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: Alex nicknames Jo "Princess," assuming she comes from a privileged background. After working together to save a baby's life in the NICU, Jo reveals her difficult past—being abandoned as a baby and living in her car during high school—which causes Alex to see her in a new, more respectful light.

The episode concludes with the interns watching the senior doctors in a moment of organized chaos in the ER. Realizing the weight of the profession, Jo Wilson voices a sentiment that echoes the episode's theme of growth and change: "".

: Meredith enlists Heather Brooks to contact Derek's sisters to find a donor nerve for his hand surgery. Heather eventually stands up to both Derek and Meredith after being caught in the middle of their family drama, leading to the arrival of Derek's sister, Lizzie Shepherd (played by Neve Campbell).

Watch the closing moments of the episode as the interns reflect on their future in medicine:

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