A natural disaster may last for a few seconds on tonight’s Grey’s Anatomy season 11, episode 15, but our recap dives right into the lasting aftershock.

Case of the Week: An earthquake hits the Seattle area, leaving a wide variety of injuries and complications from the woods, to the ER, to the OR.

The synopsis teaser for this week’s Grey’s Anatomy season 11, episode 15 led viewers to believe that Maggie’s time in the elevator would be more than a few seconds long. Sure there was an episode worth of story to follow her run in with sexy radiologist Ethan (seriously, where does the HR department find these doctors?), but we expected more of what the elevators tend to offer on the show.

Now that the two major story arcs, April Kepner and Nicole Herman, are out of the way, the rest of Grey Sloan Memorial’s problems rise to the surface. First up, Bailey is still trying to convince Ben to focus on reconnecting with his estranged sister.

Perhaps a rotation on plastics with Jackson is simply an invitation to the “plastics posse,” but it may also be a ploy to connect Ben to the life-changing benefits the field offers to those who are not comfortable in their own skin. Jackson shows Ben that he does not jump into decisions on his consults based on the whims of a patient. By getting to know the patients, Jackson explains to Ben that no decision comes lightly and if he thinks a patient is not ready for elective surgery, he makes them wait.

Ben uses his rotation patients to get his concerns with his sister on the table and Jackson explains that there is a way for him to get more comfortable with the “patient’s” decision — he must talk to them and understand how they see themselves.

Ben is sorting things out upstairs while April Kepner jumps back into the saddle downstairs. Assigning Callie and Maggie to an elderly woman’s sexual escapade injuries leaves Owen open to grab a phone call that changes the course of his and Amelia’s day. On the other end is a young girl, Ruby, trapped in the cabin with her mother unconscious on the floor. Left alone with only Owen on the line and no way to trace the call, Amelia and Owen talk Ruby through various ways to help the young girl save her mother’s life.

After checking her airways, Ruby must relieve some of the pressure from the trapped air using only a skewer, a straw from a milkshake, and all the pressure her nine year old upper body can muster. This works for a few seconds, until her mother stops breathing all together. Amelia and Owen walk Ruby through how to perform CPR before her phone battery dies. Just keep applying pressure in time with the magical words the Bee Gees gave us many years ago, “Ah, ah, ah, ah, stayin’ alive, stayin’ alive.”

A helicopter is able to get both Ruby and her mother to Grey Sloan Memorial, where Amelia takes over and gets the mother to stability. Not only do Owen and Amelia get a Girl Scout patch for talking a girl through a procedure over the phone, but they finally do not have the weight of Nicole Herman’s surgery hanging over them. That can only mean one thing — time to repeat that kiss from the trailer on repeat.

Callie and Maggie are off taking care of an extremely sexual 75 year old woman, who just wants to get back on the saddle. But with her heart condition, the lengthy procedure that would allow her to go from position 12 to 29, Callie and Maggie agree that a less invasive plate repair is the trick.

Maggie takes a moment to explain to Callie, and by extension to herself, how her life looks at this moment in time. She is fine with being on her own. For too long she kept herself out of the dating scene because she chooses to weigh her options based on the finish line rather than present satisfaction. Callie refuses to allow Maggie to settle back into that comfort zone and pushes her to ask Ethan out for a drink. Maggie finds a balance, asking Ethan for those drinks, but pushing it to the end of the week rather than that night.

Meredith and Derek, the final piece of the puzzle, are doing just fine. Meredith is on a streak of 89 successful surgeries, her kids are happy, and she is able to walk around the hospital with her confidence always in check. As she treats a couple whose attempts to force their children together lead to a disastrous trip to the ER, their decision to take time for themselves seems to make perfect sense.

The streak of good will began on the date Derek boarded the plane and now that she and Derek are accepting that a happy marriage doesn’t always mean being on the same coast, nothing can go wrong, right? Well this is Grey’s Anatomy, so of course all good things must come to an end. When Meredith sits down to chat with Derek about her successes, she is greeted by another woman on the other end of Derek’s cell phone.

Watch Grey’s Anatomy season 11, episode 16, “Don’t Dream It’s Over,” Thursday, March 19 at 8:00 p.m. ET on ABC.