It is late, dark and raining. A tire explodes and the car flips over, one time, two times, three times. Not a sound is heard, both the driver and the passenger are hanging upside down in their seatbelts. The airbags are inflated.

The car is almost invisible from the road but a young boy in a passing car spots the backlights and his father stops and backtracks. The car is resting on its roof. "Dad, do you see. There are people in it." His father is already punching the numbers on his cell phone.

First to arrive is a police car followed by the ambulances. Both passengers are carefully removed. The woman is bleeding from small cuts, nothing severe, but a red bruise on her right temple. She is unconscious. The man needs to be cut loose. His left leg is broken and he has a large bump and a small cut on his forehead. He is also unconscious.

The ambulances take them to the nearest ER in a small town about 100 km south of Seattle. The doctor on call is doing an exam of the woman when she opens her eyes and moans. The nurse by her side hears her. "Hi there, what's your name dear?" The woman looks confused and scared. The nurse continues "can you please tell me your name and your friend's name?" "My friend?"

The man wakes up shortly in the ambulance and asks the paramedics, "Is she OK?" The paramedic says "Your friend is already in the ER. What is your name and what is her name?" The man doesn't answer he is out again.

In the ER it is soon decided that the man needs an ortho who can puzzle the man's left leg together. He will probably need an implant to replace a part that is crushed. They decide to send him by ambulance to Seattle Grace Hospital where Dr Torres can work her magic. She is the best in the state and this man really needs magic to be able walk without a cane.

At the same time the woman gets unconscious again and stops breathing. The doctor intubates her but since the hospital doesn't have a MRI they decide to airvac her to Seattle Grace Hospital. The neuro guy is world famous and they have a MRI.

The phone rings at trauma bay. "Dr Hunt, you are needed on the roof and an ambulance is transferring a victim of a car accident in need of Torres, ETA 25 minutes. The chopper ETA 5 minutes, patient on respirator, severe head trauma." "Page neuro and ortho" Dr Hunt answers "and I need Dr Bailey and Dr Karev with his interns. Make Dr Karev meet me at the roof."

Dr Derek Shepherd is on the ferryboat, finally going home when he gets the page. He is daydreaming, almost sleeping after a long 14 hours shift. His last surgery took longer than expected and right now is a beer and a massage what he wants, needs, almost as much as he needs Meredith. She and Mark are expected home, from a consult south of Seattle, about now. Maybe she's already at the trailer. The beeping is so not wanted. It is a 911 and Derek calls trauma bay and tells the nurse in charge that he will be back in 45 minutes. First, the ferryboat must dock and return to Seattle. They will have to do with residents and Dr Bailey for the time being. He calls Meredith to tell him that he will be late but her phone goes to voicemail, so does Marks phone. They must be in a non service area.

The police, who first arrived at the crash site, walk into the ER. He asks about the victims and is told that Jane and John Doe are transferred to Seattle Grace Hospital. That's good because they both work there as doctors. He has found there Id-cards in the car and will now send their belongings to Seattle.