Meredith is staring at the ceiling, about to make things right as only she knows how. When Finn walks in and asks about visiting the next day, she tells him he shouldn't. After repeating herself, he gets that she's putting him on the next train to Dumpsville. She stares at him and he observes, "So it's Derek." She apologizes and he asks why. And she has an answer, a real answer that she knows is right. "You are a great guy. You're a wonderful guy. And you may even be the better guy. But... " "He's the one," Finn finishes for her." "And I wish he wasn't," she adds ruefully. Finn predicts he will hurt her again, and she nods, knowing he's probably right. But though he's heartbroken he's still got his spine, and tells her he won't be there when that happens. He wishes her well and leaves.
Denny wraps things up on the machine. "Mistakes are painful. But sometimes they're the only way to find out who you really are. I know who I am now. I know what I want. I've got the love of my life. A new heart. And I want you guys to get on the next plane out here, and meet my girl." George is looking around and sees the envelope on the table, and flips it open. Izzie is crying silently with her eyes closed. He sees that inside, there is a check, presumably from Denny's trust, made out for 8.7 million dollars to Isobel Stevens. "Everything's going to be different now, I promise. From here on out, nothing's ever going to be the same. I love you. Bye." And if you'll excuse me, I have to go blow my nose and clean up the pile of soggy Kleenex I accumulated watching the last five minutes of television.