My love affair for Mer/Der was just too strong. I kept the plot with the change and I love the direction this is heading. No Mark/Mer, it's just too painful for me to write. I hope ya'll enjoy this as much as I'm going to enjoy writing the next chapter. Also thanks for the positive reviews, I basically knew as soon as I wrote the Mer/Der scene I was going to keep it as is.

"Derek last night was…bizzare" Addison stated walking next to Derek as they made their appearance into the hospital together

"It was just a bad dream Addison, drop it" Derek stated emotionless

"It seemed to really upset you" Addison said trying to be sympathetic to her husband

"Just pretend it never happened. I have an Acoustic Neuroma today and some pre-op things to take care of" he said as he made his way inside the elevator.

She joined him in the elevator

"I think we should discuss it with the marriage counselor tonight" she stated trying her hardest to be patient with him

"Addison I don't want to talk about this right now, I need to study over my case" He spat harsher than he meant

"Okay Derek" she said a bit sarcastically as she sighed.

He leaned over and barely kissed her cheek. "Have a good day" he said mechanically.

She was shocked, it might not have been much but he tried. He was trying.

Derek entered the attending's longue and found Mark eating an apple

"Derek" Mark said with a grin as he entered

"Mark" Derek said in acknowledgement

"How are things with Addison?" Mark questioned in his usual sarcastic and playful manner

"Fine" Derek said as he put a dollar into the machine to get a bottle of water

"I hate Seattle, damn rain makes me want to be in bed, if you know what I mean" Mark said wiggling his eyebrows up and down

Derek gave him a disgusted look "Everything makes you want to be in bed, rain, sunshine, animals mating on animal planet"

"Can't argue with that" Mark said as he took a large bite of his apple

"I want you to stay away from Meredith" Derek said calmly turning his attention away from the vending machine and looking at Sloan.

"That's a problem, Dr. Grey is on my service today" Mark said with a grin

"Meredith doesn't care about plastics" Derek spat

"Doesn't matter, she's an intern. Which means I will get her in my OR just about as much as you will" Mark said with a sly smirk.

Derek sighed

"You want me to forgive you, you want a second chance at being my friend, you'll stay away from her" Derek said calmly

"Ultimatums don't work on me Derek. Besides, why do you care? You're making your marriage work remember" Mark said beginning to laugh

"Me asking you to stay away from Meredith has nothing to do with our past relationship. I care about her, we're friends and you are the last thing she needs"

"Dr. Grey's hot, don't get me wrong but there is plenty other action I can get, why do you think I want her anyway?"

"I had a dream that you and Meredith were together"

"A wet dream" Mark asked with a raised eyebrow

"Forget it, I have to check on a patient"

"You're making things work with Addie but you're dreaming about Meredith, seems like you have a problem" Mark called as Derek left the room.

"Cristina, I think you should move in with me" Burke said as he helped Cristina put her scrubs back on.

"Okay" Cristina agreed. Lately all she did was cave into whatever Burke wanted. She wanted to make him happy, even if it sacrificed her happiness.

"Bailey paged, I have to go" Cristina said as she looked at her pager. Even though it wasn't from Bailey, it was from Meredith

Cristina met Meredith

"You paged, what's up?" Cristina asked

"I have a dog" Meredith said

"You paged me, because you have a dog?" Cristina asked

"He's here, one of the nurses is watching him, but I'm with Sloan all day so I need you to take him"

"Since when have you had a dog?" Cristina whispered she could here Bailey outside yelling at some of the interns

"Since this morning, I was driving to work with George and Izzie and I saw him in the streets, he was all alone, I couldn't leave him" Meredith stated

"So you brought him here, to a hospital"

"Yes, Since you're with Burke I figured you could just tell him you're sick or something and he would let you off today"

"So I went through med school, so that I could baby sit a dog?"

"Please Cristina" Meredith begged

Just then Bailey walked in

"What are you two up too?" she asked irritated

"Nothing, I was just going to find Burke" Cristina stated and left

"Dr. Grey?" Bailey asked in frustration putting her hands on her hips

"I'm going" she said as she quickly exited the locker room.

"You're late, go get me a coffee" Mark said as Meredith made her way to plastics

"I don't get coffee" Meredith said annoyed

"I'm the attending and you are the intern, you'll do whatever I want you to do, whenever I want you to do it" Mark finished suggestively

"You know that can be considered sexual harassment" Meredith remarked

"I think a vanilla latte sounds good today" Mark remarked

Meredith glared at him

"Coffee can wait, today we're meeting with a patient who wants an ass implant, should be interesting" Mark smirked

"You're disgusting" Meredith said as she followed Dr. Sloan with a clipboard

"Dr. Grey, this is Anna, she wants a Buttock Augmentation" Sloan smiled

"Ass implants" Anna corrected smiling at Sloan, who smiled right back to her

"I like you already" Mark said with a laugh to the patient

"So here we have certain levels of implants we can do" Mark said showing both Dr. Grey and Anna a screeen

"So we can upgrade a little bigger" he said showing her what her butt would look like with a slight implant

"Larger" Anna said with a smile

Mark smiled and clicked the mouse to show her a larger size

"Hmm, bigger than that I want a donk" She said smiling at Mark

"You know Anna, considering how petite you are, you don't want to go too large or it won't look natural" Dr. Grey remarked

"Dr. Grey, if Anna wants a donk, we're giving her a donk" Mark stated

Anna giggled.

Dr. Stevens and Izzie we're in the OR doing a simple appendectomy

"Dr. Bailey, you look nice today" the anesthesiologist said looking at Bailey

"I'm in scrubs, the same scrubs I wear every single day" Bailey said annoyed

"Scalpel" she said to the nurse

"Scalpel" the nurse called back handing her the instrument

"But you look especially nice today, I don't know what it is" he flirted

"Steven's get closer" Bailey directed. Izzie leaned closer to view the removing of the appendix.

"Good now take these" Bailey said handing the scalpel to Izzie.

"You want me to finish, Izzie asked?"

"How else are you going to learn?" Bailey said glaring

"Right" Stevens said and took the appendix out and set them on the tray the nurse was holding

"No bleeds?" Bailey asked

"No bleeds" Stevens remarked

"Good close her up"

"I like bossy women" the anesthesiologist flirted

"Do you not see me working?" Bailey spat

"Dr. Stevens, do you think Dr. Bailey should go out with me? I think she should"

"I don't know" Stevens said making sure she closed the patient up properly.

"I'm married and you, you are unprofessional" Bailey spat

"Oh, I'm sorry I didn't know" the anesthesiologist said apologetically

"And that's why you should keep your pants on at work" Bailey yelled

"Shepherd, a word" Webber said when he ran into Derek

"Of course" Derek said joining him in his office

"We have a VIP patient "

"Okay" Derek said waiting for him to continue

"Collins-North in Tennessee said it was an inoperable tumor, I want you to look it over and see if there's any chance that it is operable."

"I'll have a look, I'll defiantly need a consult with the patient first"

"That's what makes this tricky Derek, this is a very high-profile patient, maximum security will be enforced at all times"

"Ofcourse Chief, but if I'm going to operate, I need access to the patient, are they here today?"

"They will not be coming here, it's too dangerous right now, and I don't think his condition allows for him to fly"

Derek looked confused.

"The hospital is flying you out to Tennessee tomorrow if you think there is any chance you can save this man"

"You're flying me out to Tennessee, for how long?"

"Just over the weekend, we need to keep the helicopter just in case we have any problems here. So you'll have to fly coach, which means you'll fly out tomorrow, do the surgery on Saturday and fly home on Sunday. If you can save this man, you have no idea what it will do for the hospital and for yourself. Adele is asking me to retire, and I'm considering it"

"Are you saying that if this surgery is successful, I'll be chief?" Derek asked

"It's a possibility" Webber commented

Derek smiled slightly

"Well I'll look it over, research a little and see what I can do, if anything. No promises" Derek said getting ready to leave.

"One more thing" Richard stopped him

"Since this is still a teaching hospital, the hospital is electing one intern to join you" Richard said and then paused

"Do I pick the intern, because" Derek started

"The board has reviewed which intern has been on the most cases with you, they want a success Derek, you have no idea how great this will be for the hospital. They want someone that you are the most comfortable with, someone who is the most compatible with you in the OR"

Derek waited, deep down he knew what Richard would say next

"If it's operable" Richard began

"If it's operable" Derek repeated

"Dr. Grey will assist you" Webber finished with a hard glare at Derek.

Derek smiled.

"Derek, you will not embarrass this hospital, you will keep your personal life with Meredith out of it. Remember who you are married to and control yourself during this trip"

Derek just beamed at him.

"Look it over, if its operable let me know so that I can inform Dr. Grey and tell our patient that there is hope. "

An hour later in Dr. Sloan's OR

"This is ridiculous" Meredith said referring to how large of an implant Anna wanted

Mark shrugged

"I think it's hot" he said with a smile

"She's going to look dis-proportioned" Meredith argued

"To each their own" Mark said with a wink

Mark was busy adding the implants into her bottom

"So Derek had a dream about us last night" Mark said

"I heard" Meredith responded

"The dirty mistresses, teaming up and giving Derek a run for his money" Mark joked

"Yeah I know, and having a baby, its weird"

"A baby? Derek never mentioned that part. I bet the dirty mistresses had very dirty sex to create that baby" Mark winked

Meredith just looked at him disgusted

"You know, you are very inappropriate and disgusting" Meredith said

"I know" he stated with a grin

Just then Meredith's pager went off.

"The chiefs paging me, I have to go" Meredith said as she exited the OR.

Later that night, Derek joined Addison in marriage counseling

"Sorry I'm late" Derek said as he entered the session over 30 minutes after it had begun

"That's fine Dr. Shepherd, so we'll pick up from last time. Meredith. Have you decided what you will be doing about Meredith?" the therapist asked

Addison eyed Derek

"I told you last time, Meredith and I have a professional relationship, we're friends" Derek stated

"He had a dream about her and Mark last night" Addison brought up

"Dreams sometimes can represent what our subconscious thinks about when we let our minds wonder, what exactly are you thinking about concerning Mark and Meredith" The therapist asked taking notes

"Nothing, I don't think anything" Derek responded

"You don't ever think about your best friend and your ex-girlfriend"

"My ex-best friend and my friend" Derek corrected

"Can you tell us what happened in the dream" The therapist asked

"It's irrelevant" Derek stated

"Derek, just tell us what it was" Addison pleaded

"Whatever dream I had about Mark and Meredith has nothing to do with what we are here for. We're here to fix our marriage" Derek spat

"Meredith was pregnant in the dream" Addison stated sadly

"He was yelling at Mark because in his dream Mark got Meredith pregnant" Addison stated.

Derek just looked at her

"You were yelling while you slept, it woke me up and I heard you" she finished lamely.

"Dr. Shepherd, are you scared that Mark and Meredith will enter onto a relationship together?" the therapist asked

"No" he stated simply with his hand resting on his chin

"This is going no where" Addison said rolling her eyes

"Dr. Shepherd, you chose to work things out and save your marriage, you have to communicate with Addison if you want to help fix this" the therapist stated

"I'm sorry, I have a lot on my plate today, I'm flying to Tennessee tomorrow" Derek stated

"What?" Addison asked confused

"The chief is flying me out tomorrow; there is a high profile patient who is unable to come here, so I'm flying out there to remove a very deep-rooted tumor"

"Dr. Shepherd this is a good thing. You need space away from this hospital. It will give you both a chance to miss one another. Figure out your next steps and re-group. Time away from Meredith and Mark will also be good for you" The therapist noted

"I agree" Addison stated simply. Derek just nodded in return

"I want to see you both again on Monday"

Back at Meredith's house, Meredith was in her room packing with George and Izzie lingering in the hallway

"Why do you have to go to Tennessee again?" George asked for the tenth time

"Especially with the McAss" Izzie chimed in

"I told you, it's a high profile patient and he can't come here. The board chose me to go with Derek because I've been on his service the most"

"And stop calling him McAss, we're friends…kinda" Meredith said while tossing a few pairs of scrubs into her suitcase

"But isn't that going to be weird, with him working things out with his wife?" Izzie asked

"Ofcourse its going to be weird, gynosquad is going to freak" Alex said joining in

"You're repulsing" Izzie said glaring at him

"No, it's not going to be weird because Derek and I are just friends" Meredith continued.

"Besides it's not like we're going on vacation together, it's a surgical case" she went on

"Sounds like a vacation" Alex said with a smirk

Meredith rolled her eyes.

"I need you two to watch the dog and take care of him while I'm gone"

"Hell no, that dog is evil" Izzie refused

"Yeah, I was eating a ham sandwich and it starred at me like he wanted to eat my entire head off the whole time I ate it" George added

"What a bunch of babies, I'll watch your stupid dog" Alex said

Okay so please review! I'm really excited about this trip! Tell me what you would like to see happen on it!