Izzie gets into the elevator, and it must be the end of her shift since she's in a really cute light-green double-breasted coat. The doors open and naturally George is inside, and after hesitating a second she gets on next to him. George starts to say something but she cuts him off and announces that she doesn't want him to go and that it's not fair, and that she doesn't want to lose her best friend. She's in a panic and George takes her hand, and she cries into his shoulder. And... scene. Except not, that's my wishful thinking. He holds her and begins to touch her face, and works it around until he can kiss her. After a hot and heavy moment, she pulls away, he says that he can't (though let the record show it was totally him who initiated the moment) and she says she knows. The doors open to show Callie waiting for him, and he grabs her hand and pulls her away as she looks questioningly at Izzie.

Alex walks Crush outside in a wheelchair, and as they walk he tells her that lots of people would kill to have a clean slate like she's got, and so what if she can't remember. She can make new memories, and at that he looks up and notices how beautiful the sky is. She's quiet and just shakes her head, and finally asks a question. "How can you be so... you're so good with me. What's wrong with you that you can't be this good with someone you have feelings for? What happened to you, Alex?" He's silent and then cops out, telling her, "Maybe I don't remember. So what." She doesn't smile, since despite his best efforts at being glib, it's just sad.

Inside, Richard, Bailey, and Meredith walk slowly down the hall, Bailey and Richard looking at her. She's fiddling with her hat and as she walks, Derek rounds the corner behind her and sees the procession. Eyes red, she slowly approaches Thatcher, clearly an emotional wreck. Tears fill her eyes and she shakes her head, and only manages to say, "We did everything we could." He takes one horrified step back and as she shakes her head he protests that she said it was a simple procedure. "It was!" she cries. And with that, he slaps her right across the face. Everyone is stunned and horrified but no one makes a move. Thatcher babbles, "She had the hiccups. It's because she trusted you. I trusted you." At that, she turns and runs, and shakes off Derek when he tries to catch her. And so with this death, the changes in Meredith -- the recovering from drowning, the working to accept her mother's death, the learning how to have someone like Susan in her life -- all of it is shot to hell. When we could have seen some really interesting development after three dark and twisty Meredith seasons, we now get more of the same as even more bad things continue to happen. I'm not even angry now, I'm just terribly disappointed by the direction in which most of these characters are going.