Derek Shepherd was standing beside his wife's bedside staring at the doorway where the NICU team had just taken his son through. Mer was crying next to him and he just didn't know what to do. He walked towards the door and stepped into the hallway just in time for him to see the incubator holding his son disappear behind a door that read Restricted. He wanted to follow them in so badly using his authority in the hospital to pass through but the cries of his wife from Room 1460 brought him back in and he decided they would have to wait together to go see their precious baby boy.

It was hours later and the sun was creeping through the blinds of the hospital room window. Meredith woke up and immediately looked around for her husband and son, but sitting up sharply caused her pain in her lower torso and she realized her baby wasn't in her room. She was so scared when the baby had come out blue and Meredith thought instead of a baptism, her and Derek would be planning a funeral. She didn't see Derek at all in her room and she paged the nurse. She asked "Is Dr. Jameson available?" and the nurse said "She'll be in momentarily. She is with your husband down at the NICU." Mer was a little hurt that Derek had gone to see the baby without her, but maybe he had some pictures to show her. Moments later in walked Derek and Dr. Jameson and Meredith braced herself for the worst. Derek came up beside her and grabbed her hand, squeezing it tightly and reassuring her which she desperately needed. Dr Jameson started saying "Well, Baby Shepherd is looking ok for now. He is holding his own with a steady BP with a systolic of 80. The lungs look good and there is no sign of IVH or PDA which is great. You can go up and see him now, but he is staying on his oxygen now." Mer and Derek thanked her and a nurse wheeled in a wheelchair which Derek took from her hands, nodding that they would be fine. Derek helped Meredith into the wheelchair and they started their journey towards the NICU.

The two scrubbed in like they were headed into a big surgery, but as soon as they walked through the sliding glass doors, monitors sounded and they were in a new land. Every space was filled with an incubator and monitors, and worried parents stood by their child's bedside. They were directed by the nurse to an area towards the back in the left corner where there son lay alone on privacy. He was hooked with a oxygen mask and he was tiny, just too tiny. His chart said he was just three pounds, six ounces with a height of only 16 inches. If they were to bring him home, his big brother's stuffed bear would crush the poor baby and Derek laughed at the thought of Ethan playing with the new baby. For starters though, it needed a name because it just couldn't be the new baby for long.

Meredith stuck her hand through the hole and touched her baby's tiny hand. The whole hand of her son fit into her fist and when he began to cry in a low tone, she urged to reach in and hold him, comforting her son and making him feel safe. All she could do though was stroke his head until his cry turned to a whimper and his whimper turned to silence. He laid asleep even though the sound of the monitors beeping was keeping Mer and Der on edge. After staying there for a couple of hours, Meredith asked to be brought back to the room, but not before telling her son goodbye.

Mer had just been staring out the window since they got back to the room and Derek thought she needed a little cheering up. He went to make a phone call to Lexie and asked her if she could bring Ethan up. Ethan had been staying with Lexie and Mark for the last day ever since Ethan had been discharged. He met them by the elevator and asked them to go see the baby. Being family, they were the only ones from the whole bunch that were allowed in the NICU and he gave them a digital camera to take pictures of their son. As Lexie and Mark left down the hallway, Derek took his son's hand and led him towards the room. When they reached the doorframe, Meredith looked up and for the first time, she smiled.

"Mommy", screamed Ethan to Meredith and it reminded her of earlier when this had happened as they were leaving day care. Ethan started running forward towards the bed, but as he got closer he stopped short and stared at Meredith. "What's the matter Ethan?", asked Meredith and Ethan said "Where's my baby brofer? Aunt Lexie said I gots to see him." Meredith motioned for Derek to come over and bring the Polaroid pictures that the nurses had snapped of the baby. She grabbed the pictures and showed Ethan them and watched as her son stared in awe at them. He ran his finger down the picture and was in silence. He finally spoke asking "When I get to see him?", and Meredith said "Well baby, your brother was really tiny so he is in a special place where the doctors make him grow." "Like Jack and the Beanstalk, Mommy?", said Ethan. Smiling Meredith said "Like Jack and the Beanstalk, Ethan."

"What about Connor?", said Derek and Mer immediately shook her head no. She said "I had a kid in day care with me named Connor who use to eat all the paste. What about Patrick?" Derek said "Mer, we're not even Irish and besides, a patient I had was named Patrick and he had a fit, so he kicked me a little down south." Meredith laughed at the thought and looked out the doorway for some inspiration. Out of the corner of her eye, she saw Ethan's book on the table and the name just came to her. "Derek, she said. I know what to name him." Derek asked "What" and Meredith said……….