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  • Miranda, is...?

  • Alex Karev isn't coming back.

  • Left his wife,

  • his friends, his job.

  • Alex Karev is now a father of two with Izzie Stevens.

  • And, if they take my recommendation seriously,

  • he'll soon be Chief of Peds at Shawnee Memorial.

  • What's this got to do with Joey?

  • [ Chuckles ]

  • Now, it is a matter of luck,

  • of grace that Alex Karev is who he is today.

  • He could have just as easily been lost to this world,

  • aimless.

  • But he survived his home,

  • his family, his foster homes

  • and became a man,

  • now a father,

  • a fine surgeon by luck,

  • by chance.

  • [ Sighs ]

  • Joey's future shouldn't be a matter of chance.

  • A child's future can't be a matter of luck.

  • Okay.

  • "Okay"?

  • Just like that? "Okay"?

  • I just wanted to talk about it.

  • I mean, you and I, look, we -- we both make

  • these big, sweeping decisions without each other.

  • You -- You had a heart attack and didn't tell me.

  • You -- You had a miscarriage and shut me out.

  • You -- You change careers like sweaters.

  • [ Chuckles ] Yeah.

  • And I am down for all of it. I...

  • All the change and the easy and the hard that comes with it.

  • Of course Joey should have you.

  • Should have us.

  • He should have a family.

  • But...

  • that family needs to learn to talk to each other first, okay?

  • I'm sorry.

  • I know.

  • I'm sorry. I'm sorry.

  • Congratulations, Miranda.

  • It's a boy.

  • A teenage boy!

  • [ Chuckles ]

  • It's another boy.

  • [ Plested's "Beautiful & Brutal" plays ]

  • ♪ I don't know what, I don't know what

  • ♪ I don't know what's happening

  • You can quit hovering. I'm not hovering.

  • ♪ I swallow the pain, drink in your poison ♪ I'm...deciding

  • whether to come in or give you space... ♪ Darling, it hurts so sweet

  • ♪ I try to run, try to run ♪ ...or take you day drinking.

  • But I come back again

  • Okay, whiskey it is.

  • ♪ I look in your eyes, don't have a choice, yeah ♪ [ Sighs ]

  • [ Pager beeps ]

  • [ Sighs ] ♪ You'll be the death of me

  • Pierce is paging me for a cecal bascule

  • for one of our cabbage patients.

  • Okay. ♪ It'll cut you deep

  • Whiskey tonight. ♪ It'll watch you bleed

  • Today I am working.

  • Nothing hits as hard as when we touch

  • How beautiful and brutal is your love? ♪ Link: You're my hero.

  • Mine, too.

  • We hold onto hope,

  • thinking one small detail,

  • one tiny piece of information

  • will somehow make things right,

  • make it different,

  • make it okay...

  • stop the world from spinning off its axis.

  • Mom, Uncle Alex said when I finish my science project,

  • I'm supposed to show him.

  • Can you show me?

  • He helped me come up with it.

  • It's a dog feeder. See?

  • When the dog walks on this lever,

  • the pulley tips the bucket over and...

  • [ Dog food pours ] That is so smart!

  • [ Laughs ] All we need is a dog.

  • [ Both laugh ]

  • So, can I show him?

  • Can we go and show Uncle Alex right now, please?

  • Don't care how hard I gotta sufferUm...

  • [ Pats sofa ] Come sit here.

  • ♪ I'm waking up in your covers

  • Beautiful and brutalYour Uncle Alex loves you so much.

  • Cuts you deep ♪ [ Laughs ]

  • And I just got a letter from him.

  • It'll watch you bleedYou did? I did.

  • When the truth is...

  • Nothing hits as hard as when we touch ♪ 00:04:41.490,00:00:00.000 ...there's really no good way to say goodbye.

Miranda, is...?

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