You never know the biggest day of your life is going to be the biggest.
The days you think are going to be big ones...
They're never as big as you make them out to be in your head.
It's the regular days.
The ones that start out normal.
Those are the days that end up being the biggest.
And today was the wedding.
It was beautiful.
Perfect.
- Just a normal day. - Normal day.
Going to work.
Just a normal day that ends in a ceremony in a churchy church.
This has nothing to do with us. We're just the bride and groom.
- We're getting married tonight. - We're getting married tonight.
You slept here?
- I'm awake. What? - You slept here? I slept here.
- How? Wait... Who... What? - I slept in the on-call room.
I could have been at home in my own bed.
- Sorry. - I have to work all day.
Then I have to be happy maid of honor and get Meredith down the aisle.
I'm so tired. Because I slept here.
'Cause you wanted to get your freak on with roller skate girl.
I'm sorry. I was gonna, but...
We went to dinner and... things didn't...
I wasn't in the mood. Had to be here early, anyway, to run ER.
You're picking up extra shifts in ER?
- So is Owen not here today? - He's here. Crap, I'm late.
- Hey. - Hey.
Big day! Biggest day of your life!
Don't do that, the peppy maid of honor thing. It's creepy.
Really? Good. Wait. Is this the calm before the storm?
Need me to drug you? Or shave your eyebrows
- to numb you into submission? - I'm fine.
Not the biggest day of my life.
Biggest day of Izzie's life. I'm excited about the marriage,
not some wedding. She's the one who's gone Bridezilla.
Bridezilla!
You should see the bridesmaids' dresses.
Oh! And the flowers! They're being delivered at 5:00.
I had to pay extra to have them decorate but Derek gave me his credit card,
told me to do what I had to do so... It's gonna be perfect.
- How's her pressure? - Within normal.
And her incision site?
As expected, two weeks after surgery.
She got off the IL-2 hours ago. She could still have...
Her mets are gone. Her blood pressure's fine. Her incision doesn't hurt.
She's doing well.
It's wedding day! And I'm going.
I'm a bridesmaid. I'm going. Right, Bailey?
- I said you could go. - Wedding day!
Up top, Alex!
I'll check on you later.
Don't leave me hanging, Bailey. Wedding day!
Wedding day...
You did that 'cause I have cancer.
- You didn't mean it. - True.
My hair is starting to fall out.
You still look good.
I know what this means.
- You being here. - I'm sorry.
I'm still going to the wedding.
- How's Izzie? - Good.
BP stable? If she's hypotensive she shouldn't go to the wedding.
- Let me worry about Izzie. - All right.
Anything for us? Anything good?
Nope. It's slow.
You don't say it's a slow day in the pit.
Never say it's sl...
- You just jinxed us. - It's a day and it's slow.
That phone starts ringing, you're gonna
- wish you hadn't said that. - Not gonna ring. It's a slow day.
Go for Seattle Grace Emergency.
- I'll get the trauma gowns. - Crap, crap, crap... Incoming!
How's it going with your shrink?
Uh... I'm doing better. Inch by inch.
Progress is slow.
It was your ceiling fan. Above your bed?
Blades spinning like blades of a chopper.
My shrink says that was the trigger.
To me...
...choking you.
Oh.
We should probably get going.
David Simons, 22, in the driver's seat when his car got crushed by a semi.
Truck blew a tire and jack-knifed across traffic.
- Bay One until we get a trauma room. - Injuries?
Chest contusions. Otherwise vital signs were stable.
- We can't be late. - Ready? One, two, three...
- Late for what? - Graduation.
Becca Wells, 21-year-old, back seat. Vitals stable.
- Some shortness of breath. - Bay Two for now.
- Gonna be so worried. - David, that you?
Becca? Are you OK?
- I think so. I don't know. - One, two, three.
I'm talking. Can't be too bad if I'm talking.
22 year-old passenger, tenderness above pelvis and unstable BP...
Bay Five.
Is my girlfriend here? She was in the back seat.
- Jordan? - Becca?
Have you seen Dana? You were sitting next to her.
Can you check our friends? Dana, Michelle, Pete?
Eight piled into the SUV?
- Are they all this bad? - These are the healthy ones.
OK. I need beds. And blood and interns. And Owen Hunt. Where's Hunt?
V- tach! BP's dropped out! Need crash cart. I'm gonna cardiovert!
David! What's wrong with him?
- Charge to 100! Clear. - David!
- What's wrong with David? - Have to save him.
You can't let him die! We're supposed to be graduating.
- Charge to 200! Clear! - This is the biggest day of our lives.
Where in the hell is Hunt?
Hunt, thank God. Trauma One through Three.
What do we got?
Becca Wells. Respiratory rate up 20, but vital signs stable.
Is David OK? He has to graduate.
He's the first in his family to go to college.
Don't worry about your friends right now.
No hemothorax or pneumothorax. In line for CT.
Gonna get a few X-rays, get a better idea.
You should rest. Your body's in serious shock.
I have a speech to give.
I'm supposed to... I'm the valedictorian.
All I've ever done is school. It's all I've ever done.
I haven't done anything else.
Until today. Today's the day that my life is supposed to start.
Which is why I'd really like to live. OK?
- Let me know the results of the CT. - OK.
I haven't seen Dana yet, my girlfriend.
- She was in the backseat... - Hang blood and push fluids.
She was singing to the radio. She never knows the words.
I turned around to tell her and then... she wasn't there.
Calm down so we can treat you. Very serious injuries.
- She was not in the car anymore! - I promise I will check for you.
You need to stay still for me.
- She's wearing a pink sweater. - OK.
Keep working. Try to get his pressure up before you move him.
Systolic's stabilizing, but still multiple arrhythmias.
Thinking cardiac contusions.
- I'm about to use a chest tube. - You got this, O'Malley.
- I've got blood. - Put it in the rapid infuser.
Are my friends here? Did you see Pete?
- Which one's Pete? - He's wearing red sneakers.
And Michelle, she dyed her hair blue for graduation.
- Did you see her? Is she OK? - I'll find them.
- My whole family is coming. - I know. It's a big day.
For them. Today is for them.
V- fib! He's coding! Get the paddles!
Page me?
Yes. You get the check for the caterers?
- And cash tips for the waiters? - Yes.
- Did you write your vows? - Not yet. I will.
You have to write your vows.
What you say this day, it's important. She'll remember it for life.
If you paged me to talk about the wedding...
That's not why I paged you.
I have a craniotomy to get to.
He's back. Denny. He's back.
- I'll page Dr. Bailey and we'll... - Order an MRl. I know the drill.
You wanted to see me, chief?
Derek was supposed to do this, but he got pulled into something.
- I said I'd give it to you. - What?
Your wedding present. Not from me, from Derek. I have to oversee it.
I was supposed to get him a present?
This is why weddings are stupid. Our life together should be the present.
Not some stupid... Whatever it is, I don't want it.
Tell Derek to take it back. I'll tell him.
- He got you a colon. - What?
A colon.
It's non-refundable, inflamed,
it's about to go under anesthesia in OR 2.
You really wanna say you don't want it?
A solo surgery?
Happy Wedding Day.
- Yes or no? - Hey.
I don't need a maybe. I need a yes or no.
OK. I'll be right here, waiting.
You think Shepherd and Grey are gonna last? Like 50 years last?
A semi crashed into a bunch of college kids.
On the day I decided to take an extra shift in the ER.
Great, thank you.
There's burns, digit amputations, nasty facial lacerations.
- Don't go anywhere. OK? - Relax.
- Promise? - You're handling this.
I am handling it.
You can't put him here. Doctors need access!
What went wrong last night?
Kinda busy here, Arizona.
I have four surgeries and a kid on life support. I'm busy too.
- What went wrong? - Not any better. In the hall!
We went out. To a four star restaurant.
Best in Seattle. Supposed to be fun. Romantic.
But you order a salad when they make delicious French food.
You picked at it, barely spoke and then bolted.
What went wrong? Did I do something?
I wasn't feeling it. I was exhausted. Sorry.
Hey! I said the hall! The hall!
Fill me in, O'Malley.
Put in the chest tube, but there was no blood.
Tried another, but there's no pulse.
- How long's he been down? - Twenty minutes.
- Open his chest... - He's gone.
- He's supposed to graduate... - O'Malley, let it go. He's gone.
You can't save him. Move on to save the people you can.
There's more trauma coming in.
- O'Malley. Now! Move! - Call it, Grey.
Time of death, 9:24.
It could be anything. Could be scar tissue. Wait and see.
- It's a tumor. - You don't know that.
Denny Duquette is standing behind you.
It's a tumor. Right, Denny?
Yeah. It's good to see you, Dr. Bailey.
You can't see him. Because you don't have a tumor. But he says hi.
Tell Denny Duquette I said, "Go home."
- It's a tumor. - Wait and see.
I'm sorry, I'm crying more than usual.
You said it's shock, is that it?
Yeah. Also the morphine.
I should've slept with David.
I thought about it,
but he was sweet and funny...
I would've fallen in love with him.
And I didn't want a relationship till after school.
I don't like to do things halfway.
I was doing school. And then I was gonna do life.
And now... David's dead.
- David's dead. - How's the CT, Karev?
Stomach herniating into her hemithorax from a huge lac in her diaphragm.
OK. Becca, we're taking you to surgery soon.
I should have had sex with David when I had the chance.
Dana... Is she OK?
The paramedics haven't brought her in yet,
but as soon they do, I'll let you know. Do you have family we can contact?
They're in Argentina.
Supposed to fly there tomorrow.
It's D-Day.
- It's what? - That's what Dana calls it.
Parents don't have the money to let me stay. I have to go back.
Both knew D-Day was coming.
Tried to break up with her to make it easier.
I'd switch classes every semester so we didn't have any together...
...but it didn't matter. I couldn't stay away.
When you love someone... Love is love.
Doesn't matter that you're not supposed to be together.
How's he doing?
He's starting to stabilize.
Good. Looks like he's ready for CT.
I think...
...maybe she got out in time.
Maybe she's not hurt that bad.
Because when I turned around...
...she wasn't there.
She was not there anymore.
OK, X-ray's really backed up, but...
- That's Pete. - What?
David's friend. Pete. The red sneakers.
Help me. He's bleeding through the dressing on the chest wound.
Pulse is 220!
Pericardial effusion. Get me a syringe and a spinal needle.
I'm going in through the wound.
I need another syringe. Now.
- There's too much blood. - Keep syringes coming.
Give me a 60cc this time.
- Asystole. He's flat-lining. - Get the cardio board.
Just keep holding pressure.
Starting compressions on my count. One, two, three.
- George... - Keep putting pressure.
I'm not losing another one.
Thank you.
You're scrubbing in? I thought I was doing this solo.
You are.
Why aren't you sitting in a corner, reading?
It's a big day, Meredith. Taking precautions.
Afraid I'm gonna kill the patient on my wedding day?
It's a routine colectomy. I'm not gonna kill him.
I know. You're gonna do great. Pretend I'm not even here.
OK. OK. Scalpel.
Great. Very nice.
What?
The way you asked for the scalpel. You didn't mumble. You took charge.
Right off the bat. Loud and clear. "Scalpel."
It was good. Very impressive.
Great.
I'm gonna get started now, so...
Of course. You won't even know I'm here.
- There we go. - Thanks.
I'll toast to the fact they found each other.
Doesn't bring up the future, about whether they'll make it.
- It's good, right? - Mm-hm.
You said you were tired.
You can't be that exhausted if you're working on your day off.
- I rallied. - You rallied?
- Yeah. - You're lying.
No, I love the ER. Can you hold, please? Thanks.
- You love the ER? - Can't get enough of it. It's fun.
- You should tell her. - Yeah... Suck it, Mark.
Hey! We need more blood in Trauma Two. Go!
Dr. Hunt, I just lost another one. My patients are dying. Pull me.
That's for me to decide. There's an ambulance coming.
- I'm in over my head. - Walk away, O'Malley!
That's Michelle. She dyed her hair for graduation.
Look.
I'm looking, I don't see anything.
Because there's nothing there. Scan's clean.
I told you.
Then why is Denny back? The man's a hallucination.
- There has to be something there. - Izzie, if it's clear, then...
I want to go to this wedding.
I want to watch the bride walk down the aisle. I want to hear the vows.
I want to catch the bouquet.
I planned this wedding down to the last detail,
it's the perfect wedding. This wedding is perfect.
You know how much I wanna be there.
So why would I tell you about Denny?
Today of all days? Why wouldn't I just wait?
Denny is back. That means something is there.
It's not like we can just map the brain
for hallucinations the way we do with seizures.
What are hallucinations?
Hallucinations are neurons firing in the brain.
- Exactly. - Why?
It's never been done before, but if we can somehow
induce your hallucination,
there's a chance we could pick it up on an EEG.
We could pinpoint the part of the brain that's hallucinating.
- Trauma One's open. - What do we have?
Had a pulse, but we haven't been able to get one for over 30 minutes.
I'm pretty sure we left half her blood on the side of road.
She's DOA. I just need you to call it.
Oh, God. Oh, my God.
Crap. Pink sweater. That's Jordan's girlfriend.
- Move her out. - Need you to call it.
Dana! Dana, no!
Dana! No, I need to see her!
- Time of death, 10:45. - Coding. Get a crash cart.
No. No, we are closed to trauma.
Because we have trauma coming out of our butts!
You have a nice day, too! Oh, for the love of...
So the ER is fun, but I'm not?
- Arizona... - You can get enough of me?
Is that what you're saying? Do you just want to end this?
There are women lining up. I'm hot.
If you want out, you should just say so. I can take it.
Maybe this was just a fling. Maybe it's over.
Maybe it is.
Got some adhesions. Need to dissect down to mobilize the sigmoid.
Bovie, please.
Mm... Mm-mm. Mm-mm.
Do you have something you'd like to say?
No, no. You're doing fine.
How's the solo surgery coming along, Grey?
I think it's going OK, but you should probably ask the chief.
She's doing great.
Chose a cautery at one point when I might have gone with scissors,
but she made it work.
We'll be out of here in plenty of time for the wedding.
Good. Then she won't have any excuses.
Excuse me?
This is the second time I've been Derek's best man.
I have to come up with a toast, offer words of wisdom. A lot of work.
I don't want to be his best man a third time, if you know what I mean.
- You came in here to threaten me? - I'm his best man. That's my job.
Mm.
What now?
No, it's OK. It's fine.
Everything's fine, right? I don't need to say anything.
Hmm.
So now what? I just... try to have a hallucination?
- Yeah. - OK.
Stevens, is it always Denny? No one else?
- Yeah. - Hm...
- What? - Nothing. Um...
Makes sense. It's the man you love...
- He's not the man I love. - He's not?
I mean, I love Denny, I will always love Denny.
He means a lot to me.
But I think I hallucinate Denny because I associate him with death and dying.
When I think about my future, who I am and who I wanna be,
how I want to spend my life... When you get that flutter in your chest.
Alex. Alex is the man I love.
Karev.
I love Alex Karev.
So let's find this tumor and get it out of me
so we can have our perfect wedding,
a wedding not wasted on two people who don't appreciate weddings.
- I can hear you. - I mean for you to hear me.
- What if I can't make him appear? - We'll wait until he appears.
You have to be at the church in two hours. It could be more.
- I'll be late. - No! No being late.
I'll make him appear. I can do this.
Come on, Denny...
How are my friends doing?
Just tell me. I can take it.
I mean, I can't but I can.
Did someone else die?
Why don't you tell me your speech? Your graduation speech.
I can take it.
Becca. Just... Just give me your speech.
You worked hard on it. So you should do it. Right now.
Come on.
Today's the day my life begins.
Today, I become a citizen of the world.
Today, I become a grown-up.
Today, I become accountable to someone other than myself and my parents,
accountable for more than my grades.
Today I become accountable to the world.
To the future.
To all the possibilities that life has to offer.
Starting today...
- Come on, Denny. Come on. - ...my job is to show up,
wide-eyed and willing and ready.
For what, I don't know.
For anything. For everything.
Come on, Denny. Come on.
- Charge to 360. - To take on life.
- Nice job, Meredith. - To take on love.
All the times I didn't ask for you, you were here. Now I'm asking. Please.
Please come to me now. Please help me now.
Come on, Denny. You come to me now.
Denny...
To take on the responsibility and possibility.
Today, my friends, our lives begin.
Time of death, 13:02.
And I, for one...
Denny.
- Denny! - There.
- ...can't wait. - I'm here for you, Izzie.
It's right there.
These the results from the tesla 7 MRl?
Yeah. The part of the brain that reacted during the hallucination?
It was the other temporal lobe.
And that... That's the tumor?
Yeah. Tiny.
Too small to pick up on a normal MRl.
If it's that small, how are you going to get to it?
I wish there was something I could do for her.
I wish I could.
I like Stevens. She's one of the good ones.
I wish there was something I could do for her.
I...
I know something you can do.
I just want you to know that I'm hurt.
I am hurt and I am angry.
I thought we had something, we were going somewhere.
If you're just making the rounds of girl surgeons then you ought to know...
- We went to a fancy restaurant! - What?
We went to a fancy restaurant. The nicest restaurant in Seattle.
The salad I ordered... The salad cost $26.95.
The wine you ordered cost $125 a bottle.
I didn't even look at the entrees because I was already out 75 bucks,
and I don't even like salad.
- Then the bill came and you... - I paid.
You know what I was doing before they brought the check?
I was counting in my head,
trying to figure out how I was going to buy food the rest of the week
if my half was $ 75, because I don't have seventy-five dollars.
Because my father disowned me and cleared out my bank account. I'm broke!
And I am exhausted, Arizona.
I'm working in the ER because I need the money.
Six people died on my watch today and I'm fried.
I wanted to stay in last night.
I thought... I thought last night would be the night. For us.
You know, our night.
But you wanted to go to a fancy restaurant, and I can't do that.
- I can't. - It's OK. It's OK. Hey.
So we stay in.
And we'll eat... sandwiches.
You don't even like sandwiches.
But I like the girl who has the sandwiches.
- OK? - OK.
I don't like sandwiches either. I like pizza.
I like pizza, too.
Meredith?
Yes, sir?
I've been reading your mother's journals.
I wish she was here today.
I don't know how she would've felt about me getting married.
No. Not for that. For this. Your first solo surgery.
She probably would've said, with all the mistakes, I'm lucky the patient's alive.
That's right. But I also know she would have been thrilled.
She wouldn't have been able to tell you, but she would've been.
Thank you, sir.
- Hey! - Hey.
You. Best wedding present ever.
- And you know why? - No.
Because I have to go home and put on a corset and pantyhose and petticoat.
And look like one of those idiots on top of a wedding cake, then I have to
walk down the aisle and have everyone staring at me, but it's OK.
Because I got to cut someone open from start to finish.
I saved a life.
- Um... - What?
What do you say we make this day even better?
Good work today, O'Malley.
Good work? They're dead. All those kids.
- Not all of them. - The one I didn't touch was fine.
I was able to get to her.
And the reason I was, was because I had you on my team.
You saved that girl today as much as I did.
Trauma's a team sport, O'Malley.
You don't have to be the hero, you just...
You just have to go where you're needed.
Alex...
Bailey says Shepherd found another tumor. In Izzie's brain. Did you hear?
I heard. Alex...
He doesn't think he's gonna get it out this time.
I think...
I think she's gonna die on me.
I think she's really gonna die.
Aren't you supposed to be getting ready for a wedding?
That's what I came to talk to you about.
Hi, I'm Dr. Grey. I'm gonna take care of your central line.
OK.
You're crying.
You're breathing.
My shoes are, uh, in the closet. Bailey?
Shoes. Right.
You're supposed to be helping me get ready.
I can still go, right? I mean, the tumor's not going anywhere.
Yeah, you can go.
OK, well, we don't wanna be late.
- Bailey? - Uh... Here she comes.
Mer! You're supposed to be at the church!
I'm going. I just came to say, this isn't my dress.
Of course it's your dress. It's perfect.
- What are you talking about? - This dress is not for me.
I don't... What?
Oh, God, I knew you were gonna freak out before the wedding.
Mer, Derek loves you. Marriage is good.
Tell her, it's good.
She's saying it's not her wedding dress.
She's right.
The dress, it isn't for Meredith.
Oh, Mer...
I don't...
I don't even know how to...
I...
Thank you.
OK, so who's the maid of honor? Me or Cristina?
Cristina.
Alex... He needs a best man, and he was asking for you.
- So what, I'm leftovers? - You tried to save my life.
That makes you honorable.
Take my hand.
Dearly beloved, we are gathered here today
to celebrate the wedding of Alexander Michael Karev
and Isobel Catherine Stevens.
This is a sacred rite...
...an ancient rite.
As Isobel and Alex prepare to join their lives,
it is important to understand that everyone present
has played a part in shaping their lives,
and will continue to play a vital role in their continuing future.
And thus, we are here not only to witness their vows to each other,
but to bestow upon them our blessing.
And now, the couple will read their vows.
We didn't write anything.
No. Wait, I have something I want to say.
Today's the day my life begins.
All my life I've been just me. Just a smart mouth kid.
Today, I become a man.
Today, I become a husband.
Today, I become accountable to someone other than myself.
Today I become accountable to you. To our future.
To all the possibilities that our marriage has to offer.
Together, no matter what happens, I'll be ready.
For anything. For everything.
To take on life. To take on love.
To take on possibility and responsibility.
Today, Izzie Stevens, our life together begins.
And I, for one, can't wait.
I love you.
- Not yet. - Hurry up.
By the power vested in me by God and the state of Washington,
I now pronounce you husband and wife.
- Now? - Now.
You never know the biggest day of your life is the biggest day.
Not until it's happening.
Hey, hey... It's OK. It's just hair. You don't need it.
It's just gonna keep falling out.
We'll shave it off. I bet you look good bald. OK?
Hey.
Stop. You're beautiful.
You don't recognize the biggest day of your life.
Not until you're right in the middle of it.
The day you commit to something or someone...
The day you get your heart broken...
Best non-wedding day ever.
Wanna go again?
The day you meet your soul mate.
The day you realize there's not enough time...
...because you want to live forever.
Those are the biggest days.
The perfect days.
You know?
I'll bet you made a beautiful bride.
It was a beautiful day.
You put the scarf on.
I told you, you don't need it. You look gorgeous without it.
He's right.
Go away now.
Go away, I want to be alone...
...with my husband.
My wife is hot.