TvDx
Private Practice

Private PracticeABC

Season 5, Episode 21

5 medical diagnoses portrayed

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Also known as: CHF

Pulmonary edemaRespiratory failure

Troy is in end-stage congestive heart failure with cardiomyopathy, presenting in florid pulmonary edema. His condition is terminal, leading to a central ethical conflict between his partner Roger, who wants to honor Troy's wishes not to be on machines, and Troy's estranged father who insists on aggressive life support.

Private Practice — S05E21Patient: Troy Davis
HypersexualityImpulse control disorderInappropriate sexual ideation toward daughter

Rich presents with sudden behavioral changes including uncontrollable hypersexuality and inappropriate sexual feelings toward his 12-year-old daughter Whitney. An EEG reveals a lesion on his temporal lobe causing subclinical seizures. Amelia performs a partial lobectomy to remove the scarring and restore impulse control.

Also known as: Baby with no brain

Amelia is carrying a pregnancy where the fetus has been diagnosed with anencephaly (no brain development). This devastating diagnosis drives her emotional arc throughout the episode as she struggles with addiction triggers, isolation, and the decision to carry to term for organ donation purposes.

Private Practice — S05E21Patient: Amelia Shepherd
Recurring storyline

Also known as: Heroin addiction

Risk of relapse

Amelia's addiction is prominently featured as she struggles with sobriety while dealing with her anencephalic pregnancy. She is eight months sober but clearly at risk of relapse, even identifying a drug dealer and nearly seeking drugs before Jake intervenes and helps her make the choice to stay clean.

Private Practice — S05E21Patient: Amelia Shepherd
Recurring storyline

Also known as: Abruption

Jake treats a patient named Stephanie who experiences a minor placental abruption. She requires a few days of bed rest and will deliver in six weeks. This is mentioned briefly as a routine case.

Private Practice — S05E21Patient: Stephanie