Yvette Cruise

A train crash brings several seriously injured patients to the hospital, providing a distraction for Meredith as she awaits Derek's final decision.

When a family arrives at Seattle Grace Hospital after a serious car accident, Alex learns that their injuries are only the beginning of their problems.

Meredith flatlines and gets a visit from Denny and Dylan in the afterlife; Derek and Meredith's friends work together to bring her back from the brink.

Cristina draws the envy of the other doctors when she scrubs in for the humpty dumpty procedure; George and Addison work with a pregnant woman who faces an unusual dilemma.

The team face opposition from the local law enforcement in charge of a murder investigation; when another victim is discovered, the two teams find a common ground and collaborate to identify the killer before further violence is perpetrated.

Earl faces a battle with government bureaucracy when he tries to make up for not paying taxes, and his efforts to atone leave him on the wrong side of the law; Randy buys a moped.