Whatever their conversation was about, Meredith doesn't appear thrilled with the outcome.
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With the stress of dealing with both work and home, Derek and Meredith look to be struggling to keep it together.
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We don't know why this patient was having surgery but she certainly looks relieved with the outcome.
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Given that smile on Derek's face, we hope that means good news for the patient on Grey's Anatomy.
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Derek finds he's juggling his responsibilities both at home and at work in "Go It Alone"
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There are lots of hands working in this operating room including Dr. Edwards, Dr. Wilson, and Dr. Murphy.
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With so much going on at work and at home, in the operating room is probably the place Derek feels most at ease on Grey's Anatomy.
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There it is. There's that Derek Shepherd smile we've all grown to love.
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Everyone raises a glass here to Cristina. She's up for a Harper Avery Award.
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Cristina, Owen and Arizona are all business in this Grey's Anatomy scene. It is from the episode "I'm Winning."
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Congrats to Cristina! She's been nominated for a Harper Avery!
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Isaiah Washington is back on Grey's Anatomy. Ellen Pompeo put this photo up on Twitter.
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Grey's Anatomy Quotes

Did you say it? 'I love you. I don't ever want to live without you. You changed my life.' Did you say it? Make a plan. Set a goal. Work toward it, but every now and then, look around; Drink it in 'cause this is it. It might all be gone tomorrow."

Meredith (closing voiceover)

There's a reason I said I'd be happy alone. It wasn't 'cause I thought I'd be happy alone. It was because I thought if I loved someone and then it fell apart, I might not make it. It's easier to be alone, because what if you learn that you need love and you don't have it? What if you like it and lean on it? What if you shape your life around it and then it falls apart? Can you even survive that kind of pain? Losing love is like organ damage. It's like dying. The only difference is death ends. This? It could go on forever.

Meredith