We're treated to a scene of intestines being transferred in a bowl. In the waiting room, George sits with the woman who donated her husband's organs while Melinda paces, in tears, behind them. They get everything in and Bailey checks for black spots; there are none. However, he then starts to code.

Izzie runs outside in a sweaty freakout. She asks, "Heaven or hell?" and Denny answers, "Yes." She then repeats that he's there for her and he agrees. And then comes the emphasis game. She says, "You're not here for me, you're here for me." The first time I watched this, I took this to mean that he wasn't there to stand by her, he was there to take her to the great beyond. But on second viewing she seems to be saying that he's not there as a gift for her to play with (so to speak) but that he's there to support her as... she dies? It's all rather confusing but the crux of it is, Izzie's sick. With tears in his eyes, Denny tells her how much he loves her, and how when he got to come back for her he thought it might be his heaven. But he thinks now that he might be Izzie's hell. Finally she breathes, "I'm sick." But then she gets mad and goes on, "Instead of telling me to save my life... you son of a bitch!" She yells that she hates him while he defends that he didn't know she had a chance. But, he now repeats her words back to her about medical miracles. Dude, so this wasn't all some sort of game where Izzie had to figure it out for herself? It sounds like he very well could have told her straight out if he wanted to but he didn't and instead decided to get a bunch of ghost nookie. Seriously, any residual goodwill I had for Denny is 100% gone. She orders him to leave and he says, "I can go now. Because you know." So... yes. He really did just fuck around with riddles so that he could get some sex for a while. And also? I just wrote that about a GHOST. Or fine, the writers and Steve McPherson want to get all technical and point out that he's not a ghost. I just wrote that about some non-human spirit-type-character in the form of Denny. This is insanity. He tells her that it's her choice but that if she chooses for him to go he's not sure if he can come back again. She yells at him that between heaven and hell, she chooses heaven and she chooses life, and again orders him gone. He starts to say he hopes this is heaven and again she tells him, "Go." He nods, and she asks what he's waiting for. Of course, he comes and kisses her passionately. And with that, he's gone. Sadly, I don't actually believe that's the last of him.