Izzie is still making wedding plans, but she's getting weaker and sicker despite her joy at how dapper Derek looks in his morning coat. She then has something even bigger to deal with -- her mother Sharon Lawrence shows up and proves to be a handful, even though she's a well-meaning one. Her mom is convinced the cancer can't be that serious and when Izzie tries to tell her just how serious things are, she winds up comforting her mom and assuring her everything will be okay rather than the other way around. Bailey fesses up to being the one to call her, and then gives her mom false news about Izzie's cancer so that she'll be comfortable going home. Unfortunately, the real cancer update is that more mets have been growing and Izzie needs more aggressive surgery. Alex is stepping up to the plate admirably and hangs out with Izzie being every inch the sweet supportive boyfriend until she is wheeled into surgery. Presumably she makes it out of this one since she's in the next-on talking about possibly having a tumor.
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