If You Don't Know Me By Now is the eleventh episode and mid-season premiere of the fourth season and the 65th overall episode of Private Practice.

Short SummaryEdit

Addison's mother, Bizzy, aggressively demands her daughter do whatever it takes to save her partner from dying - including working with Dr. Rodriguez once again. Meanwhile Amelia and Pete's medical consultation is complicated when a patient's wife and his mistress disagree on the course of treatment, Charlotte and Cooper try to be intimate with each other again, and Violet considers publishing a personally-revealing book she's written.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Bizzy Forbes
  • Eric Rodriguez
  • Susan Grant
  • Patricia Ramsey
  • Janel Chase
  • Paramedic
  • E.R. Nurse

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Susan GrantEdit

  • Diagnosis:
    • Stage IV ovarian cancer
  • Treatment:
    • Surgery
    • Heated chemotherapy

Susan had stage IV ovarian cancer and Addison was tasked with trying to treat it. Addison consulted with Eric in order to find any possible treatment option. Addison took Susan into surgery to see what she could do, but the cancer had spread beyond what they had seen. It had invaded her liver and the major vessels. Addison told Bizzy there was nothing she could do. Bizzy pushed her and Addison looked into it and decided to use the Da Vinci Surgical System to get to places she couldn't with her own hands. She recruited Eric to use hot chemo to kill any cells she left behind. They were able to remove all the cancerous tissue and place the port successfully.

Corey RamseyEdit

  • Diagnosis:
    • Skull fracture
    • Cerebral edema
  • Treatment:
    • Mannitol
    • Intubation
    • Surgery

Corey, 31, was in a car accident. He had a skull fracture. Pete intubated, pushed mannitol, and paged Amelia. His brain was swelling and Amelia prepared to operate. His wife was warned that he would have deficits, but could lead a good life. Because his intellect was so important to him, his wife decided not to let Amelia operate on the off chance that he would recover on his own and go back to how he was. When his girlfriend showed up, she said that Corey would be okay with the reduced intellectual ability, but she had no authority to make those kinds of decisions. When his condition worsened, his wife let his girlfriend make the call and they took him into surgery. They had to remove more of his brain than they thought they would, but he was responding to stimuli after surgery.


Song Performer Scene
"Brand New Shoes" She & Him
  • Violet tells Naomi she wrote a book.
  • Amelia and Addison watch Bizzy and Susan through the window. Addison doesn't want to give them bad news.
  • Amelia hugs her and leaves.
  • Addison goes into the room and Susan already knows what she's going to say.
  • Bizzy slaps Addison and demands that she save Susan's life.
"Pennies in the Snow" Farryl Purkiss
  • Naomi and Addison talk about Addison trying to save Susan. Naomi tells Addison to stand up to Bizzy.
  • Pete finishes Violet's book. He says it's beautifully written, but warns her about her private life becoming public.
  • Cooper and Charlotte are in bed. Cooper starts kissing her. He tries to take things to the next step, but she panics.
"I'm in Here" Sia
  • Addison operates on Susan.
  • Pete and Amelia plead with Patricia to save Corey's life. She says no one knows Corey like she does.
  • Janel tells Patricia she's pregnant. Patricia says it's Janel's decision. Together, they decide to save Corey's life.
  • Charlotte goes to Violet.
"31 Flavors" Little Jackie
  • Naomi and Addison drink together.
  • Violet tells Pete she's going to New York. She wants to tell her story. Pete's supportive.
  • Charlotte proposes trying again to Cooper. They awkwardly try and Cooper goes to get something. Cooper brings back chicken for them to eat.
  • Addison goes to stand up to Bizzy, but Bizzy interrupts and tells her she and The Captain are divorced and she's marrying Susan.

Notes and TriviaEdit

Private Practice 4x11 Promo

Private Practice 4x11 Promo

  • This episode scored 7.67 million viewers.


Episode StillsEdit


See AlsoEdit

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

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