The doctors are faced with the consequences of the events at April's wedding. Alex reacts to the news about his father. Callie and Arizona make a decision about their relationship.

With Derek away, Meredith spends time with Amelia and finds out her true feelings about her time in Seattle. Bailey deals with the ramifications of her actions and Callie receives devastating news. Meanwhile, the residents panic after hearing that one of them will be fired

An earthquake shakes the ground at Grey Sloan Memorial Hospital, trapping Maggie in an elevator and threatening Meredith’s long streak of successful surgeries. Meanwhile, Owen gives medical advice to a child over the phone and Ben confides in Jackson.

The doctors of Grey Sloan Memorial Hospital are forced to put their emotions aside when a catastrophic event occurs.

Meredith questions Link’s laid-back approach over a patient’s treatment. Maggie worries that Richard, Jackson and Catherine haven’t come to terms with Catherine’s diagnosis. Meanwhile, Deluca steps up in the O.R. when Owen faces a setback.