Cristina walks outside that night and finds Izzie sitting on a bench. She pauses a moment and looks almost scared just for a second before she goes and sits down. With no preamble she announces, "Sometimes we fail but that's not always the case." Izzie knows this, so Cristina tells her that, "Blowhole has a new face!" She then starts to say that whatever the docs have to call him to get through the procedure... but Izzie cuts her off because she knows that too. With nothing else left but her point, Cristina tells Izzie that she told Alex and Bailey, who are now telling Mere and George. Izzie is totally stricken but Cristina defends that she couldn't do her job, and that Izzie came to her for help so that's what she did. "Because sometimes we win, Izzie, and I want you to fight." This whole hour has been such a departure for Cristina, but an amazing departure. She seems near tears as she adds, "For whatever that's worth I want you to fight." Izzie is also in tears and after a moment, quietly thanks Cristina. Cristina is surprised but sits back and then takes Izzie's hand. The pile of tissues on my coffee table is starting to reach an alarming state, but at least the cats are amused and have started batting some of it around.
Back inside the interns are all staring judgingly at Lexie. When Mark walks in she gives him an awkward look but after a moment of thought walks over and plants one massive kiss on his lips. Mark gives a happy, "Dr. Grey!" She announces that the interns think he's taking advantage of her and that Lexie is using him. But in the second accidentally humorous, totally clumsy and schmaltzy line of the episode she announces, "But they don't know us. They think that we're ugly, but I know that we're beautiful. And we can adapt to a hostile environment." Mark gazes after her as she walks away.
Mere has ventured out to the woods, and it seems that Callie and Hunt have finally sobered up and left. She's tentative, but Derek smiles and thanks her for coming. She thanks him for calling, and he tells her he loves her. She knows. Derek then asks her if she'd still love him if he wasn't a surgeon -- when she tells him no, he tries to take it like a man as she walks over and sits down next to him with a bag of things. She then explains herself so she doesn't seem quite so cold-hearted, "No, because Izzie has skin cancer that's spread to her brain." Derek drops his head as Meredith explains that he's one of only 20 people in the world who could save her. "And I don't know if I could respect somebody that could walk away from a gift like that." Surprisingly well said, Mere! She asks him to then not walk away and pulls out the scans, admitting that the situation is pretty bad. They look at each other a moment and she seems to maybe lean in just a hair, but then she turns her back and goes to her car with one look back at him.