In a return toGreysearly years, the episode ended with Bailey retaking charge of the surgical interns.
(It is unclear why the ambulance was not moved away from the crashing car.)
After complications, Teddy is out of danger, facing a long recovery.

‘Grey’s Anatomy’ S20 premiereABC/Anne Marie Fox
Shes still trying to manage work and family life.
What is the future of Speedman, who is listed as a guest star?
Will we see him again this season?

Scott Speedman in ‘Grey’s Anatomy’ S20 premiere/ photo by ABCABC/Anne Marie Fox
MARINIS: Yes, he was listed as a guest star.
Were just so excited for Meredith and Nick to be together, we could see him again.
Well follow that relationship.
DEADLINE:In another twist, Nick was replaced by Bailey.
What was the impetus for that decision?
And Bailey is the teacher of all teachers.
Shes created surgeons like Meredith Grey and Cristina Yang and Alex Karev and Izzie and George.
DEADLINE:In the premiere, the interns are all struggling with the fallout from the finale.
Are you resetting that too, trying to pull back on those relationships?
With Lucas, he seems to have come out of it a little easier.
I think also there was a difference with what happened with Levi.
So I think there are differences, but that story is not over with the premiere.
Are they firmly in the friends zone or could there be something else happening?
MARINIS: Yes, theyre in the friends zone.
But its a friendship that we find really interesting in the writers room, because theyve been married.
I think theyve also been through so much with his relationship with Teddy as well.
MARINIS: Yes, her recovery will be part of her season arc for sure.
Shes not perfectly back immediately after the premiere.
DEADLINE:For me, the premiere was a lot about guilt.
We really dont just forget about it.
Everything still weighs on everyone and how they can truly move forward and not make the same mistakes again.
DEADLINE:I mentioned Link and Jo who are preparing to go public with their relationship.
Will there be bumps on the road for them?
There are a lot of entanglements for each of them with doctors at the hospital.
And well just have to be able to watch and wait and see.
Can they leave those challenges at work or do they come home with them?
DEADLINE:AI is a big topic these days.
You had a malfunctioning self-driving car in the premiere.
Why did you decide to tackle AI and is it something that youre going to do more of onGreys?
Because obviously Simone and Lucas had that, Blue had that with Maxine.
It is rippling through the episode as well.
DEADLINE:What is the overall theme for Season 20?
MARINIS: A theme for the season is back to basics.
Itll be really fun to watch her put them through their paces.