Meredith's dishonesty is revealed, leading to unexpected consequences for her and others; the new chief resident is chosen.
After the earthquake, Seth takes over when Ryan is injured, Sandy takes charge of a crowd in a damaged shopping mall and Taylor is reunited with someone from her past.
On her 40th birthday, Kirsten gets some news that will change her life forever. Meanwhile, Julie is having a secret love affair while Kaitlin does everything she can to stop it.
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