The episode (and series) is written by Stacy McKee. That has been her primary achievement/occupation since Grey’s Anatomy is one of the longest running shows. She won the Writers Guild of America Award for Television: New Series. The dialogue is usually quick with the camera and dialogue shifting back and forth as the characters even break each other’s statements to start their own. This seems to create a sense of urgency and creates a tense and stressful environment. This is very much needed since it is the norm in hospitals where people need split-second decisions to save their lives and people dying is very common. Silence is usually used to allow the viewers to feel the finality and the depth of what has happened. This is usually after a death, an argument, someone leaving, or anything where there is a negative emotion to be felt. There are a lot of flashbacks usually either related to suffering in the past such as when Meredith Grey remembers how her mom neglected her or when April Kepner and Jackson Avery remember how their happy marriage turned out so badly or also happiness earlier on in life such as when Meredith Gray remembers how much she loved Derek Shepherd and how great their marriage was. The writing really seems to just capture the air and environment of a hospital, the urgency, the hope, the sadness, the desperation, the fear, and even the brightness of a fixed patient. The writer was perfect for the job and I believe is the rightful recipient of the Writers Guild of America Award for Television: New Series. Her writing has been instrumental in keeping viewers hooked for over 15 years with the same show as characters have come and gone. It’s the style of this show that has kept the viewers at bay.
(Stacey McKee is pictured above)