George enters an O.R. where Callie is performing surgery. He asks if she's really operating on a 7-year-old John Doe from the ferry crash. She is, and he asks if he can see the patient's face. Unfortunately, she's operating on his spine, so he's face down at the moment. George holds out the photo and asks if her patient is the boy pictured. She kind of ignores him, and he asks her, "Please tell me it's him. Tell me he has been right here under my nose and open on your table all day and not drifting along the bottom of the ocean." It's an estuary, George. She relents and asks him to hold the photo in the light so she can see it clearly. She tells him she's sure it's her patient because he has unmistakably goofy ears. George is near tears (of relief) as he walks away. As he backs out the door, he loudly says, "Callie O'Malley. I can't kiss you right now 'cause you're scrubbed in. But tonight, when you get home, I am going to... ." Callie cuts him off before he gets to the good part and asks all of the assembled doctors and nurses to please focus on the surgery and not on her naughty bits. As she kicks George out of the room, his pager goes off.
Mini-Mere is standing in the hospital, creepily looking around and picking out her next victim. And then a woman runs up to her and starts hugging her. I guess even serial killers have mothers who love them.
In a trauma room, various doctors are working on Meredith while Derek continues to perform CPR. He's tired and fading, but he doesn't want to quit. But Bailey is as strong as she ever is, and she tries to get him to leave the room so they can save Meredith's life. But he won't leave until the Chief arrives and orders him out of the room. Patrick Dempsey has never looked as gorgeous as he does in this moment, teary-eyed and shaking and gently caressing Meredith's forehead. Commercials.
Burke exits the elevator outside Meredith's room and sees Derek sitting on the floor crying. You can see that he's torn between the desire to dive into the action of trying to save Meredith's life and comforting Derek. Burke asks Derek, "What do you need?" Derek tells him that what he needs is for Burke to go into Meredith's room and help save her.
In Meredith's room, there's talk about body temperature and procedures and whatnot. And then there's an alarm and they have to shock her before returning to CPR. Addison enters through a different door and is shocked by what she sees. But she jumps in with suggestions to raise Meredith's body temperature.