N/A Derek and Meredith are together and madly in love. Christina and Burke are together and going strong. George and Izzie are trying to be a couple and are still living in Meredith house. Alex is single (surprisingly). The interns are no longer interns and are now residents. Derek and Burke are joint Chief.

'Morning beautiful,' Meredith turned to face Derek. It was their morning ritual.

'Hey, what time is it?'

'Four thirty,'

'Aw man, I got pre rounds and whiney inters, can I just stay in bed?'

'Sadly no, cause we all got to work,'

'What time you off tonight?'

'My last surgery, if no trauma's the six thirty and it's only a minor procedure so I should be finished at eight, you?'

'I finish at seven thirty. I hate having to get up early,'

'Well if you get up early then…' Before Derek could finish his sentence, Meredith was out of bed running, and throwing up in the bathroom.

'Hey, you ok?'

'I feel sick,'

'Maybe you should take the day off,'

'No, I'm fine, just hung-over, I think,'

'You want breakfast?'

'I think not,'

'Ok, I'm gonna get ready, make coffee,' Derek left Meredith to get ready for work but she still felt sick. Pulling on her jeans she pulled out a green top. Slipping it on she felt her chest, it was sore. Pushing the nagging feeling she had to the side she headed down to hear Derek singing in the kitchen.

'You do know you can't sing?'

'I am a perfect singer,' Derek handed a mug to Meredith.

'Yeah, ok,'

'Listen I've got to go do a couple of errands before work, I'll see you later,' Derek lifted his keys and a piece of toast. Kissing Meredith on the forehead, he left her standing in the kitchen. He didn't start for another hour. He was up to something and she didn't know what. Looking up to the kitchen wall clock she could hear footsteps coming out of George's room.

'Morning,' the footsteps stopped suddenly.

'Hey Mere,' it was Izzie.

'You want a ride?'

'No, thanks,' Meredith left the house thinking about George and Izzie creeping about the house together. She began thinking about before Derek and her got together. They had been through a lot together. Derek's ex wife Addison showing up had taken a lot out of Meredith but she still loved Derek more than anything. Pulling into the hospital, she noticed Derek's car wasn't there. The hospital was quiet, except for interns doing Pre rounds. It was the one thing she didn't miss about being an Intern. No pre rounds. As she walked along to the residents' locker room the feeling of sickness began to wash over her. Running to the bathroom she didn't notice Bailey come in behind her.

'Grey, you sick?'

'No, I'm fine, honestly,'

'Grey, fine people don't throw up,'

'It's a hang-over, I'll survive,'

'Yeah ok, get yourself cleaned up and I won't mention this to anyone,'

Meredith washed her face and changed into her scrubs and started telling her Inters what to do at Pre rounds.

'You are the first person the Patient see's in the morning. You say please, you say thank you, you apologies for waking them up so early. You must be so nice to them your almost kissing their asses. If your nice to them they talk to you, they tell you how your feeling and then you tell me how their feeling, which then means we can make a diagnosis. We clear?'

'Yes Dr Grey,'

'I want Pre rounds done in one hour. Meet me back here when you are finished,' Meredith could feel the sickness creeping back up. Pushing it to the back of her head she went to look in on her patient with neurosclerosis. She and Derek were jointly treating the patient. Heading along to the room she could here Derek talking. She started smiling. Even the sound of his voice made her smile. Pushing the door open, Derek turned to face her.

'Ah Dr Grey, nice to see you this morning, running a little late?'

'No Dr Shepherd, just small singer problem I had to deal with,' the smile across Derek's face grew to a point he was almost laughing.

'So how you feeling Miss Tierney?'

'Please call me carol and I feel like crap, but apart from that on top of the world,'

'Do you have pain anywhere?'

'In my lower back,'

'Can you lean forward for me?' Carol slid forward and Meredith felt the bottom if her back. It felt like stone.

'Dr Shepherd can you look at Carol's back please?' Derek began to feel her back when he came across a small lump.

'Dr grey did you feel this?

'Yeah, Carol, we're going to send you for a CT scan and a MRI to see what's happening at the bottom of your spine,' Meredith and Derek left the room and walked over to the nurse's station.

'You think she's got a tumour?'

'I'm not sure, but I'm gonna find out shortly. How you feeling?'

'Like crap but that's what a hang-over does to people,'

'Mere, you didn't drink that much last night. You only had about two glasses of wine,'

'Really?'

'Yeah,'

'No, I'm fine; it's probably just a bug,'

'Ok but if you feel really ill, go home,'

'Ok, love you,'

'You too,' Derek leaned in and kissed Meredith on the forehead as she squeezed his hand. The nausea feeling washed over Meredith really quickly and she ran to the toilets. Her entire stomach was emptied. Sitting back down on the floor, the coldness sent a shiver through her spin. Sitting for a few minutes she realised that her interns were probably waiting for her. Pulling herself up off the floor she rinsed her mouth out and headed along to the interns locker room. They were all sitting around looking clueless.

'Ok, Rounds people,' all the interns jumped up and started following Meredith along to room 5643.

'Who's presenting?'

'Amanda Keving, is a 34 year old female, complaining of headaches, light headedness and dizziness,'

'Course of action?'

'Send for a CT, MRI and run all the usual tests and do a tox-screen,'

'Ok,' Heading for the next room Meredith felt sick again.

'I'll be two minutes, go back to the locker room,' Meredith headed for the toilets but was spotted by Derek on the way there.

'Mere?'

'I'm…' Meredith couldn't finish her sentence from the dry heaving.

'Mere, you should go home,'

'No, I'm fine, honestly,' Meredith's hair was being held beck by Derek's warm hands.

'Honey, you need to go home,'

'I'm fine, just a bug, I'm fine. Plus I have interns that follow me about like little dogs. I can't just leave,'

'I'll finish your pre rounds; you go get yourself sorted and take it easy the rest of the day,'

'I think I just remembered why I love you,' Derek left Meredith In the toilets and headed back along to the interns.

'Ok, you have the privilege of having me for the rest of your pre rounds, so lets get going,' Derek finished the pre rounds and sent the inters on different tasks. Looking around for Meredith he heard over the intercom code blue for room 5889. Running along he could see Meredith standing shocking Carol. He body was lifeless. The monitor was showing a flat line but Meredith was determined for her to live. After five minutes and being shocked seven times, Carol's heart came back to life.

'Get her intubated and send her down for a CT scan stat,'

'Dr Grey what happened?'

'I don't know but she went into cardiac arrest,' Meredith and Derek left together, talking about the next course of action to take when they got pages from Trauma.

'You got trauma?'

'Yeah, come on,'

As they headed down they could hear screaming and shouting. Derek ran on ahead and disappeared down the hall. Meredith tried to follow but she was caught dead in her tracks by the sound of a gunshot. Her body froze as she turned the corner at the sight in front of her.