Grey's Anatomy Universe Wiki
Grey's Anatomy Universe Wiki

A Family Thing is the season two premiere and the 10th overall episode of Private Practice.

Short Summary[]

At Oceanside Wellness, friendships are tested and secrets revealed when Addison discovers that Naomi is concealing the practice's financial problems. Meanwhile, Violet wonders what secret Cooper is keeping from her, while Cooper himself has to decide whether or not to reveal a medical secret to a patient.

Full Summary[]

Episode in detail.


Main Cast[]

Guest Stars[]


Medical Notes[]

Molly Madison[]

  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Selective IVF
    • C-section delivery

Molly came into the practice 27 weeks pregnant. Naomi had helped her conceive as a donor for her older son and since he was dying of leukemia. When his condition deteriorated, she came in to convince the doctors to induce or do a c-section so they could use the cord blood immediately. When Addison refused, Molly broke her own water with a knitting needle, forcing Addison to complete the delivery.

Jason Madison[]

  • Diagnosis:
    • Acute lymphoblastic leukemia
  • Treatment:
    • Cord blood transplant

Jason, 7, had ALL. They had a partial match donor lined up, but that donor ended up with pneumonia, so he couldn't donate, but since Jason had been prepped for donation, he had no immune system, leaving him vulnerable to infection. Desperate to save him, his mother induced labor while only 27 weeks pregnant, as her baby had been selected using IVF to be a match for Jason. The cord blood was harvested after her birth and transplanted into Jason.

Dean Miller[]

  • Diagnosis:
    • Human immunodeficiency virus
  • Treatment:
    • Anti-retrovirals

Dean, 14, had HIV, but wasn't aware of his condition. When he confessed to Cooper during an exam that he was going to have sex with his girlfriend, Cooper encouraged him to use condoms, because his parents were unwilling to tell Dean about the HIV. When Cooper backed the parents into a corner, forcing them to tell Dean, he confessed that he and his girlfriend had already had sex.

Baby Madison[]

  • Diagnosis:
    • Prematurity
  • Treatment:
    • Liquid ventilation

Baby Madison was born at 27 weeks gestation after her mother broke her water with a knitting needle. Desperate to save her, Addison tried liquid ventilation, an experimental procedure. It improved her condition.


Song Performer Scene
"Groove is in the Heart" Deee-Lite
  • Addison and Naomi talk on the phone while Naomi's in a bakery and Addison's buying handbags.
  • The doctors talk on camera about their work at the practice.
  • Violet tells Cooper on the phone they should blow their bonuses on a trip, but he's distracted by Charlotte.
  • Sam and Pete talk about Addison and Naomi.
  • The doctors watch the finished video and talk about it.
"10 AM Automatic" The Black Keys
  • Charlotte and Cooper have sex in his office. He asks her if he can tell people about them. He asks her to go on vacation with him.
  • Cooper and Charlotte go back to having sex.
"Mercy, Mercy" Don Covay & The Goodtimers
  • The doctors discuss Dean's case. Cooper wants to tell Dean, but Naomi's worried about getting sued.
  • Addison and Pete leave the table and Pete asks about their date, but Addison puts off talking about it.
  • Sam asks Naomi if she's ready to talk and she says no and leaves.
  • Pete and Sam decide to go do shots.
  • Violet and Cooper talk about their trip again and Violet realizes he's seeing someone, though he denies it.
"10 AM Automatic" The Black Keys
  • Charlotte and Cooper have sex again. He asks her to be his girlfriend, but she's turned off by that.
"Maybe Maybe" Nico Stai
  • Jason gets his infusion.
  • Violet asks Charlotte about the Madisons.
  • Charlotte says it'd be nice to let go for a while.
  • Addison watches the Madison baby. She asks Naomi about Jason and Naomi asks about the baby. They have to wait and see for both.
  • Pete tells Cooper he did the right thing, but that doesn't make it better.
"Dizzy Spells" Ryan Auffenberg
  • Sam and Addison talk about what to do with the practice. Addison says Sam needs to be the one to do something.
  • Violet tells Pete she's catching up on patient notes. He is, too. She shares her worries about Cooper and he shares his about Addison.
  • Violet invites Pete to Zanzibar.
  • Charlotte says he can't tell anyone about them, but she'll consider a vacation somewhere close. He closes the door, but she convinces him to let her in.
  • Addison finds Kevin at her door.
  • She agrees to do something with him.
  • Naomi comes to Sam's door and asks him if they can be them again. He invites her in. They kiss.
"On and On and On" Wilco
  • The doctors start to argue about the practice.
  • Sam says he's taking charge of the practice.
  • Naomi leaves the room and the others start to argue.
  • Naomi gets on the elevator as the video plays, saying they're a family.

Notes and Trivia[]

  • This episode scored 8.16 million viewers.
  • This is the first episode of the series of which the title does not start with "In Which".


Episode Stills[]


See Also[]

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