Private Practice: Season 4
Episode 11

Title: If You Don't Know Me By Now
Episode: 65
Episode #: 4.11
First Air Date: January 6, 2011 (10pm)
Writer: Zahir McGhee
Director: Eric Stoltz
DVD: Private Practice: The Complete Fourth Season
Guest Stars:
JoBeth Williams as Bizzy Montgomery
Cristian de la Fuente as Dr. Rodriguez
Ann Cusack as Susan Grant
Naoko Mori as Patricia Ramsey
Tara Summers as Janel Chase

Music:

Sia, "I'm In Here"
Addison and Rodriguez perform surgery on Susan. Janel tells Patricia she's pregnant. They agree to let Pete try to save Corey. Charlotte thanks Violet.

She & Him, "Brand New Shoes"
Violet tells Naomi she wrote a book. Amelia helps Addison break bad news. Bizzy insists Addison will save Susan.

Little Jackie, "31 Flavors"
"Addison and Naomi share a bottle of wine. Amelia joins in the conversation. Violet tells Pete she is going to New York. Cooper and Charlotte want to have sex but it's awkward. Bizzy tells Addison about her divorce and new plans to marry.

Farryl Purkiss, "Pennies In The Snow"
Naomi and Sheldon tell Violet her book is great. Naomi tells Addison Susan's medical situation is impossible and she should stand up to Bizzy. Pete tries to caution Violet about her book. Charlotte isn't ready for sex.


Fan Rating: ??/10 (Average of all fan submitted ratings)


Synopsis:

Addison's mother demands she do whatever it takes to keep her partner alive; a medical consultation becomes complicated for Amelia and Pete; Charlotte and Cooper give intimacy another try; Violet considers publishing a revealing book.

(Preview From ABC)
Addison's mother, Bizzy, aggressively demands her daughter do whatever it takes to save her partner from dying - including working with Dr. Rodriguez once again. Meanwhile Amelia and Pete's medical consultation is complicated when a patient's wife and his mistress disagree on the course of treatment, Charlotte and Cooper try to be intimate with each other again, and Violet considers publishing a personally-revealing book she's written.


(Recap From ABC)
Addison’s mom, Bizzy, wants her to save her lover Susan’s life. That’ll be a tall task since Susan has Stage 4 ovarian cancer. Addison says there’s nothing she can do. Susan is going to die. Bizzy says that’s acceptable and slaps Addison across the face. She screams, “You will save her life!” Addison is stunned. Frankly, so are we.

Remember Dr. Rodriguez? He’s that handsome oncologist we met in In and Out. Well, the dreamy doc is back and still has a little thing for Addison. He’s bummed to learn that the only reason she called is for help with Susan’s case. Once they see that the cancer has spread to the liver, both agree there are no real options. As you may have guessed, Bizzy isn’t very responsive to this news, so she lays into Addison again.

Sam wants to give Addy’s mom a piece of his mind, but he’s caught of guard at the sight of Bizzy crying. She came here because her daughter is the very best at what she does, even though she’ll never say that to her face. Sam realizes Bizzy is right. He approaches Addy and says, “You are Addison Forbes Montgomery. World class surgeon. And I have never ever seen you back away from a fight.” Come to think of it, neither have we.

Addison wants to operate on Susan using a machine that will allow her to cut in ways she could never do with her hands. She’ll need help from Dr. Rodriguez to infuse heated chemo to kill any disease she leaves behind. Rodriguez is skeptical, but in. Hey, at least this way he gets to spend a little more time with Addy.

The operation is a success, but that doesn’t mean Addison is about to get a thank you from Bizzy. Naomi believes that the only way she’s ever going to get anything from her mom is to ask for it. Good plan. Addison storms into Susan’s recovery room, but her mom stops her before she can get started. Bizzy says, “I’ve divorced your father and I’m marrying Susan.” Once again, Addison is stunned. Once again, so are we.

Cory Ramsey is a brilliant engineer whose brain is about to burst after a near-fatal car accident. The damaged portions of his brain need to be removed to relieve the pressure. The patient’s wife, Patricia, doesn’t want any procedure that will affect his mental capacity. This frustrates Pete, as well as the guy’s secret girlfriend, Janel. She doesn’t care about Cory’s mental capacity. She just wants him to live.

When Cory starts to crash, Pete must relieve the pressure on his brain immediately. He does so without the wife’s permission. Patricia still won’t agree to the surgery. She wants him to be the genius he was meant to be. Janel just wants him to be alive to see the birth of his child. The surgery is a success, but only Janel goes to see Cory. For Patricia, the man she knew is gone.

Violet has been keeping a journal to help her deal with her attack. It’s 837 pages long, so it’s not really a journal. It’s a book that has sparked interest from a publisher. Naomi and Sheldon think the memoir is brilliant. Pete thinks it’s great, too. He just wonders if she really wants to expose the intimate details of what happened to her to the world. Now, Violet is wondering the exact same thing.

Charlotte says that it helped when Violet talked to her about her rape. This has our favorite aspiring author thinking that her written words may help others, too. She’s headed for New York to meet with the publishers with Pete’s full support. He says, “Lucas’s mom is amazing.” Agreed.

Cooper tells Sheldon that he wants to have sex. Sheldon is, of course, flattered. But seriously, he suggests Coop ease back into things with Charlotte. So, he gets some fried chicken. If they can’t have sex, at least they can share a greasy meal together. Charlotte appreciates the gesture and surprises Coop when she says they can give intimacy a try later that night. But when the time arrives, it’s obvious that Charlotte still isn’t ready.

Charlotte wants to try again, but now it’s Cooper who is unsure. It’s a struggle for these two. But they aren’t about to give up on each other. The intimacy thing is going to take some time. Until then, they’ll just keep eating fried chicken. Mmmm.