Derek opened the door as Richard opened the file on Derek's VIP patient.

"Hey Elle, I would like to introduce you to the future Mrs Shepherds." He stated as he walked in confidently.

Ellis sat up in her bed and looked the girl over. "Come in, I promise you I won't bite." She told Meredith

Richard began reading over the file of 'Ellis Webber'. The name alone had alarm bells ringing.

Meredith drifted into the room and stopped next to Derek who was all smiled.

"Derek your fiancé seems rather shy. What on Earth did you tell the poor child about me?" she asked.

Derek gave her a sheepish grin. "I called you my 2nd mother."

Ellis smiled warmly.

Richard didn't read much more of the file before he knew. His heart clenched with the hurt and the pain of the years before. He dropped the file.

Meredith smiled warmly at the patient but continued to nervously play with her ring.



"How old are you?" Ellis asked her before realising that she didn't even know the shy girls name. "Derek you've been rude not to fully introduce us."

"I'm 27 Meredith answered"

"Oh Sorry Elle" Derek replied as he put his arm around Meredith

Richard ran his hands through his hair. She had been gone for 17 years and now she was back. Did she know he was here? He wondered as he pushed back his chair. He needed answers.

"Mer sweetie this is Dr Ellis Webber" he told her smiling. Meredith stiffened in his arms and suddenly started to breathe hard.

"Elle, this is Meredith, Meredith Grey." he said warmly, still yet to realise Meredith's ragged breathing.

Ellis's eyes widened. "Come again Derek?" she asked.

Richard strode fiercely down the hall. He needed to see her to know if she was really here.

"I can't... I can't...Der" Meredith groaned as she struggled to breathe.

Derek turned to Meredith and immediately he began to panic. "Mer, you ok?" he asked.

Meredith continued to struggle to breathe.


"Mer baby I need you to breathe." he pleaded.

Meredith shook her head. Her eyes didn't move from Ellis who was still sitting there in shock.

"I can't... I can't..." She said ragged. Tears were welling in her eyes.

Derek quickly ran to the door. He flung it open to catch site of Richard walking towards him. "Chief its Meredith."

Richard reached Derek in a few short strides. He entered the room quickly and gathered Meredith in his arms. "Go to the closet and get me a paper bag." he ordered.

Derek looked at Richard funny, but went anyway. Richard carried Meredith to the couch and sat down with her in his arms. "It's ok, Daddy is here, its ok." he continually repeated.

Derek got back with a paper bag and with Alex and Mark following close behind. "What the hell did you do to her?" Mark fired at him.

Richard snatched the paper bag from Derek's hands and gave it to Meredith. "Breathe Mer; I need you to breathe for me. It's ok, Daddy is here." he told her again.

Meredith held on tight to the paper bag, as she struggled to breathe into it.



Mark and Alex only just realised that they were in a patient's room. They both looked at the patient before looking at Derek again. "Is she your VIP patient?" Alex asked.

Derek nodded.

Ellis sat there still frozen by the people standing in front of her. Richard hadn't even looked at her, but she was sure that he knew who she was.

"Who is she?" Mark asked.

"You're not on a need to know. She's requested Doctors privileges." Derek answered.

"My little sister is having a panic attack. Now tell me who the fuck is she." Mark yelled.

Meredith began to sob now that her breathing had started to settle. "Mommy" she cried.

This seemed to crack Ellis, who now had tears forming in her eyes.

Richard held on to Meredith tightly.

"Dad?" the boys looked at him worried.

"Boys" he answered quietly, not knowing how to tell them that their mother, his wife, was the patient sitting in the bed.


"I...I..." came the voice from the bed.

Derek snapped his eyes away from Meredith and looked at Ellis. "Ellie, you ok?" he asked as he rushed to her.

"Derek who is Ellie?" Mark asked again.

"Mark" Derek snapped.

"Tell me dammit" Mark yelled.

Ellis nodded at him. "Mark, Alex, this is Ellis Webber." he told them.

Next thing Derek knew he was flat on his back.

Alex had walked out of the room after screaming out an "I hate you". While Mark stood there nursing his hand.

Ellis cried harder, as Mark looked at her with intensity.

Meredith clung to Richard, no longer crying.

Derek forced himself off the ground and stood up.

"What was that for?" Derek asked, already nursing what he expected was a fractured jaw.

"My mother" he said pointing at Ellis before storming from the room.


Richard finally looked up at Derek, before looking at Ellis.

Ellis could see the pain in his eyes, a combination of hurt, love and anger.

"Derek" Richard spoke. "I would like to officially introduce you to my wife Ellis Karev Webber, she is there mother."

Derek's eyes widened. "I'm so sorry Chief, I didn't know." he quickly apologised.

Richard put his hand up to silence him. "I need you to take Meredith to my office. Stay with her. I think I need to have a word with Ellis."

"But chief, she strictly wanted only her doctoring team." Derek protested.

"I am her husband, and the chief of surgery. I'm sure she would be willing to have this talk." he instructed.

Ellis looked at Derek and nodded. "Go" she told him, already hating the look in his eyes.

Derek scooped Meredith out of Richard's arms and left the room.