Jackson Avery had left Seattle four years ago, after April had found out she wasn't pregnant and basically rejected his proposal he knew there was nothing for him there. He had to return every few months to deal with board issues, but he avoided her like the plague only agreeing to come back when he knew she wouldn't be at the hospital. But, this time his mother said it was an emergency and so he wasn't able to ensure that April Kepner wasn't going to be around. As he walked into the familiar doors of Grey Sloan Memorial Hospital, he saw her, red hair as vibrant as every laughing with a man who looked like he came straight out of a GQ catalog. Jackson couldn't help but stare at her, at how effortlessly beautiful she looked, and then he saw it, her ring finger. He never knew he could feel heartbreak like this, as strong as this, she was married to someone else. How foolish of him to think that she didn't move on, that she spent the past four years pining for him. Sure, he'd moved on and had a few random hookups with girls that meant nothing to him, but he never considered marrying them.

"Do you want to pick Maddie up from daycare or should I?" April asked Christopher, her husband of two years.

"I can do it, plus you shouldn't be on your feet for too long. You know what Arizona said," he grabbed her slightly by the waist and pulled her into him, their bodies fit almost perfectly. Almost perfectly. But he was just a bit too tall for her and she had to stand on her tiptoes to reach his lips.

"I'm pregnant, not disabled. Plus, I've been through this before." Jackson couldn't help but overhear their conversation. This wasn't what he wanted to hear. But why was he so bothered by it, he had left Seattle, he had gone to Boston no one forced him to bow out of the race for April Kepner's heart. But right now, only regret surged through him, stinging his veins.

"All right, Dr. Hudson, I'll see you when I get home," the man left her standing at the nurses' station. Jackson tried to duck out of her line of sight, but as he turned to get into the elevator she saw him and came chasing after him.

"Jackson! Jackson Avery, you get back her right this minute." He was caught, to be honest he had left without telling her and he had refused to answer any of her calls, texts, or letters. Sure, he still had them, but he hadn't the heart to open them.

"April, I have a board meeting to get to."

"No, you're not getting let off that easily. We need to talk, now."

"I'm only here on business, I don't have much to say to you."

"Excuse me? You up and left without a trace years ago, I didn't even know if you were alive or not."

"Come on, April, you would have heard if I were dead."

"I guess, but still Jackson, why won't you look at me?"

"You're married. I think you know why I can't look at you."

"How did you know that?"

"I saw you talking to him, he looks like a nice guy, good guy to have a family with."

"I don't know what you want me to say Jackson."

"You don't need to say anything, I left you, and it's my fault. I could have had it all."

"You would have if you would have answered your phone," she spat under her breath.

"What's that supposed to mean?"

"I mean, the test was a false negative and if you wouldn't have gotten up and left within three days you would have known. And if you had answered any form of communication I've been trying to have with you, you would have known that you have a daughter. But no, blame me for moving on."

"What the hell are you talking about, April?"

"Maddie is your daughter. She's three, looks just like you." And with that April walked away from a stunned Jackson Avery.