First Promo For "Elevator Love Letter"

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Below is the first promo for "Elevator Love Letter," this Thursday's all-new episode of Grey's Anatomy. It's the 19th episode of the show's current fifth season.

The big stories: Derek returns to the hospital to perform his first surgery since his breakdown, Izzie's medical condition requires her to undergo a difficult operation of her own, and Owen experiences another PTSD episode that injures Cristina and traumatizes both.

Sneak previews and photos to come! Here's the promo ...

[video url="http://www.tvfanatic.com/videos/elevator-love-letter-promo/" title="Elevator Love Letter Promo"] [/video]

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.

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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