Plot summary
Addison meets a patient who believed that she had an abortion, but it really failed and she is now faced with the decision of aborting a baby at nineteen weeks. All of the doctors become worried when Betsey ends up in the hospital after a fall. Cooper and Violet believe that Betsy is being abused and set out to find out if she really is. Naomi talks to Addison's patient and tries to convince her to not have an abortion. The medical board continues to review Violet's case. Amelia goes to Charlotte when she starts craving alcohol again.
Addison performs the abortion on her patient in spite of having mixed feelings about it. Sheldon becomes convinced that Betsey's foster brother is the one who is abusing her, not the parents. With Betsey in a coma after her brain surgery, the foster parents remand custody of Betsey back to social services, saying that their son has to come first. Amelia goes to a bar and relapses into her addiction. After telling Fife her decision about moving back east, Naomi decides to adopt Betsey.
Credits
Adapted from Wikipedia contributors, Private Practice season 4. HTML formatting and reference markers removed.