Meredith Grey is finally engaged to her man, Derek Shepherd. It's a wonderful thing.
Derek constructed a Meredith Grey Hall of Fame of sorts to propose to her in the elevator. It was wonderful, simply put.
Meredith and Derek didn't actually ask and answer any questions, but they definitely got engaged in "Elevator Love Letter," and it was awesome.
Derek proposed to Meredith in the elevator. Appropriate, romantic and just about perfect.
Alex Karev is sad for so many reasons about Izzie Stevens, and worries about what the future holds for them, if they have one at all.
Derek tries to tell Owen that PTSD is not something he should try to handle on his own. Hopefully Hunt will take that advice to heart.
Derek is still McDreamy, even at his lowest point. We actually kind of like the beard.
A scary scene from "Elevator Love Letter" in which Owen strangles Cristina while asleep. The scene is rather intense.
Miranda Bailey is the boss at Seattle Grace, and don't you ever forget it, interns. Residents. Even the Chief. She runs the show!
But also doctors. Can Meredith and Cristina draw the line "Elevator Love Letter" or will their desire to help medically get in the way?
Meredith, Alex and Cristina are urged by Dr. Bailey to be Izzie's friends, not her doctors, as she begins her difficult battle with cancer.
Meredith and the Chief talk things over in a photo from "Elevator Love Letter," from Season Five of Grey's Anatomy.

Grey's Anatomy Season 5 Episode 19 Quotes

Doesn't matter how tough we are, trauma always leaves a scar. It follows us home, it changes our lives, trauma messes everybody up, but maybe that's the point. All the pain and the fear and the crap. Maybe going through all of that is what keeps us moving forward. It's what pushes us. Maybe we have to get a little messed up, before we can step up.

Alex (narrating)

Meredith: You're wearing a turtle neck under your scrubs. It's ugly. Not as ugly as the fact that you hugged him. You hugged him.
Cristina: I get it. I hear you. Lets move on.
Meredith: Turtle necks aren't ok. You're not ok, and your boyfriends not ok.
Alex: Is your boyfriend ok?
Meredith: What?
Cristina: Pardon?
Alex: To be cutting into brains today. Is he ok to be back?
Meredith: Yes. Of course. Derek is fine.
Alex: I was there for his carnage in the OR remember? This isn't just any patient today, this is Izzie.

Grey's Anatomy Season 5 Episode 19 Music

  Song Artist
Song Little Pieces Gomez
Song The Weight Of Us Grey's Anatomy Sanders Bohlke iTunes
That home That Home Cinematic Orchestra iTunes