Maya's back and she's gigantically pregnant and meeting with her midwife, Dell (also back, though sadly not for long, it seems). She's three weeks from delivery, and everything looks good, so we quickly move on. Oh, and Dell has some news about getting into UCLA Medical School, though he doesn't know how he'll afford it, so he's not telling anyone other than Maya. Meanwhile, Sam and Addison deal with a pregnant patient and her creepy dad, who they quickly figure out (based on some genetic thing) isn't her dad. Turns out he kidnapped her fifteen years ago, and she loves him, because he's all she knows. He runs off right before surgery and then Sam and Addison have a weirdly flirty surgery and post-op before telling the girl everything's fine with her and her baby and reuniting her with the biological parents she doesn't remember. Then they get the call from Dell that Maya decided to have the baby at the hospital and wants Addison to deliver, so they go to meet Dell. As they're waiting at the ER, an ambulance pulls up with a driver from a car wreck. Sam's needed to operate, so Addison's there when the Air Life helicopter brings the "people from the other car." Dell gets out, walking, with his arm in a sling, and they wheel Maya on a stretcher. It's not looking good, folks, and next week's the finale. What is with this show and disturbing pregnancy/birth-related cliffhangers?
In other plots, Cooper spends the whole episode trying to be friends with Violet again so he can tell her he slept with Charlotte. She refuses to talk to him, though, so when Charlotte comes to talk, he's mute. Sheldon, who realized his own love for Charlotte, mans up and asks her on a date, which she accepts. Cooper finally gives Violet a long speech about all the times he's forgiven her, so she makes a picnic but quickly tells him if he loves Charlotte to go after her. NOW. While she's on a date with Sheldon. So he does. He needed Violet for that? Meanwhile, William, struggling with his ALS, is back in L.A., and Naomi wants Fife to do the medical trial. He doesn't want to, and Pete accuses Fife of not doing it because he wants Naomi. In the end, Fife tells her he has to do it because he loves her so much and will do anything to make her happy. Awww. And also weird. Next week: Finale, finally.
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We open on poppy music as Addison's on her balcony. Sam comes out onto his upper balcony and it's AWKWARD! He's like, "So, Pete must be happy," and Addison, being Addison, thinks it's all about her until Sam says he's talking about getting custody of Lucas. She's like, "Uh, yeah. So, Sam?" But then Pete comes out and asks if she's coming to bed. She says she'll be in in a minute, so he goes inside, but so does Sam. She drinks her lonely, Too Many Men Love Me wine and looks mopey. Cut to Charlotte and Cooper post-sex, discussing whether to discuss this or just do it again. Not being the type to want to deal with their feelings ever, they opt for "again."
Violet shows up at Oceanside, where Dell's already there. She thought he was supposed to be off today, but he's in to give Maya an ultrasound, since she has a history exam tomorrow. He says he just got some really good news, and Violet says, "Oh no!" Not exactly the reaction he was going for, but she wasn't listening to him (what with being the world's worst therapist and all). Instead she says, "The bitch is back!" Um, yeah, that's what I titled the recap two weeks ago, Violet. We know. But she's talking about some patient who is infamous because she threw a cup of coffee at Dell's head and was horrible to her husband. Violet wonders why they even bother with marriage counseling, what with her deep and unresolved anger issues. Maya comes in, totally fake pregnant, and Violet's sweet about it. Maya's mom's on her way, too, so apparently she's over being a terrible mother. Then Violet asks Dell what he was going to tell her, but he says he'll tell her later. He and Maya head off to her ultrasound.
Cooper comes in and greets Violet, who ignores him. He's like, "You're still not talking to me?" She doesn't respond. He does what any sane person would do and uses the opportunity of Violet not talking incessantly about herself to talk about himself. He fills her in on sleeping with Charlotte last night, how it was supposed to be just sex, but he doesn't know what to do. Then he tells her had to do it, he couldn't lie on the stand, but he needs to talk to her. She tells him to talk to someone else. She heads into her office and finds the anger-issues woman making out with her husband. Then the lady runs up and hugs Violet. Her husband's like, "She's happy." Violet can see that, and the woman says everyone thinks she has dementia because, you know, she used to be a huge bitch. She's all into charity work, giving away her money, and having lots of sex. Her husband's thrilled, but thinks it's not Claire. Violet asks her to explain it, and Claire says she can feel God in her soul, because she's been touched by the hand of God. Violet registers total shock and alarm, as therapists should always do. And then... sunny title card.