Lots of good stuff, but one or two bad things as well. Also, the centralizing theme of this episode got a little muddied.
What do I mean by that? Well, I think this episode was supposed to be how it was too hot out or something. First of all, they said it was Fall. And it's Seattle. We don't generally have blistering heat, here. But whatever. The other cohesive theme was about babies, I think. There was a pregnancy, a possible pregnancy, and a new baby all in this episode. But nothing really tied them together.
The patients of the week all ended up connecting: one old woman is finally getting her new liver, to Bailey's delight. Meredith's patient needs an emergency liver transplant, but her twin sister can't give it to her because she's pregnant. Maggie and Stephanie's patient dies on the table during a very risky heart surgery, and it turns out that his liver is a match for the dying twin, so... that's good, I guess. My problem with this was that the minute I knew the 25-year-old needed a liver, I knew there was going to be drama about her getting it from the old woman. And then I guessed that somehow another liver would magically show up so that both of them could be saved. I wish this hadn't be so transparent.