Meredith, Richard and Alex must deal with the consequences after Bailey fires them for insurance fraud; after disappearing in the fog, Jackson helps a man in a dangerous situation; Tom gets new responsibilities at the hospital.
The doctors operate on a man who crashed into Maggie's car; Owen, back from paternity leave, struggles with Tom's new position; Meredith's recent firing doesn't stop her from diagnosing those around her; Richard and Alex start anew and it's not easy.
Meredith tiptoes the line of protocol as she helps Jo with a difficult procedure from afar; the sisters of a patient who is brain dead after a fall into a construction site must decide whether or not to keep her alive.
Seattle firefighters Ben Warren and Andy Herrera head to Grey Sloan after rescuing two boys who were injured in a house fire; the doctors work on their projects for the surgical innovation contest; Amelia brings Tom Koracick in to consult.
When a trauma patient arrives at Grey Sloan, it forces Jo to confront her past; Bailey and Ben have to talk to Tuck about dating.