Perhaps Owen's portrayer Kevin McKidd spent a lot of time behind the camera during this episode as we saw little of his character. Early in the episode we saw him excited about his protege April's return to work and also asking Callie for advice about whether or not he should ask Amelia to go to a concert with him. These brief scenes were part of the opening montage which set the scene for the patients and the drama of the week. After finding out two young girls had been hit by a train, Owen and all the other surgeons stepped into trauma mode.
Unfortunately even while trying to save a patient's life, Owen got caught in the middle of Meredith and Amelia's fight over renovating the house they're now sharing. During surgery he quickly found out it was a mistake to try to offer construction advice to the two women. Close to the end of the episode Amelia kept up her side of the argument as Owen walked her to the door at home. While she kept talking he took a tried and true way to stop a conversation in its tracks - he kissed her. Before Amelia could wipe the surprise off her face Maggie dragged her inside to try to put an end to her battles with Meredith. The episode ended with the three sisters finding themselves, at least momentarily, on the same page.
Elsewhere in the hospital: Richard and Katherine negotiated the process of selecting a new chief of surgery; Meredith didn't know how to get used to having her two sisters - one biological and the other by marriage - as roommates; Bailey felt challenged by her, ultimately successful, bid for the chief's position but was energized by Ben's pep talk; Alex and Jo stepped into sharing their first official home together; Callie supported her young patients while struggling with crossing the line in giving advice to their parents; Maggie was personally triggered by treating their young patients along with Callie and Alex; Arizona got a new very unexpected roommate; and April and Jackson continued to be at odds after her return from another tour of duty overseas as surgeon.