Grey's Anatomy

Season 5 Episode 24

Now or Never (2)

Aired Thursday 8:00 PM May 14, 2009 on ABC



  • Trivia

    • At the beggining, when Izzie woke up, she said that it's 2009. However, according to the show's timeline, the first 3 seasons took place in the same year. Either it was a mistake, or the pilot episode took place between 2007 and 2008.

    • Alex is reminded of "the woman who couldn't remember her husband".

      That was Betty Kenner, from this season premiere Dream A Little Dream Of Me.

    • Goof: Listen closely when Alex is yelling at Cristina about how if Izzie's memory completely diminishes, she'll end up needing round-the-clock baby-sitters. He mentions that she may not even be able to find her way to the bathroom, and he clearly says "torlet" instead of "toilet".

    • Goof: In the final scene O'Malley is seen in an Army uniform of an Army Medic, he as a doctor should be wearing an Officer's uniform not that of an enlisted man.

  • Quotes

    • Richard: What happened?
      Bailey: Is it her brain?
      Cristina: No, it's hypokalemia.
      Alex: We couldn't control the arrhythmias.
      Cristina: Her pressure's dropping off a cliff.
      Alex: Get me an intubation tray.
      Cristina: Alex. She signed a DNR.
      Alex: Shut up, Yang!
      Cristina: She knew this might happen, that's why she signed it.
      Alex: I don't give a crap what she signed.
      Cristina: Alex, it's not what she wants. (Izzie flatlines)
      Alex: Get a crash cart! (starts CPR)
      Bailey: Karev, if she doesn't...
      Alex: Look at her, get a crash cart!
      Richard: Oh, screw the DNR. Hand me those paddles.
      Bailey: Yang, take over compressions, Karev back up.
      Cristina: I got it, I got it.
      Richard: 1, 2, 3. (they turn her over) Hand down. Okay. Hand down. Charge to 300. (they shock her again) Come on, Stevens.

    • Owen: We have you O'Malley. You hear me. We have you. We'll fix this. Just stay with us!
      Derek: O'Malley. It's Shepherd. You're not going anywhere, you understand me!
      Meredith: BP's dropping.
      Derek: Alright, lets put him out now!

    • Derek (entering John Doe's room): How's his ICP?
      Owen: Worse than what I was expecting. I thought you were getting married?
      Derek: We did. (Mer and Derek smile at each other)
      Owen: Oh, congratulations. Are you sure you wanna start your honeymoon in an OR?
      Meredith: We're sure. (Derek smiles and nods, looks at Mer and walks out. Owen also leaves) You can't be in here. I'll come and get you in the waiting room.
      Amanda: Hold his hand until you put him under. It really does make him feel better.
      Meredith: Okay. (Amanda leaves) You made a good friend there. I guess that happens when you take a bus for somebody. Okay, I know this is scary. But, you do have a great team up there. You wanna try to write again? Can you hold the pen? (he starts writing on Mer's hand) 0...0...7? ... Double 0... 7. (he grabs Mer's hand, Mer realizes it's George, she gasps has a horrified look on her face) Oh god! Oh god!

    • Alex: You paged me, what do you need?
      Cristina: Way to go dipwad, telling your wife you're figuring out how to off her.
      Alex: Oh, mind your own bus... Wait... how did you know that?
      Cristina (holding back tears): She told me.
      Alex (walks into Izzie's room): You remember?
      Izzie: Pillow or morphine. I got the whole thing.
      Alex: Oh, I'm so sorry. I didn't mean that.
      Izzie: Of course you didn't. You love me too much to shoot me up with morphine, even if you asked me to. And my stupid corked brain is coming back.
      Alex (hugging her): Oh my god, I was so scared. I mean I would have loved you no matter what. You're back. You're back. (Izzie goes limp) Iz? (her heart starts to fail) Iz? Izzie? Yang!

    • Callie (walks in): Oh, I'm sorry. I was just looking for Bailey. It's after 6.
      Bailey: Yes, she scheduled an intervention so that we could give O'Malley a piece of our minds about this idiotic army business. Did he leave already?
      Richard: He never scrubbed in. He told me he was enlisting. I sent him home, and told him to spend the day with his Mom since he was leaving so soon. He took off this morning.

    • Cristina (walks up to owen and kisses him): Yes. Yes! I've gotta go, I've gotta find Alex.
      Owen: Go. Go.

    • Cristina: Gotta do an EKG.
      Izzie: What, I don't even get any small talk?
      Cristina: What's your problem?
      Izzie: Well, I'll tell you. I know I'm supposed to be grateful for my "new lease on life". Alex marched in here and basically told me that being married to me was the worst thing that ever happened to him. Yeah, and that he was trying to decide whether smothering me with a pillow was the best way of putting us both out of our misery.
      Cristina (looks around): Okay, where is it?
      Izzie: Where's what?
      Cristina: Where's the note that says that. Did you write that down?
      Izzie (realizing): No. (smiles) No!

    • Lexie: I thought you were operating on John Doe?
      Mark: I already did. Right now I'm looking at houses. One has single fire place, which I like. This one has a back yard the size of Montana.
      Lexie: Uh huh. You're buying a house?
      Mark: Yeah.
      Lexie: Right. Ah, okay.
      Mark: I'm buying a house right now. It's a buyer's market, and I'm buying a house.
      Lexie: The only reason you're even talking about a house is to make me feel bad. You're trying to prove that you're moving on without me. So, then I'll regret my decision and change my mind.
      Mark: Okay, is this what women are doing when they say they're moving on?
      Lexie: Yeah. They don't usually take out a home loan to do it. But...
      Mark: Pathetic. Let me be clear, I'm moving on. I'm a better woman than you!

    • Bailey: If there's still a spot open for me on general surgery, I'd like to take you up on that.
      Richard: I spent months trying to talk you off peds. I finally get on board and you change your mind?
      Bailey: Tucker gave me an ultimatum. The fellowship, or our marriage.
      Richard: You chose your marriage.
      Bailey: No, I'm leaving him. 'Cause a marriage that results to ultimatums, it's not a marriage. I mean, what kind of husband does that? So, I'm going to be a single mom. It's not the time for new specialties. (starts to cry) Damn. I'm sorry. I don't know, it's just the first time I've said it out loud. So it kind of just took the wind out of me.
      Richard: Miranda, are you sure about this? I mean, he might come around. He's just scared.
      Bailey (sobbing): Well, we're all scared! I mean, if you're not scared you're not paying attention! One of my residents just signed up to go to war. That's scary. Another one just almost lost her life to melanoma, now she doesn't know what day it is. That's scary! What Tucker's facing isn't scary! He's just weak! A pat on the back isn't gonna help, sir.
      Richard: Okay. Should I go?
      Bailey: No.
      Richard: Okay. Okay. Okay. I'll just stand here with you, if that's alright.
      Bailey (still sobbing): Yes, sir. That would be fine.

    • Owen: Oh, I'm sorry, I didn't... I didn't know you were here.
      Cristina: No. Wait, wait. ... I... love... you.
      Owen: I... I love you too
      Cristina: No... Just... I love... you. I said... I said I love you! Me. Cristina Yang. What-- You traumatized me.
      Owen: You know that I am... I'm so sorry about that.
      Cristina: Damn it. No, not about the choking. It's like you come here, and you pull our my icicle, and you make me love you, and I can't... I don't want to. I can't breathe... without you.
      Owen: You can do this Cristina. We can do this. All you have to do is just meet me half way. All you have to do is say yes. All you have to do is say yes.

    • Izzie (reads): 'Shepherd got your whole tumor'. Oh, my god, Alex, why didn't you tell me. Oh my god (Alex points to "Your memory sucks!" ) Oh.
      Alex: But, we're working on it. You remember what time you woke up this morning?
      Izzie: Um, not exactly.
      Alex: 7:45
      Izzie: 7:45. O'Malley joined the army. What!
      Alex: Yeah he's gonna be a trauma surgeon in Iraq. What time did you wake up?
      Izzie: 7:45. He's gonna get killed.
      Alex: Yeah, we're dealing with it.
      Izzie (to Cristina, who just walked in): Did you know about this George thing?
      Cristina: Yep, cannon fodder.

    • Mark: You think you'd do it? Step in front of a bus for a perfect stranger?
      Callie: We all like to think we would but...
      Derek: It's more or less what Major Hunt has been doing every day for the last couple of years.
      Owen: No, guys did it. I just came in behind them with a dust pan and a broom and swept up.
      Derek: You sewed up soldiers under fire. You didn't sweep up.
      Owen: How do you think O'Malley's gonna do over there. You think he can handle it?
      Callie: No, I don't.
      Derek: I think he's gonna surprise us all.
      Mark: I think he's coming back in a body bag.
      Meredith: I think you all should just shut up! Just shut the hell up! Please, just shut up!

    • Arizona: Hey, I thought you were in surgery.
      Callie: I'm on my way.
      Arizona: Have you talked to Bailey about this PEDs and Tucker thing?
      Callie: No, I've only talked to Bailey about the Army thing and George.
      Arizona: Are you upset with me?
      Callie (scoffs): No, I'm awesome.
      Arizona: Calliope.
      Callie: No, do not. Do not Calliope me. Okay, you said it was awesome. George. Sweet, kind George, who can't even kill a fly is joining the Army to go to Iraq in the middle of a war and you said 'awesome'.
      Arizona: It is, awesome.
      Callie: No, it is not awesome. God, who are you? (walks off)

    • Owen: Alright, here's the plan for our John Doe. Shepherd, you evacuate the epidural. Grey and I'll correct the internal injuries, so that'll make room for Torres to place the internal fixator. Sloan, you should have enough time to work on the arm if the patient doesn't get too acidotic or hypothermic.
      Meredith: Do you think he has a shot?
      Owen: I've seen people come back from worse.

    • Mark: I'm thinking about buying a house.
      Derek: Good for you. Meredith and I are gonna go to city hall this afternoon. (smiles) We're getting married.
      Mark: Really?
      Derek: Mmmm.
      Mark: That's great news.
      Derek: I know, I just saved Stevens.
      Mark: And you're allowed to be happy. You're allowed to get married. You've earned that right. Congratulations you lucky bastard. Come here. Give me a hug. (they hug)
      Meredith (walks in): Why is everyone hugging today?
      Mark: Ah, the blushing bride. (Mer smiles)

    • Arizona: Maybe we're bouncier in ped's, than in general surgery. But I thought there would be a yay! Or some jumping around. 'Cause you look pretty dower for someone whose about to start a highly prized fellowship. ... You are about to start a highly prized fellowship right?
      Callie: Hey, I've got a plan to stop George, you in?
      Arizona: Stop George from what?
      Bailey: Ah, he joined the army. Yes. I'm in.
      Arizona: Bailey, I'm talking to you! Why are you trying to stop him?
      Callie: Because he joined the army.
      Arizona: And?
      Callie: And, because he's my ex husband, and I know his mom and I love his mom. And, normally Izzie would talk sense into him but, she's got cancer, and kind of a bad mental deficit. So, it's on me to stop him.
      Arizona: Why would you wanna stop him?
      Callie: Because he joined the army. Don't you think that's a problem?
      Arizona: I think that's awesome.
      Callie: Awesome? (walks off)

    • Bailey (comes in as everyone is working on John Doe): What did you do to O'Malley?
      Owen: Excuse me?
      Bailey: Uh, somebody else around here likely to convince someone to join the army, and be a trauma surgeon in Iraq?
      Callie: What?
      Meredith: The army?
      Callie: What? (the patient crashes)
      Owen: Charge the paddles to 360.
      Bailey: Owen, you have to call and undo this.
      Owen: Uh, Bailey, little busy here.
      Meredith: Clear!
      Callie: Uh, George? ... George O'Malley?
      Owen: It wasn't my idea.
      Meredith: No change.
      Owen: Charge again!
      Meredith: Clear!
      Owen: Look, I did what I could to give him a decent education in trauma. I didn't know he was gonna go and enlist.

    • Bailey (about George joining the Army): Look, I know what goes on in this hospital. I know you're messed up from that war and not in a small way. Get him out of it!
      Callie: Page me if you need me. I've got other pages.
      Mark: How did you piss off all the women?

    • Amanda (overhearing Lexie and Mark): I'll totally pretend that I didn't hear any of that.
      Mark: Women do this to me, I don't this 'Let's get a house together.'
      Amanda: Sucks being the girl, huh?
      Mark: I'm not the girl! ... What do girl's do?
      Amanda: Well, we start with a cold shoulder, so you're right on track. Then we go to our girlfriend's and we bitch, and our girlfriend's say 'If you wanna build a future, build it yourself. You don't need a man to give you that. So if you wanna buy a house, buy a house.'
      Mark: Hmm. You're good at this.

    • Lexie: Uh, you asked about moving in together and marriage, and I put it off, and now you're embarassed and won't make eye contact with me because you feel that I have all the power in the relationship, but I don't want all the power in the relationship. I'm happy to share it. Can we just skip this part?
      Mark: Get some 4-0 Vicryl so you can re-do your patient's sutures. (walks off, Lexie exhales)

    • Mark: Whoa.
      Callie: Man versus bus.
      Mark: Bus won.
      Callie: Check out the left arm.
      Meredith: He's crashing again.
      Derek: What have we got?
      Mark: We've got road kill.
      Owen: Do you mind? He stepped out in front of a moving bus so could save a woman, he's a hero.

    • Alex (about Izzie): She's like the woman who couldn't remember her husband was dead. We had to keep telling her every 5 minutes.
      Derek: It's a perfectly normal post operative haze.
      Alex: Or, the bleeding during the procedure blitzed her short term retention. Did you screw up her brain?
      Derek: Karev, I'll be back. Try and stay calm. Freaking her out is not gonna help.

    • George: Dr. Bailey, I need to tell you something.
      Bailey: Oh, not now O'Malley.
      George: No, it'll be quick 'cause I gotta get to the OR to scrub in with the Chief. I think you're gonna be mad at first, but I'm about to do something important. And, I'm very sure about this decision. And, I think eventually you're gonna be proud. But you know, before that you're probably gonna be like "What did you do!" I'm... I don't mean to imitate you.
      Bailey: You call that quick?
      George: I joined the Army to be a trauma surgeon, I report for duty tomorrow.
      Bailey: You did what?!
      George: Yeah, that's where I thought we'd start.

    • Cristina: Hey, what's with hugging O'Malley?
      Owen: I slept. Cristina, last night I slept. For the first time, I slept.
      Cristina: And, I dunno... hugging O'Malley because you slept?
      Owen: Oh, no, I hugged O'Malley 'cause he's got great news which I'll let him tell you. But, yeah, I guess, maybe, yeah I hugged him because I slept. And, that's because of you. Because you came with me to see my Mom, and I slept... and I slept without nightmares. That's not a small thing Cristina. That... that is everything. I can be a better man. I can be a better man for you. I hope, you know if you'll let me. I can be a better man with you. No, don't say anything. Just, think about it okay. Okay. (kisses her)

    • Alex: Wake up, wake up, wake up, wake up, wake up...
      Izzie: I have a headache.
      Alex: You're up... You're up and you're talking. You talked right? Talk!
      Izzie: Ow, I said I have a headache.
      Alex: Page Shepherd.
      Izzie: Ow.
      Alex: Sorry.

    • Bailey: Stevens still isn't awake, and I'm havin' somethin' of a day even aside from that, so... don't take me personally, it's just my face today.
      Arizona (walks in): Did you tell her?
      Richard: Uh, you should tell her. And don't take her face personally.
      Arizona: Okay. Well, on behalf of the department of pediatric surgery, I'd like to you to the fellowship program. You're in! We're gonna get you a pair of wheely sneaks.
      Richard: Congratulations. (Bailey is silent) Alright, I know I didn't support you in this process, but in any event... I am behind you now. ... (Bailey glares) I'm tryin' to be a big person here, how about you meet me half way? (Bailey leaves, Richard sighs)

    • Bailey: Any changes overnight?
      Cristina: No.
      Bailey (pager goes off): Somebody had better go make a coffee run, you all look like hell.
      George (waking up): I've gotta be in surgery in 10 minutes. Um, Mer, will you let me know?
      Meredith: Yeah. We should go too. It's probably gonna be a while.
      Alex: Shepherd said she'd wake up in the morning. What did he tell you? Was that all crap? What did he say?
      Meredith: He said it may be a while.
      Cristina: She's gonna wake up.

    • Meredith: Well, I'm going to city hall to go do the thing.
      Cristina: Seriously? This doesn't seem like the day for it.
      Meredith (about Alex taking care of Izzie): Look at Alex. He's in there working so hard, all day, and she doesn't know. And if she stays like this, she may never know how much he loves her. And that girl Amanda, she's in there loving a stranger. She thinks that's her Prince Charming. I mean, he's probably gonna die today, chances are. So yeah, I'm gonna go get married, because I think it's important to take the time to tell the people you love how much you love them, while they can hear you. I love you, Cristina Yang. (she looks away and smiles)
      Cristina: You have changed.
      Meredith: Maybe I have. (pauses)
      Cristina: I'm gonna hug you. (they hug)

    • Cristina: You know something's going on with George.
      Meredith: What?
      Cristina: Owen hugged him. They were happy.
      Meredith: Well, we don't hug when we're happy.
      Cristina: Are you better?
      Meredith: What?
      Cristina: You know, with your therapy? Or... whatever. You said you got well. Well, are you... better? Or are you just fake better?
      Meredith: What do you mean?
      Cristina: I'm asking you if people... you know. I mean, are you actually different? I mean do you feel different?
      Meredith: I'm getting married today. (smiles) Mmmm... it's a deal. No muss, no fuss. Just quick and dirty.
      Cristina: Ah, do you want me to come?
      Meredith: No, no. Just letting you know.
      Cristina: Oh, no, wait. Ah, ok. This is my grocery list. It's old. This.. (hands Mer blue Post-Its)... this is new. This is my favorite pen, which is why I want it back. Borrowed. And, all of it's blue. So, you're covered.
      Meredith: Now, see if we were George and Owen we would hug right now. (they share a look, Mer then shakes her head, they both go back to work)

    • Derek: Ready to go?
      Meredith: I just got a page. John Doe needs to go back into surgery.
      Derek: Yeah, his post of CT's showed a re-bleed. I'm gonna have Nelson take care of it.
      Meredith: No. Really?
      Derek: Yeah, well I'd prefer to do it myself but, I wanna check in on Izzie. Maybe we can do that first, and then go get married after?
      Meredith: No, we can't because we have the George intervention after that.
      Derek: I'll have Nelson do it.
      Meredith: You know what, tell them to prep him. We'll run to city hall. We'll come back, and we'll do it then.
      Derek: Meredith.
      Meredith: No, you know let's go. We gotta go. We gotta run to city hall, we'll come back, you'll check on Izzie, we'll monitor John Doe. I'll go talk George out of joining the army.
      Derek: Look, we could do this another day.
      Meredith: There is no other day! Every day is like this! Every day there's a crisis! There's no time!
      Derek: Meredith.
      Meredith: I love you and I do want to marry you today. But, there is no time.
      Derek (puts his hands on her face and looks at her): Do you have a piece of paper?
      Meredith: For what?
      Derek: I wanna be with you forever, and you wanna be with me forever. In order to do that we need to make vows. A commitment. A contract. Give me a piece of paper.
      Meredith: I don't! I... I... I don't. I have post its!
      Derek (takes the post its and a pen): Okay. What do we wanna promise each other?
      Meredith: That you'll love me... even when you hate me.
      Derek: To love each other, even when we hate each other. (writes it down) No running. Ever! (Mer smiles and comes and sits in front of him) Nobody walks out. No matter what happens.
      Meredith: No running.
      Derek (writes it down): What else?
      Meredith: That we'll take care of each other, even when we're old, and smelly, and senile. And... if I get Alzheimer's and forget you...
      Derek: I will remind you who I am, every day. To take care when old, senile, and smelly (writes it down) This is forever. (signs it) Sign.
      Meredith: This is our wedding. A post it? (smiles)
      Derek.: Mhmmm. If you sign it.
      Meredith (signs it, and hands it back, teary eyed): Now what?
      Derek: Now I kiss the bride. (they kiss)
      Meredith (smiling): Married.
      Derek (smiling): Married. (sticks their post it in Mer's locker) You see that? (Mer nods and smiles) Plenty of time.

    • Arizona: Maybe I don't understand people. I don't see things, so maybe I just don't get what's going on with you or why you're so mad, but I do think it's awesome. I think that George joining the army is awesome.
      Callie: Um, shut up!
      Arizona: Um, no. You asked me who I was. I am a person who thinks that what George is doing is dangerous and terrifying and brave. He's going to serve his country. He's going to risk his life to save the men and women who make it possible for you and I to sleep safely in our beds! I am a person who thinks that is brave, and I am a person who stood in an airplane hangar and watched them unload my brother's body in a coffin… and all we got was a flag. My brother died over there because there weren't enough doctors, Callie, so for my money, George O'Malley is a patriot. He's hero, and I am grateful that he exists, so yeah. The word I use is "awesome". That's who I am.
      Callie (grabs her hand): I'm sorry.

    • Alex: What's your CRIT?
      Izzie (eating Jello): Ugh! This is disgusting. I can't believe we serve it to the patients. (Alex points to a flash card) 'You keep asking for lime jello and don't like it.' So stop giving it to me.
      Alex: You get mad if I don't. Okay, now, what's your CRIT?
      Izzie: I don't know. I'm tired.
      Alex: What's O'Malley doing tomorrow?
      Izzie: Joining the army. I need a break.
      Alex: You don't think I need a break? Suck it up!
      Izzie: What …? God! Back off. I'm sorry if this is hard for you, but you are not the one with the short-term memory of a carrot. (Alex takes her tray and slams it down) Hey. Go ahead. Get it off your chest. It's not like I'm gonna remember in five minutes.
      Alex: Okay. I'm not the one with a carrot for a brain, but I'm married to it because of some crock of a wedding we walked into, and only because the two of us thought you'd be dead within a week. You made me promise you that wouldn't live like this, so now what the hell am I supposed to do? Smother you with a pillow? Shoot you up with an overdose of morphine? Not really psyched about that. Leave you? Not really psyched about that either, so I guess I'm kind of screwed, right? I mean, not as bad as you, but not a freakin' walk in the park, either! (long silence) I'm sorry, Iz.
      Izzie: No. I told you to get it off your chest. You did.
      Alex (more silence): Did you forget yet?
      Izzie: Nope. Not yet. Give me a minute.

    • Cristina (about Izzie): She just had brain surgery and an incredibly aggressive course of IL2. She needs rest.
      Alex: She needs to exercise whatever memory she's got left so it doesn't turn to mush.
      Cristina: Well, she's not gonna heal with you barking orders at her like a caveman.
      Alex: Butt out, Yang.
      Cristina: You know what? She's my patient. I don't care if you're her husband.
      Alex: Look, she--
      Cristina: You want to see how fast I can get your visiting hours down to zero?
      Alex: She signed a DNR. She signed a frickin' DNR and made me promise she'd come out of this with a life. Not in a hospital bed. Not with no brain. I had to promise she'd have a life. You want to know what happens if she can't make any new memories? Forget about being a doctor. She's gonna need round-the-clock baby-sitters. We get an apartment together, she can't ever find her way to the damn toilet! Track her on her ankle in case God forbid she wanders out the front door!
      Cristina: Alex, you can handle this. She will get better.
      Alex: Maybe. Maybe not. It's on me. Her future is on me!

    • Bailey: Uh, not a good time.
      Arizona: You know what? You walk away from me again, I swear I will grab you by the hair and pull hard. I grew up with the name Arizona. I learned how to play dirty on the playground! ... I stuck my neck out for you, you were my pick.
      Bailey: And I appreciate that, but it's a big decision.
      Arizona: It's not, frankly. It's the brass ring. It's the most exclusive, the most competitive and we're as good as it gets. Nobody lands this thing and says no.
      Bailey: My husband informed me that if I accept the peds fellowship, if I sign on for another 2 years of training, and the hours and the work load that come with it when I could be a general surgery attending, and make it home for dinner. He will divorce me. It's a big decision!

    • Cristina: Are you gonna chew?
      Meredith: Mmmm... my dragged under the bus guy's in angio. They're gonna page me any minute. How's Izzie? Is she retaining anything?
      Alex: No.
      Bailey (walks up): Okay, at 6pm your idiotic colleague George O'Malley will finish his surgery with the Chief.
      Callie: And, at 6pm you will be standing beside us in the OR hallway, prepared to join in an intervention.
      Bailey: What polite company might like to call an intervention. Though, I'm not sure interventions involve whooping people on the behind. With a belt.
      Alex: What, he's got a drinking problem now?
      Meredith: He joined the army.
      Cristina: What?
      Alex: 007? He can't go to the army. He's the guy that gets killed.
      Cristina: He's the guy that gets killed cleaning his own gun.
      Bailey: Grey is going to coax him back as a loving friend. (to Cristina) You are going to use logic and reason to point out the idiocy of his ways. Stevens will make sad cancer eyes, and if all of that doesn't work, Karev, you'll gonna pull out your "I was raised out back with the trash cans" roots and just beat the crap out of him.
      Alex: 6:00?
      Callie: 6:00.

    • Meredith: Amanda, you can't be out here.
      Amanda: Would you want to be all alone at a time like this? We had thirty seconds of interaction before he saved my life, and I wasn't even nice. I was standing on a corner when this ordinary-looking guy stands next to me and smiles, and I'm so busy scoping for someone hotter that I don't even give him a second look. The next thing I know, he throws me out of the way of a bus I'm about to walk in front of and almost gets himself killed! He literally he swept me off my feet. That is my prince in that bed.

    • Izzie (after her surgery): Did you get the whole thing? Did you get the whole tumor out?
      Derek: Just let me finish my exam. Can you tell me your name?
      Izzie: My name is Isobel Stevens. It's 2009, and I'm in the neuro-ICU at Seattle Grace Hospital. Did you get the damn thing out?
      Derek (smiles): Got the whole damn thing.
      Izzie: You got it? Oh God, you got the whole thing! And I can talk, and I know my name, and I'm not a turnip!
      Alex: Nope.
      Izzie: No offense.
      Derek: No.
      Izzie: You are a great surgeon, but I really thought I was gonna be a turnip.

    • Meredith (closing voiceover): Did you say it? 'I love you. I don't ever want to live without you. You changed my life.' Did you say it? Make a plan. Set a goal. Work toward it, but every now and then, look around; Drink it in 'cause this is it. It might all be gone tomorrow.

    • Meredith (opening voiceover): Doctors spend a lot of time focused on the future, planning it, working toward it. But at some point you start to realize your life is happening now. Not after med school, not after residency, right now. This is it. It's here. Blink and you'll miss it.

    • Meredith (to 'John Doe'): Hey there, I know this must be scary. But, if it's any consolation you're a hardcore hero. You saved that woman's life. (John Doe grabs Mer's hand and tries to write something) Is he trying to write something? (tries to give him a pen) Can you hold this? (he's too weak. Mer grabs his hand) Okay, you'll be stronger tomorrow.
      Owen: Call OR 1, tell them to get ready for him.
      Meredith: Okay.

  • Notes

    • International Episode Titles:
      Slovakia: Teraz alebo nikdy (Now or Never)
      Czech Republic: Teď, nebo nikdy (Now or Never)

    • Original International Air Dates:
      Italy: July 13, 2009 on Fox Life
      Australia: July 16, 2009 on Channel 7
      Germany: September 2, 2009 on ProSieben
      The Netherlands: October 16, 2009 on Net5
      Norway: January 26, 2010 on TV2
      Slovakia: March 22, 2010 on STV1
      Czech Republic: July 29, 2010 on Prima

    • Spoiler alert!:

      According to creator Shonda Rhimes, George's absence for most of this season leads up to this episode, where the audience wouldn't notice the he had disappeared for the duration of the episode.

    • Music Featured In This Episode:
      1. All Love by Ingrid Michaelson
      2. The Battle by Missy Higgins
      3. Flashdance…What A Feeling by Hollywood, Mon Amour featuring Yael Naim
      4. Off I Go by Greg Laswell

    • Pre Production title for this episode was Here's To Future Days.

  • Allusions

    • Alex (about Izzie): She's like the woman who couldn't remember her husband was dead. We had to keep telling her every 5 minutes.

      This quote refers back to a patient that they treated in the season premiere of season 5 Dream A Little Dream Of Me.

    • Episode Title: Now or Never

      Now or Never is a song by Three Days Grace.

      The title could also be a reference to the lyrics from a Bon Jovi song's chorus, It's My Life. The lyrics from that song fit this episode. The chorus goes: It's my life / It's now or never / I ain't gonna live forever / I just want to live while I'm alive / It's my life