Well, it looks like things at Oceanside Wellness will probably get worse before they get better. On this week's Private Practice, Sam and Addison solemnly try to get things back on track financially while encouraging the others to drum up new business. It's an unnatural state for this group to be in because no one likes the way Sam rules, and "drumming up new business" when you are in the business of helping people be healthy seems wrong. Staying in business while sticking to your ideals was the basic dilemma each character struggles with, and it's at times powerful stuff. I'm not gonna lie: I got teary several times last night. So let's talk about it — just read more.

The episode gets off to a sad start with Naomi refusing to talk to Addison and Sam. In the beginning, Addison's sort of rolling her eyes at her friend's stubborn response to the coup and assuming she'll get over it, even pestering Naomi to gossip about her date with Mr. SWAT Team. Addison pushes and pushes until finally Naomi lashes back with some fairly extreme wording about how unforgivable Addison's actions were. I think desperate times call for desperate measures and Addison just wants to save the practice. Naomi probably needs to realize she did a lot of things that could have cost people their jobs and move on. What do you think?

Meanwhile, the rest of the doctors try to do their part despite hating Sam's management tactics, including his big organizational board (Addison calls it his "board of accomplishment" while everyone else dubs it the "board of shame"). Pete, for example, brings in a celluloid-zapping machine ("Why don’t you go back to sucking the fat out of people." — Sam), which turns into this symbol of all that is wrong with the new direction the practice is taking.

And while it was totally icky, the incest story was highly compelling. It was the catalyst for an interesting nature vs. nurture debate ("Biology says this is wrong." — Naomi) and I thought about what I would do if I were these kids' doctor. On the one hand, how can you march into a room and say, "Guess what? You're brother and sister, so we won't help you have a kid, and you should break up right this moment. Oh yeah, and stop loving each other, and don't ever have sex again"? On the other hand, how can you not? Tough question.

Some other thoughts:

• I love Violet's epiphany: "Life is not ass fat!" Hear, hear! Violet and Pete's entire butt scene was funny.
• Sam's contribution to the whole incest debate was simple and to the point: "Incest? That’s nasty.”
• The debate about what to do about Kirk was also quite the dilemma: respect him because he's almost an adult, or defer to his father because he's not? When they let him die, I cried.
• Violet was going nuts about Cooper's secret, and he finally tells her about Charlotte while she washes the lice out of his hair. A touching scene, really.
• The first thing I thought when I saw Pete in bed with the "Cheetah Girl" was "gross!" So I'm glad she called him old right away. Hopefully, he's been thoroughly shamed.

Do you think Naomi needs to forgive Addison and focus on helping her best friend get the practice back on track? Were you surprised Cooper used the "love" word last night? Do you think "hate sex" sends mixed messages to the people you are busy giving the cold shoulder to?

Photos copyright 2008 ABC, Inc.