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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...
Derek: Now we just wait for the brain activity in that area to stop.
Izzie: Dog, plane, house. Dog, plane, hou....
Meredith: (Der nods to Mer) Ok Izz. Can you tell me what you saw?
Derek: (Mer looks at him scared) Show her the cards.
Meredith: What's this? (Izzie looks at the card) Dog. Can you say dog?
Izzie: (Tries to speak) Nnn... ah.. nnnyahhh...
Meredith: Well, what's my name?
Derek: Just stick to the cards Meredith. (Mer looks at Derek getting more scared)
Meredith: Meredith. You know my name, you can say my name.
Izzie: Mmm... Mmmme...
Swinder: This is what I was afraid of.
Meredith: Ok, whose Alex? Izz, ok. You don't have to speak. Just, nod your head for me if you know who Alex Karev is. (Mer looks at Der and is starting to tear up. Izzie looks around really scared.)
- Permalink: Now we just wait for the brain activity in that area to stop. ...
Meredith: Ok Iz, I am going to show you a series...
Izzie: A series of images that you want me to try to remember once Derek put the right side of my brain to sleep.
Izzie: Hit me. Show me what you got.
Izzie: Is that a schnauzer or a scotty? How specific do I need to be?
Derek: Dogs fine.
Izzie: It's either a 727 or a 747.
Izzie: Oh, a 2 story victorian mansion.
Derek: We would also accept the word house.
Izzie: Schnauzer, 747, mansion, Schnauzer, 747, mansion...
Derek: Or... dog, plane, house. I'm gonna put the right hemisphere of your brain to sleep now, ok?
Izzie: Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house. Dog, plane, house.
- Permalink: Ok Iz, I am going to show you a series... A series of images t...
Meredith: It's impressive, but it took 2 years to get these results.
Cristina: Yeah but, these 2 scans were taken 3 months apart.
Meredith: But, Izzie may not have 3 months. That tumor could start bleeding in 3 days, or 3 seconds. And, since when are you not about cutting?
Cristina: Since it may not be in the best interest of our patient.
Meredith: And Derek's not acting in Izzie's best interest? (Der opens the door)
Derek: They're reinforcing radiology. (Der gives Mer a look)
- Permalink: It's impressive, but it took 2 years to get these results. Yea...
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...
Denny: Nice ring. Alex outdid himself.
Izzie: We're gonna have beautiful kids. Is 4 too many?
Denny: 4 is perfect.
Izzie: Ideally it would be 2 boys, and 2 girls. One of which would definitely be a tom boy. And I was thinking I should have them pretty close together, though that might be stupid.
Denny: Why wait?
Izzie: Exactly. That way if I'm not able to practice medicine anymore...
Denny: You won't want to.
Izzie: You don't think?
Denny: Do you?
Izzie: I'm asking you. Why do you keep agreeing with everything I say?
Denny: Because I am you. I'm your tumor. You're talking to yourself.
Denny: At least until you have surgery. If you have surgery. Are you gonna have surgery?
- Permalink: Nice ring. Alex outdid himself. We're gonna have beautiful kid...
Swinder: You wanna remove her hippocampus?
Derek: One of them. It's a common procedure for seizure patients
Swinder: Moving her hippocampus could compromise her memory, her speech, she wouldn't be able to practice medicine anymore.
Derek: I have performed this surgery hundreds of times.
Swinder: On cancer patients?
Derek: No. But it's...
Izzie: If you do the surgery I could lose my memory?
Derek: It's unlikely but it's possible.
Izzie: And, if you don't do the surgery...
Swinder: We could shrink the tumor with IL2.
Izzie: If the tumor doesn't kill me first.
Derek: Why take the chance?
Swinder: Have you even done a WADA test to see how her memory would be affected?
Derek: Putting her brain to sleep and asking her to remember a bunch of flash cards is not an accurate assessment of the post surgical outcome.
Swinder: But, it would tell us whether or not she could function afterwards. And, as Dr. Stevens primary physician...
Derek: Fine I'll do it. It's unnecessary but...
Swinder: The surgery is unnecessary.
Derek: The tumor is already symptomatic, she's having hallucinations.
- Permalink: You wanna remove her hippocampus? One of them. It's a common p...
Mark: How much of that did you hear?
Derek: You mean the part where you asked her to move in with you, or the part where she shot you down?
Derek: I was here for both. By the way, it's just way too early for you to be moving in with Lexie. You don't have to do everything I do.
Mark: This is not about you! I have my own future to think about. Life is short. Look at what's going on with Stevens.
Derek: Don't worry about Stevens. I've got a plan.
- Permalink: Ahem. How much of that did you hear? You mean the part where...
Mark: Hey, I was thinking, you know, with ah, Derek and Meredith getting married, they ah, probably don't want us hanging out in the attic much longer. So, I was thinking I'd start looking for a condo.
Lexie: Perfect. Then you'd finally have a place of your own.
Mark: Actually, I was, you know, thinking maybe, you'd ah, you'd come with me.
Lexie: Absolutely, no I'd, I would love to see it. I'm so happy for you.
- Permalink: Hey, I was thinking, you know, with ah, Derek and Meredith getti...
Richard: Who is Santa Claus?
Bailey: An old white man, who lives at the north pole, and enters peoples homes inappropriately.
Richard: No. I'm Santa Claus.
Bailey: OH NO YOU DID NOT!
Richard: Oh yes I did. The Da Vinncci SIHD surgical assistant.
Bailey: Tell me you didn't wait till I'd all but left the general surgery program to buy us a Da Vinncci!
Richard: Care to take it out for a spin?
- Permalink: Who is Santa Claus? An old white man, who lives at the north p...
Owen: So ah, I had a good session with my shrink this morning.
Cristina: Did you talk to her about your Mom? I mean, have you seen your Mom yet? 'Cause she lives, you know, a few miles away and she thinks your still in Iraq.
Owen: I'm planning to see her.
- Permalink: So ah, I had a good session with my shrink this morning. Did y...