I realize that a montage of events will be very handy when they aren't airing these episodes back-to-back in repeats and syndication, but considering we go directly into hour two without even a commercial break, it's kind of funny to see a recap of what we saw 15 seconds earlier: Derek getting shot, April freaking out, and Meredith falling apart while Cristina tries to hold her back. As a consolation for taking a bullet to the chest, Derek gets to do the final voiceover of the season: "The human life is made up of choices. Yes or no. In or out. Up or down. And then there are the choices that matter. To love or hate. To be a hero..." Here we are treated to a brief shot of him bleeding out, just so we know for sure that he is in fact the hero. "...or to be a coward." Now we get a quick shot of Gary and his screwed-up angry face, just in case we didn't know that shooting everyone at the hospital where your wife died is in fact a cowardly thing to do. "To fight or to give in. To live, or die." Bum bum bummmmm.
But Derek isn't dead yet -- his eyes fly open and he begins to panic a little as he looks at the blood on his fingers and realizes that he's been shot. April runs up to help him so Gary points the gun at her, and in a crazed, panicky voice she begins to stutter all sorts of personal info about herself: She's 28, she's from Columbus, Ohio, her mom is a teacher, her dad a corn farmer, and she's the second of four sisters. That said, she adds for good measure that she's barely lived, and no one has loved her yet, and she pleads, "I'm a person." As odd as this all seems, it does the trick, and Gary has tears in his eyes as he orders her to run, his tone of voice saying he might change his mind if she doesn't leave immediately. She doesn't have to be told twice, and after she sprints off Gary points his gun back at Derek, who is struggling for breath and trying to talk to him. Just then he hears a sound and looks down to see the SWAT team coming in, guns drawn. Though he has a crystal-clear view of them and in fact is on a catwalk in plain sight, I guess they don't actually look up and see him, but it's all for the best of the story as we still have about 59 minutes of the episode left. As he runs off, Derek VOs, "Live or die. That's the important choice. And it's not always in our hands."
Cristina seems to have gotten Mere back into the supply closet, and all I can think about is how that place must smell badly like vomit right now. Meredith wants to get out in case Derek is still alive, but Cristina points out that she could get herself shot, and tells Mere that she won't let that happen. "You want to go, you're gonna go through me." It's an impressive declaration but she's no match for a twiggy girl whose Post-It husband is bleeding out a short ways away, and Mere throws her out of the way and face-first into a supply rack before running out. I have no idea how Cristina didn't break her nose after that, but she seems all-in-all pretty intact and just dazed.