Dr. Swender: The test impaired your memory to such a degree that I have to strongly recommend that you don't have the surgery.
Derek: Izzie, the test was the worst case scenario. The result has nothing to do with the surgery.
Dr. Swender: We don't know that.
Derek: But what I do know is that not operating is every bit as risky as the surgery itself. If not more. But, it's up to you.
Izzie: What do you think?
Alex: I think he's talking to you, not me.
Derek: I'll leave you two alone to discuss this.
Alex: Ah, I'll come with you. I have a couple of questions.
Izzie: Wait, Alex.
Alex: Think about what you want to do for a second, okay? I'll be right back. (everyone but Mer leaves the room. Mer closes the door)
Meredith: You are not having the surgery.