Bringing Zola to SeattleEdit
Makena came with the first group of children from Africa. She told Derek Shepherd about Zola's medical history before he operated on her. She was surprised when Derek was able to make Zola stop crying because she said Zola'd been at the orphanage since she was three months old and hadn't stopped crying that entire time. ("White Wedding")
Bringing Nyah to SeattleEdit
Makena works at the orphanage where Zola Grey Shepherd lived before coming to Seattle.