Bwehehehehe
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Derek and Meredith were in surgery together, Derek walking Meredith through clipping and aneurism by herself. Rose was the scrub nurse in the surgery and she kept making eyes at Derek.
After 20 minutes of this, Meredith was fed up. She asked for scalpel and when it was given to her, she looked up, aimed at Rose and threw it into Rose's head. Rose fell down dead and Meredith turned her attention back to the patient in front of her.
"Good job, Dr. Grey," Derek told her.
"Thank you," she replied, continuing with the surgery.