Here it is! Loved working on this chapter! Let me know what you think, hope you enjoy and stay tuned ;)

Also i want to kinda portray the Amelia/Payten relationship the same as Caterina and her niece because to me they seem very close!

Disclaimer: Only own my O'Cs.

"Hey, Mom. Are you like.. Ok?" Payten questioned curiously standing outside the master bedroom's ensuite. Hearing her mother's inaudible voice then, the all knowing sound of someone being sick. She knocked again softly before entering the room.

"Oh God." Payten said slamming her arm over her nose and mouth dramatically in disgust. "I'm calling Dad." She stated before pulling out her phone out to dial Derek's number. Ignoring Addison's pointless pleas for secrecy.

"Payten, I'm in surgery. What's wrong?" Derek's frustrated voice came through the line.

"Oh sorry… Mom's sick." Payten informed.

After a few seconds of pause, "There done. , Can you close then follow through to post-op?"

"Of course Sir." Edwards agreed eagerly.

"If any complications arise, Page my sister." Derek instructed before informing Payten he will be no longer than half an hour.

Hanging up the phone, Payten grabbed a clean washcloth and ran it under warm water, pressing it on her mother's forehead, Addison complained, "This is a gnarly bug, I don't want to get you sick aswell P."

"Shush, I'll be fine." Payten spoke softly, holding a hand out to take Addie back to bed.

After settling in, Addison began to slowly fall asleep again. With being up for most of the night, it wasn't hard for her to fall into a deep sleep within a few minutes. Payten wandered aimlessly downstairs in search of something to keep her occupied for the time until her dad got home. She set up the DVR and grabbed herself a bowl of Olives and a can of Anchovies and settled into the couch watching reruns of American Horror Story, before falling asleep herself.

Derek rushed to open the door, pushing it open and stepping inside, he immediately noticed the silence. Closing the door quietly, he wondered into the lounge and found his little girl curled up in a ball with a blanket beside her on the ground. Derek placed the blanket back over the girl before kissing her forehead and heading to check on Addison. As Derek entered the room Addison began to stir confused,

"Der?" She let out softly.

"Yep, I'm sorry i woke you Addie," Derek said walking to sit next to her on the edge of the bed.

As soon as Derek reached the bed, Addison grabbed for his hand and pulled him down to her. Wrapping her arms around his neck, she began to weep softly.

"Hey, what's wrong?" Derek cooed.

Sniffling and letting out a shaky breath, "I just feel really sick Der." Addison confessed.

Derek slowing rubbing up and down Addison's back, calmed her down and jumped into the bed spooning her from behind. Wrapping his arms around her from behind, Derek got a shock noticing how much thinner she felt.

"You have lost a lot of weight!" Derek exclaimed worried.

Shrugging her shoulders, "I suppose. I haven't really noticed,"

"You didn't sleep much last night," Derek stated.

"I was just restless and nauseous," Addison said turning in his arms to face him.

"You need to go to the doctors," Derek said running his hand over her still wet cheeks.

"Can't you just prescribe me some Anzemet or Zofran and Restoril? Maybe some Flucloxacillin?" Addison reasoned.

Putting his hand over her forehead, Derek frowned, "You don't have a temp."

Groaning, Addison snuggled closer into Derek's chest, "If i don't feel better by tomorrow, i promise i will go. But can you just lie here with me for awhile?"

Derek rested his head on top of Addison's until she fell back to sleep.

Forgetting to set an alarm, Payten woke 45 minutes before her 16 week ultrasound appointment. Payten ran upstairs to her bedroom and got ready in 5 minutes flat. As she was changing, she took a look in the mirror admiring her growing bump. Rubbing her hand over her stomach, she smiled. Her phone sounded as a text from Josh appeared on the screen letting her know he was on his way over. Owen had arranged a meeting between Josh and for a job interview for the position of an orderly, Josh had fortunately gotten the job. Mainly due to the influence of 3 head of departments, Addison, Derek and Owen. Which of course was silent peer pressure. Payten sent a quick text back then dialled her aunties number,

"Hey! I having been trying to call for the last 100 hours," Amelia exaggerated.

Rolling her eyes and giggling, Payten apologised for the calls she had missed, "So, you are coming right?" Payten confirmed.

"To see peanut? Of course!" Amelia joked.

"Great. I'm coming in with Josh.. be nice," Payten warned knowing Amelia wasn't very fond of her ex-boyfriend.

"Always. See you then kid." Amelia said before ending the call.

Payten threw on her khaki puffer jacket and tiptoed down the hall toward her parents room. Slowly cracking the door open, the room was dark and both her parents were fast asleep. Sighing disappointed but knowing her mother was really sick, she decided not to wake them for the appointment and instead would surprise them with plenty of 3 and 4D the beep of the horn, Payten made her way outside.

"Hey," Josh greeted sweetly "You look… good."

Grinning, "You are such a flirt." Payten laughed getting into the passenger side of the car.

Josh had really matured since he found out about that they were expecting, like he had said. He had his own little apartment in downtown Seattle, close to Payten and the hospital. He had even set up furniture and had brought unisex clothes all for the nursery. Payten didn't know what to think about the two as a couple, for now she did enjoy his company as a friend. Now that she thought of it, majority of her time was either spent with only her family or Josh. She had lost connection with all of her "friends" when they found out she was pregnant. Payten didn't mind too much. She had only hung around with druggies or drunks. People she didn't want anywhere near her child.

Pulling into the hospital, Josh unconsciously gazed at Payten's bump for a few seconds,

"You good?" Payten shoved his shoulder playfully.

"This is real…" Josh studded.

"As real as a dollar bill," Payten winked.

"I'm so sorry Payten.. i know i've said it before, and i will keep saying it. If i could just... go back," Josh said fiddling with his hands before Payten gently grabbed one of them and placed it on her bump.

"Listen, we have to raise this little peanut together for the next 18 years. Don't worry. What's done is done Josh. This kid will just have to put up with two very unconventional parents," Payten smiled.

Feeling better, the pair jumped out of the car and made their way to the hospital's OB/GYN unit. Already waiting, Amelia was holding 3 coffee cups. One containing chamomile tea for Payten. Everyone greeted each other and made small talk in the waiting area,

"Where's your folks?" Amelia asked sipping on her coffee.

"Mom's really sick. She's been sick for awhile actually! And Dad was resting with her. i didn't want to wake them," Payten informed her aunt.

"Oh gosh.. sick how?" Amelia grimaced.

"Vomiting and really bad fatigue.. She is always tired. but weird. She hasn't been sleeping for longer than an hour at a time," Payten said with a hint of worry.

"That doesn't sound very good. Try convince her to come in," Amelia said knowing it will be a struggle.

"Huh! Like when you were bedridden last year for 2 weeks!" Payten laughed, "Yeah, you know how that'll go down."

Turning to Josh, She let him in on the joke that doctors are the worst at admitting they need medical treatment.

The trio huddled in the small treatment room and chatted as the resident doctor on call, set up all the ultrasound equipment. Spreading the thick gel over Payten's belly, Warren ran the transducer over it aswell.

After a few minutes, Warren let everybody know the baby was thriving and within expected growth margins.

"Were you's wanting to know the sex?" Warren grinned.

Looking at each other, both Payten and Josh were smiling, "Is it possible for you to write it down so that my parents and everyone can all find out at the same time?" Payten asked politely.

"That's fine, here you go." Warren handed the folded piece of paper to Josh as he congratulated the "couple" mistakenly.

"Oh we aren't together.." Josh blushed embarrassed.

"Oh.. my apologies." Warren corrected himself, "Congratulations to both of you."

Amelia noticing the loving glances between Payten and Josh, rolled her eyes knowingly. As the exam concluded, Amelia and Josh excused themselves to give Payten privacy to change and speak to Warren about any concerns or worries. She also requested to get a few ultrasound images of the baby. She and Addison had planned to have a small get together with all their family and friends to announce the gender within the few days to come. Thanking Warren and exiting the room, she wandered back over to where Amelia and Josh were patiently waiting.

"You wanna ride with me home? Owen's making some kinda curry thing for dinner," Amelia asked.

"Sounds good, But i think i'm gonna go check on the rents. I will text you the details about the gender reveal," Payten winked.

"Oh the big reveal! Definitely a boy," Amelia hummed. She had secretly made a bet with Derek about the gender of the baby and eventually everyone they knew had made a bet. She was now looking at a $400 profit if her guess was correct.

"Mhmmm." Payten rolled her eyes before giving her Aunt a hug goodbye.

"You ready to go?" Josh asked politely.

"Yep." Payten smiled as Josh guided her out of the exam room with his palm on the small of her back.

The party began the weekend after Payten's 16 week ultrasound and majority of her Grey-Sloan aunts and uncles were expected to come. As the guests had arrived and the party was underway, it was time to cut the cake that would have either pink (representing a girl) or blue (representing a boy) filling in the middle. Payten and Josh held the knife together and celebrated when the center was revealed as being blue. Although ecstatic it was in fact a boy. Derek was now $50 down due to his bet with Amelia.

"Goddamit Amy, how the hell are you always right with these things?" Derek sighed handing over his $50 wagger to Amelia discreetly as did Avery, Karev, Hunt, Webber, Robbins, Torres and Edwards.

Walking back over to Derek, Amelia placed her left hand on his right shoulder,

"Boys hang low, Girls stay high and tight." Amelia let him in on her "sixth sense" of detecting a baby's gender.

"A grandson," Derek pondered the idea out loud.

"That's right grandaddy," Amelia bumped her shoulder into his softly as the two smiled at their girl.

Payten was grinning ear to ear, thankful for the turn out of all her favourite people. It was only fair she made a speech.

"I would just like to say, Thank you all so much for being here today, it means so much to Me and Josh. I am well aware it takes a village to raise a child and i know that you are all my village, and me and my little man are yours." She concluded sincerely.

Turning back to each other and smiling, the siblings conversed about an upcoming surgery they would be working on together.

After eating and celebrating, the party rounded up fairly quickly. Addison who had spent majority of her time in the bathroom felt a sharp pain penetrating her chest. Unable to breath, panic set in and she found herself holding onto the side of the bathtub for dear life. After the wash of pain and fear, Addison tried to stand up without using the bathtub or railings in the bathroom for support. Immediately feeling dizzy and unstable, she slid down the door and stared at her hands that looked fuzzy. Scared but reasonable, it was probably just the lack of sleep mixed with dehydration and the really bad migraine that had occurred due to all the noise and people.

"Deep breaths Addison, Deep breaths." she hummed to herself.

With a small smile forming on her lips, Payten walked towards Josh and gently pulled him away from the dishes, leading him upstairs to the old study. The room was filled with cabinets waiting to be assembled, a changing table, a carriage and some painting tools.

"This will be his room," Payten gazed around silently.

"I can help set it all up, if you want.. or not. I'm here though," Josh studded.

Laughing, "I think his grandad will be upset if i don't let him do all this stuff. But thanks i will keep that in mind," Payten said sincerely.

"We are having a boy!" Josh grinned.

"Yeah and i have absolutely no names," Payten chuckled.

Thinking for a minute, "Nicholas?" Josh suggested.

"Niko?" Payten pondered.

"I knew a Niko, total douche.." Josh grimaced.

"Hmmm… what about Samuel?" Payten said making herself comfortable leaning against the wall.

"Might aswell call him Sam.. We have plenty of time Shep," Josh considered.

"How about last names?" She asked making a face.

"Well.. would you mind abbreviating it?" Josh asked shyly.

"Of course not, Josh. So baby Shepherd-Stanley or Stanley-Shepherd?" She asked not minding either.

"Stanley-Shepherd. It will be better for him, us Stanley's don't have the best track records," Josh joked.

"I'm sure that's not true," Payten frowned.

"Unfortunately it is," Josh said lightly not wanting to talk much about his family.

"Stanley-Shepherd it is then." Payten said moving off the wall to leave the room.

Josh grabbed her forearm softly and Payten turned to face him. As they both went in for a kiss, Derek, Owen and Amelia entered room. Both teens jumped back in shock and embarrassment as their cheeks blushed fiercely.

"Oh Ugh.. sorry guys.." Derek said sheepishly.

"I told you Owen!" Amelia squealed as Owen handed over another $20 grumbling. Smirking Amelia tucked the note into her back pocket and high fived Josh who awkwardly made the interaction.

"Amei, leave the poor boy alone." Owen said shaking his head as Amelia did her "happy dance".

"We'll see you tomorrow Pay," Amelia winked, "Bye, Josh." She smirked as she left the nursery followed by Owen and Derek.

Standing back in her old position against the wall with her head in her hands, Payten giggled. Her family were idiots.

"I'm sorry about that.." She said sincerely.

"No problem. I think it'll be best for us both if i go now. Talk to you later." He said giving her a soft peck on the cheek before leaving the room. A kiss she wouldn't' stop thinking about until the next one.

"Did you have a good day?" Addison inquired, not wanting to ruin her girls happy bubble by admitting that she felt like absolute crap.

"A really good day, Mom. I just wish Bizzy could of been here," Payten frowned.

"You know she would be if she could be," Addison said running her hand over her daughter's head that was leaning against her shoulder.

"I know. And i was thinking.." Payten said trailing off in the tone that she wanted something.

Sensing the tone, Addison rolled her eyes, "What do you want P?"

Sitting up, Payten begged her mother to be able to go and stay with Carolyn, Derek's mother before the baby is born.

"Please Mom. I talked to Aunt Liz and she said she can pick me up and i can stay with her, Nan and Aunt Nancy. Aunt Stephanie is coming up for Nan's birthday and i am going to convince Amei to come as well." Payten pleaded.

"I'm not saying No, but what about the baby? You can't fly after 28 weeks and you are already 17! By the time you go there and stay for awhile, we would've missed your whole pregnancy!" Addison reasoned.

"Mom, you guys can come with me." Payten explained as if the answer was obvious.

"We have jobs, so do you as a matter of fact. Besides, you have so much to prepare for Payten," Addison said now leaning against the backboard with growing pain in her chest.

"Argh, fine!" Payten said scowling and abruptly storming out of the room.

Hearing the commotion upstairs, Derek made his way to the master bedroom. Hearing his wife in the bathroom being sick. Derek found Addison and held her hair out of her face as she puked. Standing back up and wrapping her arms around him, she felt a little better.

"Are you alright, sweetheart?" Derek asked sweetly.

Shaking her head No, Addison began to cry.

"You aren't pregnant, are you?" He said finally asking the question he had been thinking to himself for the last few weeks.

Shaking her head No, Derek felt a little relieved. Bearing her own weight and leaning off her husband, she felt Derek reach out to wipe her tears. Swallowing deeply she admitted to him and to herself the inevitable truth,

"Derek.. I found a lump."

A/N- murppp.. i love Addek so much, but i feel like this needed to happen for the sake of the story. I wish i didn't have to but i do and it is going to keep this story going! Hope you all enjoyed! Reviews will be helpful for any suggestions! Thank you all.