Private Practice

Okay, are you ready to roll, mr. Hagen?

I think god's kind of pissed off at me.

I crashed the car. Well, let's not worry about the car.

Let's just worry about getting you put back together

In one piece. Yeah, but... It's notju.

I... I screwed up.

Well, everybody screws up. God knows that.

You're gonna be fine. He put you on my table, didn't he?

He must have some idea what he's doing.

they page you a lot?

They page me when a helicopter lands at my hospital.

Yeah, but if a helicopter hadn't landed at your hospital,

You wouldn't have found some other reason

To call it a night, you know? You think I faked a helicopter landing

To bail on our date? No, no, but--

You want to bail on a date, you fake a headache

Not a 2-ton flying machine that can be seen

From miles away. Right, right. I just wanted to make sure.

Sheldon, the insecurity thing?

You want me to stop thinking about cooper,

Stop acting like him. I'll wait.

Maybe you'll be done in a few minutes and, uh... Okay.

I need hand and wrist film, please.

What have we got? Maya?

And dell. M.V.A. She's in labor. Uh, we were on our way here,

And some guy blew through a red light. Good lord.

Her contractions are two minutes apart,

Pain at a seven, maybe eight. Sir, you need to sit down.

I'm fine, okay? Maya's--ow. Sit down. He okay?

So far, some lacerations, probably a fractured wrist.

We need a fetal doppler, and where is radiology? How you feeling, sweetheart?

I'm okay. The contractions were pretty bad,

But it's much better now with the epidural.

What epidural? Dell?

Maya... How's that feel?

What?

I'll page neuro surg.

Call amelia. She doesn't work here.

Call amelia. Sam's in the o.R. Nai's on her way.

She knows about the labor, but nothing else. Addison, did she break--

Dell, sit down. I need a c.T. Of her spine. Now, please.

we don't have films yet.

But she's got some distal sensory loss. What?

She can't feel her legs. She fractured her spine?

We don't know what it means yet. It means she fractured her spine.

Pete-- charlotte, you are sweating a.

Is maya gonna be all right? Naomi's gonna blow in any minute

Expecting contractions and heavy breathing. Can we focus on that?

Now go. Sam's got a body open in o.R. Two.

I got another cardiac surgeon on his way, but it's gonna take him

About a half an hour to get here. I got it.

Hi. Not now.

What do you mean, "not now"? I called you, I texted you.

I tracked you down. Jan in reception said

There was a helicopter here, which I can't believe I missed.

But I just need a moment of your time.

I think we should have dinner tomorrow night-- uh, no.

Sheldon. Excuse me.

Cooper--can you just tell him what's going on?

I'd rather not, frankly. What the hell?

Hey, nai, naomi. Hey. Maya's in labor.

Yeah. Oh, she's in labor.

Oh, and I'm-- I'm hyperventilating.

I think I'm a little bit of a hypocrite,

Because I've been against this from the get-go,

But now all of a sudden, I am just sieged

With the urge to just, like, knit booties and coo.

I mean, I don't even knit. So maybe I'm more sieged

With the urge to just go out and by a bunch of booties. Nai, naomi--

I thinthe universe is actually giving me

A little bit of a-a break today.

You know, gabriel is giving william the a.L.S. Treatment.

William is taking the a.L.S. Treatment.

I j--I just feel like it's my day.

The universe is gonna tolerate just a little bit of hypocrisy

From me and let me-- naomi, naomi. Something has happened to maya.

She's got peripheral anesthesia,

Possible fracture at l-2 or 3.

Okay. Well, is the cord transected? I don't know.

What about the baby? I'm gonna do a c-section. We're going in now.

The o.R.'s ready. Naomi, I am so sorry.

Dell, you didn't do this.

Mom, I can't feel my legs. You're gonna be okay. You're gonna be okay.

Mommy's here. Where's daddy?

Hang in there, maya, okay? We're gonna go have your baby now.

Let's go. Now. Let's go.

Hey. You got nothing better to do on a Friday night?

I need you for a quick consult. Can you step out for a sec? It could be a while.

This guy avulsed his pulmonary artery,

Smashed his beemer, smashed his rib cage.

He thinks god's pissed off at him.

That's the guy that hit maya and dell--

On sam's table under sam's knife. I know that.

Does sam? What am I supposed to do?

We can't duct tape the guy closed.

Sam's gotta keep operating till mason gets here.

Well, you got a better idea?

C-sections are bad.

I wanted to have him the regular way.

Oh, c-sections are not bad.

They are fast and they're safe.

Addison has done a gajillion of these.

She could do this in her sleep. You just focus on the fact

That you're gonna see your baby, maya.

Okay. There we go.

You got a nice-looking uterus, kid.

Ew. All right. Lap pad.

What happened?

Her pressure's dropping. Open up her I.V.

Wh-why is her pressure dropping? I don't know. Run the fluids wide open.

Maya. Maya! B.P.'s down to 80 over 30.

What--what-- what did you? I tilted her uterus. I was checking the baby's position.

Well, is she bleeding out? I don't kn--naomi, you need to get out of here.

Dell, get her out of here. Naomi--

Do not touch me. Uterus must have been tamponading

The radicular artery. I can't move the baby

Or she'll bottom out. Addison, her pressure dropping. You're losing her.

Naomi, you need to get out of here or you shu.

The baby stays in. We need to pack the wound. tachy at 140.E're not picking up her pressure.

Okay, full pressors. Pull the crash cart. Maya, stay with me.

Baby, stay with me. Okay? You stay with me.

How long can the baby stay in once-- not very long.

Let's just wait and see what amelia has to say, okay?

I almost lost her.

I know.

I'm here. I'm late. I'm late. I'm sorry.

But I got the camera, so she can start pushing.

What? Was it a false alarm?

What?

I was just gonna come find you.

I, uh, set up the drip in pete's office.

You can lie there and stare at all those jars,

Wonder what the hell he does with 'em. We're not going to do the treatment.

You're gonna go to the hospital, and I'm going to sun valley.

Naomi's daughter was in a car accident.

She may have broken her back. What?

You mocked me for having three assistants,

But when you have three assistants,

You know what's going on.

Valerie's the best one of the lot.

You should use her when I'm gone. What are you-- what are you talking about?

The treatment won't work. You know that.

It's too late.

You couldn't tell that to naomi?

She needed something to hope for.

What's in sun valley?

A daughter who doesn't like me

And who I don't understand.

And what, you're just gonna go there to die?

You're not even gonna say good-bye to her?

Tell her the--the drugs are helping.

Tell her I'm resting, that she shouldn't bother me.

And when maya's out of the woods,

Tell her I left...

And I loveer.

You love her, to d?

Be aetter man than you have been.

it's gonna be a long night.

I could stop by your house and pick up some clothes.

Nah, I got some clothes back in my office.

I just haven't had a second to put 'em on yet.

Thanks, though. You're sweet. I'm not.

But under the circumstances, I'm willing to fake it.

I gotta-- yeah.

Hi, guys. Hey.

Hey.

Hey, uh, lucas is with danielle,

The sitter from up the street I told you about with the hair.

Anyway, she's at the house.

She knows it's gonnae a long night. Okay.

I would've td you earlier, but with all the confusion--

I'm sorry. You don't have to explain anything to me, pete.

I kinda do.

It's co-parenting.

That's what we're doing. I tell you where the kid is.

It's not a hardship.

Well, thank you.

I'm goa go wait for sam.

See right there? Fracture at l-2

And then another chard of bone here at l-3.

The baby was stabilizing the whole area,

So when you shifted the uterus, all hell broke loose. So what are our options?

Well, nai, how about you grab a cup of coffee,

And we can talk about it a little-- just answer the question.

Nai, I think that amelia wants to brainstorm a little.

So it's--it's easier when the mother's not here-- well, I-I'm sorry if this is difficult for her.

Just stop managing me. Spit it out.

Okay.

If we take out the baby, the cord strokes out.

She's paralyzed from the waist down for life.

If I decompress the cord anteriorly,

We could lose the baby.

I do a posterior approach, we could lose the baby.

If I try to repair the artery first, she could

Bleed out on the tab, and I kill them both.

Does anybody have a preference?

That guy's blood won't ct for love or money.

Thank you. Walk with me.

Five minutes while they put him on the pump,

Then I want to get out of here,