"Hey Kristy, can you page Dr. Grey for me?" Derek asked his favorite nurse as he leaned against the nurses station. "Sure Dr. Shepherd." She responded, with a smile and a bat of her eye lashes. Her cheeks turned red when he smiled back and she looked away to make the phone call.

She was one of his favorite nurses because she went above and beyond the call of duty. He was well aware of her flirting, he flirted back..but more out of niceness, it was in his nature, but he deemed it innocent. It meant nothing, Meredith teased him about it a lot. She seemed to except that he was just far to nice to women.

He impatiently drummed his fingers against the counter waiting impatiently for Meredith to arrive. He had to push back their lunch date because of his upcoming surgery, and not being able to tell her about the other Grey running around was driving him crazy. He would invite her to surgery...woo her with his good looks and charm and then tell her..before it was too late.

He turned, hearing footsteps approaching and the grin was wiped off his face as he came face to face with a petite, short haired brunette instead of his wife. He looked at her for a second, taking in the girl's nervous fidgeting. Her big brown eyes looked terrified and he barely heard her as she spoke.

"Hi, um..I was paged..?" She mumbled, not meeting his eyes. Looking back at Kristy he shot her a curious look. "Could you page my wife again please." He almost whispered, and pretended not to notice how the smile left the nurse's face at the mention of his wife.

"Oh..um..I'm doctor Grey...Lexie Grey..I don't think we've met." She finally her eyes up to meet his and instantly he was taking back by how much they resembled Meredith's. His eyes widened in recognition and he stuck out his hand. She shook it and smiled, a smile that was almost identical to Meredith's. A little shyer than Meredith's...but it irked him none the less.

"Oh...Derek Shepherd head of Neuro.." He coughed, realizing she was waiting for a reply. If Lexie recognized the name she didn't let on to it and he silently wondered if Meredith's father or step mother had discussed Meredith with their children at all. Surely, they would have told her how they had dinner and met Meredith's boyfriend..but then again it was a long time ago. Does she know she even has a sister? Derek wasn't sure, and he didn't want to mention it just yet..not wanting to destroy the young girls day.

She nodded, accepting his introduction and took the time to glance at his handsome features. She started with his well toned arms, that had just a hint of his bicep peaking out of his scrub shirt. Her eyes wandered up to his handsome face and he cleared his throat causing her to blush a shade of pink.

They fell into an awkward silence, and he watched her nervously fumbled with her notebook. She reminded him so much of Meredith already. Her nervous mannerisms were almost identical to his wife's..and it seemed as if they both inherited the avoidance gene, because Lexie was once again refusing to meet his gaze.

"I'm sorry, I was actually..." "Looking for someone else.." Lexie interrupted, tucking a strand of short hair behind her ear. He hadn't noticed the sadness in her round eyes before and his features softened dramatically.

"I've been getting that a lot today...I show up and it's not me they're after..they want..well never mind the fact is they don't want me and that's ok..but it does get rather sad after awhile.." Derek caught on to the fact that she may know about Meredith after all, or at least know someone had her last name, but kept it to himself, not wanting to freak her out. Meeting a sister would be enough for one day, let alone meeting a brother in law.

He watched her ramble, in awe. If her eyes were lighter along with her hair..she could be Meredith The thought wouldn't leave his head. The only member of Meredith's family he had met was Ellis...he didn't even count Thatcher. It was fascinating for him to see her sister.

"Dr. Shepherd, are you ok?" He snapped out of his reverie, physically shaking his head. Though Meredith hadn't even met her, he felt bad for the young girl and suddenly had an overwhelming need to protect her as Meredith's kid sister.

"Yes..well I had meant to page um..Meredith..the other Dr. Grey..but she's probably busy anyway, and she's seen a million craniotomies..so would you like to join me for one?" She stared blankly at him, not believing he was asking her and then broke into a huge grin.

He couldn't believe what was happening, but hoped that him meeting her sister first would be able to give him some good things to say about the girl when he had to tell Meredith she was there.

gagaga

Baby names flew through Meredith's head at an alarming speed as she flipped each page, frowning as she went. Izzie had given her "The pocket guide to naming your baby.." and until then, she had yet to open it.

She wasn't even sure what gave her the motivation to start sifting through it now. It seemed like a project left for a rainy Sunday morning with her husband, not one to undertake while in the middle of the work day. But she couldn't help it, the book felt heavy against her side all day and she took it out at the first break she had, curious as to what it's pages had to offer.

The gallery, which she sat in the back of was almost empty, except for a few meddling interns. No one was overly interested in Derek's craniotomy..it wasn't some once in a lifetime procedure. She wouldn't have been there herself, but the thought about looking at baby names without Derek in the near vicinity seemed daunting.

She barely looked down into the OR as she flipped page after page. She knew what he was doing, she thought it was silly, that she needed to be near him, but then again...picking a name was kind of a big deal for her..something she had been putting off since day one of her pregnancy.

She made an ugly face at names she deemed not even worthy of a second glance. Those included, Daphne, Celeste and Noel. She almost laughed out loud at how ironic Noel Shepherd would sound. 'She'd be teased about Christmas for life..' There weren't many names she liked, and she found it wasn't easy to make anything sound as pretty as Caroline.

She smiled, thinking of how happy Derek had sounded when he thought of the name. Elizabeth..Autumn...Kaylee. "Kaylee and Caroline Shepherd.." She whispered to herself, and quickly scrunched up her nose at how cutsy it sounded. Izzie would eat that one up. "Autumn and Caroline Shepherd?" She shook her head again, not liking the way it sounded on her lips. "Elizabeth and Caroline Shepherd.." "No." She said to herself a little louder, not liking how formal the names were.

She shut the book in disgust, and took out a pen, eager to write down the very short list of names she actually had liked. She was sure Derek wouldn't like either of them, he was really getting into the pregnancy and took naming his daughters as the task of the century.

Looking up from her paper she took a moment to look down into the OR. Derek was deep in thought, obviously well into the surgery zone. She wished for a second she could be in there with him, instead of freaking out over baby names.

"She's so damn lucky." The female intern sighed rather loudly to her friend and Meredith focused her attention on their backs realizing for the first time she wasn't alone. She recognized the female but not well enough to remember her name. The male she was talking to nodded in agreement and their attentions stayed focused below them not even noticing Meredith's presence.

"You know, he had her paged especially for that surgery, and she's not even a neuro resident." "Who the new resident?" Their conversation bored Meredith, but she was interested to know who they were talking about. She looked down into the gallery and noticed for the first time that there indeed was someone assisting Derek in his surgery.

She couldn't help the tinge of jealousy that immediately shot to her heart, but she managed to shrug it off knowing he worked with women all day long. "Yeah, she just started today and by the looks of it she's already got the hots for Dr. Shepherd."

Meredith perked up at this statement, and sat a little straighter in her chair trying to get a better view of the women. It wouldn't be out of the ordinary for someone to have a crush on her husband, it certainly wouldn't be the first time, but she couldn't help but feel like something just wasn't right with the situation.

"What's her name?" The male asked, still failing to realize there was anyone else in the room. "Um..Grey I think. Yes, it is. I remember because I heard the nurses talking about her being related to the other Dr. Grey." "No way, so she's hitting on her brother in law? Sick."

Meredith couldn't hear anything else other than the blood that was pounding into her ear drums. 'They couldn't of said what I think they did...I must be loosing my mind.' She thought and struggled to stand up in order to see better into the gallery.

Could it really be her sister down there? She didn't know what to think, or feel. Her first thought was betrayal. The fact that Derek as down there with her sister...her sister who he had paged for the surgery made her heart stop. 'So he knew she was here and didn't tell me?' She didn't understand, and couldn't really think with all the thoughts floating around.

Looking at the girl who so clearly had her father's eyes nearly made her heart stop and she quickly left the room feeling suffocated. Her father..who abandoned her when she was 5 and then disowned her almost 5 years ago had a real daughter...two actually...she knew that..she always did..but seeing her, a doctor, successful, it hurt to even think about it. His other daughter's were probably given everything in the world. They had it all..while she spent her childhood mourning the loss of her father, they had him. They had everything she didn't...and once again, that was the case. Her sister was there taking it all away from her, and she couldn't it.

The surgery was almost done, she could tell by the nurses who shuffled out of the scrub room, but she didn't stop, or slow down. She couldn't come face to face with the reminder of the life she never had. She couldn't watch Derek friend her as the new and improved "Meredith Grey." So ...she ran.