Owen goes to say goodbye to Allison. He wants to take a picture of her, but has no space on his phone. Teddy tells him to delete some stuff, but he says he just needs a bigger phone. They kiss and he walks inside.
Meredith sees Amelia with a stuffed elephant and asks her about it. Amelia says it’s Leo’s and she needs to take it to Owen or Leo will freak out, but Meredith says they have three of those and that one is Ellis’s. Amelia admits that Owen doesn’t know she’s pregnant and she just wants to tell him. She waffles on whether or not to tell him, so Meredith just leaves because she can’t be late. Amelia then leaves, too.
Maggie sees Catherine and asks how she feels being back. Catherine says it feels good and asks Maggie how things are at the hospital with the restructuring. Maggie hesitates when talking about Tom, but Catherine understands. She knows he and Jackson got into a big fight. When she continues to talk about Jackson, Maggie realizes she doesn’t know they’re not together anymore.
Gemma sees Richard leaving and stops him. She’s surprised he wasn’t even going to acknowledge her presence. She apologizes for what she did and says she’d like to make it up to him over coffee, but he declines.
Jackson is giving orders to a nurse when Maggie comes up and says they need to talk. He tries to brush her off, but she stays and tells him about his mother. Neither of them have said anything to their parents. They start to bicker until Maggie notices a nearby woman who shares a shocking resemblance to her. Maggie approaches and hears that they’re looking for Richard. When the woman sees her, she immediately hugs Maggie. She then introduces herself. She’s Sabrina Webber, Richard’s niece. The man is her father, Chris, Richard’s brother.
Maggie is driving Sabrina and Chris to Pac-North as Sabrina talks about a hamster she got on Craigslist. She then probes Maggie for details about the firing, but Maggie just says it was a bureaucratic matter. Maggie is weirded out by how much Sabrina knows about her and she knows nothing about them. Chris says it’s because Richard’s ashamed of them, but Sabi says it’s not that. Sabi thinks it’s so weird how much they look alike. She leans over to take a picture with Maggie, who agrees it’s weird.
Amelia tries to give Owen the elephant, but he knows it’s not Leo’s. Then she blurts out that she and Link are having a baby. Owen is shocked. Amelia continues that she wants Leo in the baby’s life. Just then, paramedics bring in Cassidy Gardner, who fell down the stairs. Her son called 911. Cassidy tells her son, Henry, that she’ll be okay. Amelia agrees to sit with him while they take care of Cassidy.
Richard is happily surprised to see Chris and Sabi. It’s been five years since they last saw him. He offers them a tour, but Sabi says she’s kind of worn out. She also needs Richard to look at something. She shows him a picture, which he shows too Maggie. It’s a very large cardiac tumor and it’s hers.
Maggie examines Sabrina, who hasn’t had many symptoms. Her scans were three weeks old and she says she waited because she took some time to process the news. Maggie explains the tumor to her and says they need new imaging. Sabrina realizes waiting was dumb.
Henry tells Amelia about coming home to find his mom on the floor in the basement. Amelia says his mom has great doctors taking care of her and offers him the elephant to hold.
Sabrina and Maggie talk while she waits for her scan. Maggie tells her about Jackson and Vic. Maggie gives Sabi her phone to get her number. They find out how much they have in common. Richard then comes and says it’s time for her scan. After they’re gone, Maggie gets a text from Sabi. It’s the picture she took.
Sabrina says the machine smells new and wonders if she’s the first person to use it. Richard says it’s close. Richard and Maggie talk while they wait for Sabi to get her scan. Maggie says it’s weird because she’s never had a relative who looked like her before and Sabrina’s been out there her entire life having different experiences. She wonders if they’ve ever been in the same city at the same time before. Richard explains his family’s conflict. They believe he thinks he’s better than them and he wanted to protect Maggie from that. The scan comes up and they are shocked by how much it has grown and infiltrated.
Owen does an ultrasound on Cassidy and asks her about what was happening before she fell. Owen asks Cecil what he sees on the scan. He thinks it’s excess fluid, but it’s actually a heartbeat. Owen asks if she knew she was pregnant. She’s upset that she’s still pregnant. It didn’t work. She tells Owen she can’t have another baby.
Owen goes to Amelia and tells her that Cassidy’s fall wasn’t an accident. She was trying to terminate a pregnancy by throwing herself down the stairs. Owen says she’s not talking much, so Amelia offers to try. He says she can. Owen says he can get someone else if she’s not up for it, but she just asks why she wouldn’t be. She tells Owen she doesn’t need a fainting couch.
Maggie shows Sabi her new scans. They tell her it’s very serious and she needs surgery today. Maggie says she can operate. Sabi has reservations because they’re family, but Maggie says she’s the best. Chris gets upset because Maggie’s not listening to what Sabi wants. Richard says he can get an on-call cardio surgeon to do it.
Richard asks Maggie to do a consult with the new surgeon. She’s upset that Richard didn’t back her up, but agrees to do the consult.
Amelia tells Cassidy she has no sign of concussion. Cassidy’s worried about Henry, but Amelia says a nurse showed him the snack drawer, so he’s happy. Owen says she’ll need surgery to remove her spleen. She says she doesn’t have insurance, but Amelia says emergency departments don’t turn people away, so she’ll get her surgery, but surgery will put the fetus at risk, so Amelia asks her if she wants to continue the pregnancy. Cassidy explains that she can’t afford another child. Owen asks if she threw herself down the stairs, which she says she didn’t. She tried to go to a clinic with financial assistance, but something always fell through, so she made up a tea she found online, but it made her dizzy, which is why she fell down the stairs. She would never do anything to try to hurt herself, something that could hurt Henry. Amelia says she’s okay and Henry’s okay and if she wants an abortion, Owen can get someone to do it while she’s in surgery, after her abdominal bleeding is under control. Owen interjects that he’d rather deal with the abdominal bleeding in surgery and then the pregnancy later.
Outside the room, Owen says Amelia overstepped. He doesn’t order abortions. She says he would have if the fetus hadn’t survived, but it did. Amelia tries to make her case, but Owen shuts her down and dismisses her.
Meredith sees Maggie outside Pac-North. Meredith’s there to have coffee with Alex. Maggie explains the situation with Sabi and shows Meredith the tumor. Amelia comes out and sees them. She says she told Owen about the baby and he got weird. Meredith says it’s understandable, but Amelia’s not so sure it is. He’s with Teddy now and he seemed angry with Amelia over it. Amelia tries to explain their family situation. Maggie gets a page that Sabi’s crashing and leaves. Once she’s gone, Meredith explains to Amelia who Sabi is. Amelia leaves, too, saying she won’t let Owen take his anger at her out on a patient. Meredith watches her go and says everyone’s got a patient and she wants a patient.
Maggie comes in and starts to work on Sabi. Her surgery is now emergent. Richard admits that he doesn’t want the sub to operate and wants Maggie instead. Richard stands up to Chris and says Maggie should do the surgery and he okays it.
Maggie comes into the OR and introduces herself to the OR staff. Alex tells them to be on their best behavior so Maggie will come run cardio for them, which Maggie says won’t happen. Maggie starts the surgery.
Richard apologizes to Chris and says Sabi’s in great hands, but Chris isn’t reassured. Chris leaves to go call the family. Gemma comes in and sits down next to Richard. He doesn’t want to talk to her, but she insists. He talks through his conflict with his family. His brother blamed his alcoholism on his ambition. Gemma puts a reassuring hand on Richard’s should just as Catherine comes in and sees them. Richard introduces her to Gemma, who quickly excuses herself and leaves. Richard wasn’t sure Catherine would come, but she says of course she came. It’s family. Chris comes back and says Vanessa is starting a prayer chain.
Maggie is operating on Sabi. She’s putting her on bypass.
Catherine and Chris talk about the family. Richard shares stories of Sabi and her cousins when they were kids. Things get somber when Chris brings up Adele, so he leaves to get a drink. Once he’s gone, Richard tries to talk about the thing with Gemma, but Catherine says it’ll wait until later. Richard persists and explains how Gemma got a job there. Catherine takes his talking about it as an admission of guilt. When Chris comes back, she leaves to get some fresh air.
Cassidy talks to her son and promises to take him to the zoo. Once a nurse takes him out of the room, Amelia and an OB nurse give her the first medication to obtain an abortion. She explains what will happen so Cassidy is prepared and Cassidy takes the medication. She expresses her thanks to them as Owen comes in for a post-op exam.
Gemma asks Catherine if there’s any news. Sabi’s still in surgery, so Gemma says she’ll say another prayer. Catherine talks to Gemma about being an accountant and says they’re always looking for good people to look after their money at the foundation. It probably pays better than the hospital. She tells Gemma to get her resume to Richard. Catherine says they have openings all over the country, but sadly none in Seattle. Catherine says good night and goes back inside.
Maggie is still working, but Sabi starts coding. She’s clotting and shouldn’t be. Maggie realizes she’s heparin-resistant. They have to replace the bypass machine with a new one. Maggie gives orders and continues her work.
Owen says Amelia crossed a line, but Amelia says Cassidy needed help and Owen wouldn’t give it. Amelia asks why he refused to help her get an abortion. Their argument continues into the stairwell. Owen is angry because Amelia said she didn’t want babies, but is having a baby with Link. Amelia says she has to go and leaves.
Owen apologizes and Amelia apologizes too, for springing it on Owen at his work. Amelia explains what when she said she didn’t want kids, he meant it, but then with what they went through with Betty and Leo, she changed her mind. And it wasn’t planned with Link. They talk about how the baby will fit into their family dynamic. Owen leaves to go talk to Cassidy and apologize to her and Amelia leaves as well.
Chris paces and asks Richard if it’s normal for it to take so long. Richard explains that he knows a bit of what Chris is feeling. He offers Chris some coffee and a comforting hand.
Maggie is still working on Sabrina. Alex comes in and asks about how she’s doing. He realizes it’s been too long. Sabrina is brain dead and Maggie needs to let her go. Maggie steps back and Alex calls time of death.
Maggie and Alex are walking when Maggie gets a text from Richard asking her to tell him the minute she’s out. She sees the picture of her and Sabi also in her messages. She starts to panic because they didn’t even want her to do the surgery. He takes her into a closet and tells her to let it out and then pull herself back together so she can tell the family. Maggie sobs.
Alex and Maggie go out to Chris, Richard, and Catherine. Maggie explains what happened and that Sabi died. Chris starts to break down and yells at Maggie for operating when Sabi didn’t want her to. Catherine asks if Sabi’s cleaned up so they can see her. Then she leads Richard out to start calling the rest of the family.
