In paper [5] it was shown that a great part of model theory of logic with the generalized quantifier Q x = there exist uncountably many x is reducible to the model theory of first order logic with an extra binary relation symbol. In this paper we consider when the quantifier Q x can be syntactically defined in a first order theory T. That problem was raised by Kosta Doen when he asked if the quantifier Q x can be eliminated (...) in Peano arithmetic. We answer that question fully in this paper. (shrink)