A massive train crash overwhelms Seattle Grace with patients. Two victims are impaled on the same pole. Izzie chooses between friendship and advancing her career. Alex loses his mojo when his patient dies. Cristina is on a wild scavenger hunt to track down a patient’s leg. Meredith finally gets an answer from McDreamy.
Meredith is still waiting for McDreamy at Joe’s bar when they all get emergency pages and have to race back to Seattle Grace. Will she ever know if McDreamy would have shown up at the bar? Maybe it’s best if she never does.