Title: Decisions

Paring: MerDer and other parings involved.

Rating: T

Summary: Rebuilding relationships, and being completely opened.

A/N: Meredith and Derek have been married for two years. She was a first year resident when they married. George and Callie have moved in together, and Izzie used some of her money to buy a place. Christina and Burke are still together. Addison and Alex because they are HOT together and I couldn't resist. Mark is still there mostly because I love him and I don't want him to go away. There maybe some Izzie/Mark after Thursday's show I can't resist. Derek and Mark are working for on there friendship. Miranda is the same. The Chief is partly retired and preparing to give the reins over.

Thatcher and Meredith's relationship is rocky but there trying. Elisa is still in the home her condition has worsened.

Everything else will be explained after this chapter.

Meredith's V/O: In life we all must make decisions. Sometimes they're for the best and sometimes well sometimes your screwed.

"Meredith I really don't have time for this!" Elise Grey exclaimed as she moved around the kitchen of her home getting ready for work.

"But mom listen I have to go on this trip!" She exclaimed loudly, and with typical sixteen-year old excitement.

"Meredith will discuss this when I get home. I have several surgeries today." Elise told her daughter getting her keys and walking to the door, "Will discuss this when I get home."

"It's going to be to late. I have to have a check today."

She answered and crossed her hands over her chest, "God you don't even understand anything mom. Why can't you be like Suzy Reckers mom and stay home?"

"Because Suzy Reckers mom didn't go to school for twenty-one years, logged countless hours as an intern living on little to no sleep. Here's my checkbook just signed whatever you need." Elisa brushed her lips over her daughters' cheek and left.

Living behind a confused and hurt Meredith Grey.

Meredith gasped her body shacking from emotions. She hadn't thought about that day in years. She remembered feeling completely like her mother didn't understand and didn't care to understand. She didn't want her mom to quit she understood her job all she wanted was to at least be the first in her mothers life once.

"Meredith?" Derek's voice was husky with sleep when he opened the bathroom door and a small ray on light flashed out, "Did I wake you? I'm sorry I was trying to be quite." He joked as he slipped into her bed, "Or maybe it was this little guy?" He asked placing a hand on her belly. She smiled feeling her baby move, the baby had been a surprise for the both them. After their small intimate wedding they had. She'd found out she was having a baby. A third year resident and her life was on a roll, and she finally stopped having that felling like any moment the other shoe was going to drop on her happiness.

"I had a bad dream." She muttered blushing a little when Derek smiled and his eyes crinkled.

"Want to talk about it?" He asked kissing her neck.

"No am fine." She grinned, "I'm going to get something to drink." He wouldn't let her go as he moved up her neck and kissed her. He meant it to be a simple peck the soft sight she breathed had him deepening the kiss and moving backwards o on the bed.

"Wow!" Derek muttered, "I love you Meredith." He smiled turning over in the bed so his hand rested on nine-month pregnant tummy.

"I love you too Derek." She smiled, "I still want that drink." She whispered into the dark as Derek chuckled and moved over her to go into the kitchen.

Derek Shepherd looked over at his sleeping wife. He moved the sheet away and watched her. She was beautiful, and always had been and always would be. Her long legs crossed, and a hand rested on her belly. He didn't know what was hurting her, but when he saw her eyes were wide and haunting. He looked at the clock she had five more minutes before she had to wake up. Slowly he got out of bed and moved downstairs to the kitchen of their house. The trailer was long gone and replaced with the beautiful home that Meredith personally saw built. Six bedrooms, five and a half baths, a huge stainless steel kitchen, with a big family room that had comfy chairs that was perfect for them cuddly, two separate offices for the both of them, and a large library.

"Derek?" Meredith looked up at him and groaned slightly as she sat up.

"You have a little more time to sleep sweetheart." Derek whispered brushing her hair away as he sat down next to her on the bed.

"My wonderful McDreamy." Meredith whispered kissing him softly, "I have an appointment today. Can you make it?" She questioned softly taking his hand.

"I'll make the time." He told her kissing her belly, "I was going to make you some breakfast. Anything special?"

"Pancakes!"

"Okay I'll meet you downstairs."

Meredith groaned as she struggled to put on her flats. She would be happy when she finally sees her toes again. She didn't feel ugly or fat she felt like a goddess. A lot of that had to do with Derek and the way he looked at her and took care of her. She put a hand on her belly and smiled as she felt the baby move restless against her. In less then two weeks she would have her son in her arms.

She wondered for the millionth time since she found out she was pregnant what the baby would look like. Would he have Derek's thick hair, and killer smile? She hopped he would get all Derek's quality. His unfailing loyalty, his heart, and his brilliant mind.

"Hey pancakes are ready!" Derek exclaimed as he walked into the room. He was already dressed and looking yummy in a red sweater and a pair of jeans.

"I can't put on my shoes." She whined. Derek chuckled and moved closer, bending down to put on her shoes for her.

"Your all ready." He pulled her up and kissed her gently tasting the cinnamon from her toothpaste. And she followed him downstairs.

"Mere?" Christina Yang called loudly and clapped her hands in front of her.

"Christina!" Meredith shook her head out of the daze she was currently in.

"What's wrong?" She looked worriedly and sat down beside her on the bench in the locker room, "I've been calling you for the last five minutes."

"I might be pregnant." Meredith's statement was flat and her face held no emotions.

"Pregnant?" Christina asked, "Wait what do you mean you think?"

"I took one of those home pregnancy test and it came back negative. I just feel something." She finished off lamely, "Derek is going to kill me. We just started construction on the house. We were supposed to wait a few years."

"Calm down Mere!" Christina ordered, "We go upstairs have Izzie give you a blood test and will know." She reasoned calmly.

"No!" Meredith yelled, "I can't possible have it. You think that lab work that goes though with the name Meredith Shepherd is just going to be ignored." She groaned, "Derek will find out for sure and if I am I want telling him to romantic."

"Okay so we go somewhere else. Mercy West?"

"Alright." Meredith smiled feeling better then she had in days.

"So what are you and Christina going to do with your day off?" Derek asked as he moved around the kitchen. He had a surgery in a few hours.

"I don't know. Maybe I'll take your credit card for a spin and start decorating the house!" She giggled at his shock expression, "Or maybe will seat around and relax."

"I like the last idea better."

"I do to." She smiled kissing him, "Know go save some lives." He nodded kissing her hair as he left, "Wait Derek." She ran after him, "I love you." She whispered before kissing deeply.

"I love you to Mere." He told her and noticing her face he sighed, "What's wrong?"

"Nothing. I just...am just...nothing." She put on a bright happy smile and kissed him again, "I'll see you later."

"Mrs. Shepherd?" The nurse called out.

"Here." Meredith chirped as she sat up taking Christina hand and squeezing it tightly.

"Follow me please." She followed her to the end of the hallway and a small room. It was decorated in a flowery wallpaper and yellow pane, "The doctor will be here soon."

"I hate this room." Christina groaned, as she looked around, "I think am going to be sick."

"Thinks for doing this." Meredith smiled as she looked at her, "Izzie would have told for sure, George would be no help at all, and Alex is so wrapped up in Addison."

"No problem."

"Ms. Shepherd?" The doctor entered the room moments later, "I'm Dr. Bridget Rowlens, so you're here for a pregnancy test?"

"Yes."

"Well lets get started." She told handing her a cup.

"Meredith you are pregnant." The doctor told her, "Congratulations."

"Thanks. Lets go Christina."

"You need to schedule another appointment, and a prescription for pre-natal vitamins."

"I have a doctor." Meredith said leaving the office.

"So?" Christina asked as they entered the elevator.

"I'm pregnant." She said but a small smile played on her face, "Oh my God." She placed a hand on her stomach, "There's a person growing in there."

"That's usually what pregnant means." Christina returned dryly.

"I can't believe that a person can actually go in there." Meredith said in wonder.

"Your patients will love that."

"I just wow." She sighed again, "Thanks for doing this. Seriously!"

"It's fine."

"A home cook meal?" Derek sniffed as he entered the room, "This is exciting." He smiled and kissed his wife.

"Don't read to much into it. I felt like cooking so I did." She laughed as he wrapped his arms around her.

"You had fun today?" He asked.

"Yes. It's good to get away from the hospital. Maybe we could schedule sometime to see your family."

"I'm sure they'll like that. I missed you today." He pulled her closer and nuzzled her neck. Meredith resisted the urge to moan at his touch she needed to think. Her mind had to be clear when she told him.

"Derek you need to seat down before I burn dinner."

"We can order pizza." He decided turning her away from chopping the vegetables and lifting her onto the counter.

"Derek please just seat?" She begged looking him in the eyes. She loved his eyes the expressions he gave and this one was bout as worried as he could get. He held up his hand in a surrender gesture.

"Mere sweetheart just tell me." Derek begged after dinner was over and the things were cleaned.

"I was thinking we could maybe go see your parents this weekend. Of course we can wait until Christmas. The house will be finished by then right? I always wanted a big Christmas in my very own home."

"Mere?" He questioned her and the look hurt her. She knew what had to be done. She got up from the table and moved around. She needed to walk and she needed to...

"Oh God!" She screamed running to the bathroom in the hall. She heard Derek's hurried steps behind her and groaned.

"Mere? That's it am taking you to the hospital. You've been acting weird and know your sick."

"No Derek!" She grabbed his hand preventing him from leaving, "I'm not sick. I'm pregnant!" She exclaimed.

"A baby?" Derek sat down slowly. A big goofy smile on his face, "Your pregnant?"

"Yes." She looked at him a smile on her face as while.

"Oh wow!" He said gathering her in his arms. He kissed her hair, "I love you so much Meredith." He picked her up and carried her upstairs.

Meredith smiled as she always did at the memory. She was flat on her back as she prepared to be examined. Her do date was in two weeks. Which meant her appointments were closer together.

"How are you doing today Mere?" Izzie gave her smile.

"Good! The baby is being active today." She groaned a little, "How are you today. Anything exciting? Derek won't tell me anything."

"No nothing!" Izzie chirped as she prepared the 3D sonogram.

"Find I swear. The second I pop this baby out I'm going to make sure Derek's on dirty diaper duty."

"A plan." Izzie giggled, "Lay back Mere. Let's take a look at McDreamy Jr." Meredith hissed quietly as the cool gel hit her stomach. The camera went over her and she turned to watch her baby appear on screen. He was laying flat and a thumb was in his mouth, "He looks very good. The heartbeat is strong. Everything is looking good." Izzie responded as she cleaned the gel off, "So when is Derek's mom going to arrive?"

"A couple of days." Meredith laughed, "It should be fun. With my mom and everything. It's going to be nice having someone there."

"Of course." Meredith grinned again remembering when they told Derek's parents she was pregnant.

"You call!" Meredith hissed as she gave Derek the phone, "She doesn't hate you."

"She doesn't hate you either. Trust me!" But he dialed the familiar numbers to his childhood home.

"Shepherd residence!" He heard the chirp of his five-year old niece.

"Hi Chloe it's Uncle Derek. Give the phone to Grandma or Grandpa please." He could hear the shuffle and Chloe yelling though the house that Uncle Derek was on found. He could even hear the familiar sounds of a full house. The excitement grew in his heart that his son or daughter was going to full up their house with noise.

"Derek?" His father James Shepherd questioned as he took the phone, "What do we owe the pleasure."

"Is mom there also? I want to tell you both."

"Yes hold on." He could hear his father in the background, "Susan honey its' Derek." He yelled, "Says he wants to talk to both of us."

"Derek its' mom. What is it? We have a full house today."

"I can hear. It's Meredith and I." He paused and smiled at her worried look as she bit her lip, "Were going to have a baby." It was quite. But he could hear his mother's sharp intakes of breath and his father's deep chuckles.

"Congratulations my boy. How is the expecting mother?"

"She's doing well dad. She's really happy about this. She has this amazing glow about."

"Oh Derek. Let me talk to her." His mother begged. Derek handed her the phone.

"Hello Susan, James."

"Oh my darling." Susan gushed, "A baby finally. I swear with Derek saving lives I never thought we'd get grandchildren out of him. I'm so happy for you both. How are you feeling really?"

"Really well. The morning sickness isn't bad at all. I was told to wait and see."

"I'm so happy. I can come out there anytime you want. My mother-in-law was so pushy with me. So if at anytime you can tell me to shut up, but oh am so excited."

"No it's fine." Meredith hurried, "With my mother sick and everything I'd welcome the help."

"Just the name the time darling."

"Yes Meredith just name the time."

"Thank you both."

"It's fine. We'll talk to you later."

"Bye."

"That was nice of you. She'll like that. All her other grandchildren she was there from the start. She'll probably want to stay the full nine months."

"That's fine." Meredith sighed, "I like having a big family." Meredith went closer and snuggled into his arms, "I can't wait until his born."

"He?"

"Maybe?" With his daddy hair and eyes."

A/N: This is my first GA fanfic. But I've watched the show from the start and am hook. I even got the rest of my family hook. This season and last has been centered on being a working mother. This story is about what Meredith's decision will be when she has a little one. Will she follow in her mother's footsteps or not?

By the way the first names of Derek's siblings, etc. have yet to mention so any suggests will be nice.

Please Read and Review! Constructive Comments will be read and considered.

Thank You. ♥