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Private Practice

Private PracticeABC

Season 3, Episode 23

6 medical diagnoses portrayed

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Also known as: Neck injury

Peripheral anesthesiaParalysis riskArterial compression

Maya suffers fractures at L-2 and L-3 from a car accident while in labor. The injury causes peripheral anesthesia (loss of sensation in her legs) and creates a surgical dilemma: delivering the baby could lead to permanent paralysis, while delaying delivery endangers the baby. Surgeons use therapeutic hypothermia to buy time for cord decompression.

Also known as: Childbirth

Maternal spinal injuryFetal bradycardiaHypotension during surgery

Maya goes into active labor with contractions minutes apart when the car accident occurs. The delivery becomes life-threatening due to her spinal injury - moving the uterus to deliver the baby causes catastrophic blood pressure drops. A C-section under hypothermia is performed to save both mother and baby.

Also known as: Brain bleed

HerniationBradycardiaLoss of consciousnessContralateral hemorrhage

Dell suffers a traumatic brain injury from the car accident that initially appears minor. He develops an epidural hematoma requiring emergency burr holes to relieve intracranial pressure, followed by a second contralateral bleed that expands and requires craniotomy. The episode ends with Dell's condition critical, implying fatal outcome.

Wrist fracturesupporting

Also known as: Broken wrist

Dell sustains a wrist fracture along with lacerations in the car accident. This injury is relatively minor compared to his life-threatening head trauma that manifests later.

Also known as: Torn artery in the lung

Rib cage traumaCoagulopathy from alcohol intoxication

A drunk driver who crashed his car sustains an avulsed pulmonary artery and rib cage injuries. His high blood alcohol level (0.3) causes difficulty with anesthesia and blood clotting. Sam operates on him unaware he is the driver who hit Maya and Dell, requiring cardiopulmonary bypass.

Private Practice — S03E23Patient: Mr. Hagen

Also known as: ALS, Lou Gehrig's disease

William is receiving experimental ALS treatment from Gabriel. The episode reveals the treatment won't work as the disease is too advanced, but Gabriel lies to Naomi about starting treatment while actually planning to leave for Sun Valley to die.

Recurring storyline