Alex deposits his cup of sperm on the table right next to where Richard is eating lunch. Richard gets all grossed out, and reminds him that he needs to talk to Izzie about procreating and such. The residents eat their lunch in the cafeteria, but none of them have checked in on Izzie. Bailey goes in to check on Izzie again and is surprised to see that Izzie has finished the scarf she was knitting. She had a lot of time to knit since none of her friends came to visit. She doesn't blame them, though, because she probably wouldn't want to visit either.
Callie confesses to Arizona in the hospital chapel that she wanted Izzie to die for so long while she was with George. Callie feels so incredibly guilty that she wished death upon someone, but Arizona reminds her that she isn't praying for Izzie's death anymore.
Alex's old lady patient starts coding again, and her relatives kind of roll their eyes impatiently, wondering if this is the time she is actually going to die. Alex throws them out of her room, charges up the paddles and revives her. The old lady regains consciousness and hears Alex tell Lexie (Chyler Leigh
) not to let her heartless nephews and niece in the room again. But the old lady says no. They are impatient for her death, but they always come to be by her side. They are her people, and having people is better than having no people. This makes Alex realize that he probably should be by Izzie's side (duh!), so he runs to her room. But he is too late; she has already been taken to the OR.
Right before Derek goes into the OR to operate on Izzie, he runs out to tell Meredith that he's not ready to operate because he needs her to say yes to his proposal. Whatever happens in that operating room today, he needs to know that he still has Meredith afterwards. Meredith is completely awesome here. She says no, she can't say yes just to make it OK for him if Izzie dies. She tells Derek firmly that she loves him and he better go back in there and operate because she knows he can do it.
On the table, right before they put her under, Izzie tells Bailey that the scarf she was making was for her. Derek says his usual, “It's a beautiful day to save lives.”
Callie finds George angrily pounding away at casts or whatever. He says that he doesn't want to talk about it because he's mad that Izzie kept her condition from him, and that when she needed help, she turned to Cristina, of all people. Callie knows that what's really upsetting George is that his best friend could die on him.
Lexie is all by herself with the old lady. Lexie can't revive her when the old lady starts coding. She tells the impatient relatives that their aunt is finally dead. But then, the heart monitor starts up again, and they get all, “Are you kidding me? Again?” But Lexie says that it's just her pacemaker causing the monitor to go off, and she's really dead. She's only an intern, however, so she has to get Mark to call it. Lexie tells the relatives that they can go catch their planes and go to their board meetings, but now that the old woman is actually dead this time, they get sad and decide to stay a bit longer to pay their respects.
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