Ellie looked between the man and her mom shocked, confused and a little scared. "Mom do you know him?" Meredith looked like she was freaking out internally, like something she couldn't believe just happened. Meredith thought to herself, don't get your hopes up, that is not possible, you just miss him and your brain is playing tricks, but how does he know my name? Ellie walked over to the man. "How do you know my mom?"

"I- I don't know, I just had a brief memory, but I know her." He said softly. "Mom come look at his face better, he doesn't know who he is- you need to help him."

But Meredith was stopped in her tracks. She was shocked a stranger knew her name without even looking at her, but he sounded so much like Derek and she didn't want to look because then she would have to face reality that it wasn't. She looked at Alex. He gave her a puzzling look as if he knew what she was thinking but didn't know why she wasn't moving. He stepped over to the man.

Alex thought to himself. Familiar, yes definitely. This is a cruel trick. He looks like Shepherd did a little but he's dead. But how does he know Mer? The man was just staring back at him. Alex didn't know what to do so began to check his pupils, and then looked at his chart.

Meredith finally gained enough courage to move closer and stand over the man. Right as she hovered above him, she died a little inside. This man, was the spitting image of Derek. Her Derek, the man she loved and lost. He was older yes, and had a long messy beard, but the eyes, the nose, the hair- it was all his. She looked into the man's eyes.

As soon as her face entered his line of vision- it all came back. Not who he was, but who she was. He knew through her that he was a neurosurgeon and flashed back to a bar. He was in pain, heartbroken and locked eyes with the most beautiful girl he'd ever seen. He bought her a drink, went home with her, she kicked him out only to find him at the hospital the next day. He shouldn't have been into her but he was. He flirted endlessly; she resisted but gave in during moments of weakness, like the elevator or in his car outside her house party. They couldn't stay away from each other. He hurt her, kept secrets from her. They had their ups and down, yelling, a lot of yelling and tears. A prom and an exam room. He knew he shouldn't follow her but he did. They finally made a go of things together; he remembers a lot of bubble baths and hot sex, and flirting. A ring and a baseball bat. Eventually back on the elevator with scans everywhere. A post-it note. A spina-bifida surgery. An adoption, another baby, a job offer, and then anger. Everything about them came flooding back to him. Their story, their beautiful, crazy, rollercoaster love story. Finally he saw a truck slam into his car. And heard her voice, whisper, "Derek, it's ok, you go."

Derek had tears running down his face. "Meredith, the crash, I'm so sorry, how long have I been out?" He knew the answer would be long. She's aged, and he can't move more than a finger.

She freaked out, turned around and ran. Alex had an exasperated look and awkwardly stood between the man appearing to be Derek and the daughter he never knew was born. "Dude, there's no way, I- I gotta go find her." And he left. His loyalty was to Meredith right now, and he was hoping El would follow.

Ellie could not be more confused. "You know my mom." She said it more as a statement than a question. He turned his neck slightly to look back at the girl. That's why she was so familiar; she was a part of Meredith. Meredith had another baby after the crash? He must've been here for so long she moved on and remarried- this kid is like 14.

"She's my wife." He replied, not sure what verb tense to use. A tear dropped from Ellie's eye. "My mom isn't married, she's widowed, was before I was born." And then it became too much and Ellie had to find her mom, she turned and left.

Derek was astonished. He needed to know what was going on. And then he remembered. Ellie read it on the chart- it's the year 2030. He has been laying here for 15 years. He began hyperventilating. Why did the girl say Meredith was a widow, did she think he died? How could this happen? His thoughts were too much.