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Grey's Anatomy: Death and All His Friends

Cristina and Meredith's surgical skills are put to the ultimate test when Derek and Owen get shot.

Episode Info
Episode number: 6x24
Airdate: Thursday May 20th, 2010

Director: Rob Corn
Writer: Shonda Rhimes

Alternate Airdates:

NL (Net 5) Oct 18, 2010

Guest Stars
Adam ShapiroAdam Shapiro
As Pete (Patient: Gun Shot Wound)
China AndersonChina Anderson
As Ruby Campbell (Patient: Appendicitis)
Jason Graham (1)Jason Graham (1)
As Ken Campbell (Father of Patient Ruby Campbell)
Jesse Williams (2)Jesse Williams (2)
As Dr. Jackson Avery (Attending From Mercy West)
Kelsey ScottKelsey Scott
As Karen Campbell (Mother of Patient Ruby Campbell)
Mandy MooreMandy Moore
As Mary Portman (Patient: With Bailey and Percy)
Michael OMichael O'Neill
As Gary Clark (The Shooter)
Robert Baker (1)Robert Baker (1)
As Dr. Charles Percy (Attending From Mercy West)
Ryan DevlinRyan Devlin
As Bill Portman (Husband of Patient Mary Portman)
Sarah DrewSarah Drew
As Dr. April Kepner (Attending From Mercy West)
Tom IrwinTom Irwin
As Officer Hancock

Co-Guest Stars
Melvin AbstonMelvin Abston
As Officer #3
Jay SeftonJay Sefton
As Officer #2
Kevin DuniganKevin Dunigan
Liz WickerLiz Wicker
As Officer #1
Main Cast
Ellen PompeoEllen Pompeo
As Dr. Meredith Grey
Justin ChambersJustin Chambers
As Dr. Alex Karev
Patrick DempseyPatrick Dempsey
As Dr. Derek Shepherd
Chandra WilsonChandra Wilson
As Dr. Miranda Bailey
James Pickens, Jr.James Pickens, Jr.
As Dr. Richard Webber
Sara RamirezSara Ramirez
As Dr. Calliope "Callie" Torres
Kevin McKiddKevin McKidd
As Dr. Owen Hunt
Jessica CapshawJessica Capshaw
As Dr. Arizona Robbins
Chyler LeighChyler Leigh
As Dr. Lexie Grey
Eric DaneEric Dane
As Dr. Mark Sloan
Sandra OhSandra Oh
As Dr. Cristina Yang
Katherine HeiglKatherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 16.13 Million Viewers

Voiceover: The opening and closing voiceovers are done by Derek instead of Meredith.

Trivia: Shonda Rhimes revealed in a blog post that she considered Jackson and April to be part of the tribe from this episode on.

ArtistSong TitlePlayed When
Andrew BelleIn My VeinsBailey Realizes the Elevators Have Been Turned Off
Landon PiggThe Way it EndsSWAT Team Enters, Shot Fired, Plays Almost to End
Mariah McManusUnarmedCristina and Avery Continue Operating on Derek

Episode Quotes
Derek (opening voiceover): The human life is made up of choices. Yes or no. In or out. Up or down. And then there are the choices that matter. Love or hate. To be a hero or to be a coward. To fight or to give in. To live. Or die. Live or die. That's the important choice. And it's not always in our hands.

Arizona: I'm gonna go see if kids need help finding their parents.
Callie: People died. People are dead. I... I don't want to have kids if it means I can't be with you.
Arizona: No, no. We'll have kids. We'll have all kinds of kids. And I always thought that I wasn't cut out to be a mom, but... you'll be a great mom, you'll be an amazing mom. And I love you so much, and I can't live without you and our ten kids... (Callie kisses her)

April: Are you okay?
Meredith: Yeah, I'm okay.
April: Are you sure? Oh, my God! Did you get shot?
Meredith: No, I didn't get show, okay? I'm-- I'm okay.
April: But- But you could be in shock and not know it. Here, let-- let me feel...
Meredith: I'm... I'm okay.
April: But there's blood spreading down your thighs.
Meredith: I'm... I'm having a miscarriage.

Jackson: Raise your hands. Trust me, raise your hands. He's going to shoot again, raise your hands!
Cristina: I'm-- I'm stopping, I'm stopping.
Meredith: No!
Cristina: See? I've stopped.
Jackson: Listen to me. In a few seconds, his heard is going to pump all the blood into his chest and stop beating. You'll see it on the monitor. Just wait. Wait for it. Watch the monitor and wait for it.
Meredith (sobbing): Please, don't stop!
Jackson: Shut up!
Meredith (sobbing): No, no. (Derek flatlines) No, Derek! No, no, no.
Cristina: See? It's over. It's over, he's dead. It's over. (Mer drops to her knees, sobbing, Gary walks out of the O.R. Jackson reattaches the monitor lines to Derek)

Cristina: Mer, is Owen dead? Dr. Grey is Owen dead?!
Meredith: He's-- He's alive, he's unconscious but he's alive.
Cristina: Take Owen to the O.R across the way and take that bullet out. And Get April to help you.
Meredith: Cristina.
Cristina: I can't talk right now. I'm trying to save your guy. Now please go try save mine. (Mer leaves) Remind me to thank you later.
Jackson: I will.

Mary: What are we gonna do? What are we gonna do? (Bailey walks away and starts crying) Dr. B., what's the plan? You have a plan, right, Dr. B.? What do we do? (Bailey composes herself and walks back over to them) We can't get to the O.R, but-- but he has to get to the O.R. He has to get to the O.R, or he's... Dr. B?
Bailey: Miranda. We should be on a first name basis. Miranda. (sits down and takes Charles' head into her lap)
Charles: I'm dying, right? Am I dying now?
Bailey: Yes. Yes, Charles, you are dying. (voice breaking) But I don't want you to worry. I don't want you to be afraid. 'Cause I... am not going to leave you, okay? Mary. Mary... Mary and I... (takes Mary's hand) are gonna be with you the whole time. You are not alone. You hear me? You are not alone. (Charles is crying)

Derek (closing voiceover): Yes or no. In or out. Up or down. Live or die. Hero or coward. Fight or give in. I'll say it again to make sure you hear me: The human life is made up of choices. Live or die. That's the important choice. And it's not always in our hands.

Episode Goofs

When Derek asks Meredith to kiss him before his surgery, he is pale with dark circles under his eyes and almost white lips. Later, during surgery, his complexion is a lot more healthy.

Cultural References
Episode Title: Death and All His Friends

Death and All His Friends is the title of a song originally sung by Coldplay.

Episode References
Season 6, Episode 20: Gary Clark is the man who was suing the hospital for the death of his wife. He has been seen in multiple episodes throughout season 6, but was last seen in 6x20 "Hook Line and Sinner".

Season 6, Episode 11: When Cristina is performing surgery on Derek she says to herself "Pig or cow. Pig or cow, Cristina?". This is a reference to a decision that a patient had to make on using a pig valve or a cow valve in 6x11 "Blink".

Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Allan Heinberg  |  Mark Wilding  |  Rob Corn  |  Mark Gordon (4)  |  Shonda Rhimes  |  Krista Vernoff
Co-Executive ProducerJenna Bans  |  Tony Phelan  |  Joan Rater
Supervising ProducerStacy McKee  |  Zoanne Clack
ProducerLinda Klein  |  Tammy Ann Casper  |  Jeff Rafner
Consulting ProducerDebora Cahn
Production DesignerDonald Lee Harris (1)
EditorDavid Greenspan (1)
Director of PhotographyHerbert Davis
Missing Information
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