A/N: Thanks for all of the reviews for the last chapter! I really appreciate it guys. This chapter is the very beginning of Meredith and Derek's reconcilliation, so I hope you enjoy it, and let me know what you think!

Chapter 35

Meredith was conscious, but clearly slipping away. Derek crossed the room quickly and grabbed her hand, squeezing it tightly. "Meredith," he said again, this time with more force. She looked up at him, her eyes widening in fear.

"Derek," she slurred as her eyes fluttered closed. "No…" her voice trailed away as she lost consciousness again.

"Page someone from Neuro, and from general immediately," Derek barked at the paramedic.

"Aren't you the Neuro Attending?" the woman said, raising her eyebrows.

"Yes, but this is my wife, so I need someone else," Derek answered, turning back to Meredith and running his hand over her hair.

The paramedic nodded and quickly left the room, heading towards the nurses' station. Derek leaned down and kissed Meredith's forehead gently, not taking his eyes off of her until he heard the door open again.

"Derek," a voice wavered, but it wasn't from the doctor he had expected. Addison stood before him, a cut along her hairline, but otherwise unharmed. She looked at Meredith for a moment, tears in her eyes before speaking. "I'm so sorry."

"For what?" Derek asked incredulously.

"She was with me," Addison explained, and Derek finally got it. "I wanted to take her shopping to make her feel better, and try to convince her to call you. We were heading back from that mall in Connecticut when we were hit."

"It's not your fault Addison, it's the taxi drivers," Derek said, turning his attention back to Meredith. Addison moved into the room so that she was standing on the other side of Meredith. The two didn't speak until the surgeons arrived.

The paramedic, Dr. Springer from general and Dr. Glover from Neuro entered at the same time, and Addison stepped aside so they could examine her.

"What happened?" Dr. Springer asked. She was a tall, serious looking woman in her forties, with dark hair and eyes. She was very focused on her job as a surgeon, and though Derek had never really interacted with the woman, she was supposed to be an incredible surgeon, and the next in line to be Chief of Surgery once Dr. Chalke retired. She began to feel Meredith's abdomen as she waited for an answer.

"We were hit by a taxi Dr. Springer," Addison told her colleague. "The car hit Meredith's side, and she hit the side of the car pretty hard, so I think there may be some sort of damage to her abdomen as well as her head."

"Hmm," Springer sighed as she continued to test Meredith's stomach. Derek watched the doctor closely to make sure she was doing a thorough job, all the while stroking Meredith's hand and hair.

Dr. Glover slid by Springer and pulled out his pen light. He was younger than Dr. Springer, in his late thirties, he had a full head of blonde hair, and apparently many of the nurses found him attractive. He was a decent guy; he was pleasant and polite to Derek, and even offered to get eat lunch with him when he was still new at the hospital. Glover quickly did an exam, and waited for Dr. Springer to be finished before speaking.

"She may have a very minor concussion, but that shouldn't prevent Dr. Springer from operating if necessary," Glover said, speaking to Derek. "However, I do want to do an MRI just to make sure it's not a hematoma."

Derek nodded, not trusting his voice to come out strong. He prayed it was just a concussion, and nothing more.

"I'm almost positive that there is a splenic rupture," Springer cut in. "However, it doesn't seem to be severe. I'm going to order an x-ray just to be sure. Is there any chance that your wife is pregnant Dr. Shepherd?"

Derek shook his head. "No, I don't think so," he choked out, terrified that Meredith was about to undergo an operation.

"Actually," Addison began in a small voice, and everyone in the room turned to stare at her. Derek's eyes widen and his mouth dropped open as Addison looked at him apologetically before continuing. "She is about six weeks pregnant. So, you may not want to do an x-ray."

Doctors Springer and Glover turned to Derek, both giving him a strange look. He knew they were judging him on the fact that he didn't know his wife was pregnant and his friend did. All he could do was nod. "Right, my mistake," he said, his voice shaking.

"Alright," Glover said, trying to break the awkwardness. "I'm going to rush an MRI for her so that Doctor Springer can begin the procedure ASAP. We obviously can't get an x-ray without putting the fetus at risk, so Dr. Springer won't know the extent of the damage and it might take a while. Is that alright Dr. Shepherd?"

Derek nodded, trying to remain calm.

"Okay, good," Dr. Springer said. "I'm going to page an intern to bring her up for her MRI and prep her for surgery. They'll be here in about five minutes." And with that, the two doctors exited the room, leaving Derek alone with Addison and Meredith, who was still unconscious. He stared at Meredith for another minute before looking at Addison, his eyes blazing.

"She's pregnant?" he asked Addison, though it came out as more of an accusation.

Addison turned red and her eyes filled with sympathy. "Derek I'm sor-"

"She's pregnant and you knew?" Derek couldn't believe that Meredith was pregnant. He was going to have a baby. That is, if Meredith would ever speak to him again. Part of him was elated; he wanted to be a father so badly. But another part of him tried to bog down his excitement; Meredith hadn't told him, and she was six weeks pregnant. Who was to say that she was going to let him be a part of the child's life? Or if she had even planned on keeping the baby? "You knew, and she didn't tell me? Did you know that I had no idea?"

"Y-yes," Addison stuttered, and Derek felt a pain in his chest. "She was going to tell you last week. That's why she went to the hospital. Only she found Mark instead of you, and he told her that you kissed Rose. She wasn't even sure if she was going to keep it at first, and even if she did want it, she didn't know what she was going to do about your relationship. So she decided to wait and think about it."

Derek nodded, at a loss for words. He couldn't blame Meredith, not really. He had hurt her, and he knew that she had probably been really freaking out about the pregnancy, and then finding out about Rose must have thrown her for another loop. She reacted just as he would have predicted, and he couldn't be mad at her for it. Tentatively, he reached his hand out to touch her stomach. It lay flat across her abdomen gently so as to not exacerbate her injuries, but he left it there, picturing his child inside of her, hopefully safe and healthy.

He felt Meredith's hand twitch in his, and immediately looked at her face. She slowly opened her eyes, scanning the room and seemingly taking in her surroundings before her eyes settled on Derek. Her eyes grew wide as she weakly tried to pull her hand from his grasp. He let her hand slip through his, hurt that she didn't seem to want anything to do with him.

"Derek," she said slowly, as if she were half asleep.

Derek tried to smile. "Hey Mer," he began. "You were in a car accident, and you ruptured your spleen, so you're going to be taken into surgery very soon." He watched as Meredith processed his words, and her eyes widened in realization. She dropped her hand to her stomach protectively, and Derek couldn't help but smile at the thought of their child as he continued to speak. "Don't worry Meredith, the surgery will be really simple, and I'll be here when you wake up."

A look of terror passed over Meredith's face, though she looked as if she was about to fall back to sleep. "No," she managed to say. "You can't…" she started to lose consciousness again. "I don't want you…" her voice trailed off as her eyes closed again, but Derek didn't need to know the end of her sentence. Here; I don't want you here. Derek let out a sob as an intern and a nurse came to wheel Meredith away. Derek looked up at Addison, who was staring at him in pity, and walked out of the room. He didn't know where to go, all he knew was that even if Meredith was pregnant with his child and about to have surgery, she didn't want him. He had destroyed their marriage. It was all his fault.

"Derek!" Addison called after him as we sped down the hallway.

"Leave me alone Addison," Derek responded with a clipped tone as he kept walking. That didn't seem to deter Addison; she quickly caught up with him and pulled him into the stairwell.

"Where the hell do you think you're going?" Addison demanded angrily.

"I don't know," Derek responded without any emotion.

"Exactly. Your wife is about to undergo surgery, and she is carrying your child. Don't you think that you should, I don't know, wait for her to get out of surgery? Pretend to care?"

"Of course I care!" Derek shouted. He immediately felt guilty, and his eyes became sad as she continued. "She doesn't want me."

"Of course she does…" Addison started.

"Addison, did you not just here her? It doesn't take a rocket scientist to figure out that the last word of her sentence was 'here'. She was trying to say 'I don't want you here.' She doesn't want me Addie. I ruined our marriage by not telling her about Rose, and now she doesn't want me around at all."

"Derek, she has a concussion, she has a brain injury," Addison said gently. "She's probably confused, and I'm sure she wants you to be with her."

"Addison, if she was confused, she would want me there, because she wouldn't have remembered how a messed everything up. But she doesn't so she knew what she was saying." Derek sighed, and felt the tears build in his eyes. He didn't know what he would do if Meredith asked for a divorce, she was his whole life.

"She was going to call you tonight." Addison said quietly. Derek looked up at her in disbelief, and Addison nodded and continued. "She was. We were talking, and she said she wanted to talk to you tonight about meeting up some time this week. She wanted to tell you about the baby, and try and figure out what she should do and how to make it work. And I didn't push her to talk to you either. She mentioned it herself, I didn't have to drop any hints. She misses you Derek; she was crying to Cristina the other night because she didn't know if she could be with you anymore, but she still loved you and didn't know how to reconcile the two feelings. So Derek, I'm going to go with my gut and say that if she was really scared or worried about the baby, she would want you here, ruined marriage or no."

Derek sighed, allowing himself to feel a little hopeful. Maybe he could save them and their relationship. Maybe not all of it right away, but there was something still there, and he could try.

"Please Derek, sit in the lobby and wait with me?" Addison asked, reaching her hand out for Derek.

With a small smile, he nodded, taking her hand so she could lead him to the waiting room to wait for updates on his wife.