Dr. Karev

Dr. Alex Karev (Justin Chambers) in a photo from "Elevator Love Letter," from the fifth season of Grey's Anatomy.
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Derek and Owen

Derek and Owen in a photo from "Elevator Love Letter." His PTSD is getting worse and worse, apparently - but can Derek help?
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George and Mer

Meredith and George (he lives!) in a promotional photo from "Elevator Love Letter."
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The Seattle Grace Gang

Meredith, Cristina and George in a photo from "Elevator Love Letter."
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Hail to ...

... we had to go there. Sorry.
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Grey's Anatomy Season 5 Episode 19 Quotes

Derek: Hey. Come on in. This is a CT of Katie Bryce. 16 year old female, subarachnoid aneurysm.
Meredith: From a fall during rhythmic gymnastics. I remember.
Derek: I remember, it was the first surgery we ever scrubbed in together on. Our first save. Right here is a cerebral cyst. Tough save, but we did it. I kissed you in the stairwell after the surgery. And this right here is where Dr Bailey kicked you out of the surgery, because she caught us in your driveway, in my car. And right here, this is a seven hour craniotomy. You held the clamp the entire time, never flinched. That's when I knew you were gonna be an incredible surgeon. Beth Monroe, made our clinical trial a success by surviving. You talked me into putting her under. That's when I knew I needed you. And this is today, post op head CT of Izzie Stevens. You see that? Right there. Tumor free. Because of you. You got me into the OR. If there's a crisis, you don't freeze, you move forward. You get the rest of us to move forward. Because you've seen worse. You've survived worse, and you know we'll survive too. You say you're all dark and twisty. It's not a flaw, it's a strength. It makes you who you are. I'm not gonna get down on one knee, I'm not gonna ask a question. I love you Meredith Grey, and I wanna spend the rest of my life, with you.
Meredith: And I wanna spend the rest of my life with you.

Richard: Wait. Um. Wait. No. You can't take that one.
Meredith: Why not?
Richard: I said don't take it.
Meredith: I will take the elevator I want to take.

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 Cinematic Orchestra iTunes