Private Practice s04e11 Episode Script

If You Don't Know Me By Now

It's four A.
M.
Sorry, I didn't mean to wake you.
Where are you going? Bizzy's waiting for me downstairs.
She wants to go back to the hospital before Susan wakes up.
You were just at the hospital with them after midnight.
You've five surgeries today.
You need your sleep.
They canceled my surgeries, okay? I'm gonna test on Susan and Bizzy wants me to be there.
Baby, you're exhausted, and she's taking over your life.
She says "jump," you say "how high?" She's my mother, and her I don't even know what to call her lesbian lover, mistress lady friend she's got stage iv ovarian cancer, and Bizzy Forbes Montgomery never asks anyone for anything, and she asked me to do this.
She asked me to save Susan's life, so, yes, when she says "jump," I say "how high?" Unconscious at the scene.
Wrapped his car around a pole.
Withdrawal to painful stimuli I.
D.
Says Corey Ramsey.
Environmental engineer.
I read about him in last week's "times.
" Engineers make the papers? Yeah, if they have plans to build the first On my count.
One, two, three.
Pupils sluggish, slowly reactive.
Left is dilated.
Positive battle's sign.
He has a skull fracture.
Hang 50 grams of mannitol.
Prepare for intubation.
Tell radiology we have an emergency scan on the way, and get Dr.
Shepherd.
Dr.
Golding is the neurosurgeon on duty today.
His brain is about to burst out of his skull.
Get me Dr.
Shepherd.
I wrote a book.
I'm sorry? What? Uh, crazy Katie, you know, cut my baby out of my belly, and I was a mess, you know.
I was just I-I was in therapy, and I just started.
And I keep a journal on the computer, and I was writing everything down because it made me feel less, um, you know, less like someone cut a baby out of me.
And, uh, so I just kept writing, and then this one day, I, uh, I printed it out to see what it was.
And I was standing by the printer, and I'm thinking, well, this is just gonna be a couple of pages, but the printer kept printing and printing and printing.
And then it turns out it wasn't a couple of pages.
It was, uh, 837 pages.
And I have this friend in New York who works in publishing, and I sent it to her, you know, just to see.
And I didn't tell Pete.
I didn't tell anybody 'cause nothing was gonna happen with it.
And, uh, well, my New York friend called this morning, and, uh, hyperion books, uh, wants to buy my 837 pages.
Well, they actually want to publish my 837 pages.
Not only that.
They want to put me on something called the fast track, and they want me in New York in three days.
So my 837 pages is going to be a book.
I w I wrote a book.
You wrote a book.
I wrote a book.
Yeah.
She's holding Susan's hand.
Bizzy never held the Captain's hand.
Yeah, I wouldn't think so.
She never held my hand.
Do I have to go in there? Well, you can hide, but she can smell a wasp from a mile away.
She'll find you.
It's another one of her skills.
They look so happy, and I have to go in there and deliver bad news.
I mean, really bad news.
Get-your-affairs-in-order kind of bad news.
Crap.
I gotta get to the E.
R.
You gotta go in there.
It sucks.
But standing in the hall is not gonna make it any easier.
You need a hug? Yes, please.
You should never play poker, Addison.
I'm sorry, Susan.
What do you mean, you're sorry? If we had caught this earlier, then we might have other options, but the cancer's spread, and, um There's nothing I can do.
So I'm gonna die.
We can make you comfortable, but, uh, yes.
No.
I know that this is hard what it is is unacceptable.
Bizzy the cancer is too far advanced.
At best, I could give Susan a couple of extra months, but she'd be miserable you will save her life! Do you hear me? You will save her life.
The mannitol slowed the swelling in your husband's brain, but his scans show bleeding with several cerebral contusions, and he has a hairline fracture of the skull, which means that I'm a scientist.
I know what it means.
What now? Well, he's stable.
But we have to monitor him prior to surgery.
You have to do surgery? Well, I-in order to relieve the intracranial pressure, we need to remove the damaged portions of his brain.
What will that do to him? Long-term? And don't dance for me.
He should live comfortably, but his mental capacity will be affected.
How affected? I can't make any positive does anyone understand what I'm asking? There's a range.
We should expect some loss of executive decision making.
His capacity for abstract thought will be affected.
And he may have some difficulty planning everyday tasks.
But his motor skills will probably be unaffected.
From where Corey is now mentally, he should lead a perfectly normal life.
We met at Stanford The stacks.
He proposed three semesters later, right there.
It wasn't as romantic as it sounds.
He just looked up from his computer and asked, and I said yes, and then we went back to reading.
He's a genius.
He wants to leave a legacy.
And he has the ability to do it.
What happens without surgery? Is there a chance he'll go back to being himself? There is a remote chance that everything could heal itself, but more likely, the edema will progress.
I'm going to sound like a snob or some elitist.
And I can already feel you judging me.
But I know Corey.
He would not want to live as anything less than what he is, a brilliant, brilliant mind.
You don't have to understand it or respect it.
But you are not No one is cutting out a piece of Corey's brain.
I want to have sex.
I'm flattered.
Truly.
Since the, uh What happened to Charlotte, we haven't.
Loss of intimacy is a fairly Standard reaction after a sexual assault.
I don't want to push her.
I don't want to I mean, this isn't even for me.
I mean, it is a little.
I mean, Charlotte is a sexy person.
Right? Oh, I know.
Yeah, okay.
And sex for her has always been I think it's made her feel powerful, in a good way, and I just want her to feel I don't want her to think I don't see her that way anymore, but I also don't want her to think that's all I see either.
Sex is a strong component of any healthy relationship.
What if she's ready, but she doesn't know how to initiate? What if she thinks I don't want her anymore? Or what if she just doesn't Want to again, ever? Well, h have you talked about it? No.
Have you been talking at all? Well No, not really.
I never know what to say, and when I do say something, it feels like the wrong thing.
Uh I hate to tell you, you need to walk before you run, but, uh, uh, I mean, if you're not even Crawling yet? Exactly.
She needs to be comfortable, Cooper.
So do you.
So just, uh Ease back into it.
Dr.
Rodriguez, thank you for coming.
No problem.
What do you have for me? Tell me what you see.
There are lesions on both ovaries.
Evidence of lymphatic involvement.
And there is an irregularity on the liver edge.
Is there anything that we can do that would make a meaningful difference? Well at first glance, I would say no.
I-is she oh, it's my mother's, uh, friend Very close friend.
It's her lover.
There has to be something that we can do.
My mother's not a person who takes no for an answer.
I can do some research, consult with my colleagues.
Thank you.
Yeah.
Thanks.
I have to admit, when you called, I was hoping you were finally gonna say yes to dinner with me.
Uh, no.
It was the scans that I wanted you for to see.
That's interesting.
What? What are you thinking? Corey's wife is wrong to withhold treatment.
This is not a death sentence.
His life will be different, yeah, but at least but that is not for us to determine, is it? Look, I'm not saying that I'd be ready to off myself, but if something happened and I couldn't cut anymore, I-I don't know what I would do.
So Corey's not gonna change the world on an epic scale.
He'll still be able to walk, be able to hold his grandkids.
Life isn't all about achievements and work.
For you.
You paged me? Yeah, I need your help.
I've already been briefed.
The wife's within her rights to deny medical care.
So if you go digging in Mr.
Ramsey's brain because you think she's making the wrong choice, you are opening us up to a wrongful life suit.
Excuse me.
I-I'm looking for Corey Ramsey.
And you are? I'm Janel Chase.
I'm his girlfriend.
Go away.
What page are you on? Oh, go away, Violet.
I beg of you, please.
Is it bad? It's bad, isn't it? It's uninteresting, flowery, self-indulgent Go away! Rodriguez thinks I should scope Susan.
Wait.
I thought you both agreed that there was nothing to do.
Well, looking at the scans, he wasn't sure of the liver involvement.
So I'd like to get in there and see if it's possible that surgery will help that's just desperation talking.
You know what the answer's gonna be.
This is exactly why doctors should never operate on family.
It's a bad idea.
You didn't object when I operated on Maya.
That was an emergency.
This is Bizzy.
Hi.
Hey.
So you and I We're not, um We're not having sex.
And I get that.
I'm not even sure if you really want me to touch you at all, which is fine.
I understand that.
I do wish that we could at least talk about it.
Or just talk at all.
But maybe talking maybe we're not there yet.
But we're gonna have to get there, to a talking place.
Anyway, you have to eat, and so do I.
So I canceled a couple of patients today.
I drove out to glendale where they have what is supposed to be the greatest fried chicken in Southern California.
And fried chicken is your favorite.
Yeah.
I don't know.
This sounded better in my head, but I thought maybe we could just sit here and not talk and eat fried chicken and wait for the talking place to come.
You want to eat fried chicken with me? I want to eat fried chicken with you.
I think we should try it Having sex.
Tonight.
You okay? We met four years ago.
He didn't tell me he was married right away.
I didn't even know what he did for a living until I saw him on tv.
I just knew he was a big A big sweet kid.
I love him.
And Patricia? She doesn't know anything about me.
Oh.
Um, I know I shouldn't be here, but Is he gonna be okay? I'm sorry.
We can't give you that information.
You're not Corey's wife.
We're running out of time.
He needs surgery.
So w-what are you waiting for? Patricia wants to manage the swelling with drugs in hopes that Corey will heal naturally and regain his full brain function.
And will he? He should have the operation.
And then he'll be fine? His mental capacity will be diminished.
He's not gonna be the Corey that you know, a genius.
He that's not the Corey I know.
W and if the drugs don't work? He'll die.
I don't get why Patricia would want that.
She says that she's respecting his wishes.
As his doctors, we can't no, Corey would not want to die.
I know that.
His work, that's just stress.
He please.
You can't let her kill him.
It's good.
It's brilliant.
Yeah.
Brilliant.
Brilliant is the word.
The way you discuss the attack, I cried.
It's compelling, emotional.
Yeah.
I think it's gonna help a lot of people.
It's a beautiful memoir.
Yay.
I'm gonna I'm gonna show Pete.
Pete is going to love it.
I gotta do friend duty.
Addison's mother? Yeah, yeah.
I don't know who's gonna die first Susan from the cancer or Addison from trying to save her.
Hey, Violet, nice work.
When you're on Oprah, and she's telling the world how brilliant your book is, try to find a way to work my name into the conversation.
You know, I'd like to hear Oprah say my name.
I don't think I've ever seen you scared.
I'm not scared.
A little.
I'm a little scared.
It's an impossible situation, Addie.
Everybody can recognize that.
Everyone except Bizzy, of course.
Well, she's a smart woman.
She's an irrational woman.
Then don't do it.
Stand up to her.
You're an adult.
It's not like your relationship can get any worse.
You're right.
So you gonna talk to her? God, no.
No.
Well? Well It's beautifully written.
You're a writer.
But? This is your life.
Right.
It's your private life.
Yeah.
And it's gonna become really public if you publish this.
Right.
Well, that's kind of the idea.
I mean, the writing was therapeutic, but but there's a-a comfort in in, uh, telling my story and and an opportunity to help other people.
Don't you think? Yeah, no, I-I get that, and it's noble.
But you realize that once it's out there, you can't take it back.
Why would I want to? Because anybody with a computer or a library card will know really Intimate things about you.
A-and some of those people will be your patients.
It's also the story of Lucas' birth.
Look at listen, I'm I'm not against it.
If you're okay with putting it all out there, then I support you.
It's just Are you? Are you okay with it? Okay? Yeah.
That's fine.
I'm sorry.
I'm sorry.
There's a 5-centimeter mass on the left.
on the right.
You'll need a biopsy sample for cell type and grading.
What are you doing here? Moral support.
What makes you think I need it? Do you? So how's it look? There's enlargement of the para-aortic nodes.
They appear to be infiltrated with tumor.
Will you be able to remove them without leaving tumor behind? They're immediately adjacent to the arteries, so I don't know.
Is is that the liver edge? That's not good.
The cancer has spread beyond what we initially saw on the C.
T.
scans.
It's attached itself to the major vessels.
It's in her liver.
So what do we do? Honestly? Nothing.
That's not an answer, Addison.
I'm sorry.
I am.
I could try to cobble together a series of of treatments, but it would make Susan miserable The truth is, even if she suffered through all of it, she'd have less than a 1 out of 5 chance of living another few years.
Some people do better, but some people do much worse.
Do you understand what she's saying? No.
No, what? No, I don't accept your numbers and I won't accept your conclusions.
They're not my numbers, Bizzy.
I don't want 25%.
I don't want 50%.
I want a cure, plain and simple.
I don't care what it costs.
Do you understand that? I'm sorry.
We can't offer you that.
I expected more from what exactly did you expect from me, Bizzy? For my daughter to be something more than a passive spectator to the death of someone I love.
Y don't.
I'm gonna talk to you.
But don't you dare try and hug me again.
Okay.
Cooper wants to have sex.
I want to have sex.
I think.
I'm not sure.
Maybe I want to have sex.
I-I love sex.
I'm good at sex.
And what What that man did to me Wasn't sex.
So This shouldn't be a problem.
I am Good at sex.
So how come I'm crying when Cooper touches me? Charlotte You were raped.
I know that.
But it wasn't Cooper who raped me.
It's not forever The way you're feeling now.
It's not.
And sooner than you think, you're gonna feel strong again.
Not guilty, not vulnerable But strong.
Sex for me and Coop, it's like, uh It's how we communicate.
I hate using the phrase "making love," but It's what it is.
It's how we love.
And I want that back.
Do you? What's that supposed to mean? Look, y-you don't want a hug, and I promise you, I am I'm not gonna hug you.
But I-I am gonna tell you what you and I both know.
Love and intimacy and pleasure No one can take those things away from you.
No one No matter what they've done to you.
Nothing can come between you and Cooper except you.
Bizzy, what you're doing to Addison is wrong.
It's unfair, and I'm not gonna I ask very little of my children.
But what I'm asking of Addison It's not lost on me.
It doesn't look like there's anything left to be done.
I'm sorry.
I really am.
But you You can't keep pushing Addison.
For whatever is left of your relationship with her, Bizzy, please Don't do this.
Susan means Everything to me, and she's And I have to believe that there is some way to help her.
That's why I came here, because Addison is the best at what she does, the very best.
Well, have you ever told her that? I'm her mother.
That's not my job.
I-I know I shouldn't be in here, but I saw that Patricia had stepped out.
Stay.
How is he? His intracranial pressure is holding for now.
He doesn't have to die.
I respect that it's her decision to make, but Corey says they barely even talk anymore.
I'm sorry.
I wish My hands are tied.
Five minutes, okay? Then you have to go.
Who are you? I'm begging you.
You can't do this to him.
You can't let him die.
Why is sh who are you? Janel, maybe it's best that you go.
I love him, too.
Let him live.
Let him decide if he wants to live.
Get out.
What's happening? His I.
C.
P.
Is going through the roof.
I'm gonna increase his mannitol.
Nurse, I need a ventriculostomy kit, asap.
Okay, hold on to him.
Patricia, if I don't insert a tube into his head to relieve the pressure, he's gonna die Right here, right now.
I need you to tell me this is okay.
What the hell's going on in here? Did you authorize this? Authorize? He's dying.
Patricia you can't just do this without her permission.
She can sue if she wants.
I'm saving his life.
You okay? For a passive spectator.
Oh, Addison I can't win here.
If I don't do something, Bizzy will hate me.
And if I do and get anything less than some miracle result, then she's still gonna hate me.
I don't think so.
I think she just wants you to try.
She believes in you.
Yeah, well, she has a funny way of showing it.
No, no, she she came here because she knew the only thing that could help Susan would be a miracle.
And she believes that if anyone's gonna give her a miracle, you can.
Why are you suddenly on her side? Because she was crying.
What? Yeah.
B Bizzy does not cry.
Is there a part of you that doesn't want to try because You hate your mother for not being a mother? What? What no, that's not why would you even say something like that? Because you are Addison Forbes Montgomery World-class surgeon.
And I have never, ever seen you back away from a fight.
Our biggest problem is that the cancer has metastasized to areas of your body that are either too dangerous for me to cut or too difficult for me to reach.
But, um I did some research, and I found a new protocol.
I I was trained on this machine.
It's called the Da Vinci.
You're gonna let a machine operate on me? No, no, no.
I would operate on you, but I would be doing it using the machine.
It enables me to cut in ways that I would never be able to do freehand.
Have you ever done this before? It's generally not used on cases like yours yet, but I know its capabilities, and I think it's the best way to help you.
If it weren't for your mother, I don't think I ever would've come here.
But I love her.
She's my best friend.
I want to do it For her.
Hey, Bizzy.
So you have a plan now.
So is there gonna be there's gonna be, like, a book tour? Like 12 cities, 10 days, readings, autographs? Oh, if they do, can I can I be a roadie? What would you do? Nanny.
Oh.
You want to go on the road with mommy? Aren't you so proud of her? Oh, my God.
One day, he's gonna know how to read.
Oh, no, no.
Don't go there.
No, he's gonna know all the most intimate details of his mother's life.
Mm.
And my parents and you It's a book, Violet.
It's not a sex tape.
But still no buts.
You coulda taken those pages and stuffed 'em in a drawer somewhere, but you didn't.
You sent 'em off to see if anybody would care, and they will.
People will care.
They will be helped by what you wrote.
Are you sure? No, not at all.
You haven't let me read it.
No, I mean, you know I'm kidding.
I'm sure it's honest and real and it's you.
You did a good thing.
Oh, you could kiss me right now, couldn't you? Do you need a kiss? Oh, I need more than a kiss.
I know.
I'm sorry it's so difficult, Coop.
I need you.
You had your chance.
I'm going to use the Da Vinci surgical system on Susan tomorrow.
I applaud your ambition, but your judgment is it's possible.
Anything is possible.
The question is, are you gonna be selling Susan and your mother false hope? Well, if I were doing it on my own, probably, but that's where you come in.
I need you to infuse heated chemo directly into her abdomen after I cut.
It'll destroy any disease left behind.
Don't play hard to get.
You are.
I'll see you tomorrow? Ahh.
Good night.
Good night.
You okay? I am.
You sure? What? What's wrong? Nothing.
I'm fine, Cooper.
What is it? I just I want it to be right.
It's not my first time.
It's your first time since hey.
It's not like that.
I just I can't.
I'm sorry.
The tube I inserted bought us time, but we're talking hours, not days, to save Corey's life.
I am not going to change my mind simply because some woman claims to know my husband as well as I do.
Don't you want to give him a chance to decide if this is a life that he wants to live? I want him to recover fully.
You told me there was a chance.
That chance is gone.
Every second we waste out here is costing Corey.
No.
Absolutely not.
You don't know Corey.
You don't know him like I know him.
Nobody knows him like I do.
And I don't care what that woman thinks because she has no idea the hours I put in The things I do to make him feel comfortable so he can be himself, so he can think, so he can be brilliant.
That's my life.
That's our life.
And a life without that isn't a life we want to live.
I know what Corey wants.
He'd want to see his child born.
You Did he know? Tell me he didn't know.
I told him the night of the accident.
He was on his way to see you.
He loved you.
He did.
He said you drove him to be great.
I wanted children.
Corey saw them as an impediment to his success.
Corey and I Didn't even sleep in the same bed.
Um this, um This decision isn't mine.
It's hers.
It's it's both of ours.
So what do we do? We save him.
Do you need something? When you got raped, how long before you wanted to screw again? Wow.
Uh, well, you could read all about it in my book if I was publishing my book.
I don't want to have a heart-to-heart or hear about your problems.
I just want an answer.
Okay.
Um Well, I guess For me, it was a long time Because I had to learn how to trust men again.
But I was single, you know? I mean, if I had already had a man in my life that I trusted, I don't know.
I do know that the fact that you're asking yourself this question probably means you're more ready than you think you are.
Just take it slow.
Okay.
Thank you.
I never said that.
And I'm mean to you a lot of the time 'cause you're all touchy-feely, and that's annoying, but you told me about your rape.
And that Helped me.
It helped me.
Thank you.
We got it all of it.
And we were able to insert the port in her abdomen to deliver the local chemo.
I mean, we still have to monitor her, but it looks very promising.
I should be with Susan.
Mrs.
Ramsey.
The cerebral edema is improving, and Corey's pupils are reactive.
We had to remove a larger portion of the brain than we expected.
Is he He's responding.
That's all we know.
It's gonna be a a long road back.
Can I see Can we see him, the the two of us? Of course.
She just walked away.
Well Her husband's not in there.
Hey.
How'd it go? She kicked ass.
That's great.
But Bizzy didn't say thank you.
Oh, come on.
We are all family here.
I'm sorry.
That that sucks.
Shame on me for expecting more.
No, shame on you for turning what should be a celebration into this.
You know what? You're right.
Bizzy's just Bizzy.
Look, I have an amazing mother.
All right? I have a kick-ass mom.
I have the best mom in the world.
Ahh.
Yay, you.
But I have a dead father, and a drug addiction problem, and I'm kind of a whore.
Nai is a great mom, and she has a 15 year old with a baby.
Is there a point to all this? Yes.
You have a cold, withholding mother.
And you're the most competent, together person I know.
I-I wanna be you when I grow up.
So, you know, maybe you got dealt the better hand in the long run.
So just shut up and stop whining.
She's a little bit wise.
It's annoying.
If you want something from Bizzy, you're gonna have to ask for it.
It's the only way you're ever gonna get it.
Okay? Pass the wine.
So, um I'm going to New York.
You are? I am.
I am a therapist, and it's it's not just what I do.
It's who I am.
It's my life's work.
I want to tell my story.
I want if I help one person then I think you should go to New York.
What? Just Lucas' mom is amazing.
That's all.
Yum-yum.
You want to try again.
We don't have to.
No, no, I do.
I do.
I just, uh I want to.
I just Ow.
You okay? Mm-hmm.
Sorry.
What what should I No.
Sorry.
Okay.
There you go.
This is so not sexy.
Right? Don't go anywhere.
Coop? What are you up to? Coming back right now.
Chicken? Addison.
Bizzy I have something that I need to say to you.
Before you do, I've been meaning to tell you I've divorced your father, and I'm marrying Susan.

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