This story took so long to update and I am so sorry! I hope someone is going to read it!

Disclaimer- Shonda owns.

The air breezed past the young couple huddled under the thin plaid blanket on one of Seattle's infamous ferryboats. Shivering slightly, Payten tucked both arms into her chest as Josh embraced her in the attempt to supply her with more warmth. Payten's small round bump was covered protectively by her hands. The two were on their way to visit Addison who had been admitted to hospital for severe dehydration and also to get the large lump on her breast checked out, something they all prayed wasn't cancer. Letting out a soft breath, Payten looked up to Josh,

"It's… sss...soo..cold." she stuttered.

Josh frowned at his lovers blue lips, tilting his head to kiss them softly,

"Not long now." He said rubbing his hand up and down her spine.

Once the two had gotten off the ferry boat, they ordered a taxi and made the short distance from the dock to the hospital.

Addison's room was on the fourth floor and Payten told Josh to go find her aunt Amelia who was somewhere around the surgical wing of the hospital.

Once Payten had found the room her father had instructed, she entered quietly. The room was dim and quiet with two figures lying in the same bed. Payten made her way towards the two and sat sheepishly on the lazy-boy next to the bed. She realised she had made more noise than she intended when both her parents eyes shot open and Derek let out a sleepy yawn.

"Sorry for waking you," Payten sighed taking her mother's hand into her own.

Addison squeezed the young girl's hand in retaliation and a smile spread across her face to have her daughter there with her.

"It's fine P, how was the ride over?" Addison asked.

"It was cold, it doesn't make me miss New York." The girl shivered in remembrance of her brutal childhood winters.

This earned a laugh from both Derek and Addison, "Now those were some cold days," Derek chuckled.

"Do you feel better?" Payten asked stroking her mother's hand.

"I do, a lot better. They put in an I.V about an hour ago and it feels like I am alive again. The doctor will be here in a minute." Addison informed the girl.

Addison glanced over at her daughter that was deep in her thoughts and squeezed her hand softly,

"Don't worry about it okay? everything will be fine."

Uncontrollable tears starting to stream down Payten's face and her head dropped into her hands as she began to let it all out. Addison stroked the girl's hair in the hopes of calming her down but when this didn't work, she sat up ripping the cords from her arms and face with Derek protesting beside her and grabbed Payten. Pulling her into her arms, the pregnant teen felt a sense of relief.

"I don't want you to die, you can't die," Payten cried.

"Oh honey, I am fine. I was only dehydrated, where is this coming from?" Addison assured her grown baby.

Entering the room at this moment, Josh and Amelia both made a face and decided to wait outside for awhile.

"So, Are you excited to be a dad?' Amelia grinned testing the boy.

"Ughh, yeah i'm stoked," Josh replied wary.

"Do you have any other kids nobody knows about?" She joked with a stern expression.

"No ma'am," He swallowed.

Just as Amelia was about to speak, she was spun around into the arms of Owen Hunt from behind. Putting her back down on her feet Owen and Amelia shared a quick peck and she stayed within his arms.

"Don't let her rark you up Josh," Owen winked at the awkward looking teen.

"I would never do such a thing," Amelia said hitting Owen's arm gently.

"Mhmm," Owen teased.

Back in the hospital room, Addison had managed to calm Payten down and reassured her that she would be fine. She had explained to Payten that she had a blood test to do but the doctor had examined the lump she had found on her breast and found that it was actually Montgomery Tubercles. Which was usually an early sign of pregnancy.

This particular bump was fairly larger and more prominent than one you may usually find. Due to it being clogged though would most likely need to be removed by a plastic surgeon. Of course if it was caused by pregnancy the surgery may need to wait until the baby was born.

Payten sat and took in all the medical jargon her mother was throwing at her, but only understanding the words pregnancy and pregnant. her mother might be pregnant? At the same time as her? She was going to have a sibling?

"Wait wait… you are.. pregnant?" Payten blurted out.

"Maybe.. I need to have a blood test to be sure," Addison answered blatantly.

"But… how? I mean I know how.. but why?" Payten said dumbfounded.

Addison and Derek exchanged a quick glance and Derek truly didn't know what to say. He and Addison never really talked about having more kids and to be honest he didn't really want anymore. He had Payten and she was enough for him.

"Well Payten, there isn't a reason why. We weren't actively trying to have a kid but as you know things just.. happen," Addison explained.

"This is insane… my son is going to have a younger aunt or uncle? I'm pregnant at the same time as my mother," Payten said in disgust.

"We don't know if she's pregnant," Derek said a little too firmly.

Addison looked between the two and shot them both death glares,

"Really? Is that all you're worried about Payten? irrelevant people gossiping about our family?" She hissed.

"It's not that.. it's just.. I don't know, weird." Payten said screwing up her face.

Addison looked over at Derek who was rubbing both of his temples and she could tell that he obviously wasn't pleased either. Just then Arizona entered the room with a portable ultrasound machine.

"I saw you were waiting for an HCG blood test and thought this would be easier for you," Arizona chirped.

"Sure, thanks. You guys can leave," Addison said blankly to Payten and Derek.

Both Derek and Payten tried to protest but eventually apologised and left the room to join the others in the hall.

"Sorry about that Robbins," Addison apologised.

"It's fine, so I'm just gonna apply the gel now and we can see if there is anybody in there," Arizona said gleefully.

After a few seconds of moving the wand over Addison's belly a small heart beat filled the room,

"There is definitely someone in here," Arizona smiled stating the obvious.

Addison looked up at the small screen where her baby filled the centre and started to cry uncontrollably, Arizona didn't notice it wasn't happy crying until Addison was gasping for air.

"Oh god Addison, calm down. Breathe, just breathe." Arizona encouraged grabbing an oxygen mask from above Addison's head and placing it over her mouth.

After a few seconds of deeply breathing in and out, Addison managed to calm herself down and Arizona waited patiently at the end of her bed for when she wanted to talk.

"They don't want this baby.. Derek he.. he.." Addison stutterd crying and speaking at the same time.

"Shhh.. calm down Addie.." Robbins said soothingly.

After a few more breaths, Addison wiped the tears from her cheeks and fiddled with the wedding band on her left hand.

"He doesn't want another kid. Payten doesn't want a sibling. No doubt Amelia won't want another niece or nephew. I just don't know what to do," Addison said and Arizona could tell she was devastated.

"So what? I know Payten is your daughter and always will be, but she has her own family now. She should know what it is like for an unexpected baby to appear without having any plausible reason and Amelia just has to love it and send it home. Derek is a good man and an even better father, his feet may be cold right now but you know he will come around and love this child," Arizona reasoned.

Addison knew what Arizona was saying was true, she just couldn't believe that they had reacted this way in the first place. It was a child, their child. Why wouldn't Derek want another mini him/her around?

"I know, you are right," Addison admitted.

"I know i am too. Now, you should be able to leave once your drip is finished ok? Your baby looks around 6 weeks gestation which is why you will be beginning to notice those Montgomery tubercles a little bit more. It seems as though only one got clogged and that can be fixed with a tiny procedure if you want. Your baby is healthy and only eleven weeks behind your grandson," Arizona ratted off happily.

Addison let out a soft chuckle, I'm 6 weeks pregnant she thought to herself. Great. "Thanks Arizona,"

"Mhmm it's my pleasure, take care of yourself. Try get as much rest as you can, you know how pregnancies can go for older women. We don't want any hiccups ok. I'll see you back here in a month." Arizona said before picking up Addison's patient file and leaving the room.

Derek was just about to enter the room just as Arizona came to the door, she made eye contact with Derek and nodded her head slightly to let him know he should speak to Addison. Derek turned around to Payten and Amelia and asked if they could just give Addison and him a few minutes to talk.

Entering the room Derek took a deep breath, he made his way over to her bed and started pacing in front of it,

"So you are pregnant?" Derek said in an almost irritated voice.

"Yes," Addison answered honestly.

"Ok… I don't know what to say Addie," Derek said running a hand through his hair.

"What do you mean you don't know what to say? I thought we were good? Great even? We are a happily married couple Derek, unless you think otherwise?" Addison yelled back.

"It's not that, I love you, I love P, I love our family and our marriage.. I just don't want another baby," Derek ranted while still pacing.

"Why the hell not? How not? How do you not want to keep your own child!" Addison weeped.

"I didn't say I wanted you to get rid of it Addison, I just need time to adjust. I love you and I love our life and our daughter. I just can't deal with this right now." Derek said looking at Addison dead in the face.

Derek's pov

She just didn't get it did she? He couldn't be responsible for another human being. He put his all into Payten her entire life and she still got messed up. She still did drugs. She still ran away and she still got pregnant. He had failed the one job in the world, to keep her safe. To keep her a kid, to keep her innocence. How could he do that all again when he had failed so miserably the first time?

Just before the yelling turned to screaming on Addison's part, Amelia and Payten burst into the room to see what all the commotion was about,

"You guys ok?" Amelia asked looking between the two for an answer.

Addison wiped the tears that were steadily streaming down her cheeks,

"Derek was just leaving," Addison said before rolling to the other side of the bed so nobody could see her face.

Payten stared confused as to what was going on, "Ok mom, we will be back in half an hour to pick you up ok?" The girl said before walking over to where her mother was laying, placing a soft peck on her cheek before whispering I love you and I'm sorry and leaving the room with her Dad and aunt.

A few weeks had passed since the screaming match at the hospital and somehow news of both the pregnancy and Addison's Montgomery Tubercles had spread all the way back to New York. Why else would he travel all this way to little ol' Seattle then try to win Addison back by performing one of the simplest procedures there was on her. Mark Sloan or "Mc Steamy" as the imbecile residents called him was back and the only thing stopping him was Derek's fist.

"Punching out people on my surgical floor!" Chief Bailey yelled at Derek, "My head of neurosurgery punching out people on my surgical floor!"

"Put the ice pack on your hand," Addison said to Derek calmly,

"My hand is fine!" Derek barked back still seething that his wife's ex lover was invading his territory.

"Put the damn ice on your two million dollar a year hand! Now, would someone tell me what the hell happened?" Bailey demanded.

"That was Mark." Addison told her,

"Who's Mark?" Bailey questioned.

"He and Derek used to work together back in New York. And, um, they, we, were all close friends. Until Derek found us in bed together." Addison admitted hesitantly.

"Did you put your weight behind it?" Bailey asks Derek.

"Yes, chief" Derek said honestly.

"Well, all right then." Bailey said dismissing the two.

As the pair were leaving the office, Derek stormed off leaving Addison to chase after him.

"Derek… Derek please!" Addison called out.

"What Addison! What the hell is Mark Sloan doing here?" Derek said with rage in his eyes.

"Derek, I promise I have no idea why he is here!" Addison begged him to believe her.

"So suddenly after 6 years of trying to fix our marriage, after one fight! Mark is back?" Derek yelled "Coincidentally?"

"You have got to believe me Der, I don't know why he is here and I had no idea that he was coming," Addison said reaching out to touch his arm before he pulled it back forcefully.

"Please don't touch me right now.. I can't even look at you." Derek snapped before leaving Addison standing alone in the middle of the catwalk.

News of the couples fight had spread through the hospital gossip mill as it always did and Amelia had heard from one of the nurse that her other "brother" was in town. She made her way down to the cafeteria in search of him but instead saw him outside by the hospital's coffee cart.

"Hey stranger," Amelia said surprising Mark.

"Amy! You are definitely not 14 years old anymore," Mark said giving Amelia a once over then pulling her into an embrace.

"Gosh, it's been awhile hasn't it. what are you doing here Mark?" Amelia said taking a step back from him.

"Well I've always loved ferry boats," Mark smiled cheekily.

"Ah right.. which one of my sisters told you Addison needed plastic surgery?" Amelia said seeing through his facade.

"It was Kathleen, in my defence I am the best plastic surgeon on the east coast," Mark grinned.

"And that is why I do not tell my sisters anything. It spreads. You know they are good right? Like marriage catalogue, every romantic movie, sickening inlove, good?" Amelia asked him.

"I heard they haven't talked in weeks," He pushed.

"Since when did you listen to hospital gossip?" Amelia challenged.

Mark sighed, "I still love her," He admitted.

"It's been 6 years," Amelia reminded him.

"I still love her," Mark reaffirmed.

"She's pregnant. They are having another kid, Mark. They are going to be grandparents as well. They are happy, you don't stand a chance." Amelia said honestly but empathetically.

"I need her to say that, and then I will leave and never look back.. Payten's pregnant?" This was the first Mark had heard about it.

"Yup, almost 20 weeks. Look, I have to go scrub in on a craniotomy. Try not to get punched in the face again." Amelia said leaving to go back inside the hospital.

"If you see Addie tell her I'm looking for her!" Mark called out to Amelia which she answered with a dismissive hand gesture. Dammit. He had to find her and win her back.

Mark had checked every floor over and over in search of his ex lover while trying to avoid running into any of his other "family members" as he called them. Even though they had stopped being family in everybody else's eyes the night he had slept with Addison. He finally found her tucked away right at the back of the NICU reading some kind of medical journal. Mark immediately noticed her puffy eyes and the tear residue left on her face. He knew she must've been crying.

Making his way over to her he felt as though his stomach was doing somersaults. She looked exactly as she always did, perfect. Her cheeks were a rosy red, her hair was tied back into an elegant bun that looked like it was a hairstyle for the oscars, yet he knew she did it effortlessly. Her eyes a unique shade of blue, glistened as the sun touched her face ever so slightly. She was everything he had ever wanted and more. He just wanted, no, needed her to be his.

Addison looked up from her journal as a large shadow slowly approached her, she had done everything she could to avoid him. He was going to destroy her marriage and her reputation.

"Red," Mark called her by the nickname he had made for her years ago.

Letting out a displeased grunt, Addison got up from her chair to leave the room without acknowledging his presence. Just as she tried to move swiftly past him, he grabbed her by the arm and spun her around. Addison pulled her arm back forcefully,

"Don't touch me, Mark!" She hissed.

"Addie, C'mon talk to me please," Mark begged.

"I have nothing to say to you," Addison spat back before turning away and strutting out of the NICU.

"I love you Addison!" He called out after her.

This made Addison stop in her tracks and turn around to face Mark, "Why are you telling me this now? After 6 years? When me and Derek are finally the family we have tried so long to be? Derek is my husband and you are nothing but the biggest mistake I have ever made." Addison said viciously.

This took Mark back for a second, did she really just say that? "He put those words in your mouth! You know how happy we were together! I can give you everything he can't!" Mark said trying to persuade her.

"No Mark, you can't. Please go home and leave me and my family alone," Addison pleaded.

"You need surgery Red, I flew here to help you," Mark said running out of reasons to talk to her.

"Ugh… who is keeping you updated on my life!" Addison said angrily, "I don't need you to fix me, please I am begging you. Leave me the hell alone!" She said before storming off.

Payten had been putting up with her parents erratic behaviour for the last 3 weeks and she was starting to get sick of it. Everyday at home was like walking on eggshells, at first it hadn't been too bad. They still talked, slept together and all of them would eat dinner together every night but as soon as Derek would see a baby store magazine or the sonogram pictures Addison had hung on the wall, all hell would break loose. Whenever she would try to talk to either of them, they would either snap at her or tell her they weren't in the mood to talk. It was really starting to bother her.

Payten made her way by herself to the hospital and went straight to her father's office. Banging on the door and then barging in to confront her father,

"Dad, I don't care if you are busy. We need to talk," Payten said firmly.

Derek let out a grunt in displeasure, "Excuse me?"

"I don't know why you don't want to talk to mom, but you have to suck it up and apologise," Payten demanded.

"Payten don't come in here and.." Derek started to speak before Payten interrupted him clearly missing the fact that he was starting to get angry.

"No, I'm sick off it. This is supposed to be the happiest times in all of our lives but you go and make it all about yourself!" She ranted, "You and mom make it all about yourselves," she corrected.

"Payten," Derek warned sternly.

"If mom would've just let me go visit nana Carolyn and aunt Nancy then I wouldn't have to put up with the pair of you! But no. I have to stay here and make sure you don't kill each other!" Payten said waving her arms around.

Derek was trying his best to breathe in and out, in hopes of calming himself down before he lost it. He really wasn't in the mood for this, he had just lost it at his wife and punched her ex lover and his ex best friend in the face and now his daughter was here screaming in his face. His ears started to ring from clenching his jaw too tightly while trying to mask his anger.

"Why can you never just apologise! She didn't even do anything wrong! Why do you not want another baby? It will be so cute, they could be like best friends!" Payten said rubbing her belly.

"I'm going to say this once. Get. The. Hell. Out. Of. My. Office!" Derek barked through clenched teeth.

Payten blinked at her father a couple of times, was he talking to her? He had never in 16 years talked to her like that. Never. This man was not her father, or not acting like any father she knew. She hadn't seen him that angry since the day he found her mother and "uncle" Mark in bed together.

"Dad, I'm sorry.. I didn't mean to speak to you like that.. I" Payten said tearing up.

"GO!" Derek yelled louder this time which caused Payten to break down in tears and storm out of his office. "Oh god, what have I done" he mumbled to himself before tears slipped down his own cheeks.

Amelia was just coming out of surgery when she was stopped by doctor Webber who was standing with a much younger pretty brown female in navy blue scrubs. She assumed this was the new cardio attending who Richard admitted to her in secrecy was his daughter. Amelia grinned as they approached her, she and Webber became sounding boards for one another after going to AA together. They had become good friends and Amelia loved having someone to talk to about her struggles with and that wouldn't judge her for her temptations.

"Amelia Shepherd, do you know Dr. Maggie Pierce?" Richard asked Amelia.

"Weird, you're the second Dr. Shepherd I've met today." Maggie said making the connection.

"Derek is my brother." Amelia informed her.

"I'm sorry. Is everyone in this hospital somehow related?" Maggie joked.

Amelia looked between Maggie and Webber and laughed,

"I'm gonna leave you two alone. Nice meeting you." She said before carrying on her journey to find Meredith and Alex.

"People! What's with all the evil misery? Huh? Live, and let live." Amelia said to her friends before plonking down in the seat across from Meredith.

"You're cheerful." Meredith stated blankly.

"Oh." Amelia shrugged

"You are. How is that possible?" Alex groaned.

"I scrubbed in on a four hour TBI last night, then I got laid. And now three ambulances are coming in full of bloody broken brains, all who need to be cut open. So I'm cheerful!" Amelia smiled pleased with herself.

"Who is that?" Meredith said while her jaw hung open.

Both Alex and Amelia spun their heads to see who the that, Meredith was talking about was.

"That is Mark Sloan, Derek's old best friend… before he slept with Addison," Amelia filled her in.

"That is Mark Sloan? Meredith said flabbergasted.

"The one and only," Amelia nodded "You slept with my brother so he is off limits!" Amelia warned semi seriously.

Amelia and Meredith had a bond that not many people around the hospital could understand. Amelia and Addison had never really hit it off but they were getting there and tried for Payten's sake. Meredith just understood Amelia, she wasn't like Christina. She was sensitive and expressed her emotions so opposite attraction maybe? Whatever it was, they had clicked and were good friends despite her brother's dismay towards the friendship. Along with Meredith came Alex, and they were their own little trio. Amelia had finally found her place and she loved it.

Meredith held her hands up in fake surrender, "Sorry I thought you were with Owen," Meredith teased.

"I am with Owen! Mark is like my brother," Amelia hissed.

"You are such a liar, you've tapped that," Alex stated plainly.

Meredith gave Amelia the know it all look and Amelia admitted to sleeping with Mark once a very long time ago.

"So I met your sister, she seemed.. nice," Amelia said before taking a bite of her tuna wrap.

"She is not my sister.. I would remember if my mother was pregnant wouldn't I?" Meredith asked her friends who both shrugged.

"I don't know Mer, I can't remember much about my childhood. Would you really remember your mom being pregnant if you were like 3?" Alex shrugged.

"Plus what would she gain now? Your mom is dead," Amelia whispered.

Meredith thought about it for a second, "You guys are right, c'mon Alex. Let's go find my mothers medical files," Meredith said standing up abruptly.

"Hey, i'm eating!" Alex moaned as Meredith dragged him from the table.

"Good luck!" Amelia called out after chuckling at how ridiculous the pair looked.

Just as Amelia was about to grab her things and head down to the pit for the incoming traumas, Derek approached her and sat down in the seat opposite her letting out a sigh,

"You look like crap," Amelia stated the obvious. He really did look bad though.

"I haven't slept in my bed for two weeks," Derek grunted.

"And who's fault is that?" She questioned.

"Mine I guess. I don't know who I am anymore. Not anybody I ever thought I'd be. I try and make the right choices for Addison, Payten, you. And, um... I'm angry all the time. I'm miserable, and I don't know what to do with it. All I do is hurt people. The last people I want to hurt, and I just... I just can't get control of it. I don't know what to do anymore." Derek confessed.

"I know how you feel. We call it rock bottom." Amelia said empathetically.

"So, what now?" Derek asked almost scared to know the answer.

"Now we fish," Amelia stated plainly.

"We fish?" Derek sounded confused,

"Back to basics. It's about the little things that make us happy first. Learning to love your life again." Amelia said before pulling Derek into a hug.

For the first time in weeks, Derek felt relieved. He had spilled his truth, and was going to get help. "Thank you," he whispered into Amelia's ear. When had his baby sister become so wise? He really only needed his family in his life to be able to go on each day, but he realised that it was ok not to be ok sometimes.

Thank you all for reading! I hope you enjoyed! Don't forget to leave a review!