Five Hours Later:

"Push, honey! You can do it!"

Callie turned and looked at George's sweet face smiling down at her, at his hand that held tightly to hers, listened to his words of encouragement that fell so easily from his lips. His blue eyes were bright with excitement, with the joy that his first child was coming into the world. He cajoled, he wiped the sweat from her brow and he told her that he loved her again and again-----and again. This, commingled with the fact that George's entire family----mother, father and two enormous, loud, ignorant brothers--- were all sitting in the waiting room arguing over what the baby should be named—was enough to make her feel like she was going to explode. It wasn't that she didn't like her extended family----they always treated her like she was wonderful, the best thing that ever happened to George. It was just that they were so—loud----and any time that they were all together it was a wonder that anyone could speak loud enough to be heard. Still, there was a closeness to his family that she had never had with hers—but sometimes the O'Malley's were like a whirlwind, tearing up everything in their path and she was never unhappy to see them all get into their respective vehicles and go home. Only then could both she and George take a breath and return to normal.

"It hurts!" She growled. She knew that childbirth was painful but this----this was something from another dimension! She swiped at the sweat that had dripped into her eyes fiercely.

"You're doing great!" he countered, not having a clue as to how much pain she was in. "Think about the beach, the water----soothing sounds of the ocean----" He closed his eyes and drew in a deep breath.

"George—you look stupid!"

He opened his eyes. "It helps. It really does."

"I don't want your help!" She growled, tears of pain now flowing freely. "I want this baby outta me!"

"Callie, you need to hold on a minute." Dr. Porter told her from his position between her legs. He was the only doctor on-call and even though Callie and George didn't know him very well, he was kind and very efficient. "Just hold on and I'll let you know when you can push again."

"You hold on!" She cried, squeezing George's hand so hard he winced. "I can't hold on anymore!"

"Okay, you can push now." The doctor instructed, very used to having woman scream at him. "Another couple of big ones should do it."

"I'm thirsty!"

"I'm sorry, Callie but you can't have water right now." Dr. Porter said soothingly. "But you can have an ice-chip to wet your tongue."

"Come on...just another big one!" He sing-songed into her ear. He was trying to be helpful, trying to be the best expectant father in the history of expectant fathers...but it was too much. He took an ice chip from the plastic cup beside him and held it to her mouth.

"Here." He soothed. "Eat this."

She slapped the cup away and it fell to the floor with a clatter. "You eat it!" She yelled, ignoring the stunned and hurt expression on her fiance's face. 'It sucks anyway! I wanted a drink, not a stupid ice-chip!"

In the end, after three agonizingly long and painful pushes, Callie gave birth to a seven pound, three ounce girl, whom they named Amelia Torres O'Malley and as she was laid on Callie's stomach, all red faced and full of protest, the new parents were sure that they'd never laid their eyes on something so beautiful in all their lives.

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Derek pulled off his mask and gown and deposited them in the garbage, his emotions swirling. Over and over he remembered the conversations that he and Addie had had about relationships, about love, fidelity—and it all seemed an eternity away—like some dream that they had concocted together and tried to make it a reality. He'd never wanted to become a father when it was someone that he didn't love anymore—when it was someone as cold hearted as Addison could be and probably always would be. He thought about the name she had picked for the beautiful little girl that had been born about twenty minutes previous.

Vivian Leigh Montgomery. A beautiful name for a beautiful girl.

Instead of going directly to Meredith, he went to the nearest on-call room and sank down on the couch and buried his face in his hands. Too much had happened, too many things that would take years to explain, to scratch the surface of. It would be like an investigation to try and figure out the truth. And now, he was sure that she'd be on her way back to New York to be with the one man that she could love. And even though he hated Mark, he almost felt sorry for him...and sorrier still for the new baby girl that he knew Addison would twist around everyone's little finger when it suited her best.

He looked up as Alex Karev came into the room and sat down opposite him. The two men eyed each other, a mutual dislike on both of their faces. Derek had been quite surprised to learn that Karev was Addison's birthing coach and even more surprised to see the tender way that he attended to her. He should have known that his ex-wife would have taken a lover. She'd never been able to go without sex for long and he should know—it was just a surprise to Derek that he'd never caught on before.

Alex regarded Derek as an enemy, although he shouldn't have bothered. There was no love lost, no misplaced intentions, only duty left. "She's beautiful, isn't she?"

For some reason, the question threw Derek. Was Karev blind? Did he not see what had happened? Surely, he had to know! He had to!

"Yes, she is." He answered flatly.

Alex sat forward and leaned his elbows on his knees. "I love her, you know."

"That's good."

He narrowed his eyes at Derek. "I love her the way that you never could and I'll love Vivian too."

Derek fought back the urge to slap some sense into the obviously love-struck other man. "That's good."

"I"m gonna ask her to marry me." He continued, sizing Derek up, not really caring why he wasn't reacting one way or the other.

"Well, good luck to you."

"You have nothing else to say?" He asked meanly. "You're off the hook. Now you and Meredith can live you happy perfect life together.

"What is it that you want me to say?" Derek snapped. "Did you see her?"

Alex's eyes went dark, bleak. "I saw her. I've been there since day one—I was there when you weren't. When you wouldn't return a phone call or see how Addie was feeling." He stood up to tower over Derek and clapped his hand over his own heart. "I was there all the months that you weren't. I was there when you were off playing the merry husband with Meredith, planning for you new baby."

Derek rubbed a tired hand over his eyes and stood up, facing Alex–one last time—for he would never have this conversation again. "Look, there is no point in this discussion. You love Addison and I"m happy for you. You want to be a father to Vivian than that's exactly what you should do. I'm not going to stand in your way, Karev. I wish the three of you the best of luck."

With that, he walked out of the room and on toward the nursery. He stood outside the glass and watched the new lives wiggling around in tiny glass cubicles, arms and legs trying to kick free of the newly acquired blankets. He felt a surge of relief course through his body. At that moment he felt so happy he could cry.

As he spotted Vivian he allowed himself to admit just how beautiful of a baby she was—with her long tapered fingers, her already dark curly hair.

And, of course, her dark, dark skin, silky like chocolate milk.