In hospitals they say you know. You know when you're going to die. Some doctors say it's a look patients get in their eyes. Some say there's a scent, a smell of death. Some think there's just some kind of sixth sense, when the great beyond is headed for you, you feel it coming. Whatever is it, it's creepy. Because if you know, what do you do about it? Forget about the fact that you're scared out of your mind. If you knew this way your last day on earth, how you want to spend it?
As We Know It
Season 2, Episode 17
Air date February 12, 2005
Written by Shonda Rhimes
Directed by Peter Horton
Episode Guide transcript
It's the End of the World

As We Know It is the seventeenth episode of the season two and the twenty-seventh overall episode of Grey's Anatomy.


Danger looms at Seattle Grace as the Code Black in is full effect. Derek refuses to vacate the OR as Tucker's head is still open on the table, endangering both their lives; Bailey refuses to push as she endangers her life and her baby's life and Meredith still has her hand in the body, with Cristina refusing to leave her. Away from the bombs, the stress gets to Richard, causing him to have a suspected heart attack.


The episode starts with a thud.

Dr. Shepherd refuses to leave his OR, as he has an open brain on the table and the patient is Dr. Bailey's husband. Also, Dr. Bailey refuses to push and asks George to take her home, but George declines as the baby could be in severe danger if she doesn't push.

Meanwhile, the floor has been evacuated, leaving Dr. Shepherd's team.

The OR with the patient with the bomb being held on by Meredith is straight above the oxygen line, so if suddenly the bomb blows up, it could blow the whole hospital up and so they decide to move.

Richard, with intense pressure and stress has an anxiety attack that brings Adele to the hospital.

Then, after some time, Meredith is ready to pull the bomb out.

Meanwhile, George finally convinces Miranda to push, while Dr. Bailey's husband has no pulse and is dying.

Meredith finally takes out the bomb and hands it over to Dylan Young, who tells her that she did good.

Dr. Bailey's husband finally has a pulse and is able to breathe properly.

Miranda's baby is born. 

Everything is going fine until Meredith curiously goes to see what will be done with the bomb, but as soon as she walks out of the OR, the bomb explodes, killing Dylan and another bomb squad member. Meredith has a great fall, but is alive.

In the end of the episode, Derek comes to Meredith and she says that she doesn't remember their last kiss. They talk and then Derek leaves.