The Future Mrs. Derek Shepherd!

The Future Mrs. Derek Shepherd!

Meredith Grey is finally engaged to her man, Derek Shepherd. It's a wonderful thing.
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Mer's Hall of Fame

Mer's Hall of Fame

Derek constructed a Meredith Grey Hall of Fame of sorts to propose to her in the elevator. It was wonderful, simply put.
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MerDer Engaged!

MerDer Engaged!

Meredith and Derek didn't actually ask and answer any questions, but they definitely got engaged in "Elevator Love Letter," and it was awesome.
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Derek's Proposal

Derek's Proposal

Derek proposed to Meredith in the elevator. Appropriate, romantic and just about perfect.
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Sad Alex Karev

Sad Alex Karev

Alex Karev is sad for so many reasons about Izzie Stevens, and worries about what the future holds for them, if they have one at all.
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A Real Illness

A Real Illness

Derek tries to tell Owen that PTSD is not something he should try to handle on his own. Hopefully Hunt will take that advice to heart.
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Scruffy, Dreamy

Scruffy, Dreamy

Derek is still McDreamy, even at his lowest point. We actually kind of like the beard.
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Scary Scene

Scary Scene

A scary scene from "Elevator Love Letter" in which Owen strangles Cristina while asleep. The scene is rather intense.
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Boss Bailey

Boss Bailey

Miranda Bailey is the boss at Seattle Grace, and don't you ever forget it, interns. Residents. Even the Chief. She runs the show!
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Izzie's Friends

Izzie's Friends

But also doctors. Can Meredith and Cristina draw the line "Elevator Love Letter" or will their desire to help medically get in the way?
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Friends, Not Doctors

Friends, Not Doctors

Meredith, Alex and Cristina are urged by Dr. Bailey to be Izzie's friends, not her doctors, as she begins her difficult battle with cancer.
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Chief and Mer

Chief and Mer

Meredith and the Chief talk things over in a photo from "Elevator Love Letter," from Season Five of Grey's Anatomy.
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Grey's Anatomy Season 5 Episode 19 Quotes

Surgeons are all messed up. We're butchers, messed up knife happy butchers. We cut people up, we move on. Patients die on our watch, we move on. We cause trauma, we suffer trauma. We don't have time to worry about all the blood and death and crap it really makes us feel.

Alex (narrating)

Doesn't matter how tough we are, trauma always leaves a scar. It follows us home, it changes our lives, trauma messes everybody up, but maybe that's the point. All the pain and the fear and the crap. Maybe going through all of that is what keeps us moving forward. It's what pushes us. Maybe we have to get a little messed up, before we can step up.

Alex (narrating)

Grey's Anatomy Season 5 Episode 19 Music

  Song Artist
Song Little Pieces Gomez
Song The Weight Of Us Grey's Anatomy Sanders Bohlke iTunes
That home That Home Cinematic Orchestra iTunes