5:30 pm

Jackson Grey Shepherd was born at 4:30 that afternoon, a 5 lb 6oz screaming baby boy. Meredith lay in her hospital bed after the birth, exhausted and spent. She was able to hold him for a moment before they took him away to be bathed. Derek couldn't stop grinning the whole time, even when Meredith repeatedly told him. "Wipe that stupid smirk off your face and get this baby out of me!" He helped with the delivery and cut the cord.

Derek sat next to Meredith's bed while she slept, holding her hand. He heard Meredith's phone ring in her purse and reached for it, answering it quickly.

"Hello. Meredith Grey's phone." He paused, listening to the person on the other line. "Uh, she's kind of indisposed at the moment, I can give her a message." He paused again, listening. "Alright, I'll be right there." Derek said, hanging up the phone. "Shit." He muttered, giving Meredith's hand a quick squeeze, he ran from the room quickly.

At 6:00 Meredith woke up suddenly from a bad dream. She looked around the room and sighed sadly when she realized she was alone. She sadly lays her head down on the pillow, but quickly remembers why she's there. A slow smile creeped across her face as she thought of holding her little boy in her arms. The door to her room slowly opened and Izzie peeked in. "Hey, you're awake."

"Yeah, I'm awake. Is Derek out there?" Meredith asked.

"Nope, I don't see him. He called right after the baby was born, but I don't see him out here. There are a bunch of people out here waiting to see you, do you mind if we come in?"

"I don't mind. They're going to be coming down here with the baby shortly for a feeding, but you guys can come visit me for a little while, I'm kind of lonely in here." Meredith said, pouting.

Izzie and Katie came in, still dressed up in their dresses from the wedding, followed by Cristina and Burke, Alex, George, Bailey and the Chief.

"Hey everyone." Meredith smiled weakly, still tired from the labor.

"We went up to the nursery and saw him! He's awake and so fussy!" Izzie exclaimed. Meredith smiled.

Katie crawled up onto the chair next to Meredith's bed. "Yes mommy, Bubbles is very cute, his face is red and he is so tiny! I can't wait to hold him! Where is daddy?" Katie asked as she leaned over onto the bed and gave Meredith a kiss.

"I'm not sure where daddy is, he was here not too long ago." Meredith said, reaching up to touch Katie's cheek.

"Yeah, I don't think I have ever seen so much hair on a newborn. Its so thick just like his dad's!" Bailey commented, laughing.

"Yeah, thanks for ruining my wedding." Cristina laughed, immediately feeling an elbow from Burke as he glared at her. "What? She knows I'm kidding." She looked back at Meredith and mouthed 'I'm not kidding'." Meredith laughed.

Just then, the door opens and Derek came in, pushing the incubator crib with the baby in it.

"Daddy!" Katie exclaimed seeing him come into the room.

"Shepherd, you can't just take a baby out of the nursery." The chief said with a gruff laugh.

"Sure I can, it has my name on it!" Derek said, smiling as he pushed the incubator to the side of Meredith's bed. The nurse came in right behind him.

"Ok everyone, only immediate family in here. Time for baby's feeding time. You can visit mom a little later." The nurse told everyone.

Everyone groaned. "Come on, out, out… you know better." She said as she playfully pushed everyone out except for Derek and Katie.

The nurse put the baby into Meredith's arms and said that she will leave the family alone for a few minutes before feeding. Katie moved over a bit and reached out to the baby. "Mama, he is so little. I can't wait to play with him. Hi little Bubbles." She said softly.

"Now that he's born, he has a new name." Derek said softly as he gently caressed the baby's cheek.

"What's his name?" Katie asked curiously.

"His name is Jackson. We can call him Jack. What do you think of that?" Meredith asked.

"I think that's a perfect name! But I am going to call him Bubbles." Katie giggled.

7:30 pm-

Derek sent Katie home with Izzie while he sat with Meredith for a little while.

"Derek, you look upset. Is there something bothering you?" Meredith asked.

Derek looked up, startled from his reverie. "Uh. Yeah, actually there is something on my mind. I have to tell you something and I don't want to make you upset."

"If you don't want to make me upset, then don't start your sentence off telling me that you don't want to make me upset." Meredith laughed nervously.

"It's alright sweetheart." Derek said, rubbing her back. "It's about your mother. When you were sleeping earlier, the nursing home called. She fell out of bed yesterday and had to be brought to the hospital. She had a pretty bad bump on her head and she broke her hip."

"But she's alright now?" Meredith asked, tears escaping her eyes.

"She is stable. She is in a lot of pain because of her hip and they have her sedated right now. That's where I went when you were sleeping, I was checking on her status so that I could tell you about it, and of course I stopped in at the nursery on my way back through."

Meredith pulled her blankets from her legs and attempted to move towards the end of the bed. "I have to go see my mother." She said softly.

Derek moved quickly to the other side of the bed to stop her. "Meredith, you just gave birth, you shouldn't be getting out of the bed just yet."

Meredith looked up at him, pain evident in her eyes, her eyes narrowed. "Thank you Derek, but I'm a doctor, I know my limitations. So, you can either get out of my way, or I will 'hormonally' remove you myself."

She stared him down for a full minute until he finally backed away. "Fine, I'll get the wheelchair." He said, defeated as he turned around.

Derek wheeled Meredith down the hallway to her mother's bedroom. She entered the room and immediately noticed the smell. "Derek, get the nurse in here, her bedpan needs to be changed."

"What? How do you know? Derek asks.

"I can smell it, alright, just do it!" Meredith yelled, clearly feeling an intense sense of anxiety.

Derek left the room and headed down to the nurses station. She wheeled the wheelchair up to her sleeping mother's bed.

"Mom. It's me, Meredith. I know that you can't hear me right now, maybe you can, I don't know. But I just wanted to let you know that I love you very much. Derek and I are here if you need anything, and although you may not be able to remember us well, we're still here. Katie loves you so much, you make her smile so big when you look at her pictures that she colors for you." Meredith began to cry.

"I just wanted to let you know that you have another grandchild, mom. It's a little boy, his name is Jackson. Jackson Grey. We gave him Grey for a middle name because we wanted him to carry it on. Katie insists on calling him 'Bubbles', that's her nickname for him." Meredith laughed.

"He was born today and he is beautiful. I love you so much mom. I know that we didn't have the most ideal relationship, but you taught me so many things that no one else could have taught me. I love you."

Suddenly the machines connected to Ellis began to go off. "Help! Help!" Meredith shouted, trying to get up to help her mother. A nurse came in and pushed Meredith out of the way as she began to assess what was happening. Several other nurses and Derek came running into the room. Derek grabbed Meredith carefully and pulled her back as they watched the doctors shock Ellis with the defibrillator. They try for several minutes to bring her back. They shocked her several times, trying their best to bring her back. Meredith looked on in horror as the doctor stepped back, the room going silent except for the sound of the heart monitor as it flatlined.

"Time of death, 7:52 pm."