Private Practice

Eleonor Burgen. 23 weeks in the oby. Noticed an abnormality with the baby.

She's here today for a 3D ultrasound, a follow-up.

- Wow... - I know.

Others have built up a cerebral spinal fluid...

Doctors split on what to do here. Some say wait as long as possible to take the baby then clear once it's out

and possibly rupture the mother's uterus.

And that's the other camp, they say deliver the baby now.

- Twenty three weeks is way too soon. - Or terminate.

Eleanor and her husband didn't know what to do,

so they called me, and I called you to break the tie.

- That's the husband. - Hi, Ronald.

This is the doctor I was telling you about.

Hi, Addison Montgomery.

Thank you so much for coming.

My wife and I a little freaked a lot freaked, actually.

We look at the scan, at the baby's head...

And she's in there praying that you're not gonna tell us to give up.

Let's, uh, take a look and we'll talk after, okay

this is my wife... Eleanor.

- Well, maybe this is my penance for pushing. - El.

I never thought I'd have a child until I met Ron,

and then we just both thought, why not?

- Why not try for everything? - So it was a year

of looking for an egg donor, three cycles of IVF.

Now look. Just look. What were we thinking?

Congenital hydrocephalus

isn't necessarily correlated with a mother's age.

- "Necessarily" being the operative word. - It's a waste of time to feel guilty.

This is our baby. This is our chance.

If Eleanor were to stay here and be monitored,

would it be safe for her to continue with the pregnancy?

I wouldn't, but there could be another option.

I might be able to do what's called

an in-utero intracranial septostomy.

Meaning I'd go in through the uterus

and into the baby's brain,

create a hole between the ventricles.

That would drain some of the fluid

- and relieve the pressure. - Brain surgery while the baby's inside me?

Is that... safe?

He means, is it safe for a woman my age?

Maya.

I'm leaving now if you want a ride to school.

I'll catch the bus.

All right. Sit near the emergency exit.

Love you. Bye.

Oh...

What the hell is that?

Um... clothes and makeup.

And you were just gonna wait until I left

so you could go to school dressed like that?

This is how all Girls dress.

Not this girl. You have five seconds

to get upstairs, wash your face and put on something decent.

We'll discuss how long you're grounded later.

You're ruining my life.

What did you say? Excuse me. What did you say?

Nothing!

She's 60 years old, Addison.

The risks of major surgery... stroke, arrhythmia,

getting her off the ventilator... they're all much higher.

It's still the best option.

For the baby, maybe. But not for Eleanor.

If we try to string this out

and bring it closer to viability,

it is not just the baby that could be in trouble, Pete.

I mean, you saw the scan.

She's got, like, a little time bomb in her uterus.

Then we should advise them to terminate and try again.

And what are the odds of that happening?

They could use a surrogate or adopt.

You think somebody's gonna give a 60-year-old woman a baby?

You think Eleanor's too old to a parent?

I think it's a little weird

to introduce your prom date to your 80-year-old mother.

That's one of the downsides

of getting good at fertility treatment.

Everyone thinks they should be able to have their own baby,

- even at 60. - I don't know.

Maybe this child just wasn't meant to be.

Not my b... not our... not Lucas.

A patient. She's 60 and pregnant.

Oh. Well, if she's happy sending her husband out

for dentures and diapers, then more power to her.

Yeah, well, the husband's 30.

Even more power to her.

Now wait a minute. When Pete was dating younger woman,

- you said it was disgusting. - Don't bring me into this.

No, I'm just pointing out that Violet has a double standard.

There is a stigma attached to dating older women,

so I figure if a guy does, he's in it for the right reasons.

Oh, right. Lunch.

Uh... Pete, this is my father, the captain.

- Nice to meet you. - Yeah.

And, uh, this is, uh...

Oh, hi. Sorry.

Not at all.

See? It is disgusting.

Come on, let's go.

- I almost killed your child today. - Oh, so today she's my child.

No, you would've had to bury her body in secret

- to keep me from going to jail. - Okay, what'd she do?

She tried to sneak out of the house

dressed up like some 25-year-old I don't know what.

You remember when she used to put on your lipstick...

- Sam, she's not 4, and this is not sweet. - Oh, come on now, Nai.

Don't "nai" me. She was trying to pull one over on me.

And then when I called her on it, she stomped away

- and slammed the door, in my house. - You said you almost killed her, right?

I am not gonna let our daughter turn into

one of those snot-nosed private school kids

who just thinks that they can do whatever they want.

That is not Maya.

- Well, apparently, we don't know Maya. - Well, try not to get yourself all worked up.

Sam, she is hiding things from me,

which means she doesn't trust me

or she is doing something that she knows is wrong.

And you think this is more than her

- just putting on some skimpy clothes? - I don't know.

I don't know, but I'm gonna turn her room upside down

until I figure out exactly what's going on.

Well, uh, Ruthie looks fine. How are you doing?

- Great. - Yeah, you got these two little ones

and 4 others at home under, what, 8,

- and you're... you're great, huh? - I'm very blessed.

Doesn't mean you can't complain.

- Tell me you're exhausted. - Oh, I gave up on sleep a long time ago.

I mean, you got no time to yourself or...

It's, uh, Shimmon.

- Yeah, it's your husband? - He's not...

interested.

Oh, uh, okay. Well, that, uh, that happens.

Some men feel awkward with their wives

during or sometimes even after pregnancy, but it passes.

Dr. Freedman, I shouldn't be talking to you about this.

- It's not proper. - If there's a problem...

It's not proper, and, uh, I don't think you can help.

I need your help.

If you knew somebody was admiring you,

specifically your ass,

would that just be flattering,

or would that get you aroused?

'Cause I think that would be arousing, right?

- Yeah. - To know that somebody right near you

is thinking about you sexually?

Wait, who are we talking about, me or you?

W... we're talking about y... you, right?

You asked me to help you with something?

Oh, yeah. Um, a patient.

Two months postpartum, and she's concerned

'cause her husband is not interested in sex.

Oh, well, could be depression, stress,

performance anxiety.

Unless it's vascular disease, hyperthyroidism,

iatrogenic impotence.

Forget where my office is, Coop,

the one with all the marital aids

- and books you sneak in to look at during lunch? - No, I was just...

Referring a patient to Violet you should be referring to me

because you're still mad and petty. Pettiness aside, there's no reason to jump to physiology.

I mean, sex issues, more often than not,

are rooted in emotional dysfunctions.

Yes. Actually, we're finding more and more

that problems in the bedroom stem from hormonal imbalances,

nerve problems, all kinds of equipment failure.

Ok, you know what? I would like to see her alone first.

I thought we were one big team here at OWG.

Or is that only when you want in on other people's patients?

So how exactly do you see this working?

Having an awkward lunch together every few days

that it takes you three vodka tonics to get through

and me a half a bottle of wine at night to forget?

Addison, please.

I enjoyed seeing your office.

Violet's ass or the whole thing?

I'd like to see your house.

So we could sit there and stare at each other,

see who blinks first without even a waiter

to break the tension?

No.

You working on anything interesting?

I'm just...

I'm trying, Addison.

I might be doing an in-utero intracranial septostomy.

Really?

Trick there is getting a good angle

on the foramen of monro.

Right.

And then finding the avascular plane of the septum.

Yes. Yeah.

So would you go

to the contralateral ventricle first?

Mom. What are you doing home?

I don't know who you are...

But you should leave.

Yes, ma'am.

Mom?

Don't...

Talk.

One...