The staff tries to deal with physical and emotional trauma in the wake of the vengeful gunman's deadly rampage; Derek makes a spontaneous decision to resign as chief and return to surgery.
Izzie ponders whether to have a risky procedure; a patient prompts Owen to reassess his place at Seattle Grace; George has stunning news for Bailey; the doctors of Seattle Grace band together to save the victim of a traffic accident.
Meredith, rattled by the latest events, tries to figure out what to do about Derek. Meanwhile, Owen is shocked when his mother is admitted to the hospital.
The team are investigating the murder of man whose body was found wedged into the pin setting mechanism at a bowling alley; in order to obtain clues, Booth and Brennan go undercover and join a bowling team.
Jack travels to Cleveland to support Rebecca with her first big performance. He ponders back on his memories with Rebecca on his way to the show.
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