Alex is chopping tomatoes for sandwiches while Ava watches him with her eerie blank stare. She finally mumbles a request for mayo, which he announces is a good thing, because that means she's hungry. Yeah, keep telling yourself that, Alex. His phone rings and he goes into the hallway to talk to Izzie. He gets mad when she asks how Ava is doing and questions if she's eating, if Alex has called her husband, and the like. She tells him not to get mad that she cares, but he calls it "butting in." I'd call it a little of both, but as she's the only one facing the fact that Ava needs medical attention, she's more in the right than not. Alex begins to yell that Izzie can show she cares by covering for him at work, not by calling him and checking in every hour, but his rant is interrupted by a noise from the kitchen. All Izzie hears is Alex beginning to yell Ava's name.
And in Derek and Mere's trial, Jeremy has passed away. Derek angrily calls time of death and pulls off his cap and storms away.
At the house, Alex walks back into the kitchen and then screams Ava's name and runs towards where she was sitting.
Derek and Mere go into Beth's room where she's waiting with her parents, and the look on their faces tells her everything. She puts up her hand and tells them not to say anything.
In Meredith's kitchen, Ava's hand falls, and she drops the bloodied kitchen knife onto the counter into puddles of her own blood while Izzie calls into the phone asking Alex if everything is okay.
Meredith tells Beth she's sorry, but Beth angrily tells them not to say anything. She then begins chanting that like a mantra, getting more and more upset, as her mom takes her and holds her. Derek then goes to the fridge, grabs the bottle of champagne, and hurls it into the trash can. The fridge door then slams closed on the first half of this season finale.
To read the second half of the season finale, click here!