Where Do We Go From Here

"From the first second the brain receives a signal that a catastrophe has happened, the blood rushes to the organs that need it the most. From knowing that what has happened might be irreparable, we call it 'shock'."

- Meredith Grey

 is the ninth episode and mid-season premiere of the eleventh season and the 229th overall episode of Grey's Anatomy.

Short Summary
As Derek prepares for his move to DC, Meredith keeps herself busy at the hospital. Meanwhile, Jackson and April deal with difficult news, and Arizona and Amelia discuss how to best approach Dr. Herman.

Main Cast

 * Ellen Pompeo as Dr. Meredith Grey
 * Justin Chambers as Dr. Alex Karev
 * Chandra Wilson as Dr. Miranda Bailey
 * James Pickens, Jr. as Dr. Richard Webber
 * Sara Ramírez as Dr. Callie Torres
 * Kevin McKidd as Dr. Owen Hunt
 * Jessica Capshaw as Dr. Arizona Robbins
 * Sarah Drew as Dr. April Kepner
 * Jesse Williams as Dr. Jackson Avery
 * Caterina Scorsone as Dr. Amelia Shepherd
 * Camilla Luddington as Dr. Jo Wilson
 * Jerrika Hinton as Dr. Stephanie Edwards
 * Patrick Dempsey as Dr. Derek Shepherd

Guest Stars

 * Geena Davis as Dr. Nicole Herman
 * Kelly McCreary as Dr. Maggie Pierce
 * Kevin Carroll as Greg James

Co-Starring

 * AJ Achinger as Dylan
 * Nicolas Bechtel as Jack
 * Maggie Egan as Lynn
 * Neil Barton as Police Officer
 * James Holloway as Paramedic #1
 * Gregory Michael Smith as Paramedic #2
 * Carlo Imperato as Paramedic #3
 * Olivia-Diane Joseph as Circulating Nurse
 * Kaiden Jones as Parker James
 * Kyla-Drew Simmons as Mia James
 * Isaiah Lucas as ER Patient

Patient

 * Diagnosis:
 * Doctors:
 * Treatment:

Notes and Trivia

 * This episode's title originated from the song , originally sung by Charles Bradley.
 * This episode scored million viewers.
 * This is Sara Ramírez's 200th appearance as Callie Torres.