Written by Austin Guzman and directed by Rob Greenlea, the episode originally aired on the American Broadcasting Company (ABC) in the United States on October 30, 2014.
The episode revolves around the ongoing tension between Meredith Grey (Ellen Pompeo) and Maggie Pierce (Kelly McCreary) as they continue to navigate their complex relationship as half-sisters.
At the same time, April Kepner (Sarah Drew) grapples with her pregnancy and the involvement of her overbearing mother, creating tension in her marriage to Jackson Avery (Jesse Williams).
Upon its original broadcast, "Don't Let Start" was watched by 8.08 million viewers in the United States and garnered a 2.4/7 Nielsen rating.
The episode opens with a voice-over narration from Meredith Grey (Ellen Pompeo) reflecting on the theme of the complexity and unpredictability of trauma and life challenges.
April Kepner (Sarah Drew) treats Melissa (Meg Steedle), a carjacking victim brought into the ER; however, she seems more concerned about her car than her injuries.
Jackson Avery (Jesse Williams) surprises April by bringing her mother, Karen (Connie Ray) to the hospital after her flight arrived early.
Arizona explains that with Nicole Herman (Geena Davis) constantly pushing her, it’s easier to stay at work.
Despite his symptoms, Jeremy smiles and insists it’s just heartburn, but Bailey orders further tests after hearing about his unhealthy diet.
When Richard Webber (James Pickens Jr.) enters, Derek invites him to join, suggesting it’s an opportunity for family bonding.
"[6] The review acknowledged some issues with pacing but concluded, "The episode had its moments: The Jackson Avery (Jesse Williams)-April Kepner (Sarah Drew) story played well, and I can't tell you how happy I am that Meredith Grey (Ellen Pompeo) and Derek Shepherd (Patrick Dempsey) are finally smiling at each other/'showering' together.