Ep 5. In Or Out

In Private Practice season 4 episode 5 titled "In Or Out", the doctors at Seaside Health and Wellness deal with complex cases and personal issues. Addison is taken aback when her former patient, Michelle (played by Missy Peregrym), returns to the practice and requests a C-section even though she is only 34 weeks pregnant. Michelle has a complex medical history and Addison must decide whether to perform the risky procedure or try and convince her to wait a little longer for a safer delivery.

Meanwhile, Charlotte prepares for her first date with Cooper and enlists the help of Naomi and Violet to ensure everything goes smoothly. However, her insecurities get the better of her and she starts to doubt whether she is ready to move on from her traumatic past.

In another storyline, Sheldon struggles to connect with his father (played by Barry Bostwick) who is suffering from Alzheimer's disease. Sheldon is desperate for his father to remember their past and seeks the help of a neurologist, Dr. Marla Tompkins (played by Diane Farr), to try and reverse the effects of the disease.

Sam deals with a patient who is refusing to leave the hospital and insists on staying until his wife, who is in a coma, wakes up. The patient, played by Edward Hermann, is in denial about his wife's condition and Sam must find a way to help him come to terms with his loss.

Throughout the episode, the doctors also deal with their own personal issues and relationships. Pete and Violet try to reconnect after their separation, while Naomi struggles to let go of her feelings for Sam. The episode explores themes of loss, love, and the difficult choices that doctors must make when balancing the health and wellbeing of their patients against their personal desires.

Overall, "In Or Out" is a poignant and thought-provoking episode that showcases the complexities of the human experience and the challenges that healthcare professionals face on a daily basis. It is a must-watch for fans of Private Practice and anyone interested in exploring the ethical and emotional dilemmas that arise in the medical field.