This episode is all over the map, with about 37 different storylines and almost not connection between any of them. First up is Addison. She has a patient, Lily, who's dying of ovarian cancer. Lily's okay with it, except that she can't leave Milo, her cat. When Addison steps up to cat-sit while she has treatment, Lily's finally at peace knowing Addison will keep Milo. Lily's oncologist asks Addison out and she says yes, but we never get to see the coffee date. And, in the end, Addison and Sam toast to crazy cat ladies/Cat Woman. They're sort of the same thing.
Next up are Pete and Violet, who are dealing with a depressed woman and her fiancée. Violet recommends electroshock therapy, which causes her to forget her fiancée completely. She remembers every other detail of her life, though, so Violet thinks something bad must have happened involving the fiancée. Turns out it didn't, and she's just pretending not to remember him so he'll go away, because he's too nice. Violet and Pete go along with her to see him, and give the fiancée a speech about letting go. And how happy she is now makes it seem that we (and Pete) were supposed to take it to mean Pete and Violet are over. Oh, he's better off anyway.
Charlotte, meanwhile, can't get any patients. She gives vibrators to the Oceanside ladies for letting her join the practice, then she does nothing but whine about not having patients. Cooper gets on a chat room and sends one to her, but that pisses her off, so she yells at him in front of one of his patients, a kid. Then they talk later and she realizes it's okay if he helps bring her business, because they are in a relationship AND a business together. Um, duh, Charlotte.
Finally, Naomi's the most stressed of all because she's dealing with a new genetic specialist hired at Pacific Wellcare without her permission who wants to help some little people have a little child. She doesn't like the idea of messing with the embryos, especially when she realizes using the embryos that will ensure the little person baby could also have cancer. She says no, and admits she was a very fat child. Wheelchair Doctor still isn't in love with her or anything, but the fat thing helps. They're definitely headed toward one of those hate-love TV romances.
You'd really be better off avoiding this practice if you are in need of medical attention. Find out why.
No previouslies. Instead, we jump right in with Mirah's Gone Are the Days played over sunny Los Angeles. Then we're in a sunny room where Addison's on a house call with her Patient of the Week (POTW), who is lying on a couch looking like she has cancer (surprise! she does!), and asking about Addison's bag. They discuss how great of a bag it is, since it's Chloe and Addison got it on sale. POTW goes so far as to call Addison a "lucky bitch." Well, she's at least half right. Oh, stop emailing me, Kate Walsh fans. I mean that she's lucky, of course. I'd describe anyone with a multi-million-dollar trust fund that way. Long story short: POTW is named Lily, and her ovarian cancer has spread to her liver. She's way beyond scared, but she doesn't want to go back to the hospital because she doesn't want to leave Milo, the orange tabby sitting near her face so we'll get how close they are. Addison scoffs that Lily would choose Milo over going to the hospital. But, hey, I don't have cancer or anything and I'd choose a cat over the hospital, too. And I don't even really like cats. Lily explains that Milo's her whole life because she gave up having anything else in her life for her career, which is something about design. Addison says she'll find someone for Milo, and Lily says it needs to be someone she can trust. A purring Milo rubs up against Addison, and I bet you can see where this is going to go...
Pacific Wellcare. A handsome guy in a wheelchair comes zooming up to Naomi, and tells her that their patients are already here and very excited to start treatment. Naomi's like, "Excuse me?" And he says he's Gabriel Fife, director of the genetic research program. She says they don't have a GRP, so Fife (that's shorter than Gabriel, so it's what I'll be calling him) tells her to keep up with her emails, since William (that would be Bill Buchanan) hired him. She says there was no email since she's the one who does the hiring around here. She follows him as he explains Bill thought Fife and Naomi would be good together, professionally speaking (though I'm certain the show has more than that in store), since Fife designed a technique that improves the success rate for complex implantations in various high-risk patients. She wonders what high-risk groups as they arrive in an office where he introduces their new patients, the Donovans. They are little people. They are here for implantation. Little man tells Naomi they want to have a dwarf baby. Naomi looks stunned. As is all of America, right? I mean, who would have thought Private Practice would find a way to put someone in a wheelchair, a black woman, and two little people all in one scene together? If only the storyline weren't such a cliché, I might declare this the most diverse show on television. (Don't worry, though; I won't. Not as long as Glee exists.) Fife tells them they're going to give them their dwarf baby. Sunny title card.