- Arizona has to take care of one of Herman's patients. Everybody finds out Amelia was a drug addict and Derek lets her down. Jo has her first solo surgery. Maggie is invited to Ellis' house and Arizona decides to move in with Alex.
- A patients relative causes problems for Amelia in the E.R, and it is down to Derek to decide whether to stick up for her or not. Elsewhere it is the day of Jo's first solo operation. Will Amelia's past end her chances of working at grey sloan?
- Sibling issues, dark secrets revealed and a whole lot of puking were going on. Derek and Amelia Shepherd's tension finally reached a breaking point -- but only as a result of a woman who recognized Amelia from their Narcotics Anonymous meetings and exposed Amelia's oxycontin addiction to the entire surgical floor. Derek didn't step up to protect his little sister, seeing an opportunity to get his job back, and things hit the fan quickly for everyone.
Arizona got deeper into Dr. Herman's secret brain tumor, despite threatening to expose her. Instead, they're going to be teamed up for the foreseeable future. Callie is struggling to find herself after their split.
Meredith and Pierce are starting to get closer, and Meredith and Amelia are starting to get closer. It seemed like Derek and Meredith were starting to get closer again, but not so fast.
To the recap: Dr. Herman is getting tired of waiting for Arizona to make a decision about her future with the fellowship after learning that Dr. Herman has a brain tumor and six months to live. Arizona wants to know more, but Dr. Herman isn't telling her much.
A 69-year-old man named Norris is brought in on in an ambiance after having jumped two stories from a burning building. He's holding his dead wife in his arms, Hattie, in his arms. Meredith talks him into letting her go and she's lifted onto another gurney. Moments later, Meredith finds a pulse on Hattie and Norris is relieved.
It turns out that Amelia Shepherd knows Sarah, the daughter of Norris and Hattie. Sarah gets upset when she learns that Amelia is her parents' surgeon, and shouts in the middle of the surgical floor that she knows Amelia from Narcotics Anonymous and says she's "a junkie." Derek isn't happy.
Derek takes the surgery, but Meredith thinks he should have defended his sister.
Arizona is flustered waiting to hear from Dr. Herman on a patient whose baby is 28 weeks along. Arizona is most confident in being able to operate on the baby by taking it out by C-section.
Jo is freaking out over a hernia operation, puking in the bathroom, which will be her first solo. She tells Stephanie in the restroom that she's "not afraid from little, bitty Dr. Bailey." Turns out Bailey was in one of the stalls and walks out. She's not happy.
Amelia feels and hears everyone whispering about her in the hallways. She pulls Webber aside to talk about it. He talks her down and reminds her that Sarah was in the wrong by exposing everything. And he tells her to stay on track and get to a meeting as soon as she can.
Arizona decides to take the baby out after not hearing back from Dr. Herman. She also leaves Dr. Herman a voicemail saying she's telling Hunt about her tumor as soon as she gets out of surgery.
Hunt comes to Amelia and asks if she wants to tell him anything to "clear things up." Amelia insists it's her right not to talk to Hunt about it.
Arizona leaves Graham with the mother to finish the C-section while she goes with Alex to treat the baby.
Derek encourages Jackson to embrace surprises when he learns that April wants to be surprised by the sex of their baby. Meanwhile, Callie and Meredith chat about their marital situations -- Meredith and Derek are having all kinds of sex, but Callie is going through her split with Arizona and warns Meredith that there's always "another shoe" to drop.
Arizona and Alex are calmly finishing their surgery on the baby when Arizona gets an urgent call from the other O.R. Something has gone wrong and the mother has gone through eight pints of blood.
Sarah tells Derek and Hunt that she didn't mean to expose Amelia's situation, and that she "broke an oath." She was just worried about her parents. Hunt pulls Derek aside and asks him if he thinks Amelia is the best person to be chief of neurosurgery. Hunt takes Derek's silence as a repsonse.
April comes in to help Arizona, who didn't want April to see the emergency.
Hunt tells Callie and Meredith he's calling an emergency board meeting about Amelia. Derek goes to Amelia and asks her if Hunt talked to her about her job. She gets upset and feels betrayed by Derek, who admits he "might have given him the idea" to fire Amelia, but he didn't mean to. Derek promises he'll fix it.
Jo tells Stephanie about her surgery, but she starts to question whether she skipped a critical step.
Arizona gets a page from Alex and runs to find that Alex is done with the baby's operation and is about to tell the father about it, but Arizona wasn't ready to talk to the father because the mother is still in surgery and losing a lot of blood. The man gets upset and asks, again, for Dr. Herman. Arizona leaves. She gets back to find April and Graham standing in shock with the mother apparently dead.
Amelia and Meredith talk about Derek and Amelia says Derek feels he can mistreat her because they're family.
Jo tells Bailey she isn't sure if she avoided her patient's iliac vein. Bailey is upset and says she's going to run a CT scan to make sure everything is OK.
Derek goes to the board and tells them that Amelia is in recovery, and says the hospital, the woman, and he should have protected her. He admits that he didn't -- and he didn't because he wanted her job. He says all this as he replays the night his father was shot and killed while he tried to keep his sister quiet to protect her. Derek tells Hunt that Amelia can do the job and is doing it as well as he could.
Arizona finds Dr. Herman telling the father of the baby that Arizona did everything she could and that if they'd gone through with her original plan, they would have likely lost the baby and the mother. Afterward, Arizona starts to yell at Dr. Herman, who goes into a bathroom and throws up. She explains that her doctor decided she needed some aggressive radiation therapy, so that's where she'd been all day. She tells Arizona she did everything right and saved a baby they would have lost. She says the only thing they could have tried would have been an interuteran transfusion. Arizona wants to know how to do that and agrees not to go to Hunt and continue learning from Dr. Herman.
Bailey freaks Jo out a little more, telling her that her patient "never made it to CT" and making Jo think the patient died. But, really, Bailey admits that she didn't take the patient to get the CT scan because she saw Jo do the procedure correctly in the O.R. She just wanted to teach her a lesson about not second-guessing herself in surgery because she and her patients will need her to be as confident as possible.
Jackson finds April outside, a little stunned at the amount of blood involved in the fumbled C-section. This somehow turns into a moment of each of them questioning their approach to believing in God and a reason why things happen, or just giving in to not knowing.
Meredith and Pierce end up talking in an on-call room and Pierce finally says she was upset that dinner didn't work out because she was excited to have a meal with other people instead of by herself. Pierce gets a page that Hattie is awake. Hattie tells Norris, who is in the bed next to her, that he saved her life and she tells her about "the woman doctor" who promised they'd save her. That was Amelia Shepherd, and Sarah feels bad for what she did. Outside the room, Meredith invites Pierce over to Alex's house, which used to be Ellis'.
Callie, Meredith, Alex and Pierce sit in the living room, while Jo sits in another room reading -- feeling like an outsider while they reminisce and realize that they all pretty much had sex with each other at one time or another. The door bell rings and Alex opens it -- in walks Arizona. She realizes she should've called first, "but someone told me to go home and I wasn't sure where to go."
"See, everyone lives here," Meredith says.
Amelia gets to Derek and Meredith's house and tells her brother she was at a meeting and she's moving out. Derek nods when she tells him she needed him to protect her. He says he doesn't know who he is anymore. He's angry all the time despite trying to make the right decisions for Meredith and the kids. He keeps hurting people.
"I don't know what to do anymore," he says.
"I know how you feel," Amelia says. "We call it rock bottom."
She walks away.
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