After weeks of debate, Izzie's illness is finally revealed, Meredith catches her first glimpse of the diamond Derek's secretly been toting around for so long and Karev finally rises to the top.
While it came as no surprise that Izzie's diagnosis would be grim, it was still a gripping moment when Lexie revealed the news: Patient X has metastatic melanoma and even with chemo and radiation, she likely only has a few months left to live. While the interns were understandably pleased with themselves for having solved the case, Izzie was quick to dampen their spirits, reminding them that today they got to be doctors and that's the only prize they get.
My question is: How did the interns (especially Lexie) not catch on to the fact that Patient X was actually Izzie in disguise all this time? Even after Izzie emotionally revealed to the interns that the patient was having inexplicable hallucinations involving her dead ex-fiancee, how did the bells not go off in someone's head?
While Izzie was hitting rock bottom, Alex was off rising to the top when he made a radical diagnosis that saved a young girl's life. Not only did Alex correctly identify a severe heart condition in his patient, but he also had the guts to stand up to Dr. Robbins and prove he was right in the OR. It was certainly a crowning moment for Alex, despite those few intense seconds when it looked like he might accidentally use those shock paddles at the wrong time. So, Alex was understandably excited when Robbins told him he "could be the future of this hospital."
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