Lets set the scene
There is tension so thick that the finest scalpel goes dull in the air. The Mercy Westers and Seattle Gracers are going West Side Story on each other due to the merger and everyone is so concerned about getting extreme surgery that no one is caring about the plain old regular sick people.
This episode continues Grey's long streak of awesomeness by placing us in a medical mystery. One by one the Chief interviews all of our favorite doctors and our unfavorite Mecry Westers on what happened to a patient that came in with simple burns and ended up dieing in the clinic from multi-system organ failure (I might not know what that is but typing sure makes me sound smart).
Minute by minute the mystery unfolds as we try to figure out who ultimately killed the patient. We also find out more about the Alex/Izzie debacle. After Alex leaves a voice mail and Izzie's phone threatening to call the police and file a missing person's report, Izzie calls him on an unknown number. But because the sick patient choose a very untimely moment to stark coding, he had to hang up on her without getting a number and is unable to get her on the phone again. Maybe, just maybe, my dream will come true and Izzie will finally be a goner.
Meredith is still bed ridden but is able to come home. At the end, the Chief ends up placing the blame on April, the smart and super nice Mercy Wester, because she forgot to check the patient's airway and didn't see that there was soot, which ultimately killed her. So April gets the boot but instead of the Mercy Westers hating all the of Gracies, they all start to realize that they have to start working together or the will all eventually lose their jobs. There wasn't any group hugs or acoustic guitars, but the merger seems to be a little bit more peaceful after this crazy episode that had me gasping for about 427 times. That a lot of gasping.
Its good to see that Grey's is picking up again but it seems that any time Izzie is dead, dieing, or gone, the rest of the cast shines.
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