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"Oh, Derek." Meredith sighs as she sits down and starts to arrange the flowers she brought for Derek.

"You always wanted a lot of kids. I feel awful that Ellis will never get to know you and that you will never lay your eyes on her. But now you've got another daughter that you'll never lay eyes on. I know you wanted Ellis, you wanted more, but I don't know how you would react to Eleanor.

"She's smart, though. Already kind of has that arrogant neurosurgeon demeanor. She looks just like you, too. The minute she told me who she was, it clicked, that's why I thought she looked familiar.

"I wish you were here. I wish I knew how you would react to her. I think you would probably get a little broody but then you would realize that she's your's and you'd love her. Probably let her move in with us so she wouldn't have to pay rent so you could take care of her now because you missed out on it before.

"I know how hard this must be for her. I grew up without a father but when I went looking for mine, he was alive with his new family. Her father is dead and has a new family. She's working with her kinda sorta step mother and her aunt. That's gotta be hard.

"Derek, her and Bailey had a run in at the cafeteria the other day. Literally, Bailey ran into her and then proceeded to ask for her chocolate pudding. She was a natural with him. Maybe because she is just good with kids, you and Amelia are, or maybe she was natural around him because he's her brother.

"I know I don't ever ask this because I don't even know if I really believe it in, but, Derek if you could, would you send me a sign? Let me know what you want me to do. Eleanor said we could just keep it between us and that no one would ever have to know, but I think you would embrace her full force and wouldn't ever let her forget that she is your daughter. Just, let me know, Derek."

Meredith lets out one final sigh, wipes the tears of her cheeks, and presses a kiss to her fingertips before pressing them over Derek's name.

"I love you so much, Derek." Meredith finally stands and walks away.