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Meanwhile, the hospital becomes inundated with a group of bikers after a horrible accident. Meanwhile, Bailey deals with her own personal struggles when she nervously prepares for another date with Ben. They work with a woman who is pregnant. There is even more tension between Addison and Mark. Meredith, Derek, and Addison sarcastically take another small stab at their friendships.
Colin Marlow enters the race for Chief of Surgery. We see how Meredith and the doctors cope after they learn the news of Derek's death. Teddy Altman, a former Iraqi veteran, as the new cardiothoracic surgeon.
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Derek has to perform surgery. Meanwhile, Richard plans a special dinner for the residents. Meanwhile, Joe the bartender collapses.
Lily throws Charlie a party to officially introduce her to New York society. The Chief officially announces his intention to retire to the administration of Seattle Grace and to Adele. Meanwhile, Maggie suspects that Richard knows about her relationship with Andrew, and Arizona debates dating again.
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Meanwhile, Theresa calls Sandy for help when she runs away from Chino and tries to avoid Ryan. Meanwhile, the chief reluctantly tells Dr. George and Alex get stuck in an elevator. Addison works with a pregnant woman named Rebecca who may need a C-section and Addison doubts her medical skills.
Meredith works on her relationship with Susan and Thatcher. Bailey talks about motherhood and depression to a mother who is set to have cancer surgery and who seems to not care about any decisions concerning the future. Grey Sloan Memorial Hospital enters crisis mode as the storm rages, first dating with girlfriend resources become scarce and patients flood in by the busload. The doctor's are in the midst of a competition.
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- George has become a sex machine.
- The staff is trying to deal with antsy patients while dealing with a major disaster when a cargo ship strikes a Ferryboat in Seattle.
- Meanwhile, Arizona stands by an enraged Callie when her father, Mr.
Meanwhile, Sandy gives Seth some sex advice over his dating of Summer. Serena and Dan pretend to be dating again to protect someone close to them. Thatcher Grey, Meredith and Lexie's father, returns to Seattle Grace with stomach pains and a new, twenty-something tattooed girlfriend, Danielle. As the hospital continues to make positive changes under the new management, the doctors begin to realize that owning a hospital comes with its own set of problems and responsibilities. Meanwhile, Richard calls on Dr.
Alex treats a faith healer. Then there is their desire to see Meredith's mother's medical tapes. Burke has a reservation about marrying Cristina. What if Callie and Owen had become a couple long before she met Arizona? The hospital staff is left to deal with the aftermath of George's passing.
Meanwhile, Meredith tries to be a support for Cristina as the tension between her and Owen hits a boiling point. There, Luke makes some new friends with the band fans, is ian dating nikki reed while Seth and Anna debate on telling Summer about their newfound romantic status. Chief Webber promptly calls a meeting. There's tension between Alex and Addison. Alex is offended when Izzie talks about how great a man Alex is to Meredith.
Nonetheless, Blair asks Dan to keep it a secret, which leaves him in an awkward position, especially since all of their friends demand to know why Blair acts as she does. Cristina has a crisis of conscience about her deceptive teamwork with Burke. During the surgery she fears that she has fallen asleep and damaged the patient's heart. Cristina and Burke are playing Uncle. Alex and Meredith's friendship makes Jo jealous.
Meanwhile, the residents panic after hearing that one of them will be fired. Cristina meets Burke's parents, the interns try to get Izzie's job back, and Addison takes a day off, a surgical patient may be living her last day. When Anna announces that she is leaving Newport to go back to her home in Pittsburgh, Seth feels guilt-ridden for the way he treated her. Serena forces Charlie to decide which world she wants to embrace.
- The residents are on their own with the dreaded night shifts while the attendings go out to play to celebrate Derek's grant for his clinical trial.
- Derek and Meredith adjust to life at home with their newborn and Arizona tries to repair her marriage.
- Meanwhile, Callie and Arizona have a difference in opinion on what their future holds, and Richard tries to adjust to his role as a surgeon.
Other news includes patients doing uncanny things and relationship havoc being wrecked between the doctors, as per usual. As the hospital deals with Meredith's trauma, Callie and Maggie perform a risky, experimental surgery on Alex's year-old patient against his professional opinion. Meredith jumps back into work but finds it hard to excel at both motherhood and being a surgeon. Bailey teams with Seattle Grace's new pediatric surgeon, Dr. Callie and George have a talk about his feelings.
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Cristina, at last awarded her first solo surgery, is more focused on the needs of her friends, and Izzie does her best to keep her medical condition a secret. Casey and Taryn pester Owen for chances to scrub in. She knows someone on the staff. As Derek and April work around the clock to find a solution for the hospital, Cristina struggles to respect the wishes of a family whose son is dying. Meanwhile, Derek begins recovery on his hand.
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Rumors of Richard's retirement spread throughout the hospital. Cristina has to deal with her mother and Burke's. Bailey gets in on Andrew's surgery because she's worried that her coworkers won't recognize her Nazi-status now that she's a mother. All the nurses at Seattle Grace Hospital go on strike, leaving the doctors to fend for themselves.
Derek asks Meredith not to ignore him until Addison comes walking around the corner. Meanwhile, Summer and Seth take it upon themselves to finally make Marissa feel more at home at Jimmy's apartment. Derek has the life of a friend in his hands as he operates on Burke who has been shot. With Stephanie by her side, she begins operating on Dr. George has a simple case of a woman who has a bleeding ulcer, he realizes that the ulcer is caused by her entourage but fails to keep them away, south african free with the consequence that it perforates.
Meanwhile, Bailey tricks Arizona into helping her with a pediatric case, and Cristina tries to find normalcy in her new environment. One wrong move puts the lives of Meredith and her baby in jeopardy. Overall, Seattle Grace Hospital is still under code black and the situation is getting worse.
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Colin Marlow continues to try to get in the way of Cristina and Burke's relationship. Also, while Chuck wrestles with the reality that Blair is about to walk down the aisle with Prince Louis, online subject the return of Georgina Sparks might make the royal affair a royal disaster. Derek and Addison are experiencing their own version of morning-after tension as a result of Mark's visit to Seattle. Ryan has a difficult stay in a Juvenile Hall prison for the arson charge.