As Richard is on his way to work, he watches a plane go down in the middle of the city. He gets to the hospital and tells April to get prepared.
Owen tells Amelia he's done trying to be with her. The rest of the doctors get news of the plane crash, and Meredith and Arizona have emotional reactions and memories from their own experiences.
Alex worries over Arizona and Meredith. He finds Arizona and learns the plane crashed into a prenatal yoga class.
Meredith tells Callie she's worried she hasn't heard from Derek.
Alex and April tell Maggie why the plane crash is affecting Meredith and Arizona, with an emotional moment that reminds us of the characters we've lost.
Richard gets excited to tell everyone the details of being near the plane crash.
Amelia and Owen argue, and Stephanie is the in the middle.
Arizona and Meredith each struggle to focus on surgery, and Meredith continues to worry about Derek. If she doesn't get news by 5pm, then she'll let herself freak out. But Maggie notices she's already freaking out, and says that's what she would do too.
April notices that Richard keeps exaggerating his story. He tells April he wondered if he was going to die there, and his life flashed before his eyes.
Alex tells Arizona he's worried for a lot of reasons, and he feels bad because he is the one who actually cut off her leg.
Arizona asks Callie why she didn't tell her it was Alex who made the cut. Callie says she is still the one who made the call, and she didn't want her to hate Alex too.
Owen tells Amelia he's upset because he feels responsible for the plane crash everyone was on. He says he failed them and it was his fault.
Just as Meredith picks up the phone to finally make calls about Derek, she sees the flashing lights of a cop car pulling into her driveway for a major cliffhanger.