Derek: Karev, I just reviewed Izzie's most recent MRI and it doesn't look like the tumors grown since her last scan, so that's good news. Do you have an questions or concerns that you'd like to discuss with me before we brief Izzie?Alex: Just try keeping her frontal lobe inside her skull this time.
• Season 5, Episode 19: "Elevator Love Letter" • Rating: Unrated • Permalink
Bailey: Ok, as you know you have stage 4 metastatic melanoma. You have a lot of surgeries, and a lot of procedures lined up for you over the next few weeks.
Richard: We've seen evidence of METS on your liver, so one of those surgeries Dr. Bailey and I will resect them. We also lined up Dr. Parker from OB to harvest as many healthy eggs as she can before you undergo any radiation.
Izzie: Right. Babies.
Bailey: Just leaving the option open for you if you want it.
Derek: But our priority today is to address the temporal lobe METS on your brain. I'm surprised we didn't catch it sooner. This kind of thing can cause headaches, seizures and intense hallucinations. But, hopefully the legion has a clear margin so I can remove it all.
• Season 5, Episode 19: "Elevator Love Letter" • Rating: Unrated • Permalink
Meredith: There's coffee.
Derek: (silent, puts the ring on table)
Meredith: No. Not like this. Today is your first day back at the hospital. Today is about Izzie, you have to operate on her brain. You have a gift, and you can do this.
Derek: I'm gonna shower before I go in.
• Season 5, Episode 19: "Elevator Love Letter" • Rating: Unrated • Permalink
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.
• Season 5, Episode 19: "Elevator Love Letter" • Rating: 10.0 / 10 • Permalink
Derek: Thanks for coming.
Meredith: Thanks for calling.
Derek: I love you.
Meredith: I know.
Derek: Would you still love me if I wasn't a surgeon?
Meredith: No. No... Because Izzie has skin cancer that's spread to her brain. And you're one of about 20 people in the world who can save her. And I don't know if I could respect somebody who could walk away from a gift like that. So please don't. Here are her scans. It's pretty bad.
• Season 5, Episode 18: "Stand By Me" • Rating: 10.0 / 10 • Permalink
Derek: Get out.
Richard: No.
Derek: GET OUT! RICHARD! GET OUT!
Richard: Look, I've destroyed lives before. Several in fact, and yours is not one of them. Now, I sent the woman you love out here to help you. I sent the woman who loves you, out here, to bring you back to your life. If you ruin it with her, that's on you. I don't accept it. You're scared, you're drunk. You don't know which way is up. You threw a punch at your best friend, and you threw a ring at Meredith, and now you wanna throw me out. I'm not accepting it. Because, I'm older than you, and I've been where you are. You've been drunk for a few day, I was drunk for years. And I know you're gonna need at least one friend when you decide to come out of that hole you're digging. I hope you come out of it soon, and I'll be here when you do.
Derek: I don't think I can get her back.
Richard: Did you call her?
Derek: What am I gonna say?
Richard: I had an affair for years. When Adele found out, somehow she took me back. You can make your way back from anything.
• Season 5, Episode 18: "Stand By Me" • Rating: 10.0 / 10 • Permalink
Richard: What the hell is this? Oh this is not ok, I have a hospital to run. And Derek, what the hells the matter with you man? We've all been there.
Callie: We said that.
Richard: We've all had tough losses.
Owen: He knows that.
Richard: We show up the next day, and we try and save the next life.
Callie: Yeah we covered that too.
Richard: Ok, what about this? Nothing we do can stop death. We can hold it at bay every now and then, but everyone dies. And that's not on us.
Derek: I took a pregnant woman in for a simple surgery, and I botched it. That is on me. I should feel badly about that. And you, you should feel badly that while I was out here, you sent Meredith out here expecting a ring. Why would you do that? Why in gods name, would you do that?
Richard: I was trying to help. She didn't wanna come. She wanted to leave you out here alone, I was trying to help Derek.
Derek: You were trying to help yourself. Not me. Yourself! I hit the ring in the woods. In the woods. You destroyed me.
• Season 5, Episode 18: "Stand By Me" • Rating: 10.0 / 10 • Permalink
Owen: What I... what my point was, I kept, you know I... I went back. I showed up. I showed up for work, you know.
Derek: You get dead inside. You get dead inside because if you actually felt it. If you let yourself feel that. No way you're going back. No way.
• Season 5, Episode 18: "Stand By Me" • Rating: Unrated • Permalink
Owen: I was a second year resident, NBC rolls in. Parents were in the front seat. Three kids in the back. Kids were okay, Mom and Dad were a little banged up but nothing terrible. They were talking, laughing in the ER. Turns out both parents had massive internal injuries. I operated on them both that night, hours. I lost them both. Now if I'd moved faster, if I'd rushed them to CT. If I'd known how bad off they were sooner... but I didn't. The eldest kid was 9. When I came out to tell them about their Dad, he was trying to console the 3 year old and the 5 year old about their Mother. I'll never get that image out of my head. This, this 9 year old boy trying to hold these two little ones. His arms just not big enough. I don't know how I came back the next day. I think part of me never did.
Derek: I'm surprised you didn't talk about Iraq.
Owen: I don't talk about Iraq.
• Season 5, Episode 18: "Stand By Me" • Rating: 10.0 / 10 • Permalink
Derek: How do you live with it? Killing him. Taking him from his wife. How do you live with it?
Callie: We call it malpractice when we make a mistake.
Derek: Yeah. I know what we call it. I'm asking you, when you get up in the morning, how do you look at yourself in the mirror? I'm no... I'm... I'm asking.
Callie: Can I have one of those?
Derek: Yeah.
• Season 5, Episode 18: "Stand By Me" • Rating: 10.0 / 10 • Permalink
Total Quotes: 459



