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Season 5
How Far Should a Friend Go for Another Friend?By Noah Evslin, Director of Medical ResearchIf you watch our show closely, you'll realize it's not the medical treatments that make Private Practice different than other shows on television; rather, it's the ethical debates surrounding the myriad decisions our doctors need to make every week. The fifth episode of the season, "Step One," deals with the return of MICHELLE LOGAN (episode #416), a friend of Amelia's who's suffering from Huntington's Disease. Michelle is the same friend that Amelia promised to help kill once she started showing symptoms of the deadly disorder.Huntington's Disease is a genetic disorder that causes the nerve cells in the brain to degenerate.  As the disorder progresses, the degeneration can be so severe that victims suffer from dementia and complete loss of muscle movement and coordination, on top of a slew of other things, before it eventually takes their life. Unfortunately, as of yet, there is also no cure for Huntington's Disease. Additionally, because the symptoms are so severe, there is also an extremely high suicide rate amongst people who have been diagnosed with this disease, as they'd rather die by their own hand than face so much suffering. When presented with a friend who has this tragic disorder, Amelia needs to figure out what to do. As a world-class neurosurgeon, she'd love to be able to whip out a miracle surgery to cure Michelle, but no such surgery exists. Since Amelia can't cure Michelle, she feels the need to help her die painlessly, but Physician Assisted Suicide is illegal in the state of California – so Amelia would be committing murder if she were to help Michelle in this way. So what does Amelia do? She made a promise to her friend, but is it worth risking her career and her freedom to uphold the promise? On the other hand, she doesn't want to watch her friend die a painful, terrible death. After debating it with the other doctors in the practice, Amelia decides to help Michelle die by administering a lethal cocktail of drugs. However, right in the beginning of the process, Michelle has an adverse reaction to one of the drugs and asks Amelia to stop. Amelia then rushes Michelle to the hospital, where they're able to save her. After she's released, Michelle decides once and for all to take her own life because she understands what Amelia would be risking by helping her. Do you think Amelia made the right decision?
Step One
Season 5 | Episode 5 | Aired 10/27/11

We first met Amelia's friend, Michelle, in "Love and Lies" where she was diagnosed with Huntington's Disease. She was going to kill herself until her best friend convinced her to keep enjoying life. Amelia promised that she would step in once the bad started to outweigh the good. That time has come. Michelle wants Amelia to help her die.

Sheldon can't believe Amelia is actually considering euthanizing her friend. Pete has been in this situation before. That's why Amelia asks him what exactly happens during a physician-assisted suicide. Let's just say it takes an emotional toll on you.

Amelia gave Michelle her word that she would be there for her, so she begins the process. Then something goes wrong. Michelle has an unexpected reaction to the first round of meds. She wants to stop the euthanasia. Amelia rushes her to the hospital where Pete takes over. Things don't look good.

Amelia silently, robotically leaves the hospital. Sheldon reads her the riot act for what she did, but that's only because he cares. Amelia breaks down when she finds out that her friend is still alive. She promises Michelle that they'll get through the next steps together.

Amelia is thrown a curveball when she comes home to find that Michelle has committed suicide on her own. Once again, Amelia is in a robotic state as she swallows a handful of the pills her friend left behind while washing them down with some wine.

Episode Photos See all
  • PRIVATE PRACTICE - "Step One" - Addison begins in vitro fertilization treatments with Jake's help, unbeknownst to Sam, Amelia is deeply conflicted when her terminally-ill friend, Michelle, asks her assistance in her suicide, and Sam and Violet contend with a patient who refuses his anti-psychotic medication, on "Private Practice," THURSDAY, OCTOBER 27 (10:02-11:00 p.m., ET) on the ABC Television Network. (ABC/JUSTIN LUBIN) SYDNEY TAMIIA POITIER, CATERINA SCORSONE
  • PRIVATE PRACTICE - "Step One" - Addison begins in vitro fertilization treatments with Jake's help, unbeknownst to Sam, Amelia is deeply conflicted when her terminally-ill friend, Michelle, asks her assistance in her suicide, and Sam and Violet contend with a patient who refuses his anti-psychotic medication, on "Private Practice," THURSDAY, OCTOBER 27 (10:02-11:00 p.m., ET) on the ABC Television Network. (ABC/JUSTIN LUBIN) GRIFFIN GLUCK, PAUL ADELSTEIN
  • PRIVATE PRACTICE - "Step One" - Addison begins in vitro fertilization treatments with Jake's help, unbeknownst to Sam, Amelia is deeply conflicted when her terminally-ill friend, Michelle, asks her assistance in her suicide, and Sam and Violet contend with a patient who refuses his anti-psychotic medication, on "Private Practice," THURSDAY, OCTOBER 27 (10:02-11:00 p.m., ET) on the ABC Television Network. (ABC/JUSTIN LUBIN) A.J. LANGER, PAUL ADELSTEIN
  • PRIVATE PRACTICE - "Step One" - Addison begins in vitro fertilization treatments with Jake's help, unbeknownst to Sam, Amelia is deeply conflicted when her terminally-ill friend, Michelle, asks her assistance in her suicide, and Sam and Violet contend with a patient who refuses his anti-psychotic medication, on "Private Practice," THURSDAY, OCTOBER 27 (10:02-11:00 p.m., ET) on the ABC Television Network. (ABC/JUSTIN LUBIN) GRIFFIN GLUCK, PAUL ADELSTEIN