Spoiler: Grey's Anatomy - "Today is all about Izzy"

The theme of tonight's Grey's episode was moving forward and the need to not get stuck. It was also the episode where Derek returns to the OR to perform surgery on Izzy. It all started with Alex doing the voiceover and discussing how surgeons are butchers and that they very often cause trauma. Nothing like starting on a positive note, right? Well, here is what happened.

- While in bed with Cristina, Owen has a nightmare and "freezes," as he calls it. In the midst of this he grabs Cristina by the neck and almost strangles her. Luckily, Cali could hear Cristina struggling from the other room and when she called his name he stopped. After he wakes up and she is calmer, they confront each other and it is so obvious that he is traumatized. He says he is sorry, even cries, and she forgives him. She knows it is not his fault. Throughout the episode Cali and Meredith are visibly pissed at Owen and do not think Cristina should be with him, but Cristina stands by him. She does not want to walk away because he is wounded and needs her. Even when he tries to break things off with her, she tells him that he has to let her decide how much she can handle. They finally have sex for the first time and it is after that when Cristina realizes that she is not actually strong enough to handle a relationship with him. She admits that she is afraid to fall asleep next to him. It is only then that he decides to get help and try to fix his PTSD.
- Throughout the episode, in the few scenes where he is shown, George shows he is very angry with Izzy because they are supposed to be best friends, yet he was one of the last people to find out she was sick. There is even a scene where he is slamming casts with a hammer and Cali has to pull him away. She also point out to him that while he is mad that he was the last to know, he is probably also mad because he might lose his best friend. There is also a scene where Izzy is in the hospital chapel praying for Izzy because she feels guilty that when Izzy stole George from her, Cali used to wish Izzy were dead. It is weird how someone being sick makes people feel guilty for their own past indiscretions.
- At the very beginning of the episode, Derek tries to propose to Meredith. She, not surprisingly, says no and that today is not the day. Once at the hospital, Alex is not as sure as other people that Derek is ready to do Izzy's surgery. As a matter of fact, a bunch of doctors call Derek out for how he acted when he killed that woman a few episodes ago and it must have fazed him. But Derek knew that he had to save Izzy.
- In the midst of a show focused on Izzy, there is a patient who Sloan and Little Grey are treating. She is very old and her family actually wants her to die. Apparently, she was told she only had a month to live and all of her family members said their goodbyes. But that was three years ago and she keeps almost dying, but then recovering. Alex calls them out, saying that they have no respect. He says there are tons of people in the hospital wishing their family member lives, but here they are wishing she dies. This does not seem to change their attitude. They are all in a rush to be somewhere else. She goes into VTAC a few times, but keeps recovering. Then she doesn't and she really dies. It is then that her family members show their true emotions and they all request more time to see farewell to her. This storyline was a good way to contrast how everyone working at the hospital was pulling for Izzy to survive her surgery.
- Before Izzy starts radiation, the doctors want to take out some eggs so that she would have the possibility to have children if she were to make it through all of her surgeries and treatments. The chief asks Alex to donate sperm since fertalized eggs have a better survival rate. He has a difficult time with this task and eventually opens up to Meredith about three things in particular: He does not think Izzy will be alive for long; he doesn't think that they were supposed to make babies "this way"; and he says he blames himself for not figuring out she was sick earlier, especially after she told him about seeing and talking to Denny. His fear of losing her leads Alex to not visit her before her surgery.
- Izzy's oncologist is very blunt with her - she needs a lot of surgeries and is told it is not going to be fun. She warns Izzy that she has to prepare herself. After this, Izzy tells everyone to go to work and to save lives. What she was not expecting was that no one, other than Bailey, would visit her while she waited for her surgery to begin. It is not until they all sit down for lunch that they realize no one had been to see her, but by then it was too late.
- Izzy is brought into surgery and Derek is nervous. Bailey is there to keep him calm, but the oncologist is also in the room and keeps second guessing him. In the end, the surgery is successful and Izzy will live to see another day.
- Bailey once again steals tonight's show. She is the first to point out that what Izzy does not need is more doctors, instead she needs friends. She also visits Izzy multiple times during the day. After the surgery, she also calls out the other doctors for not visiting Izzy while she was waiting for her surgery. She tells them that they are lucky they get another chance to be there for her.
- After the surgery, in a very symbolic scene, Derek shaves his beard. He then decorates one of the hospital elevators with memorablia from his relationship with Meredith and again asks her to marry him. After turning him down twice in that same day, she finally says yes. Derek and Meredith are engaged!

As Alex points out, "people are better than no people." Hopefully this is lesson they truly learned and that from now on everyone will be there for Izzy throughout her time in the hospital and not just gather to stand outside the OR while she is being operated on.

There were no previews and TvGuide.com doesn't have any listings for the next new episode. But what did you think of tonight's show? It was obvious that Izzy was not going to die tonight, but do you still think they are going to kill her off?