Meredith rolled out of the empty bed. Literally rolled. Her back and hips ached. She moaned when she stood on her feet. The house was silent. She didn't know where Derek was. At the moment she wasn't too concerned. She was concerned about the fact that she was more comfortable walking bent over than vertical. She tried to push it out of her mind as she went through her morning routine, and then took a steaming hot shower. Derek was sitting at the kitchen table eating his muesli and reading the paper when she came down.

"Good morning." He said with a smile as he watched her hobble in.

"Morning." She grumbled as she made her way to the cabinet and pulled out the bottle of pain relievers. She threw back a few with a swig of water and then rested her hands on the counter. Derek quickly dropped his spoon and made his way over to her.

"Are you okay?" He asked as he rubbed her back softly.

"Yeah." She moaned as she turned around and faced him. He gave her a smile and kissed her softly. "We need a new bed..." She said frankly. "I can not stand that thing."

"You love your bed." He said with a smile. She did. That was one of her things...never get rid of the bed. It was a perfect bed.

"Not anymore. I hate it." She pouted. He looked down at his watch, and back up at her.

"Come on..." He said as he pulled her to the sofa. "Lay down." She laid down softly on her abdomen. He hands went to work on her back. He heard her moan softly. A smiled crept up on her face. They both looked up when they heard the door. Derek quickly walked over and let Jane in the house.

"Hello, Derek. Hello, Meredith." She said as she walked into the house.

"I'm rubbing Mer's back. It's killing her." He said as he walked back over to the sofa and continued.

"Oh, are you okay?" Jane asked sympathetically as she walked by.

"Yeah... I just-- I'm only halfway there. I should not feel this way." Meredith explained.

"You never know how your body will react to pregnancy." Jane said softly. "My sisters have three kids each. Theresa suffered the whole way through." Jane pointed out.

"Oh thanks for that!" Meredith chuckled. She winced when Derek began kneading her lower back.

"Has she eaten?" Jane asked Derek, knowing Meredith would tell her not to worry about it.

"No, the pain was too bad." He explained as he continued. Meredith gave her a dirty look.

"Are eggs okay?" She asked Meredith from the kitchen.

"Jane, you are not our cook. Or our housekeeper. Don't worry about." Meredith said softly. The last thing she wanted was for Jane to feel overworked.

"It's my pleasure." She said as she walked into the kitchen and began banging pots and pans around.

"When is your next appointment with Addison?" Derek asked with concern.

"Derek, I am fine!" She said as she sat up.

"I wasn't done." He told her, shocked that she got up. She always begged him not to stop.

"I'm fine." She said as she stood up and walked away.

"Maybe you shouldn't be running anymore." He said as he followed her into the kitchen.

"I need to be healthier." She said as she sat down at the table across from him.

"Mer--" He started as he looked up at her.

"You spent all that money having a trail cut through the woods for me." She said as she looked out the window into the darkness.

"Seriously? I couldn't care any less about the money. I care about the health of you, and our children. Besides, Anna and I use the path too. I just think you need to slow down." He urged as he pushed his cereal away. He hated when she did that. When she would avoid. When she would pretend that everything was perfect and fine.

"I don't need to slow down!" She said loudly. She hated when he did this. He was always concerned. He always thought about her. Why couldn't he just worry about himself for awhile.

"You know, maybe you could get a life. Then you wouldn't have to worry about me all of the time." She spat. Jane walked up and sat her plate down. Jane looked at Derek with wide-eyes.

Derek couldn't believe she said that. He wasn't going to acknowledge the comment. It stung, but he knew her. He knew she was hormonal. And she was sore. And he also knew she was stressed out about his job change. So he let it pass. He was learning to just let things roll off of him.

Meredith looked down at the plate. She wasn't hungry in the least. She used to eat, but lately that was the first thing to go. The minute she got stressed out, she wasn't hungry. She was doing everything she could to ensure that her babies were getting what they needed, but it wasn't always easy. Especially when you have to force it down.

"You need to eat." Derek said as he grabbed the paper and began reading. She looked up at him and started moving food around on her plate.

"I'm sorry Derek. I know today is you last day at the hospital..." She said with a sigh. "I'm just...I'm sorry. I know you worry. Don't worry. If something is wrong, I will tell you."

"You haven't been so good about it in the past." He pointed out. He immediately wished he hadn't said it. She groaned loudly.

"I know..." She finally admitted. "But Derek, I would never endanger our children." She said as she took another bite of her food.

"I know you wouldn't, Mer." He said with a smile as he sat the paper down. "Are you riding with me?"

"Yeah. But you might be done before I am." She told him. "What are you even doing?"

"Rounding on my post-op patients." He told her. "I thought I could bring you lunch. Maybe fend off your friends, and your Mom. Then you may actually finish a meal." He pointed out.

"That would be good." She agreed. "So it's kind of sad... You leaving. Very sad actually." She said as her eyes began to water, not going unnoticed.

"I think of it as graduating high school. I'm just going off to college. And it's like a community college. Not far away." He said with a smile.

"Do you remember college?" She asked with raised brows. "The parties... drunken sex... Not knowing where you are when you wake up...and being covered in vomit when you do."

"Anna is definitely not going to Oxford." Derek pointed out with a chuckle.

"I think that is a very good idea." Meredith said, nodding her head.

"Mer, college will not be like that. I will be home every night." He said with a smile as he looked down at his watch. "And we better go!"

"Our last ride together." She said as she sat up, and placed her plate in the sink.

"It's not our last ride. I'm sure I will have surgeries at Seattle Grace." He said as he led her to the car. Her frown just increased. She was doubtful.

----------------

Meredith and Derek held hands on the way into the hospital. He looked over and smiled at her as the entrance doors opened. They both quickened their pace as they saw the elevator door opened. Meredith looked around the full elevator.

"So this is the last day, huh doc?" One of the people said. Derek nodded and smiled.

"Congratulations." One of the nurses said, many of the other people agreeing with her.

Derek looked over at the distressed look on Meredith's face. She was worried. Even after all of the reassurance he had given her, she was still upset. He knew she would have to see if for herself. After a week, she would agree with him that this was the best thing he even did.

"Shepherd..." Richard Webber said as he stepped onto the elevator.

"Chief." Derek said with a smile.

"You are my son-in law, Richard is fine." Richard said with a chuckle.

"I am your son-in-law, so Derek is also fine." Derek returned with a grin.

"So today is the last day?" Richard asked as he looked between him and Meredith.

"Yes it is." Derek said with a nod. "But I'm sure I'll be back..."

"Well you are welcome back anytime. Even if you are creating a state-of-the-art top-notch neurology center that Seattle Grace can't touch." Richard said with a shake of his head. "But really, I am happy for you."

"Well, I really do appreciate that." Derek said as the doors opened and the walked off of the elevator. "Have a good day." Derek said as he kissed Meredith softly. "You too, Thing One and Thing Two." He said as he rubbed her stomach.

"Bye." She said as she walked off to the locker room. When she opened the door, everyone looked up at her. She groaned and walked to her locker, swinging it open.

"So McDreamy tells this place to shove it today, huh?" Alex said as he watched her rummage through her locker.

"So it's weird, right? He won't be around." Izzie said as she looked up at Meredith.

"It is weird." George agreed. Meredith rolled her eyes and ignored him.

"I hear the new neurosurgeon is an ass." Cristina pointed out. "And you are looking like a cow." She said as she pointed at her large baby bump.

"She's four and a half months pregnant!" Izzie scorned.

Meredith quit listening. Of course is crossed her mind, but apparently it had been pushed out. She chose neurosurgery. And now she is going to be stuck with some alleged jerk. Someone who is not the best. Some inferior. Some arrogant asshole. Someone who is not Derek...

"Hello!" Cristina shouted at Meredith.

"Can you guys just shut the hell up? Please just learn to keep your mouths shut..." She muttered as she walked out of the locker room. It had suddenly gotten way too small.

"What's her problem?" Alex asked.

"Uh, her husband is leaving and she's pregnant." Izzie said as she smacked him in the head. "How did you make it through med school?"

---------------

"So how is our patient?" Addison asked as she walked up to Meredith holding two mocha lattes. He handed one to Meredith. "Don't worry, no caffeine."

"Our patient is doing well." Meredith responded, taking about the hysterectomy they had performed. "And thank you." She said as she lifted the cup of coffee up and nodded. Addison led them over to a bench in the sun.

"I saw your husband marching around here like king shit today." Addison laughed and shook her head. "It's going to be weird, isn't it?"

"Yeah...It really is. I don't know how I feel about it..." Meredith said sadly. "I know it's his dream now, but I'm going to miss him, you know?" Meredith said softly as she took a sip of her fake coffee.

"I know. But you will probably see him more than you ever have." Addison told her reassuringly. "Look at Mark and Drew. They're in a private practice. They hardly work..."

"I guess we'll see. It's a lot to handle. The malpractice insurance is through the roof. The liability is incredibly high. And then there are all of the employees." Meredith said as she shook her head. "It's just different when it all falls on you. In the hospital, they save your ass when you screw up. Out there you're left hanging with some insurance company attorney who doesn't give a crap. Then we'll lose everything..." She said breathlessly. Her breathing increased as she began to stress out.

"Meredith!" Addison said as she grabbed her arm. "Whoa. Calm down." She said as she looked into her eyes. "You are putting way too much thought into this. Derek knows. I am positive he has taken every step to protect himself and his assets. Not to mention Franceasca is an awesome business manager. You guys will be fine!" Addison reassured her.

"I know I worry too much..." Meredith muttered as she looked off into the distance.

"You do. And you have got to stop for the sake of you and the babies." Addison scorned.

"I'm trying. I really am." Meredith said softly as she too a sip of her latte.

They both sat there in silence. Meredith wanted to ask her about Marty. She hadn't heard a thing from him. She never saw him after that night. Something about him scared her. It really made her uneasy. But a tiny voice in the back of her head kept wondering. A voice kept repeating his words, "you're making a mistake." Should she be worried? She honestly didn't know.

"So I didn't even know you had a sister..." Meredith finally said, hoping to spin the conversation.

"I never talk about her. We get along only if we are together for little amounts of time. Over an hour, and someone's going to die." Addison said frankly.

"I can't see you fighting with anyone." Meredith said with a chuckle.

"Her, I fight with. But don't worry, she is great at her job. Derek is in good hands as far as that's concerned." Addison said with an affirmative smile. "And Marty..." There it was... "I heard what he said..."

"You did? Oh my god..." Meredith said, somewhat relieved. "I didn't think anyone else was around." Meredith said with surprise.

"We were all at the table." Addison said with a chuckle. She watched Meredith's face drop. "But that's not what you're talking about... What else did he say?"

"Nothing. It's no big deal..." Meredith muttered as she looked off into the distance.

"Meredith, look at me." Meredith looked over at her. "What the hell did he say?"

"It's nothing really..." Meredith said softly. Addison gave her the look. "He asked me if I wanted to leave with him. I told him I was with Derek, and happy with Derek. He told me I was making a mistake. He said I was making a mistake. I don't know. It's really nothing. It just rubbed me the wrong way..." Meredith explained. She was actually relieved to get it out of her head.

"That snake..." Addison said in shock. "What a jerk. And that was after Derek was there?" Meredith nodded. "Well, he's a jerk, but I can honestly say you shouldn't worry. He would never do anything. He's just horny."

"That's good to know." Meredith muttered. Even if he did make her uncomfortable, Addison took all of her worries away. "What kind of guy flirts with a pregnant cow, anyway?"

"An asshole. And you are not a cow. You look fabulous." Addison said with a nod. She looked down at her watch. "Oh, I have an appointment. I'll see you later!"

"Bye Addison. Thanks!" Meredith said as she looked off with a sigh. She was just hoping she was right.

-----------------

Meredith was walking down the hallway, carrying lab results. She hadn't seen Derek. She knew he was around because everyone was talking about him. She was hoping to see him because her frustration was building, and she had to take it out on someone. She dropped the results off and continued down the hallway. She stopped in her tracks when she saw him. He was talking to another doctor. She just watched him talk. She was definitely undressing him with her eyes. She knew just what was under those thin navy blue scrubs, and she wanted it. He looked up and caught her eye. There they both stood, eye-sexing each other. He had completely stopped listening to the other doctor and was focused on her.

"Seriously?" Cristina said as she walked up and stood in front of Meredith, breaking the connection.

"What?" Meredith grumbled. She was at her eye-sex peak and Cristina threw in a wrench.

"You were so eye-fucking McDreamy." Cristina said as she shook her head.

"I am not... Okay I am. So can you just leave?" Meredith whined as she leaned over to look at him. She frowned when she didn't see him.

"Forget the eye-sex, go screw his brains out." Cristina said with a shrug.

"See, this is why I keep you around." Meredith said as she started walking away.

"I didn't mean now!" Cristina shouted at her.

"Now I'm in the mood." Meredith said with a shrug as she continued on her way.

She continued walking until she saw him again. He was bent over in front of the computer, scrolling down the page. Meredith looked around, seeing not one single person. She quietly walked into the room. He didn't even hear her. He was completely focused on the screen. That was about to change. She slowly snuck up behind him. She softly put her arms around him and slid her hands down his scrub pants, grasping him in her one hand, his balls in the other. She heard him gasp.

"I hope that's you..." He said as he turned his head.

"For your sake, I hope it's me too." She said as she started running her soft hand up and down his long, thick shaft.

"Oh, god..." He muttered. "I just got rid of that." He said as he tensed up.

"Did you now? I kind of like it around." She said as she continued pumping her hand harder and faster.

"Mer-- Oh god...Mer you've got to stop...I'm-- Stop!" He shouted as she continued. She could feel him pulsating in her hand. His heartbeat, quickening right in her palm. "I... Oh god..." He muttered as he released. His heart continued to beat quickly. He finally moaned as she pulled her hands out. "I'm wearing pants." He said with a frown as he turned around.

"Oh my god!" She busted out in laughter, as she looked down at the ample sized wet spot on his pants. "I'm sorry..." She giggled. He shook his head, and laughed.

"I bet you are..." He muttered. She walked up and started tugging at his shirt. "What are you doing?" He said in shock.

"I'm horny..." She whined.

"Hold that thought." He said with a dirty smile as he walked away. He quickly stopped in his tracks, grabbing a chart to cover himself. He shook his head as he heard her giggle.

Derek walked his way down the hallway. He had been fantasizing about this for awhile. Generally it was when he was in the middle of a surgery. Sometimes he was in the middle of someone's brain. He always thanked god that he was standing against a table, able to cover himself. She did that to him whenever she looked at him. He quietly strolled by the OR board. Quiet boards were supposedly bad. And he always agreed with that. There was rarely a time when the OR was empty, let alone two of them. And even fewer when one was closed. He smiled when his suspicion was confirmed. It was a slow operating day, and he was thankful for that. He quickly walked back and grabbed her hand.

"Where are we going?" She asked as he pulled her along.

"Just come with me..." He said with a smile as he pulled her into the scrub room.

"Why are we in here?" She asked as she looked around the room.

"See that OR table right there?" Derek asked as he pointed to it.

"Um, yeah." She said as she looked over.

"I am going to fuck you on it." He said as he pulled her hand.

"We can't go in there! We're not sterile. This is stupid, Derek. We can not do this." She said as she planted her feet.

"I have been fantasizing about this since the very first surgery you scrubbing in with me on..." He said as he pulled her in.

"Someone could come in..." Meredith said with wide eyes.

"They could. We better make it fast." He said as he dropped his pants.

"You're serious!" She said as she looked at his boxers and scrub pants pooled around his feet. His shaft was eagerly awaiting her.

"Damn right I am!" He said as he pulled her drawstring, letting her pants drop to the floor. He swiftly lifted her up and sat her on the table. His mouth moved over hers as he sucked on her bottom lip until it was at a swollen state. She opened her mouth allowing his tongue entrance.

"Crap..." She muttered, knowing she had to stop. But she couldn't. Especially now. Because now he had pulled off her panties and had two fingers exploring her hot folds. "God...Derek..." His fingers continued their purposeful work, creating a rush of hot fluids that washed over him. "Oh..." She moaned as her body shook. She leaned back as he pulled his fingers out. He slid his hands up her shirt and under her bra, taking a breast in each hand. He fondled them softly, causing her nipples to turn into hardened peaks.

"Just fuck me, Derek." She said in desperation.

"Gladly." He said as he climbed onto the table with her, and driving himself deep inside of her. "Shit you're wet..."

"Harder." She said simply as she felt his hard shaft slide deeply in and out of her. "Harder, Derek!" She screamed just a little too loudly.

"Shhh. Mer, shhh." He said as he covered his mouth with hers. He drove into her harder, causing her to bite down on his lip. "Oh god...Geez...Mer, you're tight." He moaned.

"Fuck me! Come on Derek!" She whined. She she felt him begin to pulsate inside of her.

"Oh I'm coming..." He said loudly. "Oh god..." He moaned as he felt her heat around him.

"I'm...ohhh..." She moaned as she tightened up, releasing fluid. Her body began to tremble.

"Shit...I'm...Oh..." He moaned as he released his hot fluid into her body. He dropped his head as he continued to feel the aftermath of the pleasure that just surrounded him.

"Thank you..." She muttered as she laid there, beads of sweat covering her body. "We have to get out of here." She said, realizing where they were. Derek quickly climbed off of her and placed his feet in the floor. Meredith quickly did the same.

"That was a hell of a send off..." He said with a smile as he tied his pants.

"Shit yeah it was." She said with a huge grin. Now they were out of the woods, standing in the OR completely clothed.

"So you want to go another round?" He asked with a raised brow.

"I think we've pushed it to the limit." Meredith said with a laugh.

"Not really..." He laughed as he looked at her paranoid face.

"What?" She returned with surprise.

"This OR is closed for maintenance. No one was ever coming in. Not for another hour at least." He said as he looked at the clock.

"You ass!" She shouted as she smacked him in the arm.

"So...another round?" He asked again. "Maybe a little slower this time?" She looked around the room and then at the clock.

"Hmmm." She said as she dropped her scrub pants. "This is why I keep you around."

"I'm not complaining." He said as he pulled his shirt off and threw it on the floor.

OR sex...oh yeah... So that was Derek's last day. I'm sure he enjoyed it. :)