Izzie has paged Derek, and when he walks in she asks him a lot of wedding questions -- did he get the check for the caterers? Cash tips for the waiters? Written his vows? He hasn't done the last one yet, so she gives him a lecture about how important it is. He's not in the mood and reminds her he has patients, so she admits that she didn't page him about the wedding. She pauses, and he impatiently mentions a craniotomy he has to do. I'm kind of glad, actually, to see someone finally show some annoyance with her, no matter how mild, because cancer or not she's been spending the last couple of weeks completely disregarding anyone's wishes except her own and everyone has just taken it with a guilty smile. Izzie, though, actually has something important to tell him and admits that Denny is back. He immediately tells her he'll page Bailey and order an MRI -- all of which she knows already, being a doctor. Can I get a "hallelujah!" that she actually told someone, right away and in a straightforward manner, what is going on? It makes the unpleasant reappearance of Denny a bit more palatable.
Do you remember last week, when the Chief was warned about how he would page Meredith on personal business, and how inappropriate that was? Well, he does it again. It appears Mere must have really accepted his apology last week, though, because she doesn't immediately shut him down. (It takes her a couple of minutes this time.) He is there in Derek's place (he very carefully just says Derek was pulled into something rather than mentioning Izzie) to give her a wedding gift -- one from Derek, but which the Chief has to oversee. This sets her off -- although again, not about Richard's behavior but about how she had no idea she was supposed to get Derek a gift, and this is why weddings are so stupid: their life together should be their gift. As she is ranting about how she doesn't want it and is going to tell him to take it back, the Chief jumps in and announces that Derek got her a colon. She's understandably surprised and Richard explains, "It's nonrefundable, it's inflamed, it's about to go under anesthesia in OR 2." She starts to grin as she realizes that she's getting her first solo surgery and he tells her sincerely, "Happy wedding day, Meredith," as he writes her name on the surgery board.