The Hard Part is the seventh episode of the third season and the 38th overall episode of Private Practice.

Short SummaryEdit

Addison and Sam go for a hike in Malibu, and must perform urgent field care when they stumble upon an expecting couple, trapped in their car after an accident. Meanwhile at Oceanside Wellness, Charlotte, Cooper and Violet treat a newlywed who, out of nervousness for his wedding night, has taken too much Viagra, and Pete and Sheldon hit the bar scene together but fall for the same girl.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Cooper Freedman
  • Charlotte King
  • Sam Bennett
  • Violet Turner
  • Sheldon Wallace
  • Kara
  • Dawn
  • Jake
  • Brendon
  • Melissa
  • Megan (right)
  • Dan (left)
  • Buck
  • Ingrid

Main CastEdit

Also StarringEdit

Guest StarsEdit


Medical NotesEdit


  • Diagnosis:
    • Broken rib
    • Lacerated thigh
    • Internal bleeding
    • Collapsed lung
  • Treatment:
    • Pressure dressing
    • Chest tube
    • Saline

Jake was in a car accident. Addison and Sam found him while out hiking. He had a lacerated thigh, which Sam put a pressure dressing on. Then his lung collapsed, so Sam improvised a chest tube to relieve the pressure. After Sam left to get help, Jake passed out. Help came soon after and they evacuated him. He was stable in the hospital.


  • Diagnosis:
    • Pregnancy
    • Dehydration
    • Broken rib
    • Arm injury
  • Treatment:
    • Vaginal delivery

Kara was trapped in a car after they crashed. She was pregnant and her arm was trapped in the door. Addison said her rib was probably broken. While Addison was in the car helping her, the car slid down the hill, trapping both of them in the car. Later in the evening, Kara's water broke and labor started. Because of the crash, the baby was in a breech position, but Addison was eventually able to rotate her internally and help Kara deliver her. Help came soon after, but she was still trapped in the car. When they started to open up the car, she started bleeding severely. She had a severe arm wound that had been tamponaded by the door, which started to bleed as soon as they moved the door. Despite their best efforts, they were unable to save her life.


  • Diagnosis:
    • Priapism
  • Treatment:
    • Needle aspiration
    • Shunt

Brendon, a newlywed, had taken an erectile dysfunction medication right after the wedding. He'd taken several of the pills and had had an erection for several hours. He came into the practice where he was seen by Charlotte. She tried needle aspiration and then said their next option was to try a shunt. If that didn't work, they've have to de-glove his penis. The shunt worked and he was flaccid with no lasting damage.

Addison Forbes MontgomeryEdit

  • Diagnosis:
    • Scalp laceration
  • Doctors:
  • Treatment:

Addison got a cut on her head when the car slid down the hill.


  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Talk therapy

Violet found out that Melissa was pregnant and the baby was not her new husband's. She spoke to Melissa about it and encouraged her not to keep up the lie.


  • Diagnosis:
  • Treatment:
    • Supplemental oxygen

After birth, Kara's baby had a little trouble breathing, but Addison got her breathing and handed her over to Kara. When help came, they gave her supplemental oxygen and evacuated her.


Song Performer Scene
"I Lie" The Leaning Eaves
  • Pete flirts with a woman at the bar only to find out Sheldon's already flirted with her.
  • Sheldon says they could be friends now.
"Drop It" Basko
  • Sheldon and Pete play darts and talk about their past work.
  • A woman walks past. Pete thinks she's out of Sheldon's league.
"Looking Out for You" Hazy Malaze
  • Sheldon tells Dawn she's beautiful. Sheldon orders them drink, but Pete interrupts. While they fight, Dawn leaves.
  • Sheldon tells Pete it's not a game to him and he thinks Pete's still in love with Violet.
"Thank You in Advance" Hazy Malaze
  • Dawn goes to Pete at the bar. Pete suggests she try dating a nice guy and introduces her to Sheldon.
"The Big Middle" Juliette Commagére
  • Addison cries as they cut her out of the car.
  • Addison takes the baby to Jake and they tell him Kara died.
  • Charlotte tells Cooper she has something to tell him.
  • Pete watches Lucas sleep.
  • Violet sits in her office alone.
  • Sam brings Addison a drink even though it's morning.
  • They talk about them.
  • They share a kiss and then laugh.

Notes and TriviaEdit

Private Practice 3x07 Promo

Private Practice 3x07 Promo

  • This episode scored 10.25 million viewers.
  • As of this episode, Brian Benben is credited under "Also Starring" instead of a regular guest star. This leads to him being upgraded to a series regular.


Episode StillsEdit


See AlsoEdit

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

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