Death and All His Friends

"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: to 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. 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."

- Derek Shepherd

Death and All His Friends is the second part of the season six finale and the 126th overall episode of Grey's Anatomy.

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

Full Summary
The episode opens on Derek Shepherd who has just been shot with Meredith, Cristina, and April looking on. The gunman, Gary Clark, proceeds to shoot April but changes his mind and lets her go after she utters out a paniced speech pleading for her life. Because Derek is still alive, Gary is about to shoot him again and end his life but runs away when he sees a SWAT team rushing into the main entrance of the hospital.

The scene goes to Meredith and Cristina in a supply closet, who are panicing over Derek being shot. Cristina is trying to protect Meredith from the gunman by preventing her from tending to Derek's gunshot wound. Meredith, however, knocks Crisitna into a shelf and runs to Derek.

Meanwhile, Teddy and Owen are tending to a gunshot victim. They are bringing him to the ICU after his surgery. Teddy is still arguing over their brooding romance and love triangle while Owen is trying to blow off the subject. Owen goes off into a ramble about how he will choose no one when he comes across one of the shooting victims at the entrance to the ICU. He realizes this man is dead and decides that he cannot bring his critical patient into the ICU. Owen realizes that he must get his patient out of the hospital and to safety. He calls 911.

The scene cuts to outside the hospital where Richard Webber is demanding details from the police. An officer is explaining protocol to him when they gain access to the 911 calls from the hospital. Richard overhears many of his fellow doctors and friends in panic on the transmitter.

Next we see Meredith by Derek's side trying to help him. Cristina runs out and is in complete terror with a loss of what to do. She runs to get a wheelchair so she can take Derek to the OR. She comes across April who is sitting against a wall who is extremely frightened over what she just saw. Cristina brings April with her so they can help Derek.

Back in the conference room Mark is helping Alex Karev. Alex is not doing well as he begins rambling about meaningless things. At this time, Lexie Grey is getting blood to help Alex with. She runs into Gary Clark who says he has plans to kill her, Derek Shepherd, and Richard Webber. Since Lexie unplugged his wife, Gary blames her partly. He shoots at her but misses because a member of the SWAT team shoots him at the same time. She rushes away while Gary is down.

Lexie makes it back to the conference room where Alex is barely hanging on. She tells Alex she loves him.

Back in pediatrics Callie Torres and Arizona Robbins are tending to a young girl with a ruptured appendix. At this point, Gary walks into the room where they are. Arizona tells him that "there are only children here" and Callie gives him bandages to tend to his gunshot wound. At this point Gary thanks her and he leaves. Callie and Arizona have a touching moment and Callie reports her new information to the police.

Back outside the police continue asking Richard questions. Richard remembers who Gary Clark is because of the lawsuit.

TO BE CONTINUED

Main Cast

 * Ellen Pompeo as Dr. Meredith Grey
 * Sandra Oh as Dr. Cristina Yang
 * Justin Chambers as Dr. Alex Karev
 * Chandra Wilson as Dr. Miranda Bailey
 * James Pickens, Jr. as Dr. Richard Webber
 * Sara Ramírez as Dr. Callie Torres
 * Eric Dane as Dr. Mark Sloan
 * Chyler Leigh as Dr. Lexie Grey
 * Kevin McKidd as Dr. Owen Hunt
 * Jessica Capshaw as Dr. Arizona Robbins
 * Kim Raver as Dr. Teddy Altman
 * Patrick Dempsey as Dr. Derek Shepherd

Guest Stars

 * Michael O'Neill as Gary Clark
 * Tom Irwin as Marty Hancock
 * Robert Baker as Dr. Charles Percy
 * Sarah Drew as Dr. April Kepner
 * Jesse Williams as Dr. Jackson Avery
 * Ryan Devlin as Bill Portman
 * Mandy Moore as Mary Portman

Co-Starring

 * Adam Shapiro as Pete
 * China Anderson as Ruby
 * Kevin Dunigan as Swat Guy
 * Liz Wicker as Officer #1
 * Jay Sefton as Officer #2
 * Melvin Abston as Officer #3

Derek Shepherd
Derek got shot in the chest by Gary Clark in the previous episode.
 * Diagnosis: Gunshot wound to the chest
 * Doctors: 
 * ​Cristina Yang (surgical resident)
 * Jackson Avery (surgical resident)
 * Treatment: Cardiac surgery

When Meredith and Cristina approached him, they noticed he had a lot of blood loss, and he needed surgery right away. Together with Meredith and April, Cristina rushed Derek into an OR. After the OR was set up for a cardiac surgery, Cristina operated on him together with Jackson and two OR nurses and the anesthesiologist from Teddy and Owen's finished surgery.

However, during surgery, Gary Clark entered the OR and threatened to shoot Cristina if she didn't stop operating right away. Owen came in and tried to tackle Gary, only to be shot himself. During this distraction, Jackson detached Derek's heart monitors. While Derek was "flat-lining", he told Gary that Derek was dying. After Gary walked out, Jackson reattached the monitors and Cristina successfully finished the surgery.

Gary Clark
Gary Clark was shot in his shoulder by SWAT-member while he was pointing his gun at Lexie.
 * Diagnosis: Gunshot wound to the shoulder
 * Doctor: Callie Torres (orthopedic surgeon)
 * Treatment: Bandages to stop the bleeding

When he walked into Callie and Arizona in the pediatric wing, Callie gave him bandages and told him to press them to the wound to stop the bleeding.

Owen Hunt
Trying to tackle the shooter, Owen got shot himself.
 * Diagnosis: Gunshot wound to the shoulder
 * Doctors: 
 * ​Meredith Grey (surgical resident)
 * April Kepner (surgical resident)
 * Treatment: Unknown

Meredith took him to the OR opposite to the one in which Cristina was operating on Derek, to treat his GSW. April told Meredith to irrigate the wound and to give Owen antibiotics. However, the wound wasn't bad and Meredith had stop treating it because she was having a miscarriage.

Meredith Grey
While treating Owen's gunshoot wound, Meredith had a miscarriage because of the stress she suffered during the hospital shooting.
 * Diagnosis: Miscarriage
 * Doctors:
 * April Kepner (surgical resident)
 * Owen Hunt (trauma surgeon) (possibly)
 * Treatment: Unknown

Music
This episode's title originated from the song , originally sung by Coldplay.
 * "In My Veins" - Andrew Belle
 * "Unarmed" - Mariah McManus
 * "The Way It Ends" - Landon Pigg

Notes and Trivia
thumb|300px|right
 * This episode's title originated from the song Death and All His Friends, originally sung by Coldplay.
 * This episode scored 16.13 million viewers.thumb|300px|right
 * The season six DVD boxset includes an extended cut of this episode which is an hour long. It features 18 minutes of extra scenes, including Callie singing and Lexie getting thrown out of an ambulance.
 * Sarah Drew revealed on Twitter that this episode, along with Sanctuary, was her favorite season 6 episode to film.
 * Shonda Rhimes revealed in a blog post that she considered Jackson and April to be part of the tribe from this episode on.

Quotes

 * April: (when Mr. Clark is pointing the gun at her) My name...my name is April Kepner. I'm 28 years old, and I was born on April 23rd in, in Ohio. I'm from C-Columbus. Columbus, Ohio. Um, my mom, my mom is a teacher, and m-my dad is a farmer. Corn. C-corn. He, he, he grows corn. Their, their names are Karen and Joe. (crying harder) I have three sisters! Libby's the oldest. I, I'm next, and then there's K-Kimmy and Alice. I, I, I haven't done anything yet. I haven't...I've barely lived! I, I'm not finished yet. No one's loved me yet. Please. Please. I'm someone's child! I'm a person! I'm a person!
 * Gary Clark: Run.
 * (April runs away)


 * Charles: (to Dr. Bailey before he dies) You were always my favorite doctor. I thought you should know.


 * Meredith: Hold on, okay? Hold on. I love you. Please don't die.
 * Derek: Get out of here, Meredith, before he shoots you, too.
 * Meredith: Don't die. Do you understand? I can't live without you. If you die, I die.
 * Cristina: I called the police.
 * Meredith: Okay, good, the police are coming. They're coming.
 * Cristina: Mer, Mer. They're not gonna get here. They're not coming for us. Not in time. Oh, God, Mer.
 * Meredith: I picked you. I choose you. You don't die on me!


 * Lexie: (trembling) Oh, Mr. Clark...
 * Gary Clark: I didn't plan to shoot all those people.
 * Lexie: Of course, you didn't.... No, you were sad, you were... You were grieving.
 * Gary Clark: I only planned to shoot Dr. Shepherd. And Dr. Webber. ... And you. (points gun at her) You unplugged the machines. Your hands killed my Alison.


 * Ruby: (crying) I want my mommy!
 * Callie: All right, okay. I know. I know you do and she's gonna be back soon, but you know what, until she gets here, you have the best doctor in the whole world with you right now. (Ruby stops crying, Callie looks at Arizona who is still shaken and crying from seeing Mr. Clark.) Yeah. Dr. Robbins is the best doctor in this entire hospital. I think in the whole world. Yeah, people, feel so much better after she helps them, sometimes people feel better just after she walks in the room. 'Cause she has got this super magic smile. (Callie looks at Arizona.) Yeah, and when she smiles at you, (Arizona finally looks at Callie.) everything gets better. You don't know it 'cause you have your back to her right now, but she is giving you... Wow, she is giving you her best super magic smile. (Callie smiles.) Isn't that right, Dr. Robbins?
 * Arizona: Right. I am. I am.
 * Callie: I gotta call the police and tell them what happened, okay?
 * Arizona: I... I'm good. (Callie puts her hand on her cheek) I'm good.


 * Jackson: (to Cristina after seeing her bloody scrubs) Is that your blood? Are you okay?
 * Cristina: No. No... I'm fine. I'll go get Altman.
 * Jackson: Altman's not down here.
 * Cristina: Go get Hunt then.
 * Jackson: They left.
 * Cristina: What, they left?! Okay, you know what? Someone just shot Derek. He's got a GSW to the chest and he needs surgery right now. Tell me there is an attending on this floor.
 * Jackson: April, in the OR behind, there are two OR nurses and an anesthesiologist. Get them. Tell them to set up for a cardiac procedure
 * April: What? What, why? If we don't have a surgeon, what are we going to do?
 * Jackson: (looking at Cristina) We have a surgeon.
 * April: W..What? Who's going to operate on Dr. Shepherd?
 * Cristina: I am.


 * Cristina: (while operating on Derek, trying to find the bullet) It's right by the aorta.
 * Jackson: You can do this.
 * Cristina: I know that! I just wanted it to be easy. Not the hardest freakin' repair in the history of the world.


 * Gary Clark: (while Cristina is operating on Derek) You stop or I will shoot you. (pointing a gun at Cristina's head)
 * Owen: Hey! Hey! That is the woman I love. If you shoot her, touch her, I will kill you!
 * Gary Clark: (turns the gun on Owen) And I said stay back. Maybe I'll shoot you first. I shoot you then I shoot her and I shoot Shepherd. Is that what you want? (Owen shakes his head) I didn't come here for this. My wife is dead. He's responsible. I came here for justice, an eye for an eye. The only person I want in this room is Shepherd. Now back off! You step away from that table. (turns his gun back to Cristina)
 * Cristina: (crying) Please.
 * Meredith: (walks in) Shoot me.
 * Cristina: Meredith.
 * Meredith: You want justice, right? Your wife died. I know what happened. Derek told me the story. Lexie Grey is the one who pulled the plug on your wife. She's my sister. Dr. Webber, he was your wife's doctor. I'm the closest thing he has to a daughter. And the man on the table, I'm his wife. If you want to hurt them the way that you hurt, shoot me. I'm your eye for an eye.
 * Cristina: Meredith.
 * (Mr. Clark points the gun at Meredith and walks toward her.)
 * Meredith: Tell Derek that I love him and that I'm sorry.
 * Cristina: Meredith... Wait, wait, wait, wait. She's pregnant. You wouldn't shoot a woman who's pregnant? Please.
 * (Owen tries to tackle Mr. Clark; Mr. Clark shoots Owen)


 * Jackson: Raise your hands. Trust me, raise you hands. He's going to shoot again, raise your hands!
 * Cristina: I'm stopping, I'm stopping!
 * Meredith: No!
 * Cristina: See? See? I've stopped.
 * Jackson: Listen to me. In a few seconds his heart is gonna 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: (to Meredith) Shut up!
 * Meredith: (sobbing) No, no. (Derek flatlines) No, Derek! No, no, no. (sobs harder)
 * Cristina: See? It's over. It's over. He's dead. (Meredith wails as Mr. Clark leaves the OR)


 * Cristina: Mer, is Owen dead? Dr. Grey, is Owen dead?
 * Meredith: (checks on Owen) He's, he's alive, he's unconscious but he's alive.
 * Cristina: Take Owen to the OR 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. (Meredith leaves) Remind me to thank you later.
 * Jackson: I will.


 * 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 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 interrupts her with a passionate kiss.)