Alex with Cristina in a photo from "The End is the Beginning is the End."
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Torres and Karev in "I Was Made For Lovin' You." This Grey's Anatomy episode airs 11/29/12.
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Callie and Alex in "I Was Made For Lovin' You." This Grey's Anatomy episode airs 11/29/12.
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Jackson, Mer and Karev in a photo from the October 25, 2012 episode of Grey's Anatomy. "I Saw Her Standing There" is the fourth installment of Season 9.
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Justin Chambers as Dr. Alex Karev on ABC's Grey's Anatomy.
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Justin Chambers as Alex Karev in the Season 9 premiere of Grey's Anatomy.
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Jackson and Alex in the Season 9 premiere of Grey's Anatomy.
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Alex and April have a conversation in the April 26, 2012 episode of Grey's Anatomy.
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Grey's Anatomy Quotes

I want to marry you. I want to have kids with you. I want to build us a house. I want to settle down and grow old with you. I want to die when I'm 110 years old, in your arms. I don't want 48 uninterrupted hours. I want a lifetime. Mmm. Do you see what happens? I say things like that and you fight the urge to run in the opposite direction. It's okay, I understand. I didn't, but now I do, I do. You're just getting started and I've been doing this for a long time now. Deep down, you're still an intern, and you're not ready.

Derek

When we say things like "people don't change" it drives scientist crazy because change is literally the only constant in all of science. Energy. Matter. It's always changing, morphing, merging, growing, dying. It's the way people try not to change that's unnatural. The way we cling to what things were instead of letting things be what they are. The way we cling to old memories instead of forming new ones. The way we insist on believing despite every scientific indication that anything in this lifetime is permanent. Change is constant. How we experience change that's up to us. It can feel like death or it can feel like a second chance at life. If we open our fingers, loosen our grips, go with it, it can feel like pure adrenaline. Like at any moment we can have another chance at life. Like at any moment, we can be born all over again.

Meredith