I appreciated the time lapse and Meredith being absent from this episode feels right as old Meredith is likely gone. The show didn't make it clear though, was she contemplating suicide or adoption?
As for the rest of the episode, I was irritated by the whole bailey and her husband dialogue. It's seemed too laizze faire. I get that sometimes hard, awkward conversations turn silly due to the seriousness of their nature, but they were going on and on as though this were purely hypothetical and not something two cherished friends just went through.
As for Emilia - meh. She is a drama llama but she has defined and embodied her character well. Owen is too much of a hound dog and just comes across as a player to me - nongenuine. As though he's putting on a role that he imagines his conquest desires. Like he really has no strong sense of Self.
Anyway, Meredith's grief was palpable. You could sense her absence of him in every word, gesture, and glance she made. And not only could you sense the absence of him in her, but her resoluteness in functionality, but also eternal brokenness.