Private Practice — ABC

Season 4, Episode 19

3 medical diagnoses portrayed

Also known as: Burkitt's lymphoma

Superior vena cava syndromeHypermetabolic stateRisk of maternal death

Val is diagnosed with aggressive Burkitt's lymphoma at 25 weeks pregnant. The central ethical conflict of the episode revolves around her choice to delay cancer treatment (chemotherapy) until the baby reaches viability, risking her own life. She develops SVC syndrome as a complication, and her husband struggles with her decision, especially after learning she had a previous abortion.

Private Practice — S04E19Patient: Val

Preterm birthmajor

Also known as: Preterm delivery

Immature lungsRisk of neurological impairmentRisk of muscular impairmentRisk of visual impairmentRisk of neonatal death

Val's baby is delivered via emergency C-section at approximately 25 weeks gestation due to Val's cancer requiring immediate treatment. The doctors discuss the risks of delivering at this gestational age, including serious health problems and possible death, versus waiting to improve the baby's chances of survival.

Private Practice — S04E19Patient: Val's baby

Superior vena cava syndromesupporting

Also known as: SVC syndrome

Respiratory compromiseRisk of asphyxiation

Val develops SVC syndrome as a complication of her Burkitt's lymphoma, causing blockage of vessels draining the neck and head, leading to pressure and lack of oxygen. This acute complication creates urgency for immediate delivery and cancer treatment.

Private Practice — S04E19Patient: Val