(Alex walks off and passes Cristina who's at the corner of a hallway on a telephone)
Cristina: I realize you're dealing with a lot of carnage. (Cristina looks confused) Did you happen to notice for example that it was shaved recently? (Izzie nods and they walk to Brooke & Jana)
(Cut to a trauma room where Derek is testing to see if Bonnie has any feeling in her feet)
Derek: Can you feel that Miss Krasnoff? (JOE'S BAR)
(Meredith alone at the bar, drinking tequila again)
Meredith: I actually said "Pick me." (She chuckles and leaves)
(Cut to the OR where Derek and Richard are repairing the nerves of the guy's leg. (The interns and other doctors run up)
MVO: I don't. (To Addison) Who's dying here? Addison: Right. Addison: Yes. Bailey (makes a face): You are drunk. Derek: Pole must've shifted. George: Who? God, doesn't that embarrass him? I know there was a train accident. Meredith is in there as well. Now clear me for surgery or you're fired. Nurse: She was bleeding internally. Patricia: I couldn't get one at this time of night but the hospital has pretty standard forms. She takes his arm in hers)
MVO: Because in the dark, there maybe fear...
(Cut back to the staff locker room, where they all sit quiet and exhausted. Spine severed. That's great. They start signing them)
Izzie: How long have you two been together? We're best friends. Yvonne is interrupted by her phone ringing and she picks it up)
Yvonne: Yeah.
Plan: A: Meredith; Q: Who is crushed when she realizes that Derek has chosen Addison? A: a final decision; Q: What does Meredith wait for from Derek at Joe's bar? A: her fear; Q: What is interrupted when a train crash brings several seriously injured patients to the hospital? A: the interns; Q: Who is paged back to work after a train crash? A: Two patients; Q: How many patients were impaled by a long pole and stuck together face to face? A: The doctors; Q: Who must make a tough decision because they realize that only one patient can survive the surgery? A: surgery; Q: What does Derek clear Webber for? A: Alex; Q: Who fails to notice that a patient is bleeding internally? A: a patient; Q: Cristina works on a foot that has been sliced off of who? A: best friends; Q: What are the two pregnant women Addison and Izzie work with? A: great potential; Q: What does Addison see in Izzie? Summary: Meredith nervously awaits a final decision from Derek at Joe's bar, but her fear is interrupted when a train crash brings several seriously injured patients to the hospital and the interns are paged back to work. Two patients were seriously injured in the train crash and were both impaled by a long pole and are stuck together face to face. The doctors must make a tough decision because they realize that only one patient can survive the surgery. Meredith realizes that Derek has chosen Addison, and she is crushed. Alex fails to notice the friend of his patient is bleeding internally and she eventually dies from her injuries. Cristina works on a foot that has been sliced off of a patient, however things get complicated when she and Webber realize that it doesn't belong to who they thought it did. Addison and Izzie work with two pregnant women who are best friends. Addison sees great potential in Izzie, who must decide whether her loyalty as Meredith's friend outweighs professional gain. Derek clears Webber for surgery.