Nice ring. Alex outdid himself.
We're gonna have beautiful kids, don't you think? Is four too many?
Ideally it would be two boys, and two girls. One of which would definitely be a tom boy. And I was thinking I should have them pretty close together, though that might be stupid.
Exactly. That way if I'm not able to practice medicine anymore...
I'm asking you. Why do you keep agreeing with everything I say?
Because I am you. I'm your tumor. You're talking to yourself.
At least until you have surgery. If you have surgery. Are you gonna have surgery?
If Derek cuts the tumor out I could lose my memory, and if he doesn't I can die. I don't know what to do. Alex, tell me what to do.
Iz, I can't tell you what to do.
Of course you can, you're my husband. That's what husbands do, they stomp around telling their wives what to do. It's your job.
My job is to support whatever you wanna do.
I don't know what I wanna do. That's why I'm asking you. OK, I have an idea. Let's put it to a vote. All in favor of the surgery.
No. We're not voting. No ones... no ones voting.
I'm opposed... to voting.
Just decide for me. Please?
You don't have to know right now. Think about it.
SSwinder
The test impaired your memory to such a degree that I have to strongly recommend you don't have the surgery.
Izzie, the test was the worst case scenario. The result has nothing to do with the surgery.
SSwinder
We don't know that.
But what I do know is that not operating is every bit as risky as the surgery itself. If not more. But, it's up to you.
I think he's talking to you, not me.
I'll leave you two alone to discuss this.
Ah, I'll come with you. I have a couple of questions.
Think about what you want to do for a second, OK? I'll be right back. [everyone but Meredith leaves the room. Meredith closes the door]
You are not having the surgery!
She just had brain surgery, and an incredibly aggressive course of IL2. She needs rest.
She needs to exercise whatever memory she's got left before it all turns to mush.
Well she's not going to heal with you barking orders at her like a caveman.
You know what she's my patient. I don't care if you’re her husband.
You wanna see how fast I can get your visiting hours down to zero?
She signed a DNR. She signed a fricking DNR and made me promise me she'd come out of this with a life, not in a hospital bed, not with no brain. I had to promise she'd have a life. You wanna know what happens if she can't make any new memories? Forget about being a doctor. She's going to need round the clock baby sitters. We get an apartment together, she can't ever find her way to the damn toilet, track her on her ankle in case god forbids, she wanders out the front door!
Alex, you can handle this, she will get better.
Maybe, maybe not. It's on me. Her future is on me.
How's she doing? Any better?
Damn. Well, I'm going to city hall to go do the thing.
Seriously? It doesn't seem like the day for it.
Look at Alex. He's in there working so hard all day, and she doesn't know. And, if she stays like this she may never know how much he loves her. And that girl Amanda, she's in there loving a stranger. She thinks that's her Prince Charming. I mean, he's probably gonna die today. Chances are. So yeah, I'm gonna go get married, because I think it's important to take the time to tell the people you love how much you love them while they can hear you. I love you Cristina Yang. [smiles]
Mmmm... Maybe I have. What?
No, you know let's go, we gotta go. We gotta run to city hall, we'll come back, you'll check on Izzie, we'll monitor John Doe, I'll go talk George out of joining the army!
Look, we can do this another day-
There is no other day! Everyday is like this, everyday there's a crisis, there's no time.
I love you and I do want to marry you, today. But there is no time.
[Cups her face with his hands] Do you have a piece of paper?
I want to be with you forever. And you want to be with me forever. In order to do that, we need to make vows. A commitment. A contract. Give me, a piece of paper.
I don't! I-I-I don't... I have post-its. [Hands him posts-its and a pen. Derek goes and sits on the bench]
Okay... what do we want to promise each other?
That you'll love me, even when you hate me.
To love each other... even when we hate each other. [writes it down on the post-its] No running. Ever. Nobody walks out. [Meredith joins him on the benches] No matter what happens.
That we'll take care of each other even when we're old and smelly and senile. And... if I get Alzheimer's and I forget you...
I will you remind you who I am, every day. [They smile at each other] To take care when old, senile, smelly. This is forever. [Derek finishes writing on the post-it, then gives it and the pen to Meredith] Sign.
This is our wedding? A post-it?
Mhmm. Well, if you sign it. [Meredith signs it happily and then hands it back to Derek]
Now, I kiss the bride. [He kisses her tenderly. Meredith's smiling as they kiss. Then Derek slowly pulls back]
Married. [Derek puts the post-it note with their vows and signatures on the back of her cubby, then turns to her] You see that? Plenty of time.
[voiceover] According to Elisabeth Kübler-Ross, when we are dying or have suffered a catastrophic loss, we all move through five distinct stages of grief. We go into denial because the loss is so unthinkable we can't imagine it's true. We become angry with everyone, angry with survivors, angry with ourselves. Then we bargain. We beg. We plead. We offer everything we have, we offer up our souls in exchange for just one more day. When the bargaining has failed and the anger is too hard to maintain, we fall into depression, despair, until finally we have to accept that we have done everything we can. We let go. We let go and move into acceptance.
LBLexie, Bailey, Hunt, Cristina, Shepherd, Sloan, Callie, Webber
What do you mean he wrote in your hand?
He just grabbed my hand, and he squeezed it and he wrote with his finger.
He wrote with his finger?
You know in my hand, he wrote 007.
[grabs Meredith's hand and proceeds to write on it using her finger] Okay, what did I write?
You mean this might not be O'Malley?
Did anybody try to phone O'Malleyf? Can we get him on the phone?
[Everybody retrieves their cell phones and start calling]
I'm telling you he squeezed my hand.
[hushes Meredith] Shut it! You don't get to talk anymore! You don't get to talk ever again!
I could have sworn it was George.
[voiceover] The dictionary defines grief as keen mental suffering or distress over affliction or loss; sharp sorrow; painful regret. As surgeons, as scientists, we're taught to learn from and rely on books, on definitions, on definitives. But in life, strict definitions rarely apply. In life, grief can look like a lot of things that bear little resemblance to sharp sorrow.
[Alex, Derek and Arizona are waiting on a CT myelogram]
I get it now the whole, you know, "McDreamy" thing. I didn't, I didn't get it before. But now I get it. You know they call you that, right? [Alex rolls his eyes]
I'm involved, by the way, in case you thought that I was just coming on to you, because I was not. Plus I heard that you got married so congratulations.
[snickers] You wrote some hokey crap on a post-it note in the residents' lounge. Sorry, but until you're sweating it out in a morning coat with a ball of white taffeta coming at you, you're not really married.
[chuckles] Oh, I've consummated mine. I consummate mine all the time. How's that going for you, Karev? Girls talk. You might want to consider that the next time you judge my post-it.
