In the two-hour season finale of Grey's Anatomy, a gunman terrorizes Seattle Grace, killing surgeons and anyone else standing in his way of finding his one target: Derek Shepherd. Meanwhile, Meredith has some big news for Derek that may alter their future.
"For most people, the hospital is a scary place," Meredith kicks off the episode by saying in voice-over." A hostile place. A place where bad things happen," she continues as we see montages of Alex and Lexie catching some sleep in the on-call room, a woman mourning over the death of a loved one, and Richard explaining to a waitress that he's now been sober for six months.
"Most people would prefer church or school or home," she says as we see Callie and Cristina both crying into their cereal over their failed relationships.
"But I grew up here," she adds as she takes a pregnancy test. "While my mom was on rounds, I learned to read in the O.R. gallery, I played in the morgue, I colored with crayons on old E.R. charts. The hospital was my church, my school, my home. The hospital was my safe place, my sanctuary."
And as she learns that she is pregnant, she says, "I love it here. Correction, I loved it here." And we get our first glimpse of the shooter: Gary Clark, the man whose wife died in the hospital after Derek made the decision to pull the plug.
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