This is the second hour of a 2-hour season finale. A two episode entries have been created. The 10pm EST marker will mark to beginning of the second episode.rnrnA couple undergoes surgery. Derek and Meredith clinical trial has another patient. Alex breaks down for the first time ever. Izzie offers a friend some help. McSteamy hooks up with someone. A new couple appears. Lexie gets something unexpectedly. George gets a second chance.