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With his wife's health failing, Richard is desperate for Derek and Meredith to accept Adele into their Alzheimer's trial, but will Adele stand in her own way?
Meredith must choose between fertility treatments and eyesight when she begins having trouble seeing. Mark makes it clear to Callie and Arizona that he takes his role seriously.
Meredith, looking to prove she is Chief Resident material, learns that anything and everything can happen in an hour's time when she steps up to run the ER for a night.
Thatcher Grey, Meredith and Lexie's father, returns to Seattle Grace with stomach pains and a new, twenty-something tattooed girlfriend, Danielle.
Derek breaks ground on his Alzheimer's clinical trial and Meredith can't help but feel left out. Bailey's attempt to take the hospital into the age of new media with live tweets from the OR does not go over well with the Chief. Callie, Mark and Arizona must learn to navigate through the pregnancy together.
Arizona tries to reconcile with Callie, who has big news to share. Teddy faces an important decision; the residents receive new interns; the Chief makes an announcement.
News of the incoming mass causalities after a gunman opens fire at a local college hits the staff hard when they must spring into action, even while their own wounds are still fresh.
Despite Meredith's objections, Derek takes Cristina on a fishing trip in order to get away from it all. Teddy directs all her efforts towards a dying patient who lacks insurance to seek medical treatment.
Derek lands the grant he needs for his clinical trial, but a surprise visitor shakes up the celebration at Joe's. Meredith and Alex have to fend for themselves during the night shift.
Top security measures go into place as the team treats a major political figure from the Middle East. Cristina throws a housewarming party. Alex shows up late from a weekend getaway to his first day of rounds with the new Pediatrics Attending.