He moved slightly and heard the glass crunching under him. Derek opened his eyes and looked in the rearview mirror seeing his son in sight. Ethan was screaming in his car seat and Derek didn't no whether it was from the terror of the accident or the big gash on his head that was bleeding profusely. He looked ok otherwise, but being a surgeon, Derek knew not to just judge based upon the outer appearance of his boy. He looked next to him to see Meredith, her eyes closed, and he shook her saying "Mer, you need to wake up." She stirred and finally opened her eyes asking "What happened, Derek?" He said "Car accident. That jackass was driving the wrong way and hit us." Derek tried moving himself to help his wife, but he found himself constricted by the seat belt. He tried taking it off, but it seemed it was locked in place and wouldn't budge. Meredith said "Derek, grab the bag by my feet" and he asked "Why?." He grabbed the bag and inside found her knitting kit, complete with a pair of scissors. Derek cut the belt to his freedom and grabbed the cell phone from his pocket. He heard on the other line "what's your emergency" and Derek said "My family was in a car accident on Dale Avenue and we need help immediately. My name is Dr. Derek Shepherd and I'm a surgeon at Seattle Grace Hospital, license 29018302. Please help us."

The ambulances and fire trucks had arrived within moments but to Meredith, it felt like an eternity. Ethan was screaming in the back and even the comfort from Derek was not helping him. Derek had already checked her stomach and found nothing the matter and anyway, the baby was kicking wildly. After the paramedics and firefighters had removed Ethan and Derek from the car, they began to work on her. She was pinned underneath the dashboard and was only freed after the firefighters had totally ripped the dashboard apart. They put her onto a backboard and she headed to the ambulance. She asked "Can I ride with my husband and son?", but the paramedic let her down gently telling her they would all meet at the hospital. Meredith asked which hospital and the paramedic responded with "Seattle Grace."

He was in a separate ambulance than his wife with his son on his lap. Ethan had finally settled down and was sucking his thumb heartily while they took the short ride back to the hospital. He saw them pull up to the ambulance bay and all he could hope for was the best. When the doors were opened by Callie Torres, Derek saw the worry in her eyes. The stretcher was moved and he soon found Ethan being removed from his lap and being put on another stretcher by Arizona. He begin to promise, but Arizona said "Derek, I got him" in such a reassuring voice that Derek knew his son was in good hands. He was wheeled towards the ER and once inside Trauma Room 3, he was given the full workup by Owen which cleared him of any broken bones and any internal injuries. Once Owen left, his sister-in-law Lexie came in to stitch up his cuts along his arms and on his face. She asked for information and honestly he said "Lex, I don't know anything about my family."

Meredith was getting checked out by both Owen and Mark and for the one time that night, she felt at ease. Owen had cleared her from any internal injuries and Mark had said the cuts wouldn't need stitching. Mark was finishing with the butterfly stitches when Arizona came in with the sonogram machine and she started saying "How's Eth..?", and right away Arizona said "Ethan looks fine. He has a head lac that needs stitching and we sent up some labs, but he looks fine otherwise. Lexie is the one sewing him up right now, so he's pretty comfortable." Meredith smiled and sighed with relief, leaning back so that Arizona could check out the baby that was inside her. The gel was cold as usual and as soon as Meredith saw her baby on the screen, she was ecstatic. The baby looked fine, but Arizona said "Well, everything looks ok, but we're sending you up to OB right now. Meredith asked "What about Derek and Ethan?", and if on cue, her sister Lexie walked in. Meredith asked "How are my boys?", and Lexie said "I think your son is the best 3 year old that I have ever done stitches on. How are you?" Meredith said "Well, the baby and I are doing fine, but I'm going up to OB to make sure." Lexie said "I'll come with you" and Mer nodded in agreement. It would be nice to have one person she knew up on the 14th floor.

Derek was out of his room, going from one to the next looking for his wife until he saw Mark in the hallway outside of Curtain 2. He ran up to him and Mark saw him coming. Derek asked "Where are they Mark?', and Mark said "E-Man is fine in the lounge with Izzie and Mer went up to OB with Lexie. The baby looks fine and Mer only had a few cuts and bruises. As for the bastard that hit you though, Bailey is operating on him now. Seems he had a subdural hematoma from hitting the dash board, but he should recover." Derek shook his head. He had totally forgotten about the man that had caused his family harm and he would have to deal with the man later. He strolled towards the lounge and when he pushed the door open, he saw Izzie lift a finger to her lips. Beside her on the bottom bunk was Ethan sleeping heavily and Derek couldn't disturb him. He whispered "You got him, Iz? I'm gonna go see Meredith upstairs." Izzie nodded that it was fine and before Derek knew it, he was running as best he could towards the elevator after his pager went off saying 911-Meredith.

Meredith was breathing heavily with Lexie by her side. The contractions had kicked in about 20 minutes ago and they were fast and close together already. Dr. Jameson had said this could happen, but Meredith had thought everything was going smoothly. The nurses had paged Derek and she was just hoping that he would get there before this baby decided to make an appearance. Dr. Jameson had told her that the baby's lungs were fully developed and at 7 months, the baby had a good chance of surviving. Mer was scared and she knew she was crying as every contraction struck her body. Lexie was trying to calm her down, but all she wanted was her Derek. The doctor checked her and she knew from the feeling she had, it was time to push. Lexie held one leg and a nurse held the other while Meredith pushed with all her energy, crying at the same time. She was still crying when she heard the door slam open, and she saw her husband rush in to her side, kissing her, telling her "Everything's going to ok"

"Push Meredith," said Dr, Jameson and Meredith gave one last push before the baby came out. Derek cut the cord and right away, Dr. Jameson handed the baby to the NICU team. They heard from the table the murmuring of the doctors, trying to get the tiny baby to give out a cry. It was a boy and when he came out, he was slightly blue and fear stuck the two parents when he didn't give out the scream that they had witness from newborns so many times including Ethan. The room was silent, moments passing and finally, a baby's cry pierced the air, signaling everything was ok. Derek walked over to the baby who was on an oxygen mask, but finally a light pink color. He looked perfect with a dark fuzz of brown hair and green eyes like his mother. The baby was placed in an incubator and taken away towards the NICU leaving both parents struck with awe and fear.

NAMES FOR BABY BOY SHEPHERD:Should he be named:-Noah Sloan Shepherd

-Jacob Grey Shepherd

-Cameron William Shepherd

-Dylan Avery Shepherd

-Evan Marcus Shepherd

HELP ME DECIDE!