In the locker room, the interns are all dressed up, and Izzie works to draw some brows back on Cristina's face. George comes in, and the girls tell him he looks nice, and Izzie stares at him creepily. It's supposed to be Meaningful, but the effect is much more Psych-Ward Disturbed. Patricia then sticks her head in and tells them it's the moment of truth, and hands out envelopes with their test scores. They all rip them open and sigh in relief, except George. Izzie asks if he passed, and he tells her he did and he'll talk to her at the church, and then hastily leaves. Derek walks in, and Meredith shoos the others away ahead of her. Derek closes the door so they have some privacy.
They aren't the only couple on the brink of a Serious Discussion. Alex goes to see Crush, who compliments him (very rightfully) on his suit. She then tells him that she's been discharged. Alex starts to protest, but she lists all of the various departments that have given the okay, and adds that pediatrics has discharged the baby as well. Alex continues to stammer, and she closes the door to the room and turns to face him. She tells him that she has every reason to go with Jeff, who is a good guy, and that medically there isn't any reason for her to stay. Alex doesn't seem to get what she's hinting at, and he goes to look at her chart. Exasperated, she cries, "Do I have to spell everything out for you? Did you sniff too much glue as a child? I'm asking you something!" I don't think he's playing dumb. I think there's a switch in his brain that shuts off when comes to feelings. Genuinely confused, he asks, "What do you want from me?" She stammers, embarrassed, and in my gut I feel it too, having made Grand Proclamations of my own: "I want you to give me a reason to stay. A real reason." She tells him that Jeff sees her as Rebecca, but that Alex named her Ava and that's when she felt most like herself. Again, she pleads for a reason to stay. But being the guy who can't deal with something real, he just stares at her and tells her Jeff loves her. She cries and begs for a reason, but he tells her to stick with the decent guy, and leaves her crying. I really do want to learn one day what it is that's made him so horrifically scared of real feelings.
In the locker room, Meredith and Derek have their own talk. She tells him that if he wants to break up with her, he needs to just do it, but he throws her a curveball when he instead tells her that he loves her and can't leave her. "But you're constantly leaving me. You walk away when you want, you come back when you want. Not everyone, not your friends, but you leave me. So I'm asking you, if you don't see a future for us, if you're not in this, please, please just end it because I can't. I'm in it. Put me out of my misery." I still maintain that he's the one who's been causing more misery by getting so upset that she doesn't react to emotional trauma in the way he wants her to react. Either way, I want to put an ice axe into the skull of this story, and have them go one way or the other and get on with it already. Meredith just shakes her head and says she can't, since she has to make sure Cristina gets married. "I really need to make sure she gets down that aisle." Defeated, he tells her, "Let's go. We're running late." You can't break up with her, but you can continue to make her feel guilty and on her toes about your feelings all the time. Boyfriend of the year, that one.