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It is not just the acting and dramatic dialogue that can create this type of episode. The music and lighting add so much to the intense and jaw-dropping season finale. Song such as "In My Veins", "The Way It Ends", and "Unarmed" are all placed in specific scenes to highlight the severity of each situation. Music add to the emotions, it impacts the audience, and allows for the characters to get into full effect when filming. The music adds to the art of this episode and the mindset that Gary Clark had throughout it's entirety.

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Andrew Belle - In My Veins - Grey's Anatomy Season 6 Episode 24

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Being that this episode is one of the hardest to watch. As the episode beings and ends there is a sense of survival and the unexpected. Another day in the hospital turns out to be filled with death, danger, sacrifice, and fear. We watch the many victims get shot and slowly die by Gary Clark but we also see the suspenseful, heart-wrenching survivors of Gary Clark. Without the help from the brave and determined surgeons, no one would have been left alive that day.

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Owen Hunt
Owen Hunt was in the operating room where Gary Clark was holding Christina, his wife at gunpoint for fixing Derek. He began getting impatient with Gary, who was very unstable at the time. Gary ended up shooting Owen in his shoulder. Meredith and April rushed him to an OR to get the bullet out. They were success and he was able to heal properly only needing Antibiotics.

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Charles Percy
Charles Percy came into his patients room where Dr. Bailey was checking on her vitals. He told them that the shooter was on the floor.  As Bailey watch Clark shoot a security guard and start to head into the direction of the room she told Charles to hide and the patient Mary to act dead. Clark saw that the patient seemed dead and was about to leave as he heard a noise coming from the bathroom. He opened the door to find Charles. He asked if he was a surgeon and Charles replied with yes, Clark instantly shot him. When he left bailey started to treat Charles's wound with the help of patient Mary. They tried to get him to the elevator and realized they were not working. She had to let Charles know he was going to die without getting to an operating room. She told him that he did not need to be scared because they would be there with him. He later died in her lap. His last request was to have her let Reed know that he loved her, not knowing Reed had also passed away.

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Reed Adamson
Resident Reed was getting supplies in the storage closet when Gary Clark approached her asking where Derek Sheperd was. She was in a hurry and could not to be helpful in finding Sheperd for him. She was then shot in the head dying instantly. Reed Adamson was the first person to be killed and shot by Gary Clark. her body in a pool of blood was later found by April Kepner.

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Gary Clark
Before shooting himself, he was shot by the SWAT Team in hopes to stop him from putting  anyone else in danger. He was bandaged up by Callie Torres and then told her to leave him. HE was approached by Dr. Webber in the room where his wife had died. He offered webber, a recovering alcoholic,  some alcohol but Webber poured it out. Clark let him know that after he shot Sheperd he was going to kill him. But the problem he was facing was that he only had one bullet left. He was deciding between killing Webber or killing himself. Webber told him the outcome of shooting him would be life in prison furthering his misery. But if he did kill himself that he was meet his wife again and be whole. All his suffering would end. Ultimately, Gary Clark shot himself before the SWAT team could reach him.

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Alex Karev
Dr. Alex Karev was one of the first victims to be shot by Gary Clark. He was trying to help move Reed's body but Clark shot him before he could get away. He dragged himself into an elevator and waited until someone opened it up. Mark Sloan found him and immediately started to operate. He needed a blood transfusion, lactated ringers. Both needed surgery to be completed for him to survive. Mark Sloan, teddy Altman,  and Lexi Grey operated on him.

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Derek Sheperd
He had a gunshot wound his diagnosis was a Hematoma. The doctors that operated on him were Christina Yang, Jackson Avery, and April Kepner. he needed surgery and Pericardial repair from the bullet being in his aorta. Sheperd was lucky enough to live.

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Season 6 episode 24 of Grey's Anatomy takes you through a mass shooting in the Hospital. Through the Aesthetic Form it shows the art of life, death, and survival.

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As mentioned in my paper, an unforgettable and very hard to watch scene includes Christina Yang operating to save Derek's life after being shot. Gary Clark finds her, keeps her at gunpoint while demanding her to stop. She is faced with life and death and is numb from the thought of dying.  Owen Hunt, Meredith Grey, and Jackson Avery give any and all reason to persuade Clark from pulling the trigger.  Meredith tries to persuade him of shooting her but fails when he finds out she is pregnant. Instead, he shoots Owen Hunt. Yang and Avery let Sheperd flatline to make Clark believe he is dead, once Clark leaves they begin to operate again.