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

Love and Lies is the sixteenth episode of the fourth season and the 70th overall episode of Private Practice.

Short Summary[]

The doctors of Oceanside clash when an expectant mother and her husband, desperate to have children, come to them in order to harvest the eggs of their unborn, ill-fated baby. Meanwhile, Amelia tries to help a friend who threatens suicide if her tests for Huntington's Disease are positive, and Fife returns to tell Naomi how he feels about her.

Full Summary[]

Episode in detail.


Main Cast[]

Guest Stars[]

Medical Notes[]


  • Diagnosis:
    • Huntington's
  • Treatment:
    • Genetic testing

Michelle's mother had died of Huntington's, but she decided not to get the test because she didn't want to know if she had it or not. Amelia encouraged her to get tested because she was already living her life as if she did have it. She agreed to have the test and Pete suggested that she have Michelle talk to Sheldon or Violet because she might learn that she was going to die. Amelia said it wasn't necessary, but while she was drawing the blood, Michelle confessed to Amelia that she was planning to kill herself if the test came back positive. The test came back positive, but Amelia lied to her and said it was negative, not wanting Michelle to kill herself. After speaking with Pete, who scolded her for lying, Amelia told Michelle the truth. She then encouraged Michelle to keep living as long as the good days outnumber the bad. She agreed to euthanize Michelle when the time came.


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

Isabelle was pregnant. Her baby had been diagnosed with hypoplastic left heart syndrome in utero. The baby was going to die within a few days of birth, but Isabelle asked Addison to treat the baby's ovaries with hormones to mature the eggs and extract them so she could use them to get pregnant again. After speaking to Isabelle and her husband Frank, Addison agreed to do the surgery, but not until after the baby was born. When Isabelle went into labor, the baby went into distress and Addison had to do a c-section. After she was born, Addison asked what they wanted to name her, but they just asked how soon she could do the surgery. After she forced them to meet her, they ended up just holding her until she died.

Frank and Isabelle's Baby[]

  • Diagnosis:
    • Hypoplastic left heart syndrome
  • Treatment:

Frank and Isabelle's baby was born and they decided they didn't want to meet her. They just asked how quickly she could do the surgery to retrieve her eggs. Addison got the baby from the NICU and brought her to her parents, saying that they wanted to be parents and this is their chance. They get to hold her and love her. They ended up holding her while she died.


Song Performer Scene
"Respirator" Flo Rida
  • Amelia and Michelle sit at a bar. Amelia's upset because Michelle's not into it.
  • Michelle defends that she might have Huntington's. She doesn't know she has it, but she doesn't want to know.
  • Naomi walks to her office.
"Leave to See" Trent Dabbs
  • Addison gives Frank and Isabelle their baby.
  • Charlotte knows that means they aren't doing the procedure.
  • Amelia tells Michelle that life is hard and right now is all you have.
  • Amelia agrees to euthanize Michelle once her bad days outnumber the good.
  • Pete says Violet's being brave and honest.
  • She pulls up her shirt and he takes a picture of her scars.
"The Tide Pulls From the Moon" William Fitzsimmons
  • Naomi tells them they're all her past and leaves.
  • Cooper watches Frank and Isabelle. He tells Charlotte he's fine.
  • They leave the hospital together.
  • Amelia tells Addison the crying freaks her out. Addison admits that Bizzy killed herself.
  • Addison wished many times for her mother to disappear. Now she wants one more conversation. She'd tell her something she never could.
  • Sam comes outside.

Notes and Trivia[]

  • This episode scored 5.97 million viewers.


Episode Stills[]

Behind the Scenes[]


See Also[]

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