In hospitals they say you know. You know when you’re going to die. Some doctors say it’s a look patients get in their eyes. Some say there’s a scent, a smell of death. Some think there’s just some kind of sixth sense, when the great beyond is headed for you, you feel it coming. Whatever it is, it's creepy. Because if you know, what do you do about it? Forget about the fact that you're scared out of your mind. If you knew this was your last day on earth, how would you want to spend it?
Danger looms at Seattle Grace as the Code Black is in full effect. Derek refuses to vacate the OR as Tucker's head is still open on the table, endangering both their lives; Bailey refuses to push as she endangers her life and her baby's life and Meredith still has her hand in the body, with Cristina refusing to leave her. Away from the bombs, the stress gets to Richard, causing him to have a suspected heart attack.
The episode starts with a thud. Derek Shepherd refuses to leave his OR, as he has an open brain on the table and the patient is Dr. Bailey's husband. Also, Dr. Bailey refuses to push and asks George to take her home, but Gorge declines as the baby could be in severe danger if she doesn't push. Meanwhile, the floor has been evacuated, leaving Dr. Shepherd's team. The OR with the patient with the bomb being held on by Meredith is straight above the oxygen line, so if suddenly the bomb blows up, it could blow the whole hospital up and so they decide to move. Richard, with intense pressure and stress has an anxiety attack that brings Adele to the hospital. Then, after some time, Meredith is ready to pull the bomb out. Meanwhile, Geroge finally convinces Miranda to push, while Dr. Bailey's husband has no pulse and is dying. Meredith finally takes out the bomb and hands it over to Dylan Young, who tells her that she did good. Dr Bailey's husband finally has a pulse and is able to breathe properly. Miranda's baby is born. Everything is going fine until Meredith curiously goes to see that what will be done with the bomb, but as soon as she walks out of the OR, the bomb explodes, killing Dylan and another bomb squad member. Meredith has a great fall, but is alive. In the end of the episode Derek comes to Meredith and she says that she doesn't remember their last kiss. They talk and then Derek leaves.
Richard: Calm down? I have an evacuated O.R. A bomb in a body cavity. A missing paramedic! An intern with her hand on the explosive! Two world class surgeons in harm's way! (George walks up behind them) A man on a table who may bleed out at any moment unless we move the bomb from his chest! And my favorite resident in labor who you're now telling me refuses to push! Really, calm down? You really want to say to me calm down?
George: (to Richard) Dr. Bailey is scared, sir. It's a day to be scared.
Addison: She won't let me examine her but from what I can tell her contractions are 40 seconds apart and she's refusing to push. The baby could go into distress and if she doesn't come out of this and soon, then I'm gonna need an O.R to do an emergency C-section.
Richard: I can't give you an O.R, Addie! I don't have an O.R to give. Can't you convince her to push? Bailey's rational.
Addison: She's not Bailey right now! She's a woman in labor whose husband is in surgery next to a bomb.
Addison: Look Richard, we have about an hour to change Bailey's mind and then I'm going to need you to get me an O.R. Build me an O.R. Find me a helicopter to fly me to any O.R in the city. Otherwise instead of having a baby, she'll be losing one. (walks away)
Meredith: (to Burke) Is this the strangest thing that's ever happened in your O.R.?
George: You're Dr. Bailey. (she cries a litte) You don't hide from a fight, you don't give up, you strive for greatness. You, Dr. Bailey... you are a doer. And ... I know your husband's not here, and I know there are a lot of things going on here that we have no control over. But this... (lifts her chin up so he can look directly at her) this, we can do. Okay? (Bailey half nods, crying) Okay.
George: (to Bailey) Oh, Dr. Bailey, I can see the top of his head, he's got a lotta hair! Oh, he's cute.