it's up to me..
Alex: Gonna try to get some sleep. I gotta be back to the hospital in six hours.
Izzie: Alex wait. I'm a mess. I'm a frickin' mess and I know that and, I ... you deserve better.
Alex: Stop it. If you don't want to be with me, if this is too much for you right now, it's okay. But you're gonna have to break up with me, because
I'm not going anywhere. I can handle the mess. It's up to you.