At the start of Thursday's episode, we rewind a bit to the end of last week's, when Arizona (Jessica Capshaw) spilled the beans about April expecting. Turns out there was some miscommunication between Arizona and Jackson - he thinks April knows he's seeing other people; Arizona thinks he knows April's pregnant — and to clear up the confusion, Arizona blurts out that April's pregnant, seconds before April storms into the room. Whoops. Luckily for April, just as Jackson starts to confront her, she gets saved by the bell with a page to the ER.
Meanwhile, Maggie (Kelly McCreary) has orchestrated a nice makeshift family dinner for herself, Webber (James Pickens Jr.) and DeLuca (Giacomo Gianniotti), but has to bail when she also gets an emergency page. She tells Webber and DeLuca they should go without her and they're both like, "Eh, no thanks." Meredith (Ellen Pompeo) has agreed to have drinks with Thorpe (Scott Elrod) that night, but her plans also may be derailed by this last-minute case. What the hell could it be?
Answer: A triple-organ transplant (lungs, liver, pancreas), overseen by Alex (Justin Chambers), on a young girl who's desperate to make it to her spring formal. With everyone fighting exhaustion, the crew starts the operation minutes before midnight. As they're operating, Maggie puts her cheerleader cap on, telling an incredibly nervous Meredith it's great news that she is going on a date, while Alex is a typical Negative Nancy and says Meredith's probably going to cancel anyway.
Elsewhere in the hospital, Arizona tries to apologize to April, who's not having any of it and even tells her to "go to hell" - which, for uber-religious April, is a pretty big effing deal. Luckily, April has a pretty big case of her own to distract her: she, Penny (Samantha Sloyan), Riggs (Martin Henderson), April and Owen (Kevin McKidd) are working on a young woman whose boyfriend brought her in with severe injuries after a mountain climbing mishap. (Riggs, ever the voice of reason, tells April that yeah, she pretty much should have told Jackson way before now.)
During her infrequent breaks from surgery, Meredith shaves her legs in the bathroom. Amelia offers to loan her a top and shoes (actually, Meredith's shoes that Amelia stole), even though she's also got a date lined up that night. Owen has said he wants to celebrate his birthday (it's actually next week, but who's counting?) with Amelia (Caterina Scorsone) - aw! - which will entail him cooking his own lobster dinner.
After getting chewed out by April, Arizona turns to Callie (Sara Ramirez) for support. Callie is totally Team April and tells Arizona she "screwed this one up big time." Ouch. Next, Arizona turns to Bailey (Chandra Wilson), who yells at her for literally breaking the law by sharing confidential patient information - a fireable offense, as Bailey notes.
As they're watching the surgery from the observation deck, Blond Doctor (Joe Adler) is giving an increasingly annoyed DeLuca grief for dating Maggie, and lamenting that he doesn't have many options among his colleagues.
April's day gets worse when her patient dies on the table, and Jackson intercepts her right as she's coming out of the OR. In the screaming match that ensues, April says she didn't tell him about the baby before they signed the divorce papers because she didn't want Jackson to stay in their marriage just for the baby's sake. He responds by telling her that he's done - if she wants to "play a martyr" and raise the baby all by herself, she can knock herself out. Yikes.
April proceeds to have a meltdown in the equipment room, but is calmed by Owen, who reminds her that she has a little miracle inside of her. And Webber tries to talk to Jackson, who lashes out at him. Undeterred, Webber says Jackson has a responsibility to be there for his child, even though Jackson's own father wasn't there for him.
Back in Alex's OR, Meredith gets all dressed up for her date, but changes her mind at the last minute and ends up canceling on Thorpe - or rather, having Maggie cancel on him for her - and returning to the surgery. After Maggie is out of earshot, Alex tells Meredith that the first date after losing someone you love is always going to feel like you're cheating on them - but that it gets easier.
Jackson and April aren't the only ones who air their dirty laundry in public. After Riggs tells the mountain climber girl's parents not to give up hope (even though their daughter is a vegetable), Owen gets mad at Riggs. Riggs responds by saying he knows a little something about not giving up, since he stayed behind to look for Owen's sister long after Owen had left. In fact, maybe the reason Owen hates Riggs being at the hospital so much is because with Riggs there, he can't push his sister out of his mind like he has for so many years. Burn.
Still looking for an ally, Arizona turns to Amelia, saying she just wants to make things right with April. "You did something indefensible," Amelia tells her gently. "The only thing you can do right now is accept what you did was wrong. ... Maybe April will forgive you and maybe she won't, but it is not up to you."
After 17 hours, the triple-transplant is a huge success, and Maggie is ready to celebrate. But DeLuca is having second thoughts about taking his and Maggie's relationship public, since he's now getting teased by the other first-years and having to make awkward small talk with Webber. He ditches their date and says he's going to stay at the hospital and study instead.
Other people's evenings don't go as planned either. Amelia shows up at Owen's trailer with a box of lobsters and finds him drunk as a skunk, having totally forgotten about his birthday celebration after his confrontation with Riggs. She drops the lobsters off and leaves crying.
Thorpe shows up at the hospital, and when Meredith tells him she's too tired for drinks, he offers to drive her home. (Not in that way, just giving her a lift.) They a great time chatting surgical techniques while munching on French fries in his car, and Meredith realizes that dating might not be so weird after all. (But based on the previews for next week's episode, maybe she should have let her cold feet win out after all ...)
And Jackson shows up at April's place to apologize for his earlier outburst. "We can figure this out," he promises. A glimmer of hope, #Japril fans! But things go south when April tells Jackson she waited to tell him until she knew the baby would be healthy, and he twists her words to accuse her of waiting until it was too late for her to have an abortion. (Shouldn't Jackson know by now that this isn't an option for April?) Unsurprisingly, she doesn't take kindly to his suggestion. "You don't count here," April tells him harshly. "You're the father when there's a baby, but right now you have no choice in this. ... You have no rights here." Cue her stranding him in the hallway and locking the door.
What did you think, Grey's fans? Is Thorpe bad news? Will April ever forgive Arizona? And is this the beginning of the end for Maggie and DeLuca?
Grey's Anatomy airs Thursdays at 8/7c on ABC.
VIDEO: How well do the stars of Grey's Anatomy know medical jargon?