A mediator tries to facilitate a conversation between Addison and Shawn. It's acrimonious to say the least. It's obvious that Shawn has had a hard life. Her husband left before Gwen was two. She's been caring for her all by herself every day and will be doing so for the rest of her life. Addison checks the old file to learn that Shawn had been trying to have a baby for years. The real reason for the lawsuit is because she got laid off. She needs money so she can continue to care for her daughter.
James treats a world famous doctor named Vivian (guest star Deanna Dunagan), who happens to be Addison's friend and mentor. The patient has gastric cancer that has spread to her liver. Vivian says she had a baby when she was 15. The nuns gave the infant girl away before she ever got a chance to hold her. Addison's mentor doesn't have much time left. That's why Vivian asks her mentee to pen a letter to the daughter she never met. Addison promises to deliver it. A short time later, Vivian is gone.
The letter Vivian wrote got Addison thinking about her own situation with Henry. She pays a visit to Judi at the restaurant where she works. She gives her a gold necklace with the letter "h" on it. Addy also lets Judi know that they are both Henry's mother and she will always be welcome in her home. They are forever connected now. In short, they are family.