Meredith is in an empty on-call room after finding out her boyfriend is married, staring down at the the test results to reveal if she is pregnant or not and she is indeed, pregnant.
What am I supposed to do? He's married! I won't have an abortion, I won't. Just then, Derek walks in and says "Meredith, I am so sorry."
"Sorry? Is that all you have to say to me? Sorry? You're married and you didn't think to tell me, I don't know, when we met? Before you got me all head over heels and pregnant?" Meredith yells, almost positive people in the hall could hear.
"Wait, you're really pregnant?" he said with a smile.
"Yes you moron! And you're married!" Meredith yells.
"Will you let me explain?" Derek asks.
"5 minutes. After your five minutes are up, I'm going to find an on-call obstetrician so that I can have an ultrasound done and be prescribed prenatal vitamans" Meredith says.
"Can I atleast come to the ultrasound with you?" he asks.
"If your explanation impresses me enough. So get to talking before your time is up" she answers.
"Okay, well, I am married. But she cheated on me with my bestfriend Mark. The next day, Richard gave me an offer I couldn't refuse. I came to Seattle immediately and met you at a bar. My first thought was definitely not to tell you I was married. Your beauty was very distracting and it completely slipped my mind. The next day I didn't know how to tell you so I just.. didn't. I was planning on getting a divorce, in fact I still am." Derek explains very quickly before he runs out of time.
"Okay. But this doesn't mean I trust you. You still lied to me. Let's go find that OB" Meredith says.
The nurses send Meredith to an exam room with a gown and said an OB should be there soon. Then, Addison walks in.
"Oh my god.. she's pregnant?" Addison asks, shocked.
"Yes, what are you doing here?" Derek answers.
"I am temporarily working here, I had no idea it was your slutty intern. This is insane. You're getting an abortion, right?" Addison asks bluntly.
"I believe you don't have the rights to ask me that as I am your patient and you are the doctor, am I right?" Meredith answers.
"Right" Addison says with a laugh.
"Okay, do you want a full exam or just an ultrasound? I'm required to do the full exam but given the situation I would be okay with just doing the ultrasound" Addison asks.
"Uh yes, right. Just do an ultrasound please." Meredith answers.
"Okay. This might be a little cold" Addison says while applying the gel to her abdomen.
"Let's see your baby" she says. "Uh, Derek I think you should come look at this" Addison tells him.
"Is something wrong? What is it? Oh god! This is karma" Meredith says as tears start streaming down her face.
"Addison.. is that twins?" Derek asks.
"Yes it is. Congratulations Meredith, you are having twins with my husband" Addison says.
"Thank god! I thought something was wrong! Oh derek, we're having twins" Meredith says.
"The only thing wrong is that those twins are my husbands" Addison says.
"Would you shut the hell up? This is a happy moment. I just saw the babies the woman I love is carrying. And you're ruining it!" Derek says to Addison very loudly.
"Derek, it's okay. She has a right to be upset" Meredith says.
"No she doesn't! She cheated on me. She lost all rights to be in my life the night I walked in on her fucking my bestfriend. She's your doctor right now. That's all she is." Derek says angrily.
"I should go" Addison says in almost a whisper then walks out of the room.
"I'm sorry. I know I ruined the moment by yelling at her but I couldn't help it. I can't stand her!" Derek says.
"It's okay and uh- we never found out how far along I am" Meredith replies.
"Let's page Izzie to give you one" Derek tells her.
"Derek, I just need to know you won't leave. If you want to, you can. I'm giving you an out. I would never keep you out of these babies lives. So if you want to be with her, go ahead. I hate to make you choose between me and her but I don't know what else to do." Meredith says.
"I'm not going to leave. In fact, I'm gonna go tell Addison I want a divorce right now.
"Addison, I want a divorce" Derek tells the redhead.
"Alright. You can call the lawyers and have them send us the papers and I'll be out of your hair by the end of the week. I called Nancy. You wouldn't believe how hard she laughed when I told her about the knocked up slutty intern" Addison replies.
"You bitch. She's not slutty. If you want to call someone slutty look in the mirror because you're the one that cheated on your husband. She's not married and she didn't have a boyfriend when we met." Derek says.
Addison laughs.