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Grey's Anatomy Recap Season Finale

Grey's Anatomy Rundown: Season Finale, "Sanctuary" and "Death and All His Friends"

Still shell-shocked from last night's epic two-hour finale of Grey's Anatomy? I know I am. Even though I was prepared for Mere's pregnancy and a shooter to be lurking around Seattle Grace, I definitely didn't feel equipped for what is one of the most intense episodes of Grey's I have ever seen.

Unlike last year's big cliffhanger with George and Izzie, this one doesn't leave much to the imagination at the end of it all — but boy is there plenty to discuss. Let's get down to the gritty and grisly details when you read more.

  • The episode starts off on a happy note: Meredith takes a pregnancy test and it's positive! It's the icing on the cake of what's become a way different Meredith Grey than the one we once knew. Even though it wasn't planned, she's excited, and Cristina's excited for her. Unfortunately, Derek never even gets to hear the happy news.
  • The madness begins when Mr. Clark, (the husband of one of Derek's former patients who died in the hospital) starts walking around and looking for Derek. He gets a lot of snippy answers, including from Dr. Reid, who tells him that she's not a tour guide and advises that he finds a nurse. Instead, he pulls out a gun and shoots her squarely in the forehead — causing my jaw to hit the floor. Then he turns around and gets Karev right in the chest. Seriously, I haven't been so shocked by a one-two shooting spree since Michael shot Ana Lucia and Libby in rapid succession on Lost.
  • April finds Dr. Reid and frantically explains the situation to Derek, who puts the hospital on lockdown. I have to hand it to Sarah Drew — I was really impressed with her performance in this episode. Of course, all the doctors and their ex-significant others are stuck together. Callie and Arizona are in peds together, Mark and Lexie find a bloody Karev in an elevator and are forced to operate on him together, Teddy and Owen are in surgery together. And so it begins.
  • Can we talk about how gripping the scene is where Bailey and Percy are hiding from Mr. Clark? Their patient Mary (played by Mandy Moore) is forced to play dead while they hide in the room. When Percy confirms that he's a surgeon, Mr. Clark shoots him — and then pulls Bailey out from under Mary's bed. I felt like I was watching a horror movie as Miranda tearfully tells Mr. Clark she's a nurse while his gun is in her face.
  • Mr. Clark finally finds Shepherd, and they have a serious stare down. Mr. Clark admits that he's at the hospital to "be a man" and to make sure that justice is served for his wife, whom he believes was killed by Derek. Derek manages to reason with him, citing the story of his own father's death and admitting that he made a mistake. Then, just when you think Mr. Clark might actually re-consider, April bursts through the door, and Derek gets shot in the chest.
  • Let's take a moment to discuss the death count. At this point, Reid and a few non-regulars are already killed, and Karev, Percy, and Derek are all shot. I can't say I was shocked to see the Mercy doctors take a few bullets, since they were never properly written into the show anyway. But were you sweating over any other doctors? Considering the recent rumors that Patrick Dempsey wants out of the show, I thought (though prayed and prayed) that he might actually go. Then I thought that perhaps Webber would die in the end, as a sort of poetic justice to all the struggle that he's been through this season. Who were you placing your bets on?
  • Mark and Lexie are forced to work together to try to save Karev's life — just minutes after Mark asks Lexie if her relationship with Alex is serious (and telling her that he'd miss her). Is that all the follow-up we get to last week's marriage proposal? Sadly, yes. Eventually they realize they can't do anything more without a blood transfusion, so Lexie sneaks out to get some — which is when she comes face to face with Mr. Clark. Mr. Clark tells Lexie that she's one of three people he wants to kill (Webber and Derek are the others), but the SWAT team shoots him before he can get to her.
  • Lexie heads back to Alex's side, but there's still nothing they can do. She tells him she loves him, which clearly pains Mark. At this point Alex is too far gone to realize what's happening and thinks she's Izzie, begging her not to leave him. Lexie says she never will (which seems to hurt Mark even more), but is her love real or is she just trying to get him through the trauma? At the end of the episode, Alex is brought to safety and starts recovering — but after all the Izzie talk it's clear that he's not over his ex yet. So come next season, will Lexie choose Alex or Mark?
  • Callie and Arizona are stuck with the kiddies down in pediatrics, and Callie couldn't be less psyched about it. Though Arizona tries to be friends, Callie says that she'd rather go down "the traditional route" of hating her ex. Of all the docs, they are the least affected by the shooter (though Callie has a very scary run-in when she gives him bandages for his GSWs). They continue to bicker throughout the episode, Arizona saying that she can't trust Callie because she's in love with love (the girl has bedded many a fellow doctor over the years). The lockdown is ultimately the eye-opener that they needed to get back together: Callie says she doesn't need kids if they get back together, but Arizona concedes and says they'll have 10 kids as long as they're still together. It's a refreshing "aww" moment after two hours of pure intensity.
  • After Percy is shot, Miranda tries everything she can to treat him with Mary's help. It's of no use though — without access to an OR, there's nothing Bailey can do. As she struggles to bring him to the elevator, her emotions reach fever pitch when she realizes the power has been shut down — and has a full-blown emotional fit. She's still tough-as-nails Bailey though (even with the "water" dripping down her face) and she sees her patient through to the end, holding him in her arms the whole way. Though Reid and Percy are barely on the Grey's radar, it made me pretty sad to hear his final love confession. They might be the only doctors in the history of the show to have feelings between 'em and never get to hook up.
  • Now, for the Teddy/Owen/Cristina triangle. Though Cristina tells Mere that she's "over it already", she's clearly not — and asks Owen the question we've all been waiting for — which woman does he love? When he balks, she tells him it's over and stalks off to find Mere. There's tension with Teddy, too, who's still angry that Owen tried to have her fired. After an awkward surgery together, Owen and Teddy defy the lockdown in search of supplies for their patient, and Teddy also asks Owen to make a choice. He refuses again, but when they are both safely outside the hospital, he chooses Cristina by heading back inside to find her. The real question on my mind is: wouldn't he do the same if Teddy was stuck inside and Cristina was outside? Ponder that.
  • Back to Derek: as the first episode ends it seems like Derek is a goner, but we know Shonda Rimes and the rest of the writing staff would never let that happen so easily. Derek needs surgery, but there are no Attendings to be found (question: where have all the people in the hospital gone?) Cristina agrees to step up with Jackson's help, but only on the condition that Meredith can't watch. Meredith agrees, and Cristina is off to a shaky but good start.
  • Just when you thought it was safe to go back in the water, Hunt shows up to where Cristina is performing surgery. The look on his face when Meredith explains the situation says it all: the shooter has found Cristina and Avery's operating room and has his gun to Cristina's head while she's trying to perform surgery. Despite the circumstances, Jackson and Cristina continue with the surgery while Owen tries to distract Mr. Clark and calling Cristina "the woman that he loves." There's a lot of back and forth with the gun aiming, and eventually Meredith gets into the mix and asks that Mr. Clark shoots her. He seems to consider it, but Owen makes a play for the gun and gets shot to the floor. Then, Jackson saves the day: he secretly pulls out Derek's heart monitor to trick Mr. Clark into thinking that Derek has died. When he leaves the room, they get back to work, though the stress has clearly taken a toll on Meredith, and she loses her baby while patching up Hunt.
  • The episode wouldn't be a season finale without a curtain call, and Dr. Webber gets the brunt of it. Since he wasn't in the hospital at the time of the shooting, he spends most of the episode outside trying to get in. Clearly Webber still hasn't let go of the Chief position, talking about "his" hospital, "his" people (just as Derek does). Eventually he gets in and comes face to face with Mr. Clark, who only has one bullet left. He intended to shoot both Webber and himself, but is now faced with a dilemma. Dr. Webber keeps him talking (and manages to deny drinking from Mr. Clark's flask! So proud), and the scene ends with a bang — but who takes it? I really thought Webber might be done (and what a way to go), but he too walks away unscathed.

And there you have it folks: what a whopper of an episode! Were you as enraptured as I was? How do you think the shooting will affect the doctors come Fall? And will Meredith and Derek try for another baby? Let's hear your comments, frustrations, and more — and don't forget that you can keep coming back to the Grey's Anatomy McAddicts group to keep the conversation going all Summer long!

Photos copyright 2010 ABC, Inc.

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