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In the two-hour season finale, Meredith and Derek take another shot at the clinical trial while the others race to free a boy from a hardening block of concrete. Meanwhile, Izzie helps Alex care for Rebecca and Lexie learns a secret about George’s intern status.

Meredith and Derek work on their last patient in their clinical trial, as the other surgeons try desperately to free a hardening block of concrete. Izzie helps Alex care for Rebecca, and Lexie discovers important information about George’s intern status.