Welcome to the 263rd Grey's Anatomy Caption Contest at TV Fanatic!

Your Caption Contest winner this week is me. Congratulations!

The winning entry appears below. Honorable mentions go out to D, lehahaha and teave. Thanks to everyone for playing and best of luck again next time!

Derek: Meredith, what I hold in my hand is a pirce of paper, one which was sent to me by Alex Karev. Now before I get angry - and I'm trying really hard not to - is there anything you'd like to say?
Meredith: Alex kissed so many crazy girls that he went crazy! Don't listen to him! It's not like I actually switched the medicines.
Derek: I didn't say anything about switching the medicines yet.
Meredith: Crap.

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.