"Uh…yeah" Meredith confusingly nodded, walking away with Shepard down the corridor.

Two hours later when everyone was on their intern break, Izzie started the whole marriage conversation again even though Cristina and Meredith tried to talk her out of it last night,

"So, white limo or horse drawn carriage with white horse" Izzie winked at them

"Umm…neither" Cristina smiled at her sarcastically

"What about you Meredith?" Izzie asked

"Well I don't know depends on where you have it, church you could have both but if you went beach you'd have a four wheeler or Izzie, you go Runaway Bride style and one the mountain hill whatever most like you could have a horse and cart…ahhhh romance" Meredith smiled weakly

"Yeah…yeah…and doesn't it suck" Cristina laughed

"Wouldn't mind the whole Runaway Bride style…no-one there just the two of you and then wham everyone runs up" Meredith smiled

"And we weren't considered as bridesmaids?" Izzie asked looking quite shocked

"Actually…no cause I really hadn't even put the thought in my mind until you mentioned it last night" Meredith told her bluntly but happily.

Then all of a sudden all their pagers went off,

"Crahap" Cristina smirked

"Bailey…yay" Meredith replied sarcastically

"Hoping it was someone else were we?" Izzie smiled as they ran off to the emergency.

"Ok people, four year old female, mother brought her in after showing symptoms of meningea coccal" Bailey barked at them

"Page Dr. Montgomery, she's trained in this field, Stevens, Grey your case" Webber told them

"Ok then" Meredith and Izzie said looking shocked

As soon as the Chief had gone Addison had turned up and ready to save the girl

"Ok, sorry I had to finish up a surgery, right lets boogie" Addison smiled

"Dr's what's her situation?" Addison smirked at Meredith hoping for her to get it wrong

"Four year old Rachael Parrish symptoms of acute meningea coccal, OB's and blood test say it all really," Meredith said while smirking as if to say 'I got it right'

"Stevens, is there any signs that we can operate?" Addison asked

"Skin graphs are a possibility, but we need to get rid of the bacteria first" Izzie said in her "professional" tone

"Ok Grey go and book a plastic surgeon…thank you" Addison smiled evilly

"Yes doctor" Meredith told her smart arsly.

As she ran down the corridor to book the plastic surgeon, he was there and seemed to be reading his charts for the afternoon

"Meredith, what's wrong" Derek asked her as she caught her breath

"Four… year… old… girl… acute… meningea… coccal… outbreak" Meredith said still trying to catch her breath

"Oh my god is she alright? What doctor is doing the case?"

"Yes she's fine for now and Addison's on it" Meredith said flipping through the hospital phone book

"Addison?" Derek said bluntly

"Yes, why?" Meredith asked as she found what she was looking for

"She has no idea how to handle these kind of out breaks," Derek said angrily

"Yeah well, now everyone thinks she can not mention she's got me doing the running around" Meredith smiled

"Ok…um I'll cya later" Derek said running off to the outbreak

"Yep…yep" Meredith said not paying attention

With that she didn't see the tear rolling down his cheek…

An hour later…

"Hey, did any of you hear bout McDreamy?" Izzy quizzed everyone

A crowd of no's came from George, Christina and Alex

"No why what happened?" Meredith asked

"Well, I heard that had a personal case of meningococcal" Izzy stated

"Ok, ok, ok heard or over heard?" Alex smirked

"Ok…um ill be back" Meredith smiled weakly

"Mer…don't say that you heard from me just say you heard the nurses talking" Izzy said as Meredith ran off

She searched everywhere but where was he to be found well as far as she could see nowhere by the looks of things…but then suddenly a glimpse as he slowly emerged from the janitors closet with what seemed to be a tear stained face.

Meredith could feel her heart slowly break as she saw his red eyes and tear stained face, she wanted to say or do something but what could she do?

He has his wife now but in a Meredith still felt connected to him…

"Hey" Meredith smiled as she slowly followed him into his office

"Hi" Derek weakly smiled back hoping she didn't notice his red eyes

"Ok… what's up I saw you coming out of the janitors closet and I heard nurses saying that apparently you had a more personal case of the meningococcal" Meredith said hoping not to upset him anymore than he obviously already was,

"Ok…so I haven't told you everything," Derek said honestly

"What do you mean?" Meredith pondered

"Well… about two years into my marriage with Addison, she discovered she was pregnant and only she didn't want the baby and I did" Derek stopped suddenly

"What's that got to do with this case?" Meredith asked gently

"We kept the baby…but a few years later when she was four…she started getting this strange rash on her legs and chest…we didn't know what it was so Addy took her to the hospital … they ran tests and it came out that she had serious acute meningococcal and she passed away four days later because they didn't catch it in time," Derek sighed trying not to cry

"Oh Derek… and that's why your marriage broke up as well as the affair?" Meredith scolded herself after saying that

"Basically yeah… and that's when I came here met you, she ruined my life again and here we are" Derek smiled weakly