After several discussions with Dr. Herman, April and Jackson must face their situation head on and make a difficult decision regarding their unborn child. Catherine arrives in Seattle and bumps into Richard at the hospital. Meanwhile, Meredith tries to find someone to take care of the kids so she can visit Derek for the weekend, and Amelia shows Stephanie some tough love when they work together on a case.
The gang believes Spike is responsible for a rash of brutal attacks, Giles makes a cataclysmic discovery, and Aimee Mann performs at the Bronze.
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