Author's Note: Okay, so I wasn't nearly satisfied with the season premiere. I did not think there was enough real conflict, so I wrote this little fic. I know the prospect of Rose carrying Derek's baby is dramatic and completely disastrous, but this fic is gonna have fun twists and turns that show our characters loyalty, fears, love, and anything else you can possibly imagine. There might be some results that completely catch you off guard. Please read and review!

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"Look, I don't really know how to tell you this, so I'm just gonna come out and say it. I'm carrying your child, Derek."

Derek stood before her, in front of the infamous surgery board, at a loss for words. He was sure that he'd heard her incorrectly; sure that the last sentence out of her mouth was a lie, a cruel joke even. His jaw dropped slowly, his eyes grew round, and sweat began to trickle from his scalp and onto his forehead as the silence between them grew deafening. His mouth formed soundless words, all ending with a resounding question mark. Rose crossed her arms, shifting her weight to her left foot in order to allow the right to begin tapping the tiled floor in impatience. He shook his head slightly, not knowing what she expected from him.

"Derek?!" She said firmly. "Did you hear me?? I said I'm pregnant with your baby!"

Her obnoxiously loud shrill pulled him rather roughly from his dumbfounded reverie. He forcefully grabbed her upper arm and dragged her to the nearest empty exam room.

"Will you keep it down?! I don't need the whole damn hospital telling my girlfriend about this horrible bombshell you've just dropped on me!" He whispered vehemently through clenched teeth as he shut the door behind them.

"Horrible bombshell?" She asked, slightly wounded, anger bubbling up inside her.

"Yes! How did you think I would react, Rose?" He asked, anger bubbling up inside him as well. "Did you think I would throw my hands up in excitement and immediately go out and buy little baby clothes?!"

"No! But I did expect something other than a dumbfounded expression and a raised voice!" She retorted and turned on her heal, for she found it impossible to stare into his cold blue eyes any longer.

He sighed loudly and forcefully plopped himself onto the nearest chair, roughly running his hand through his dark brown locks in the process. He jammed his elbows into his thighs before letting his face fall into his open palms. He rubbed his temples, doing his best to calm down before attempting to speak again. When he felt as though the cauldron of dark red liquid residing in his stomach had ceased bubbling, he removed his hands from in front of his face and stood.

"What're we gonna do here, Rose?" He asked, quietly. "I've never been in this situation before and I am not the type of guy that will just walk away and pretend like you don't exist, but I am with Meredith now. I love Meredith. More than anyone that I know. Despite these circumstances, I'm not going to leave her and start a life with you. I just- I just cannot do that to her, to me. We've spent way too much time apart as it is, what with Addison and Meredith's mother and every other damn thing that has wedged itself between us. I'm not gonna let this get between us because we have worked too damn hard for that to happen again. She's in it for good and so am I."

Rose stared out the window, watching the snow drift lazily from the sky and landing gracefully upon the already pearly white surface. During his speech, her eyes had unexpectedly filled with tears as she heard the adamancy in his voice. As a lone tear spilled upon her slightly pink cheek, she angrily swiped it away and whipped around to face him, disbelief etched on her features.

"And what am I supposed to do, huh? This isn't only my responsibility!" She said, pointing to her flat stomach. "I didn't get myself pregnant! This is as much your responsibility as mine, so don't you dare stand there and ask me what to do, then tell me that you're in love with Meredith and that you'll never leave her for me, despite the fact that I'm carrying your child!" She yelled, gesturing wildly.

"You're not supposed to be carrying my child!" He yelled back. "It's not supposed to be you! I was never in love with you! I was never over Meredith and you knew that! You knew all of that! After all those times you questioned me about my feelings for her, you knew that I wasn't over her! And yet you still insisted that we go out and have sex and just pretend that I wasn't in love with another woman! And, yes, I'll admit it; I did go along with it all because I wanted to believe that I was getting over Meredith, but I knew it was all bull shit. I know that I used you and I'm sorry about that. I'm sorry for using you as the rebound to make something happen between me and Meredith, but you knew what I was doing. I know you knew, but you just went along with everything!"

Derek stopped, his breathing a little labored. He took a deep breath and shook his head, refusing to look at Rose. She placed her hands on her hips, glaring at his retreating back.

"So what if I knew?! I thought that you'd get over her! It looked like you would! Every time we were together, you seemed to be more with me! It became really rare when you would get quiet and start thinking about her. You seemed to actually be there! I thought you were getting over her, so I kept it going!"

He sighed again, turning slightly to face her angry form.

"What do you want from me, Rose?" He asked in a monotone.

"I want you. I want you to leave Meredith. I want you to be with me. I want you to help me raise this baby. I want you." She whispered with emphasis.

He shook his head slowly and blinked to break the eye contact between them. He looked down and whispered the words that froze her to the spot.

"I'm sorry, I can't do that."

And with those parting words, he turned the doorknob and left Rose standing stock-still in the middle of the empty exam room.

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Okay, so I know Derek seems like kind of an ass in this, but I thought she was being kind of a bitch by telling him at work and yelling about it so the whole surgical floor could hear. I figured she deserved a little reality check. Please review!