Grey's Anatomy Recap: Will April and Jackson Lose Their Baby?

Well, as we all know, all is not well in MerDer land at the kickoff of Grey's Anatomy's winter premiere, as Derek (Patrick Dempsey) packs up his bag to leave for D.C., and into the trash can goes his and Meredith's (Ellen Pompeo) framed Post-It. Sadface. (Have to say, it's even more cringe-y to watch these scenes given Dempsey's real-life marital problems. Also, did Zola double in size over the course of, like, three episodes or is that just me? Is she starting first grade now?)

In other news, Amelia (Caterina Scorsone), positioned in a DEFCON 5-esque Situation Room within the hospital, can't wait to get her scalpel around Dr. Hermann's (Geena Davis) tumor; and Jackson (Jesse Williams) breaks the news that their baby may have a fatal disease to April (Sarah Drew), who promptly runs out of the room.

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As she adjusts to single motherhood, Meredith finds herself doing a walk-and-talk interview with a potential nanny at the same time the hospital staff is preparing to deal with a trauma case of a woman who has driven off a bridge with her two kids in the car. I really hope this is not foreshadowing for Meredith's upcoming story line, especially when she voices her opinion that the mom's foot may have just slipped. (Is she prepping an alibi???)

The poor husband/father can't comprehend that his wife may have intentionally driven off of a bridge with their kids in the car, in much the same way that many of Meredith's co-workers can't believe that Derek has just up and left for D.C. You're not alone, Grey Sloan employees.

Even though she's worried about winding up in jail for any number of HIPAA violations, Arizona (Jessica Capshaw) realizes she has to tell Dr. Hermann that Amelia wants to operate on her. "I'm too pretty for prison," she tells Amelia - and she's right, although I'm intrigued and temporarily distracted by the thought of a Grey's Anatomy-Orange Is the New Black crossover episode.

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Anyway, it's too late. Dr. Hermann has somehow snuck into Grey-Sloan's SitRoom and is outraged that Arizona has somehow obtained X-rays of her tumor and has shared them with other staff members. But Amelia is confident she can beat the tumor, so now it's just a matter of convincing Dr. Hermann to go under the knife.

Meanwhile, Stephanie (Jerrika Hinton) assumes that Jackson hasn't yet told April about the ultrasound, because if he had there's no way April would be at the hospital, right? But it's actually the opposite. To deal with (or avoid dealing with) her own situation, April has opted to throw herself into work - until Jackson makes Owen (Kevin McKidd) pull her off of a surgery, saying she isn't fit to operate. This doesn't sit well with April, who's clearly on the verge of a breakdown, but it's actually Jackson who starts weeping first, right in front of Webber (James Pickens, Jr.).

After nearly having a panic attack when Maggie (Kelly McCreary) asks some innocent questions about the baby's name, sex, etc., April confronts Stephanie and says she's appalled that Stephanie ("of all people") told Jackson about the baby's problems before telling her. Given the case of the week in tandem with her own situation, she's also at a loss as to how a woman could possibly harm her own children.

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Grey's Anatomy Recap: Will April and Jackson Lose Their Baby?