Plot
The episode begins with a dream of Izzie, Cristina, Meredith and George in the shower together. It's George's dream. Meredith refuses to go to work. She has this feeling that she will die. George and Izzie cannot get her out of bed, they have to call in Cristina. Once at the hospital, the premonition seems to have some validity. A trauma victim is brought in by a paramedic with her hand still stuck inside him to stop the bleeding. As Alex soon discovers though, her hand is not the only thing inside of him—after trying to make a homemade bazooka, he's also got a piece of unexploded ammunition inside of him. This places the hospital on Code Black, which essentially shuts down the surgical wing—save for the one operation that has already begun: Derek and Cristina operating on the brain of a man who happens to be Bailey's husband.
Bailey's husband got into a car accident trying to get to the hospital on time because Bailey was going into labor. Though the bomb squad, led by Dylan Young (played by guest star Kyle Chandler), wants to clear out the ORs of all unnecessary personnel, Derek, Cristina, and Meredith all insist on staying (Meredith is with the paramedic, Hannah, who's got her hand in the patient). After a chat with George about being "doers versus watchers" (they feel Cristina and Meredith are the "doers"), Izzie decides to ignite things with Alex—in the supply closet. Richard is trying his best to keep the hospital in some sort of order amidst the chaos, but he's having a tough time. In fact, things degrade quite quickly, most notably when an anesthesiologist leaves Hannah alone with the patient and the bomb while all the other doctors are strategizing with Dylan. Meredith finds Hannah having a nervous breakdown, about to pull her hand out and potentially put them all in danger (not to mention kill the patient whose bleeding she is suppressing). Hannah does pull her hand out and runs away—but not before Meredith can take her place as the girl with her hand in the explosive patient.
Read more about this topic: It's The End Of The World
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“Persons attempting to find a motive in this narrative will be prosecuted; persons attempting to find a moral in it will be banished; persons attempting to find a plot in it will be shot.”
—Mark Twain [Samuel Langhorne Clemens] (18351910)
“If you need a certain vitality you can only supply it yourself, or there comes a point, anyway, when no ones actions but your own seem dramatically convincing and justifiable in the plot that the number of your days concocts.”
—John Ashbery (b. 1927)
“There comes a time in every mans education when he arrives at the conviction that envy is ignorance; that imitation is suicide; that he must take himself for better for worse as his portion; that though the wide universe is full of good, no kernel of nourishing corn can come to him but through his toil bestowed on that plot of ground which is given him to till.”
—Ralph Waldo Emerson (18031882)