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Derek Shepherd
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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!
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
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?
Izzie: eh...
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)
Izzie: Mmm.
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.)
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
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.
Derek: Mhmmm.
Izzie: Hit me. Show me what you got.
Meredith: Ok.
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.
Derek: Plane.
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.
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
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)
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
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.
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
Derek: Ahem.
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?
Mark: Hmmm.
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.
 • Season 5, Episode 23: "Here's to the Future" • Rating: UnratedPermalink
Meredith: Hey, how long have you been up?
Derek: All night. I was trying to figure out how to get the tumor our of Izzie's brain.
Meredith: Why are you smiling?
Derek: 'Cause I figured out how to do it. Once Izzie's in the clear, we're gonna go to the Bahamas and have our wedding on the beach. The one and only beach club, you can actually have drinks during the ceremony.
 • Season 5, Episode 23: "Here's to the Future" • Rating: 10.0 / 10Permalink
(on the floor after having non-wedding day sex)
Meredith: Ah, best non wedding day ever!
Derek: Wanna go again?
(they giggle, and go again)
 • Season 5, Episode 22: "What a Difference a Day Makes" • Rating: 10.0 / 10Permalink
Meredith: Hey!
Derek: Hey.
Meredith: You! Best wedding present ever! And you know why?
Derek: No.
Meredith: (kisses him) Because now I have to go home, and put on a corset, and pantyhose, and a petticoat, and look like one of those idiots on top of a wedding cake. And, then I have to walk down the aisle and have everyone staring at me. But, it's ok. Because, I got to cut someone open today from start to finish. I saved a life.
Derek: Um...
Meredith: What?
Derek: What do you say we make this day even better?
 • Season 5, Episode 22: "What a Difference a Day Makes" • Rating: 10.0 / 10Permalink
Bailey: So that's what we missed on the MRI?
Derek: Yeah. You know that part of the brain that reacted in the hallucination?
Bailey: Yeah.
Derek: It was the other temporal lobe.
Bailey: That, that's the tumor?
Derek: Yeah. Tiny. Too small to pick up on a normal MRI.
Bailey: But, ok, if it's that small how are you gonna get to it?
Derek: (give bailey a telling look) I wish there something more I could do for her. I wish I could. I like Steven's. She's one of the good ones. I wish there was something I could do for her.
Bailey: I um, I know something you can do.
 • Season 5, Episode 22: "What a Difference a Day Makes" • Rating: UnratedPermalink
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Total Quotes: 459

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