Private Practice s03e12 Episode Script

Best Laid Plans

Oh, the range of movement is amazing.
If you think that's good Hey, Pete.
- Toss it to Colin.
Come on.
Don't be afraid to put a little heat on it.
I'm pretty good.
Nice catch.
I connected the arm directly to Colin's nervous system.
Brain thinks catch the ball, the hand does it.
The guys in my unit would freak.
- Oh, were you in Iraq? - Afghanistan.
Yeah.
Feel free to use words like "genius" or "brilliant" at will.
I don't have to because you just did.
It was really nice to meet you.
And, uh, good luck with your arm.
Are you okay? - No, something Oh, it burns.
Help him or he's gonna pull out the neuro-connectors.
You implanted a bolt in his arm? Osseous integration.
Only way to carry the weight.
I know what it is.
It's illegal.
In this country.
I sent him to Sweden.
Okay, it's infected, he's burning up.
We got to get him to the hospital.
Okay, Maya's in your office.
She wouldn't look at me in the car on the way here and now you got Sam and Naomi in the conference room.
- Tell me what's going on.
I can't.
Dell, I wish I could but I can't.
Um, very pregnant woman squatting up and down in the hallway? Not mine.
- She's mine, Lynn McDonald.
She's committed to natural childbirth.
She's been in labor for two days.
Her water finally broke last night.
This isn't working.
Do you have anything spicy in the fridge? Maybe a chimichanga, huh? That'll speed up the labor, right? Yeah, I'll order you something.
Okay, baby, come out.
And come out.
And come out.
Let's check on your progress.
- And come out.
Okay, Addison.
What's this important case that? - Hey, Maya, girl.
NAOMl: Hey.
What's up? Wait, did you have half a day today? NAOMl: No.
- Was I suppose? No, no, no.
I always keep the half days in my calendar.
- I keep them in my calendar too.
- It's not a half day.
Maya has something that she needs to tell you.
I Um Ahem.
I Maya's pregnant.
No, she's not.
How? When did you start having s? Wait, no, no.
Okay, this isn't possible.
We discussed this.
We discussed birth control.
You Two doctors Both your parents are doctors.
How could you be pregnant? How could this be happening? What were you thinking? Hey, where you going? Our daughter just told us that she is pregnant.
- We need to talk about this.
- I can't.
- Mom.
- Naomi, we are her parents.
I can't.
Naomi walked away.
Our daughter is pregnant and Naomi walked away.
Well, she's in shock.
She's dealing with it.
I'm supposed to just wait until she decides that she's ready? We need to talk to our daughter now.
Sam, this isn't the first time I've delivered this kind of news.
People need time.
Give Naomi some time.
Colin, you have a severe infection.
How long has it been hurting? A month.
I thought it was normal pain.
I was afraid that if it was the bolt I couldn't keep the arm.
Well, Dr.
Wilder feels the bolt should come out.
No.
Can't we do more antibiotics or something? What do you say, Dr.
Wilder? You specialize in infectious disease, you know treatments.
What are his options? There has to be something up your sleeve.
Since you have two of them.
There are experimental protocols, but the FDA hasn't completed safety studies and there are reports of severe side effects.
I'm sorry, the bolt is the source of the infection and the safest thing to do is remove it before the infection spreads.
Before I deployed, I got engaged.
We wrote letters, we planned the thing, right down to the dance that we're going to do.
Which requires me to dip her to the floor.
Now, I'm living up to my part of this.
I'm going to hold her in my arms, both arms, and I'm going to dance with her the way I promised.
You came back alive.
You're healthy and alive.
I know you planned for more, I cannot treat you in a way that will jeopardize your health.
- Dr.
Wilder - Colin, this infection could kill you.
I know that's not what your fiancée wants.
Why do they do this? Why does the hospital keep sending me samples? It's like Gaslight, but with baby stuff.
Gaslight? Famous movie? Never saw it.
Ingrid Bergman.
Her husband tries to drive her crazy.
When the Petermans get here, put them in Exam Room 3.
- I'm using Exam Room 3.
- Actually, Room 3 is for pediatrics.
And I have a 7-year-old with a urinary tract infection.
It's about a marriage that ends badly.
Gaslight.
Marsha.
Hi, Violet Turner.
Uh, here's the situation, I don't want any more baby stuff.
So no diaper-cream samples.
I've called, I've e-mailed, I've mail-mailed for the past six months, but the hospital keeps sending it.
Most new mothers appreciate our little freebies.
- Well, I'm not a new mother.
- How old is your baby? That's not what I meant.
I am not a new or an old or any kind of mother.
I don't have a baby anymore.
Oh, my God.
I'm so sorry for your loss.
They're God's littlest angels, the ones we lose.
- Could you just get the form? - Of course.
I'm sorry too.
For your loss.
Oh, no, no.
It's just I was just No, no.
You don't have to explain, I get it.
I lost my wife.
Today.
Oh, my God.
A sentence you never think you're gonna have to say.
You know, "I lost my wife.
" And every time you say it, you think you're not going to be able to breathe and it's like somebody shot you or something.
And then I hear that you lost your child, your baby, and it's like it gives it perspective, you know.
It helps me to know you lost your child.
And I know that's a horrible thing to say to you.
My wife is dead and I've offended you.
And I'm sorry for your loss.
- No.
No, I'm sorry for your loss.
They gave me this bag of her belongings.
It's funny, I thought there'd be more to take home.
Do you need? Can I help you? Is there anything I can do? No, no, no, I'm just waiting.
A friend's picking me up so Okay.
Well It was nice to meet you.
- I'm Nathan Pilsman.
- Violet Turner.
It was nice to meet you, Violet Turner.
Well, not nice.
But it's nice.
You can't walk.
You're black.
What game are we playing? The day that you found out.
When they told you that your legs, that you would never walk again.
That must have been the worst day of your life.
How did you deal with it? Why would you assume that that was my worst day? Losing my legs changed my life, but, uh, it certainly didn't ruin it.
There's a period of adjustment, but you deal with it.
You're full of crap.
Naomi, what are you doing here? Mom, what are you doing? What's going on? Naomi, what is going on? - I need you to give Maya an abortion.
- What? - Nai.
- Mom, no, I don't want an abortion.
I don't care what you want.
But, Mom Give her an abortion.
I can't believe I slapped her.
I hit my child.
- You were upset, clearly.
- It's not an easy thing to deal with.
I know, I know.
But I I can't I lost it.
But can you believe her? Can you believe her saying no to me? - What? - You ordered her to have an abortion.
So putting aside the fact that you are personally against it You can't make someone have an abortion, Nai.
- No, no, no, this is not up for discussion.
- I think it needs to be.
You know what? If you're not gonna do it, fine, I will find another doctor who will.
I don't know who I'm talking to right now.
This is not you.
It's the opposite of you.
You give people babies.
And whether or not I agree with your stand on this issue, this isn't you.
Don't do something now that you will hate yourself for later.
Do you hate yourself for your abortions? Either of you? No, I don't hate myself.
But I do think about it.
It stays with you, even if you do it for the right reasons.
And it is not a casual decision that you can make for Maya.
This is my family.
You do not judge my family.
We're not judging, you know that.
This has hit you hard and that can make you change what you believe Stop it, stop acting like you understand because you don't.
You don't.
This is my child.
This is my child we are talking about.
My child, who I have done everything in my power to raise and protect and now she's gone and done something stupid, that's gonna ruin her life, I'm not gonna let that happen.
I am her mother.
I am her mother.
- Naomi NAOMl: You have no right.
You have no moral high ground.
You walked away from your child.
If you can live with that, I can live with this.
- She's just upset, you - I know.
Ahem.
Um I know this is a bad time, but my patient, I could really use your help.
Yes, please tell me she needs surgery.
That I can do.
Don't need your help opening a door.
- You're not very good at taking help.
- Oh, actually, I am.
Your idea about experimental protocols? I contacted my friend at the FDA, got the info, went with it.
You're not taking out Colin's bolt? You might be afraid to take a risk, but I'm not.
I assumed Naomi brought you in because you were just as cutting edge as everyone else here.
But you were the safe alternative.
All right, you know what? You Hey.
Hey, you can't just say something like that and roll away.
I can't hear you over the noise of my chair.
Hey, Pete.
Maya is pregnant.
Sam needs to drink.
You in? Okay.
Lynn's in a lot of pain.
She shows no sign of fetal distress, but her labor isn't progressing.
I thought after my water broke Well, I can give you oxytocin to speed up the labor and something for the pain.
My birth plan says no drugs.
Lynn has a birth plan.
Yeah.
Yeah, I wanna experience my child's birth.
- Uh, Lynn - I did my homework, okay? I understand that there are procedures that, you know, may become necessary, but except in the case of extreme emergency here I wanna be given the opportunity to accept or refuse any procedure.
And as long as the baby's okay, all right, I wanna have a natural childbirth.
So to get the labor going, I'm willing to try walking or castor oil or nipple stimulation It's a little more involved.
If you fail to progress in your labor, you might want to consider a C-section.
No.
No.
Lynn, look, I know this can be disappointing.
I've been in screaming pain for hours.
I'm not worried about being disappointed.
You know, I married a great guy.
You know, I wanted to have kids.
He wasn't ready.
Ever.
And when the divorce was final, I decided to let loose.
You know, having a baby alone, being pregnant by some guy that I met at the tequila bar's not every girl's dream.
But this is what's happening.
Okay? And I'm having this baby.
So is it too much to ask that one thing goes according to plan? Naomi has lost her mind.
I don't even know who she was today.
- Do you want Maya to have an abortion? - Well, that's the point.
I'm a guy.
It's not my choice.
But do you want her to? Do l? I want her to not be pregnant in the first place.
I want her to never have had sex.
I want her to live in a world where there are chastity belts and convents and little boys by the name of Dink don't exist.
That's what I want.
So don't ask me if I want my baby girl to have an abortion.
Don't ask me that.
Because the answer is probably yes.
But it's not my choice.
You know, it's not Naomi's either.
Look, just be glad you and Charlotte don't have a kid.
Once you have a child with someone, you are tied to them forever.
Even if they go nuts.
I'm sorry.
I didn't - I didn't mean that, man.
- No, no.
My daughter's pregnant.
I'm still here.
But then, so are you.
Well, I left and I came back.
I thought about you and I was worried.
You don't have a friend coming, do you? No.
I'm not ready.
The thing is, I can't leave without my wife.
Obviously, I can't leave with her.
So I can't leave.
Can I sit with you for a while? Sure.
Did you feel this way? When you lost your child? Well, yeah.
Walking out that door was the hardest thing I ever did.
But Yeah, yeah, I did feel this way.
I have this tingling in my stump, in my shoulder and my feet.
It's like they're asleep.
I can't wake them up.
What is it? What's happening? A side effect of the antibiotics is neurotoxicity.
Nerve damage.
Is this what Dr.
Wilder was afraid of? No, I'm gonna lower the dosage on the antibiotic.
That should lessen the effect.
We'll give it a shot.
Oh.
Oh, God.
Oh, God.
This is how today should have gone down.
When we found out that our daughter was pregnant, we should have cried on each other's shoulders, we should've listened to what our daughter had to say.
And then the two of us, together, should have discussed how to handle this.
That's not what happened.
Talk to me.
Deal with this.
I don't want to talk about it.
And I am dealing with it.
Maybe not the way you want me to, but it's the only way I can.
I'll do it.
I'll have the abortion.
- Her.
- Oh, yeah, that's grief.
Definitely.
Dead husband? Dead kid? It's dead kid.
It's her face.
She's got dead-kid face.
Like you.
I'm sorry.
That didn't come out right.
No, it's okay.
It's all right.
What do you mean about my face? It's your eyes, you see? You've been someplace that most people have never been.
You've survived something that no one would've wanted to survive.
It's your eyes.
It's They're, I don't know, empty.
Well, I mean, that could be just It doesn't have to be dead kid.
It could just be bad life.
No.
It's dead kid.
Or dead something.
What about me? Your face? I mean, I know you don't know me, but do I look different? You look like you're in shock, Nathan.
You look like something bad happened.
It's really nice of you to sit here, you know, but you don't have to stay.
I'm sure that you have some place to be.
Uh, no, actually.
I don't.
Okay.
Okay.
Sorry, thought you'd be at the gym.
I just came to get the rest of my stuff.
Yeah, well, okay.
I bought the latex jump suit.
For me.
You bought it for me.
Are you gonna have some other woman wear it? So should I give it to you so you can wear it for some other guy? Cooper, we can do this.
- We liked each other once.
- Actually, we didn't.
We disliked each other and then we had sex and then we fell in love.
We never liked each other.
I guess you're right.
I think you should leave the practice.
- What? - I'll take out a loan, I'll sell my car.
- I'll do whatever it takes to buy you out.
- No.
- No? - No.
I'm building a business.
I don't care if you were there first.
I belong there just as much as you do.
I'm not going anywhere.
Useless stupid love.
- What? - Useless stupid love! Wasted time.
Just take your latex jumpsuit, find another woman, have a blast.
Oh, I will.
I can't wait.
It's my towel you're wearing.
I want it back.
- You're doing great, Lynn.
- Yeah, I feel great.
Uh, we can change the music.
We haven't listened to "Chirping Birds" yet.
I just wanted this to be beautiful, you know? All my books said that the way a child comes into the world shapes them for life.
I just wanna give him the best chance that he can have, you know? I don't wanna shape him to be some angry or scared Damn it.
I want him to have a good life.
Okay, look.
No matter how today works out, even if you decide you can't take the pain, you're still gonna have plenty of opportunities to shape your child's life.
Can I give you something to help with the pain? No.
Just give me the chirping birds.
- Okay.
- Yeah.
How many have you done? More than I can count.
- And they've all - They've turned out Well, fine isn't the word I'd use, but without complications.
My daughter is having an abortion tomorrow.
That in and of itself is a complication.
Sam, is it weird that it's me doing it? - Would you prefer that I get? - No.
- I understand if - No, you do it.
You do it the best you have ever done anything.
Do it like your life depends on it.
It's Maya.
Colin, what happened? Something's wrong.
I told them to call you, l You wanted to take the bolt out, you told me the antibiotics was too risky, but I - This isn't the right dosage.
Dr.
Fife lowered it.
He said it was damaging my nerves and he said that his arm wouldn't work.
Damn it, the infection is spreading.
Get me a central line kit.
You've got to get that bolt out.
- I'll take it under advisement.
- You It This is his life.
And you are so concerned with your invention.
- It's what Colin wants.
- It's what you sold him.
Naomi was right about you.
You're full of crap.
You don't wanna fix his arm, you wanna fix your legs.
No, I already tried.
And I can't.
Is that supposed to make me feel sorry? I'm not doing this for me.
I've accepted what I lost and I'll accept it for Colin as well, but not yet.
- You just don't wanna see it.
- Maybe.
And maybe there is something out there that we haven't thought of yet.
Look, I'm not good at asking for help, but I'm asking.
My patient wants to pick up his life where it left off.
It may not be what you would choose, but it's what he chooses.
So do it for him.
Charge nurse to Three East.
Charge nurse to Three East.
You did not just see that.
Isn't that what you were wearing yesterday? Oh, yeah.
Just helping out a friend.
Want me to loan you something? Did you move all your stuff in here? I sold my place.
I know, it was a rookie mistake.
Giving it all up for a guy.
Moving in to Cooper's apartment.
Moving in to the practice where he worked.
I changed my life to be with him.
I went all in, forever.
- Does Cooper know that? - No point now, he wants me out.
He wants to pretend we didn't happen, that I don't exist.
Well, he thinks that's gonna make him feel better.
But it won't.
It'll just make him feel alone.
I know the feeling.
Me too.
So do you wanna wear slutty or professional? Oh, Dell.
Dell! This is a big one.
- Still? - I So we're here.
Okay.
Is everybody, uh, sure about this? Just do it.
Maya.
Hey, I couldn't stay upstairs.
- Charlotte? - She won't leave.
And then Sam and Naomi.
I feel like I should do something for them.
Like I should send food or something but Well, nobody's sick.
- Sending a tub of soup isn't gonna help.
- I know.
What am I supposed to do, Pete? About Charlotte? Accept it, move on.
I mean, there's nothing you can do.
For Sam and Naomi I don't know, man.
L Maybe that's why people send soup.
Nothing you can do.
Do you remember the day Maya lost her first tooth? It fell out in the yard.
We spent about four hours looking for that thing because without proof, the tooth fairy wouldn't pay up.
And then there's today.
Look, we're gonna get through this.
Once this whole thing is over and done, we're gonna get back there.
Say something.
Anything.
What do you want me to say? You want me to say that I did the wrong thing? Okay.
I did the wrong thing.
Do I believe that I'm going to hell for forcing our daughter to have an abortion? Absolutely.
Do I regret doing what I had to do? No.
I would do anything.
I would give my life to protect her.
And if it means that I'm going to hell, then fine.
I'm going to hell.
- Naomi - I failed, Sam.
I failed first in our marriage and now at being a mother.
No.
This is on both of us.
But I thought I taught her right from wrong.
She didn't listen.
It's like nothing I did made any difference.
I failed.
You're gonna experience discomfort and some bleeding afterward for about a week.
The entire procedure won't take long.
I'm gonna use this instrument attached to suction to remove the pregnancy.
You'll have some cramping just for a few seconds.
Do you understand? Maya, it's really It's important that you tell me whether or not you understand.
No.
- I don't understand.
- Okay.
Ask me.
Anything you wanna know.
All my life, my mom told me that she would never, never do this.
That from the second they're conceived, a baby is a life, a gift from God, and that abortion is wrong.
- That it's murder.
- Yes.
That's what your mother believes.
What about you? What do you believe? I believe that until a fetus can survive on its own, outside the mother's body, that it is not a life.
I believe that life begins at birth.
So you think my mom was wrong before? And that she's right now because she wants me to do this? I think that your mother and I think differently.
- That doesn't help me.
- Maya.
I can't help you with this decision.
I can and will give you an abortion or I can offer other options and see you through this pregnancy.
But I can't help you decide.
I'm 15 years old.
Which is why you shouldn't have been having sex.
And I say that as your Aunt Addie, okay? But as your doctor, Maya, since you already have had sex and because you are pregnant Maya, I know this is hard.
I know that this is an unimaginably difficult grown-up decision and it's not fair that you have to make it.
But you did a grown-up thing.
And now you are in a grown-up predicament.
Now, it doesn't matter what I believe or what your mother believes.
What matters is what you believe.
It's up to you.
But my mom said l Until the 24th week of pregnancy, what a woman does with her own body is her business.
It's law.
It's the law, Maya.
And a lot of fine women fought a long time to give you the right to do what you think is best.
Your body, your choice.
Maya, you know what you wanna do.
In your heart, in your gut, you know which way you wanna go.
I've done this enough to know that.
You know what you wanna do.
Okay? You just need to tell me.
I know you're tired.
But on this next contraction, I'm gonna need you to push.
- I can't.
- Yes, you can.
- It hurts.
- This is what you wanted, you can do it.
I was wrong, okay? My birth plan is stupid.
It's not working.
I have been awake for three days.
I feel like I've been run over by a train.
Okay, just turn off the hippy-ass flute music and give me some drugs now.
Okay, okay.
I can't give you drugs.
God, I want drugs, okay? You said I could change my mind.
Okay.
I know it hurts.
But we're almost there and that's why I can't give you any drugs.
Please stop saying that.
Okay.
Listen to me.
You had a plan and you stuck to it.
And not everyone can do that.
But you did and I am here with you and we are going to get through this.
I promise.
Now, push.
Obviously the results weren't what we hoped.
I know it was just metal.
But I swear when I caught that tennis ball, I could feel it.
It was fuzzy with a little bit of give.
We have to remove the bolt and a margin of tissue to make sure the infection is gone.
And we may need to remove the rest of your arm.
Possibly all the way up to your shoulder.
That's one option.
It would definitely save your life.
- But - But what? There's been some success with biodegradable antibiotic implants.
It's risky.
It requires surgery.
We'd have to implant the antibiotics directly next to the bolt site.
Give you the life you want.
Let you dance at your wedding.
Okay, you guys, ready? All right.
- Okay, slow down.
- We never had kids.
My wife wanted kids.
I think we should leave.
Look, you have lost someone here who's very important to you.
And you're afraid that if you go home and walk into an empty room, that it'll mean you're really alone.
I will be alone.
No.
I'll go with you.
I didn't do it.
- What? - I'm not having an abortion.
Mom, stop.
What are you doing? Naomi.
Hey.
- You better be taking pictures.
- Is that what you want? - Addison.
I am not gonna let you ruin your life, little girl.
You know what you want? You have no idea.
You have no idea what you want.
Look at that.
Look at that.
Hi.
Hi.
But look at that.
Mom.
Mom.
Mommy! I can't.
I'm sorry, I can't.
Nai.
- Okay.
Shh, shh, shh.
Shh, shh, shh.
Naomi.
Nai.
This isn't the end of the world, you will get past this.
- I need to get out of here.
- Don't do this.
You don't wanna turn your back on your child.
You just shut up.
Just for once, just shut up for a minute.
For now, shut up.
Well.
This is fun.
It's fine.
I bet you'd be a great date.
If my wife hadn't just died, I'd ask you out.
That's funny.
Let's try walking through the door.
We thought she had a cold.
It was a few years ago.
We were supposed to go on a skiing trip and we thought she had a cold.
It never went away.
Cancer.
I knew it was coming.
I knew it.
So I slept there, I slept in that hospital with her for months.
And this house It was the last time we were happy together.
One step at a time.
I thought I thought it would kill me.
Stepping back into this house, I thought it would I thought it would make her more gone.
But she's here.
She loved it here.
And we were happy in this house.
Thank you.
Violet? That dead kid face? It's not my son.
My son isn't dead.
It's me.
I walked away from my son.
I gave him away.
So I don't have a bag of his stuff or a last place where we were happy.
He never got to see me happy.
He's only six months old.
And now I've let a total stranger believe he's dead.
I have a son and his name is Lucas.
Was I too nice to you, huh? Is that what happened? - Thought I was a nice guy.
Dr.
Bennett Shut up.
Shut the You should have been afraid of me.
You should've been terrified.
My face should have been in your head every single moment you were with Maya.
So look at me right now.
Look long and hard and remember me saying you will never hurt Maya again.
- Okay.
- You got my daughter pregnant.
- So help me God, if I could - Wait, wait, wait.
Maya's pregnant? You didn't know.
Dr.
Bennett, I love her.
Did you ever find your shoe? No.
Finish helping that friend? Yeah.
I did.
I wanna punch him.
I didn't want a relationship, damn it.
I was fine being alone.
You know what I miss? Your martinis.
You sure do know how to change a subject.
No, I was just thinking that you have nowhere to go and hotel rooms are cold and empty and, um I just don't know how to make a good martini.
You're inviting me to stay with you? Uh, well, you know, just until you get things sorted out.
You're not going to get all talky about feelings or hair? I just want a martini.
Evening.
What, you're not gonna make some warm-hearted comment about me being in a wheelchair? I thought we were on a roll.
Sorry.
Are you okay? Um My 15-year-old daughter is pregnant, ha, ha.
And I tried to force her to have an abortion.
And I don't believe in abortion.
I've gone over the edge and I don't know what to do.
- This never happened.
- Damn right it never happened.
I don't know if what happened or what didn't happen today was the best thing or a mistake.
I don't know.
How can you know? You know, you make a choice, you do what you think is right at the time.
I mean, the plan is: Meet a guy, fall in love, have a family.
But you have to be specific.
Be older than 15.
Meet the right guy.
Stay in love.
- "Stay in love.
" - Mm-hm.
- I knew I forgot something.
- Hmm.

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