'Grey's Anatomy' Season 9 Spoilers: Transgender Patient Story Line & More [PROMO VIDEOS]

Episode 14 of Grey's Anatomy, titled The Face of Change, airs Thursday and the doctors of Seattle Grace-Mercy West will face budget cuts following the lawsuit settlement from the plane crash along with a competition between doctors over who will be the new face of the hospital.

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Jackson Avery and Alex Karev will also work with a transgender teen couple admitted in the hospital. In a sneak peak clip from the episode, April Kepner called Avery with an emergency request: though the emergency wing of the hospital faces closing down, she said she needs to bring a child who was involved in a hit-and-run to Seattle Grace-Mercy West or he will die. Dr. Alana Cahill and Chief Owen said no - with Cahill saying Kepner has to take the critical patient to a hospital an hour away that is open to trauma cases - but Jackson and Kepner refuse to let the child die. See below.

Kepner is also shown getting a ride in the ambulance truck with paramedic Matthew, who made a pass at the doctor in a previous episode. The Seattle Grace staff - including Karev, Cristina Yang and Meredith Grey- care for the patient after secretly admitting him into the hospital, uniting everyone against Cahill.

In another promotional video for Thursday's episode, shown below, Avery is seen making out with his intern in Karev's home. To tune out the noise of the sex, Karev and his intern Jo make animal noises. 

Photos released by NBC reveal details about the transgender couple Avery and Karev operate on, a story line never before highlighted on the show. The network also revealed in its description of episode 13 that "the hospital implements new policies which test the patience of the staff" and "several of the doctors fight to become the new face of Seattle Grace."

Watch the next new episode of Grey's Anatomy on Thursday, Feb. 7, at 9 p.m. ET/PT on ABC.