The crash survivors must make a life-changing decision; tensions escalate between Jackson and April; Alex tries to restrain himself.
The doctors try to cope with heartache and injuries caused by the plane crash; everyone at Seattle Grace struggles to return to normalcy amid the chaos.
Out of consideration for Derek, Meredith stops talking about her surgeries; Richard asks Dr. Avery to help with a complicated procedure; Callie and Alex face their guilt.
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