Derek followed Meredith out in the hall and into an exam room. "Why are you following me?" Meredith asked him. "Stop looking at me like that. Especially when THAT song is playing. And you were singing the lyrics. Just stop it. STOP IT!" Meredith increasingly got louder. Tears were threatening to spill over.

"Do you think I WANT to be looking at you like that?! Don't you think I would rather look at my WIFE that way?" He turned away and ran his fingers through his hair. He hated seeing her so upset. Derek turned back around and saw the tears were now flowing freely down Meredith's face. He grabbed her by the shoulders and was about to kiss her when his pager went off.

Startled, he backed away. What was he doing? He was married for goodness sake! He couldn't be kissing Meredith with his wife down the hall! He looked at his pager. It said "911 Addison". "What the hell?" Derek exclaimed as he ran out of the room back to the hall.

As Derek entered the entered the prom, he felt like he had been punched in the gut. He saw Addison sprawled on the floor, blood gushing from her head, and Dr. Webber yelling out orders.

"Addie!" Derek yelled as he ran across the room. "What the hell happened?" he asked no one in particular. "She just collapsed." Finn replied, "She hit her head on the table on the way down."

"Addie! Addison! Wake up!" Derek exclaimed rubbing her cheek. She was so pale. So lifeless. How could he have been so stupid? He had almost kissed Meredith, and who knows what would have happened after that, all while his WIFE was passed out on the floor bleeding! He should have been there. Addison was loaded onto a gurney and taken to a room. Derek followed in a daze.

Dr. Bailey came in to stitch up Addison's cut. She still hadn't come to. "She needs an MRI. We need to make sure there is no internal bleeding. We also need to determine why she passed out." Derek commanded to Dr. Bailey in one breath. He inhaled quickly like he was about to say something else. "Dr. Shepherd. You are not the doctor here. You are the husband. We know what needs to be done. Just breath."

Derek collapsed in the chair next to the bed. Dr. Bailey was right. Derek remained silent as she finished the stitches. Addison started to wake up at this point. "What happened? Where am I?"

"Don't try to move Babe. You passed out at the prom and hit your head. We are heading up to get an MRI soon." Derek told her. Addison couldn't believe what she was hearing. Passed out? She must have hit her head really hard. She thought she heard Derek call her "Babe" and he sounded like he cared. He even looked worried. Yup. She definitely was hallucinating.

"Addie? Honey, did you hear me?" Derek asked her. Ok, maybe she wasn't hallucinating because he definitely called her "honey" and now he was holding her hand and rubbing her cheek. "Um," she said. "Yes, I heard you. I passed out and hit my head."

"Good. What is the last thing you remember before you passed out?"

"Um. I was talking to Finn. He said something about you and Meredith leaving the prom. Then I felt dizzy and fainted." She talked slowly as the memory of what Finn had said came rushing back. She looked Derek in the eye coldly. He knew she knew he was with Meredith.

"You felt dizzy? Were there any other symptoms?" Derek stammered, choosing to ignore the Meredith thing for now. They needed to find out what had caused her to pass out. Everything else could wait. "I remember having a headache. It was worse than the other headaches I have had. I also felt nauseous. That was new. I feel better now. I am fine Derek. I don't need an MRI. I just want to go home, if you can call it that."

Addison closed her eyes and pulled away from Derek. She was angry, hurt, and confused. Derek had looked guilty when she mentioned Meredith. Obviously she had scared him by fainting, but that didn't change the fact that he had left in the middle of the prom. Addison just wanted to get out of the hospital now that she was stitched up and be by herself. She needed to think.

"Addie." Derek said quietly. "Look at me." He waited for her to open her eyes. "You are not fine. You passed out. You really need to get an MRI. Just to make sure. Please do it for me." He looked into her eyes with his McDreamy look. Dammit! She could never resist those ocean blue eyes. "Fine." she conceded. "I will get the MRI...but then will you take me home?" "Deal."

Derek insisted on being the one to take her up to get the MRI. The halls were ghostly quiet at that hour. Almost everyone was at the prom, which was beginning to wind down. Two nurses passed them as they walked down the hall. Derek overheard part of their conversation.

"Did you hear Izzie confessed to cutting the LVAD wire?" "I did. She must be crazy! I also heard that Denny died tonight."

Derek's stopped pushing the bed and looked down at Addison. "Did you hear what they just said?" "I did." she replied. "I feel sorry for Izzie. She has a lot of talent. More than that, she is a kind person." "I know. It is sad that Denny died after all of that." Derek paused, causing Addison to look up at him. He had tears in his eyes. "Don't die on my Addie." Derek whispered. She could barely hear him as he continued. "I know things have been rough between us, but I don't know what I would do if you died." He leaned over and kissed her on the forehead. Addison didn't say anything as he continued to push her bed to the MRI.

Addison hated being in the MRI machine. Having the cage put over her head while they scanned her brain. Barely being able to move. She felt like she wanted to scream. At least it gave her a good 30 minutes to lay there and think with no one interrupting her. In her gut, she knew that Derek still had some kind of feelings for her. But was it enough? Did he love her? Could they ever really trust each other again? She had given up everything to move across the country to try and make their marriage work. Her practice, her Brownstown, the Hamptons, access to all her favorite stores. Even living near their families. She had told herself it was all worth it to save her marriage. But now she wasn't so sure. Obviously Derek still had feelings for Meredith. She wasn't sure she could compete. She wasn't even sure she wanted to try. She just wanted to go home. Not the trailer. But home. Back to New York. Back to where she had friends. Back to where she wasn't being judged all the time and wasn't lonely.

Derek paced around the halls while the MRI was going on. He checked in every few minutes to see if it was done, but he couldn't sit still. He was so confused. Tonight while he had been dancing with Addison, and he saw Meredith with Finn, he had wanted to punch Finn. He had been so jealous. But then when he had seen Addison lying on the floor bleeding, his first thought was 'I don't want to watch another person I love bleed out in front of me and die." He kept having flashes of his father bleeding on the floor in the store dying. It hurt so bad even after all these years. It had been the same with Addie tonight. He was so afraid she would die to. It was then he realized that deep down he did still love Addison. But he didn't have time to think about it any more. The MRI tech leaned out of the room. "Dr. Shepherd. The scans are up. You need to come look at this." Derek entered the room to view the scans. He couldn't believe what he was seeing. There on the screen showed a brain with a tumor the size of his fist in the left frontal lobe. His worst nightmare was coming true. Addie had a brain tumor. Derek collapsed in the chair and finally let the tears he had been holding back fall freely.