you and alex were best friends since you were interns, which is why it absolutely crushed you when he left seattle and you received a letter from him explaining that he wanted to go be with izzie. a few years later, you’re the head of pediatric surgery and are doing rounds with all your interns. you walk into a room only to be shocked by the people you see. a little girl in the hospital bed, surrounded by alex, izzie, and a little boy.