Meredith debates how to handle an unexpected situation in her personal life, while Richard has an untimely reunion with an old friend. Jo has a hard time at work, and Owen tries therapy.

A patient at the hospital is brain dead after falling into a construction site, and her two sisters must decide whether or not to keep her alive.

Meredith has a court hearing after skipping out on community service, while Bailey and Jo have a patient that Jo realizes is from the treatment facility. Richard and Gemma grab breakfast together and things go awry.

Catherine is back in town and has no idea what’s been going on between Jackson and Maggie, while her relationship with Richard has become distant. Owen and Amelia treat a woman who fell in the basement and quickly realize that there is more to the story, and Maggie is shocked to learn about some of Richard’s relatives who are seeking help.

Jo becomes a safe haven volunteer and gets a call that a baby has been dropped off at Station 19. Meanwhile, Meredith moves forward with her life after facing the medical board. Jackson takes a big step in his budding romance with Vic, while Bailey and Amelia swap pregnancy updates.