Written by series creator Shonda Rhimes and directed by co-executive producer Peter Horton, it originally aired on February 12, 2006, and is the second of a two-part story, following the first part, "It's the End of the World".
[1] The episode opens with a voice-over narration from Meredith Grey (Ellen Pompeo) about the inevitability of death and the urgency of making the most of the time one has left.
Miranda Bailey (Chandra Wilson) is in labor, but without her husband, Tucker Jones (Cress Williams) (who is undergoing neurosurgery), by her side, she refuses to push.
The hospital's Chief, Richard Webber (James Pickens Jr.), is under immense stress from the ongoing chaos, leading everyone to believe he is suffering a heart attack.
In a revival of the "shower scene" from the first part of the episode, this time with a more serious tone, a fully clothed Izzie and Cristina Yang (Sandra Oh) wash the blood off a stunned Meredith, while George looks on.