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Rating: 4.5 / 5.0 (69 Votes)
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Seattle Grace is hit with mass casualties from a hotel fire - several burn victims, a guy with a fire ax sticking out of his chest and a firefighter who fell from a ladder and sustained multiple injuries.

But the central case is a woman named Kathy Becker, a young mom with a five-year-old son who, despite some pretty serious burns on her leg and less serious burns on her chest, seems to be on her way to recovery.

Seems being the operative word.

The problem is that there's no one doctor looking after her, and through the course of the night she's passed from pillar to post with no one overseeing her care. This leads to an interesting new way of storytelling.

April and Reed, two of the Mercy West residents, conduct the initial exam of mother and son, and everything seems all right. Then Mark and Lexie take over care of the second-degree burns on her leg.

Then in comes a 16-year-old burn victim who they have to attend to, though Lexie really wrestles with her emotions watching this kid suffer.

Then Reed gets pulled away to help Callie with the firefighter, who seems to be in pretty bad shape. April gets distracted by the insane sight of a patient coming in with a fire ax sticking out of his chest.

That situation is made worse when Charles, who gave blood that day, passes out and dislodges the ax, sending a spray of blood all over everything.

Cristina orders some morphine to help Mrs. Becker, who's been complaining of pain. She ends up suffering from a collapsed lung, which Lexie tries to fix with a chest tube.

Which she nearly screws up because she's distracted, and Avery helps her out by pounding Mrs. Becker's chest and relieving the pressure.

The patient is stable, and for a minute we're distracted by Arizona yelling at Lexie to pull it together and Alex frantically trying to reach Izzie, who's been gone for a week, while having to stitch up the forehead cut of Charles.

Mrs. Becker's having awful trouble breathing, and Alex has to perform an emergency cricothyrotomy to be able to open her airway. Then she starts to slide.

Her carbon monoxide levels and labs are all over the place before she begins bleeding out. It's over, even though at this point pretty much every doctor is working on her - Cristina, Alex, Charles, Avery, Reed, and April.

Then it hits Reed that in her initial examination of Mrs. Becker, April was distracted and skipped checking her airway. Had she done so, she would have found soot and would have intubated the patient right away.

One simple mistake led to a dramatic, chaotic turn of events and a horrible end. April gets fired.

All of the residents from both hospitals were running around competitive and terrified, most of her Mercy West colleagues aren't exactly sympathetic.

Cristina pulls "that's one of us in there" moment and admonishes everyone, saying that it could have been any of them.

In the end, though, Derek puts the blame for the mistake on whom it belongs: the Chief. Derek says he found the trauma room in chaos, with too many doctors who don't know each other and don't trust each other.

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I wish the writers and actors would just stop fighting and make the damned show. Can't both sides see how much we love this show and just chill long enough for the show to continue to be exceptional entertainment? I understand the George O'Malley and Izzie Stevens characters had some trouble with the writer and a couple of other actors, but the audience really misses those two and I liked the show better with them on it. I guess they both sides had to do whatever they had to do, but I wish they had all just gotten along for the sake of the audience.


oh my god i'm hating this merger between mercy west and seattle grace. mercy west is ruining the whole show!


i am don't think ABC should merge Greys with Mercey west.. it's a weaker show and will ruin the mood / tone of greys. Axe the show mercy! Don't try and save it by attaching it to a stronger show like Greys!!!!!!


After watching your latest shows,, it makes you wonder if you should ever go to a teaching hospital again... I'm not even sure I want to continue to watch the show because of so much of it is based on the inhumanity of the Doctor's and nurses. There is already so much going on in the world that makes you feel bad. I used to really enjoy watching the show with all of the usual characters on it.. It was horrible to see how you killed off George. and then to fire Izzi.. she and George were my fav.


Perfect Episode
The direction is great , the production is great , the storyline is wonderfull , the plot is unbelievable , the acting is amazing.
GO Justin Chambers


very intereresting episode i have a question that is driving me nuts lol does anyone know who played the female legal counsel - face and voice sounds familiar but cant find it anywhere

Alex and izzie for ever

i hated this episode actually ,i don't want izzie to dumb alex and i certainly don't want alex to leave her,alex is my fav. hope they get back togeather


The recap needs to add Meredith was discharged form SGMWH and Derek took his wife home


what song was at the end of tonites episode?


I love grey's! It is one of the best shows on tv. I hate to see Izzie and Mer go, even for a time. Is Mer coming back too? I hope so, show not the same without her and Derek!! I waited for years for them two to finally get together and now their married finally!!!! Don't take them off please! And i love Iz and Alex too. Without Iz, Alex is a but! I hope this show stays on many more years with my favs... It is good TV!

Grey's Anatomy Season 6 Episode 6 Quotes

Derek: Maybe it's not one doctor. Maybe it's too many doctors who don't know each other and who don't trust each other. When I got to that room, it was chaos, because that's the system now: chaos. That has been the system that's been in place since this merger. Your system. I'm saying you should look again at who is responsible.

In order to get a good diagnosis, doctors have to constantly change their perspective. We start by getting the patient's point of view, though they often don't have a clue what's going on. So we look at the patient from every possible angle. We rule things out. We uncover new information, trying to get to what's actually wrong. We're asked for second opinions, hoping we'll see something others might have missed. For the patient, a fresh perspective can mean the difference between living and dying. For the doctor, it can mean picking that you're picking a fight with everyone who got there before you.

Meredith (narrating)