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Alex: She's like the woman who couldn't remember her husband was dead. We had to keep telling her every 5 minutes.
Derek: It's a perfectly normal post operative haze.
Alex: Or, the bleeding during the procedure blitzed her short term retention. Did you screw up her brain?
Derek: Karev, I'll be back. Try and stay calm. Freaking her out is not gonna help. (Der walks away)
Alex: Wake up.
- Permalink: She's like the woman who couldn't remember her husband was dead....
Izzie: Did you get the whole thing? Did you get the whole tumor out?
Derek: Just let me finish my exam. Can you tell me your name?
Izzie: My name is Isobel Stevens, it's 2009, and I'm in the neuro ICU at Seattle Grace hospital. Did you get the damn thing out?
Derek: Go the whole damn thing.
Izzie: Oh, you got it?
Izzie: Oh god, you go the whole thing. And I can talk, and I know my name, and I'm not a turnip.
Izzie: No offense.
Izzie: You are a great surgeon, but I really thought I was gonna be a turnip. This is so unbelievably great.
Cristina: Your kidneys are a little sluggish, so we're just gonna keep and eye on your electrolytes for a few hours. Your post op CRIT was fine.
Izzie: Ok, good. Good. How did the surgery go? Did you get the brain tumor? Did you get it out?
Alex: Iz, you just asked him that. We just talked about it.
Derek: No, no it's ok. She's gonna be foggy for a while. The tumor's out. There was a little bleeding during the post.
Izzie: You got it?
Izzie: All of it?
Izzie: That's amazing. Derek Shepherd, you are a hero. And I know that that's Derek Shepherd, and you're Alex, and you should kiss me. Alex, I don't have a brain tumor. I'm tumor free.
Alex: Yes you are.
Izzie: What's wrong? Why do you look weird?
Cristina: Oh, nothing. Nothing. Your kidneys are a little slow, we're just gonna watch them.
Izzie: Ok, so you'll just re-check my electrolytes in an hour?
Izzie: Ok... How did the surgery go? Did you get the tumor?
Derek: We did. Tumors gone. There was a little bit of bleeding, but we took care of that.
Izzie: You got it?
Izzie: Oh my god. And I can talk, and you didn't kill me. What's wrong with you people, we should be celebrating.
- Permalink: Did you get the whole thing? Did you get the whole tumor out? ...
Alex: Wake up, wake up, wake up, wake up, wake up...
Izzie: I have a headache.
Alex: You're up... You're up and you're talking. You talked right? Talk!
Izzie: Ow, I said I have a headache.
Alex: Page Shepherd.
- Permalink: Wake up, wake up, wake up, wake up, wake up... I have a headac...
Bailey: Any changes overnight?
Bailey: (pager goes off) Somebody had better go make a coffee run, you all look like hell.
George: I've gotta be in surgery in 10 minutes. Um, Mer, will you let me know?
Meredith: Yeah. We should go too. It's probably gonna be a while.
Alex: Shepherd said she'd wake up in the morning. What did he tell you? Was that all crap? What did he say?
Meredith: He said it may be a while.
Cristina: She's gonna wake up.
- Permalink: Any changes overnight? No. (pager goes off) Somebody had bet...
Alex: Look, you went crazy. When Denny signed that DNR you went crazy. Is that what you want? You want me cutting LVAD's?
Alex: You wanna wreck my career? 'Cause I will, I will freakin' cut LVAD's before I let you... just... just WAIT! STOP! You don't get to quit. You don't get to quit on me. Please! Tear it up! The DNR, tear it up! (crying)
Izzie: Where your eyes are supposed to be right now, I see white sandy beaches. And there's an ocean behind your head, and there are ghosts wandering in and out. I can't live like this, and I cant live if something goes wrong in that surgery I don't want any extraordinary measures taken to keep me alive. It's not what I want. I went crazy when Denny signed the DNR because I didn't understand. I didn't understand but now I do, and I need you to understand. I don't want you to go crazy, I want you to have a brilliant career, and I hope that I get to be here for that. But, if I can't I just wanna go to the other side. I don't know what's there but it's gotta be better than hospital beds and tubes down my throat. So please, please don't cut LVAD's. Just if it comes down to it, just let me go. And right now, kiss me. Please, please just kiss me and close your eyes because the beach is so distracting.
Alex: (crying) Alright. (kisses her)
- Permalink: Please. Alex. Look, you went crazy. When Denny signed that D...
Alex: You're having the surgery.
Alex: Shepherd said this is your last shot.
Izzie: Look I under-
Alex: I am your husband, and I say that you are having the surgery!
Izzie: What happened to "this is your decision."?
Alex: That was when I thought you were gonna make the right one! But, you chose wrong so now you don't get to make this decision on your own, because you married me! It's not just your life at stake anymore! It's my life too. My life with you! So you can tell Swinder whatever you want, but I'm telling Shepherd, and I'm telling you that you're having the surgery!
- Permalink: You're having the surgery. What? Shepherd said this is your ...
Alex: What's going on?
Cristina: Oh, we're just going over Izzie's IL2 schedule.
Alex: Oh, for after the surgery?
Izzie: I decided not to have the surgery.
Swinder: Maybe we should come back. Dr. Yang.
- Permalink: What's going on? Oh, we're just going over Izzie's IL2 schedul...
Alex: I need you to not talk medicine to me ok. Talk to me like I'm your friend. Like I'm the guy whose cereal you eat in the morning, and tell me what to do.
Derek: Karev, I can't tell you what to do.
Alex: What if it was Meredith? What would you do if you had to choose between spending a few more months with Meredith knowing she was gonna die. Watching her... watching her sick. Or spending the rest of your life with someone who looked like Meredith, but wasn't her anymore? (Der looks at him saddened, thinking about it) She is the one good thing that happened to me. The one good thing. So I need to know what to do. I need you to tell me, what if it was Meredith.
Derek: I would ask her to have the surgery.
- Permalink: I need you to not talk medicine to me ok. Talk to me like I'm yo...
Swinder: The test impaired your memory to such a degree that I have to strongly recommend that you don't have the surgery.
Derek: Izzie, the test was the worst case scenario. The result has nothing to do with the surgery.
Swinder: We don't know that.
Derek: 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.
Izzie: What do you think?
Alex: I think he's talking to you, not me.
Derek: I'll leave you two alone to discuss this.
Alex: Ah, I'll come with you. I have a couple of questions.
Izzie: Wait, Alex.
Alex: Think about what you want to do for a second, ok? I'll be right back.
(everyone but Mer leaves the room. Mer closes the door)
Meredith: You are not having the surgery!
- Permalink: The test impaired your memory to such a degree that I have to st...
Izzie: 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.
Alex: Iz, I can't tell you what to do.
Izzie: 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.
Alex: My job is to support whatever you wanna do.
Izzie: 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.
Meredith: No. We're not voting. No ones... no ones voting.
Cristina: I'm opposed... to voting.
Izzie: Just decide for me. Please?
Alex: You don't have to know right now. Think about it.
Izzie: I don't have time.
- Permalink: If Derek cuts the tumor out I could lose my memory, and if he do...
Allison: Can you turn him around so we can see the butt?
Izzie: Yes. Alex?
Alex: Ha, what, are you kidding me?
Izzie: (looks away) Oh! Big trauma just came in! (Alex turns around giving everyone a view of his butt)
Allison: That's quality booty.
Allison: Congratulations Izzie!
Izzie: Thank you.
- Permalink: Can you turn him around so we can see the butt? Yes. Alex? ...
Alex: Are you sure you're okay to be up and around?
Izzie: Yes. I have good days and bad days. Plus, I don't wanna spend out entire honeymoon in a hospital bed.
Alex: This is not our honeymoon.
Izzie: It totally is. Come on, I want you to meet my friends.
Alex: I know all your friends.
Izzie: You know all my doctor friends. I'm a patient now, you're gonna meet my patient friends, and they're gonna love my new husband.
Alex: Don't make it a big deal.
Izzie: I'm not gonna make it a big deal. (Walks into room) I'M A BRIDE!
Alex: Izz, come on. I'm getting her a real one.
Izzie: I love this one. (shows plastic ring) And, that makes it a real one.
- Permalink: Are you sure you're okay to be up and around? Yes. I have good...