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

Past Tense is the fourth episode of the second season and the 13th overall episode of Private Practice.

Short Summary[]

An office election pits Sam and Naomi against each other to lead the practice, and ends with surprising results, while Addison treats a young Afghan girl who wants to hide her past, and Cooper's objectionable personal life catches up with his professional one.

Full Summary[]

Episode in detail.


Main Cast[]

Guest Stars[]


Medical Notes[]

Braden Tisch[]

  • Diagnosis:
    • Landau-Kleffner Syndrome
    • Acquired aphasia
  • Treatment:
    • Prednisone
    • Anti-convulsants

Braden's mother brought him in to see Cooper because he wouldn't speak at all and she suspected he was autistic. He'd been speaking, but stopped suddenly at four. Cooper examined Braden, who then briefly made eye contact with him. Cooper ran tests and consulted with Sam, asking if he thought maybe the kid was having seizures in his sleep, which caused acquired aphasia. He went to Braden's house to share the results of his research with Braden's mom, who refused to bring Braden back into the practice because of a personal issue with Cooper. He believed Braden had Landau-Kleffner Syndrome. He handed over the research with a list of pediatricians she could go to. She brought Braden and and Cooper gave him prednisone to test his diagnosis and Braden began speaking slowly.

The Coles[]

  • Diagnosis:
    • Infertility
  • Treatment:
    • Gamete micromanipulation

Naomi was schedule to do a gamete micromanipulation for the Coles. Dell asked to help, but Naomi said the Coles were jumpy.

Sharbat Qalzai[]

  • Diagnosis:
  • Treatment:
    • Hymenoplasty

Sharbat came into the practice to see Addison for an exam because she said she'd been experiencing some discomfort. However, once she was in the exam room, Sharbat and her mother said that she had been raped and she wanted Addison to perform a hymenoplasty because she was engaged to a man in Afghanistan and she would be examined before her marriage. When she was alone with Addison, she confessed that she had had a consensual sexual relationship and was ending it to take her parents back to Afghanistan, as she believed it would make them happy. Addison spoke to Sharbat and convinced her to talk to her mother and tell her the truth. After telling her mother the truth, Sharbat asked again for the surgery and Addison agreed to do it.

Meg Porter[]

  • Diagnosis:
    • Tick
  • Treatment:
    • Extraction

Meg had what she claimed was a sand fly bite on her back, but Pete said that's not what it looked like. Sam extracted it and found that it was a remnant of a tick.

The Hennesseys[]

  • Diagnosis:
    • Infertility
  • Treatment:

Naomi suggested that instead of assisting with the Coles, Dell help with the Hennesseys, who were coming in for a similar procedure.


Song Performer Scene
"Naked Eye" Luscious Jackson
  • Addison and Pete talk about their troubles on the phone.
  • Addison gets frustrated with him and decides to call Violet.
  • Addison tries to get her on board.
  • Violet adds Cooper to the call. Pete doesn't want to get involved, but the rest of them are in.
  • Addison opens the door, where Kevin has food and entertainment.
  • Addison sets up cupcakes in the conference room.
" "
  • Naomi tells Dell he can assist on a procedure and reminds him how valuable he is to them.
  • Sam echoes the compliment and asks Dell to stop by Sam's office.
  • Sam and Naomi argue over Dell's loyalty.
  • The doctors watch as the fight continues.
"Cry Baby" Dukes of Daville
  • Sam and Naomi kiss.
  • Addison and Pete watch the scene through a window.
  • Meg thanks Pete for worrying about her. She invites him to go to Ghana with her.
  • He tells her he's part of something he believes in.
  • He asks her to quit smoking.
  • Charlotte comes to Cooper's door dressed as a dominatrix.
  • He tells her he wants to talk and get to know each other. He tells her about himself.
  • She starts to tell him about herself.
  • Kevin comes to Addison's door. They start kissing and undressing.

Notes and Trivia[]

  • This episode scored 7.93 million viewers.


Episode Stills[]


See Also[]

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