]]
  
*[[Sonia Navarro]] as [[Season 4 (Private Practice)/Unnamed Characters#...To Change the Things I Can|OR Nurse]]
   
 
==Medical Notes==
  
==Medical Notes==
  +
===[[Addison Forbes Montgomery]]===
  +
*'''Diagnosis:'''
  +
**Depression
  +
  +
*'''Doctors:'''
  +
**Psychiatrist
  +
  +
*'''Treatment:'''
  +
**Talk therapy
  +
  +
Addison went to talk therapy to talk about her feelings of loneliness and her desire to have a child.
  +
  +
===Addison's Patients===
  +
*'''Diagnosis:'''
  +
**Pregnancy
  +
  +
*'''Doctors:'''
  +
**[[Addison Forbes Montgomery]] ''(OB/GYN)''
  +
  +
*'''Treatment:'''
  +
  +
Addison was shown seeing several pregnant patients and performing a c-section.
  +
  +
===[[Kaitlan Mills]]===
  +
*'''Diagnosis:'''
  +
**Blunt trauma
  +
**Kidney injury
  +
  +
*'''Doctors:'''
  +
**[[Charlotte King]] ''(urologist)''
  +
  +
*'''Treatment:'''
  +
  +
Kaitlan, 32, came into the ER after a sexual assault with blunt trauma and a possible kidney injury. Charlotte examined her and ordered a scan. She said she also needed to do a pelvic exam and get a rape kit. Kaitlan insisted she didn't want a rape kit. Charlotte later sat down with her and told her she could get through this.
  +
  +
===[[Marisa Windsor]]===
  +
*'''Diagnosis:'''
  +
**Juvenile Krabbe's disease
  +
**Seizure
  +
**Severe allergic reaction
  +
  +
*'''Doctors:'''
  +
**[[Cooper Freedman]] ''(pediatrician)''
  +
**[[Pete Wilder]] ''(critical care medicine)''
  +
  +
*'''Treatment:'''
  +
**Sedatives
  +
**Stem cell infusion
  +
  +
Marisa, 8, seized during a routine exam. She had Krabbe's disease and had already suffered deterioration of her neurological system. Her parents blamed themselves for reducing her sedatives because they made her a zombie. Her prognosis gave her six months to a year left to live. Pete suggested a stem cell transfusion, but Cooper was dubious. The parents decided to do the treatment While they were doing the infusion, Marisa had a severe allergic reaction and suffered additional brain damage. She had only minimal brain function. Her father asked Cooper to euthanize her, but Cooper didn't do it.
  +
  +
===[[Jason Windsor|Jason]] and [[Angela Windsor]]===
  +
*'''Diagnosis:'''
  +
  +
*'''Doctors:'''
  +
**[[Sheldon Wallace]] ''(psychiatrist)''
  +
  +
*'''Treatment:'''
  +
**Talk therapy
  +
  +
The Windsors had been talking to Sheldon, who was trying to help them adjust to their daughter, Marisa's, prognosis. He was there with them when they learned about a new treatment option and helped them while they made a decision.
  +
  +
===Amelia's Patient===
  +
*'''Diagnosis:'''
  +
  +
*'''Doctors:'''
  +
**[[Amelia Shepherd]] ''(neurosurgeon)''
  +
  +
*'''Treatment:'''
  +
**Surgery
  +
  +
Amelia met an ambulance at the door that had a motorcyclist who hadn't worn a helmet. Amelia later told Charlotte the motorcyclist had gone downhill and she was going into a risky surgery. The surgery went well, despite the fact that Amelia had been drinking.
  +
  +
===[[Pete Wilder]]===
  +
*'''Diagnosis:'''
  +
**Myocardial infarction
  +
  +
*'''Doctors:'''
  +
  +
*'''Treatment:'''
  +
  +
Pete collapsed on the floor because he was having a heart attack.
  +
 
==Music==
  
==Music==
 
{|class="wikitable"
  
{|class="wikitable"
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|align="center"|Morcheeba
  
|align="center"|Morcheeba
 
| style="text-align:left;"|
  
| style="text-align:left;"|
  +
*Addison talks to a therapist about what she's feeling.
−
*
  
  +
*Addison sees multiple pregnant people.
  +
*Addison says she loves her job, but she misses Sam.
  +
*She feels disconnected from her life.
  +
*Addison does a c-section.
  +
*The therapist tells her her life will change when she makes it change.
 
|-
  
|-
 
|align="center"|"Time To Go"
  
|align="center"|"Time To Go"
 
|align="center"|Sara Swenson
  
|align="center"|Sara Swenson
 
| style="text-align:left;"|
  
| style="text-align:left;"|
  +
*Addison tells her therapist she's good. Then she admits she might not have a job to go back to, but she met a guy.
−
*
  
  +
*She feels like her life is changing.
  +
*Violet looks around the practice.
  +
*Pete goes through his files while Violet talks about not being a doctor anymore.
 
|-
  
|-
 
|align="center"|"I Saw a Stone"
  
|align="center"|"I Saw a Stone"
 
|align="center"|The Rocketboys
  
|align="center"|The Rocketboys
 
| style="text-align:left;"|
  
| style="text-align:left;"|
  +
*Amelia struggles before surgery.
−
*
  
  +
*Cooper talks to Marisa's dad and says he can't euthanize her.
  +
*Cooper says he'll be there to support them.
  +
*Charlotte talks to Kaitlan about her recovery. Kaitlan holds her hand.
  +
*Naomi tells Sam Addison went home. Sam asks Naomi if she's okay.
  +
*Naomi says Gabriel's gone. Sam tells her to make it work with Gabriel.
 
|-
  
|-
 
|align="center"|"I Don't Know"
  
|align="center"|"I Don't Know"
 
|align="center"|Shelly Fraley
  
|align="center"|Shelly Fraley
 
| style="text-align:left;"|
  
| style="text-align:left;"|
  +
*Addison talks to her therapist about going to Fiji with the stranger.
−
*
  
  +
*Pete and Lucas say goodbye to Violet as she prepares to leave.
  +
*Charlotte talks to Cooper about the serenity prayer.
 
|-
  
|-
 
|align="center"|"Make a Noise"
  
|align="center"|"Make a Noise"
 
|align="center"|[[Katie Herzig]]
  
|align="center"|[[Katie Herzig]]
 
| style="text-align:left;"|
  
| style="text-align:left;"|
  +
*Naomi tells Addison she's always be there for her.
−
*
  
  +
*Naomi goes to the gate as the door closes. Naomi then sees Gabriel not on the plane. He says he knew she would come.
  +
*She kisses him and he proposes to her. She accepts and says they're moving to New York to be with Maya and Olivia.
  +
*Addison starts to have doubts as she goes to her gate.
  +
*Addison tells the others they can dissolve the practice and open a new practice. She'll fund it.
  +
*Addison and Sam lie together in bed. She says she still wants a baby and she's going to have one on her own.
  +
*He says he can try to love her with her baby.
  +
*Amelia plays pool at the bar and drinks.
  +
*While cleaning up the living room, Pete collapses in pain as Lucas watches.
 
|}
  
|}
 
<gallery orientation="landscape" position="center" hideaddbutton="true" bordersize="none" spacing="medium">
  
<gallery orientation="landscape" position="center" hideaddbutton="true" bordersize="none" spacing="medium">
−
Morcheeba - Easier Said Than Done|"Easier Said Than Done" - Morcheeba
 +
"Easier Said Than Done" - Morcheeba
−
Time To Go - Sara Swenson - official video|"Time To Go" - Sara Swenson
 +
"Time to Go" - Sara Swenson
−
The Rocketboys - "I Saw a Stone" @ Paramount Theater, Austin TX 12 31 09|"I Saw a Stone" - The Rocketboys
 +
"I Saw a Stone" - The Rocketboys
−
I dont know by Shelly Fraley w lyrics|"I Don't Know" - Shelly Fraley
 +
"I Don't Know" - Shelly Fraley
−
Katie Herzig - Make A Noise (Official Video)|"Make a Noise" - [[Katie Herzig]]
 +
"Make a Noise" - Katie Herzig
 
</gallery>
  
</gallery>
   
Line 119: Line 221:
 
*This episode marks the last episode in which [[Audra McDonald]] is credited as a main cast member.
  
*This episode marks the last episode in which [[Audra McDonald]] is credited as a main cast member.
 
*This episode features a guest appearance by [[Joshua Malina]], who portrays David Rosen in [[Shonda Rhimes|Shonda Rhimes's]] other TV show ''Scandal''.
  
*This episode features a guest appearance by [[Joshua Malina]], who portrays David Rosen in [[Shonda Rhimes|Shonda Rhimes's]] other TV show ''Scandal''.
−
*Addison starts seeing her therapist, which becomes recurring throughout the fifth season, where she visits her shrink almost every episode. However, in this episode, the shrink is played by [[Kevin Koster]], while in the fifth season, he's played by [[Scott Alan Smith]].
 +
*Addison starts seeing her therapist, which becomes recurring throughout the [[Season 5 (Private Practice)|fifth season]], where she visits her shrink almost every episode. However, in this episode, the shrink is played by [[Kevin Koster]], while in the fifth season, he's played by [[Scott Alan Smith]].
  +
*This episode marks the introduction of [[Jake Reilly|Dr. Jake Reilly]]. It's the first and only episode in which [[Benjamin Bratt]], who portrays Jake, is credited as a special guest star rather than main cast.
   
 
==Gallery==
  
==Gallery==
 
===Episode Stills===
  
===Episode Stills===
−
<gallery orientation="portrait" position="center" spacing="small" bordersize="none">
 +
<gallery orientation="landscape" position="center" spacing="small" bordersize="none" hideaddbutton="true">
 
PP4x22-1.jpg
  
PP4x22-1.jpg
 
PP4x22-2.jpg
  
PP4x22-2.jpg
Line 152: Line 255:
 
==See Also==
  
==See Also==
 
{{Crew}}
  
{{Crew}}
−  
 
{{Season 4 (PP)}}
  
{{Season 4 (PP)}}
 
[[Category:All Episodes]]
  
[[Category:All Episodes]]

Revision as of 20:56, 10 April 2018

...To Change the Things I Can is the season four finale and the 76th overall episode of Private Practice.

Short Summary

The doctors of Oceanside Wellness are faced with a tough decision -- to point out all areas of vulnerability within the practice and risk the termination of some of their own, or to dissolve the practice and each go their separate way. Addison has a new admirer in town who offers her a very tempting proposition. Meanwhile, Charlotte is assigned to a case that hits very close to home.

Full Summary

Episode in detail.

Cast

Main Cast

Special Guest Star

Guest Stars

Co-Starring

Medical Notes

Addison Forbes Montgomery

  • Diagnosis:
    • Depression
  • Doctors:
    • Psychiatrist
  • Treatment:
    • Talk therapy

Addison went to talk therapy to talk about her feelings of loneliness and her desire to have a child.

Addison's Patients

  • Diagnosis:
    • Pregnancy
  • Treatment:

Addison was shown seeing several pregnant patients and performing a c-section.

Kaitlan Mills

  • Diagnosis:
    • Blunt trauma
    • Kidney injury
  • Treatment:

Kaitlan, 32, came into the ER after a sexual assault with blunt trauma and a possible kidney injury. Charlotte examined her and ordered a scan. She said she also needed to do a pelvic exam and get a rape kit. Kaitlan insisted she didn't want a rape kit. Charlotte later sat down with her and told her she could get through this.

Marisa Windsor

  • Diagnosis:
    • Juvenile Krabbe's disease
    • Seizure
    • Severe allergic reaction
  • Treatment:
    • Sedatives
    • Stem cell infusion

Marisa, 8, seized during a routine exam. She had Krabbe's disease and had already suffered deterioration of her neurological system. Her parents blamed themselves for reducing her sedatives because they made her a zombie. Her prognosis gave her six months to a year left to live. Pete suggested a stem cell transfusion, but Cooper was dubious. The parents decided to do the treatment While they were doing the infusion, Marisa had a severe allergic reaction and suffered additional brain damage. She had only minimal brain function. Her father asked Cooper to euthanize her, but Cooper didn't do it.

Jason and Angela Windsor

  • Diagnosis:
  • Treatment:
    • Talk therapy

The Windsors had been talking to Sheldon, who was trying to help them adjust to their daughter, Marisa's, prognosis. He was there with them when they learned about a new treatment option and helped them while they made a decision.

Amelia's Patient

  • Diagnosis:
  • Treatment:
    • Surgery

Amelia met an ambulance at the door that had a motorcyclist who hadn't worn a helmet. Amelia later told Charlotte the motorcyclist had gone downhill and she was going into a risky surgery. The surgery went well, despite the fact that Amelia had been drinking.

Pete Wilder

  • Diagnosis:
    • Myocardial infarction
  • Doctors:
  • Treatment:

Pete collapsed on the floor because he was having a heart attack.

Music

Song Performer Scene
"Easier Said Than Done" Morcheeba
  • Addison talks to a therapist about what she's feeling.
  • Addison sees multiple pregnant people.
  • Addison says she loves her job, but she misses Sam.
  • She feels disconnected from her life.
  • Addison does a c-section.
  • The therapist tells her her life will change when she makes it change.
"Time To Go" Sara Swenson
  • Addison tells her therapist she's good. Then she admits she might not have a job to go back to, but she met a guy.
  • She feels like her life is changing.
  • Violet looks around the practice.
  • Pete goes through his files while Violet talks about not being a doctor anymore.
"I Saw a Stone" The Rocketboys
  • Amelia struggles before surgery.
  • Cooper talks to Marisa's dad and says he can't euthanize her.
  • Cooper says he'll be there to support them.
  • Charlotte talks to Kaitlan about her recovery. Kaitlan holds her hand.
  • Naomi tells Sam Addison went home. Sam asks Naomi if she's okay.
  • Naomi says Gabriel's gone. Sam tells her to make it work with Gabriel.
"I Don't Know" Shelly Fraley
  • Addison talks to her therapist about going to Fiji with the stranger.
  • Pete and Lucas say goodbye to Violet as she prepares to leave.
  • Charlotte talks to Cooper about the serenity prayer.
"Make a Noise" Katie Herzig
  • Naomi tells Addison she's always be there for her.
  • Naomi goes to the gate as the door closes. Naomi then sees Gabriel not on the plane. He says he knew she would come.
  • She kisses him and he proposes to her. She accepts and says they're moving to New York to be with Maya and Olivia.
  • Addison starts to have doubts as she goes to her gate.
  • Addison tells the others they can dissolve the practice and open a new practice. She'll fund it.
  • Addison and Sam lie together in bed. She says she still wants a baby and she's going to have one on her own.
  • He says he can try to love her with her baby.
  • Amelia plays pool at the bar and drinks.
  • While cleaning up the living room, Pete collapses in pain as Lucas watches.

Notes and Trivia

Private_Practice_4x22_-_PROMO_-_...To_Change_the_Things_I_Can
  • This episode scored 7.45 million viewers.
  • This episode's title originated from the serenity prayer.
  • The serenity prayer has been adopted by Alcoholics Anonymous, so it's most likely a reference to Amelia who starts drinking again.
  • This episode marks the last episode in which Audra McDonald is credited as a main cast member.
  • This episode features a guest appearance by Joshua Malina, who portrays David Rosen in Shonda Rhimes's other TV show Scandal.
  • Addison starts seeing her therapist, which becomes recurring throughout the fifth season, where she visits her shrink almost every episode. However, in this episode, the shrink is played by Kevin Koster, while in the fifth season, he's played by Scott Alan Smith.
  • This episode marks the introduction of Dr. Jake Reilly. It's the first and only episode in which Benjamin Bratt, who portrays Jake, is credited as a special guest star rather than main cast.

Gallery

Episode Stills

Quotes

See Also

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

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