After much debate, Izzie decided to have the surgery that could save her, but could also give her "the short-term memory of a carrot." Sure enough, when she woke up, the tumor was gone - but Izzie forgot everything she was told within five minutes. Think "Dory" from "Finding Nemo."

Unfortunately, the breakthrough for her memory turned out to be a rant from new hubby Alex, who wasn't enjoying the stressful honeymoon and mused about smothering Izzie with a pillow. That, she remembered.

Their joy that Izzie's brain was back was short-lived; within minutes, her body had gone into cardiopulmonary arrest. If the final scene - and Heigl's complaints about the writing - are to be believed, Izzie has worn a strapless prom dress to "the other side."

Even more shockingly, George (T.R. Knight) enlisted in the Army to bring his medical expertise to Iraq. As his co-workers plotted an "intervention" to talk him out of the move, they battled to save an unidentified man who jumped in front of a bus to save a stranger. Our tears were savagely jerked from us as Meredith finally screamed, realizing the bus "road kill" was George.

(I'll give you a moment.)

There was much more, too - Christina agreed to move forward with war-traumatized Owen; Mark delivered perhaps the worst marriage proposal on record to Lexie ("I'm sorry, are you asking me to marry you?" "No. Why, would you?"); and Meredith and Derek, unable to slip away to city hall, quietly wrote their marriage vows on a blue Post-It note and sealed it with a kiss.

On "Survivor": Ding dong, the Dragonslayer is dead! The Warrior Alliance shriveled and expired as Coach was finally voted off at Tribal Council. He did, however, go out with style. He made reference to both Pat Benatar and Marcus Aurelius, and even approximated a crucifixion pose on Exile Island. Movingly, Coach wrote a poem for the occasion. I refuse to reprint it here.

On "The Office": Although we didn't actually see an ultrasound, it seems as though Jim and Pam are ... preggers! Michael and his true love Holly (guest star Amy Ryan) reunited at the company picnic and predictably wreaked havoc - but Michael wussed out on enticing her back.