Mere walks out of Esme's room, and Esme's husband stops her at the door. "You didn't tell her, did you?" Meredith hesitates for a moment, then lies that she didn't. Mr. Sorrento gives her a grateful look, then goes in to check on Esme and bring her some coffee. Ben Harper plays in the background, letting us know that it is all very very poignant.
Later, Mere and George are on a roof getting all existentialist on us. George is disappointed because he thought Fall Guy had cheated fate somehow. Mere says maybe he did cheat fate. George: "He died." Point taken. Mere says she thinks you can't wait for something to fly underneath you and save your life -- you have to save yourself. She says this as if it's these are the saddest words she's ever had to say. Aw, Hello Kitty, why so glum? George: "You mean, the pigeons aren't going to come?" Meredith confirms that, no, the pigeons aren't going to come. I don't know what that means.
Cut to Savvy's hospital room. Addison is taking vaguely pornographic pictures of Sav's boobs, in an attempt to document them before they are removed from her body. Sav is like, "You know these are gonna be next year's holiday cards. And this way Weiss gets to look at them whenever he wants." Somehow, I think that is going to be cold comfort for Weiss. And probably kind of tacky for a holiday card. Addison says she'll take Sav down to the pre-op in just a few minutes. Sav says she knows Weiss will show up, because he always does. Addison gets very serious, and tells Sav that as her doctor, she's behind her 100\%. "But as your friend, are you absolutely sure about this?" Sav says she gets it. She knows what she's losing, but then she thinks about what she's gaining: "My life. This gives me a shot, a shot at me and Weiss becoming this old wrinkled couple who argue all the time. Wouldn't you want that? A chance to grow old with Derek?" Addison's face breaks and she says, "Yeah. Yeah, I do." Tears! Addison has reduced me to tears, now that's something to cry about right there. Sav cries, "Oh, God!" and Addison comforts her, which is Meredith's cue to start up with her voice-over.
"Maybe Romeo and Juliet were fated to be together, but just for a while, and then their time passed. If they could have known that beforehand, maybe it all would have been okay." Alex finds Izzie in the locker room, sits down behind her, and says, "I like your rack." Awesome. Izzie jumps up, all, "What is WRONG with you?" Alex says he likes her rack, and he'd want them around if he could have them, but it wouldn't matter if you got rid of them. "Because, really? I want you." Izzie then slaps him hard across the face, I guess for the rack comment? MereVO: "I told Mrs. Snyder that when I was grown up, I'd take fate into my own hands." Izzie grabs Alex and kisses him, with tongue. Mere: "I wouldn't let some guy drag me down." Izzie gets up and walks out, a smile creeping across her face as she goes. Pretty music starts to play, by a girl with a pretty voice whose name I do not know.