As she headed towards the room, she could feel butterflies flying throughout her stomach. She was going to have to do this sooner or later, so she was going to do it fast. Like ripping of a Band-Aid.

Meredith walked into the room and saw Derek's mother and one of his sisters sitting in the chairs closest to Nancy's bedside. "Meredith?" his mother asked.

"Hi, Mrs. Shepherd."

"It's Carolyn, honey. Are you Nancy's doctor?"

"I am," Meredith slid the CT films out of their envelope and put them up against the light for Carolyn to see. "If you see right here, she has a small Epidural hematoma right…here," she said pointing to the small dark circle in the picture.

"I see you took on Derek's specialty?" she smiled.

Meredith smiled back at her, "Yes, I did."

"So what does this mean for Nancy?"

"It means that her brain is bleeding. Now, sometimes these things can fix themselves, but it can also continue to bleed and in that case we would have about a day before she dies."

Carolyn nodded at the information she had been given. "We have some time to decide?"

Meredith nodded, "A day at the most."

"Ok," she went back to hold Nancy's hand, "I'm going to wait for Derek to get here. He can decide what to do."

Meredith swallowed hard. "Derek…Derek is coming…here?" She spat out. That had to have sounded bad.

"Yes, he only lives about an hour away, and he left when we all found out, so he should be here any minute," Carolyn looked up at Meredith's face. She could tell that Meredith didn't know any of this. "He moved back about a year ago. He wanted a fresh start and to be closer to his family."

A year ago. About the same time that she herself had decided to make New York her fresh start. "Alright…I…um…I'm going to go check on a few other patients. I'll be back a little later to see what you have decided to do."

"Thanks, hon." Meredith nodded and smiled. She obviously couldn't get words out of her mouth without sounding like a fool, so she decided she would just bow out gracefully.

As she turned the corner, headed for another supply closet melt down, when she ran into Trevor. He was the last person she wanted to see right now. He tried to slide his arm around her and it felt awkward. She pulled away and stepped to the side, "I can't talk right now," she wouldn't meet his gaze.

"What's wrong?" He knew something was up with her. He had never seen her act this way before.

"Nothing. I'm fine. I have to go." She walked around him and headed towards her original destination. She turned another corner and she was about a yard away from the security of the closet before the tears started fighting their way down her face. As soon as she sat down, she looked up through blurry eyes when she heard the door open again. She wiped her eyes with her jacket sleeve and tried to see who had followed her into her hiding place.

"I see you haven't changed at all," she heard his velvety voice joke. He let out a small laugh, and sat down next to her, pulling her into his chest. "Hello, Meredith," he said with a smile.

She let herself fall into him. "Hi, Derek." Suddenly, crying seemed so silly. The familiar comfort of his arms sent chills down her spine. She let him wipe the remaining tears from her face.

He sat her up, slightly, so he could see her face. "What's got you running to supply closets?"

"Nothing, long day," she lied. 'I miss you, and I love you. When I heard you were coming and that you lived less than an hour away from me, I couldn't breathe,' sounded like too much.

"Ahh," he laughed. He pushed a piece of hair away from her face. Leaving his hand on her cheek, "You haven't changed at all."

He could see her pain through her eyes. He knew that it hurt her for him to be here. "You're still…You haven't seemed to changed either," she let out. Standing up, making sure she looked composed, she added, "And I have changed. I'm working on the being all whole and healed thing."

He laughed and stood in front of her, "How's that working for you?" He said, while leaning closer to her.

"It's…working…just fine," she stammered, as his face got closer to hers. She left his hand snake through her hair and pull her through that final gap of distance between them.

She had never met anyone who she fit so perfectly together with, in every sense of the phrase. No matter what they did, they seemed to be perfectly made for each other.

His mouth was hot on hers. She could feel for him longing searching for the feelings they shared that he had missed for so long, while pressing his hand across her lower back, pulling her closer, as if the small space between them was thousands of miles away. She moaned as his hands traveled to her hips.

This wasn't enough. They both needed more, and they knew neither was willing to pull away. Meredith's fingers found the edge of his shirt and pulled it from the waistband of his dress pants. Derek was a little shocked that she was moving so quickly, but he wasn't about to tell her to stop. She undid the buttons of his shirt and shrugged it off of him. Her lab coat was already on the floor and she lifted her shirt over her head, throwing it somewhere behind her.

Derek pulled her closer to him again, needing to feel her skin against his. Her hands frantically unhooked his belt and unzipped his pants. "Meredith," he gasped, as he felt her hand slip over his boxers, feeling for him. She smiled against his lips as they kissed. She slid his pants down, and instantly, he reached to take off hers as well. They had no time to waste.

"You're beautiful," he whispered against her ear, as he spread kisses from her jaw line, down her neck, to her collarbone. Goosebumps covered her whole body; his lips feeling like fire against her skin.

Derek pushed her back against the door, and pressed up against her. Meredith groaned, he was teasing. One of his hands went next to her head, against the door, and the other slid her up. She wrapped her legs around him, and braced herself against his shoulders.

"Ready?" he panted.

"Always," she breathed. She let her head fall back as she felt him move into her. She whimpered at first, getting used to his size, then before she knew it she was practically begging for more. She leaned her forehead against his as they moved slow, but deep.

His free hand rested on her hip, gripping it tightly. He was never going to let her go again. He hated his life without her. "God, Meredith, I missed you." She looked into his eyes, searching. She could tell he wasn't lying, and she had missed him too. "I love you."

The words sunk into her heart. She thought those words would make her feel guilty, or cause her to want to run, but they didn't. They did the exact opposite. "I love you too, Derek." It felt right to hear the words roll off her tongue.

He smiled and shifted her hips slightly. He knew how to hit all the right spots, because as soon as he moved her, she felt every tiny movement he made radiate throughout her entire body.

She shuddered as she felt how close she was, "Baby, just breathe," he reached down, "Take my hand," and she did. She gripped his hand harder as she let go, and he followed shortly after.

He let her down slowly, holding her up on her shaky legs. "You okay?" he asked with a smile, leaning down to give her swollen lips another kiss. He couldn't keep his hands off of her.

"I'm a lot more than alright," she giggled. He couldn't believe how much he had missed that soft, sweet sound. "That was amazing," she tried catching her breath, letting him hold her up as she leaned against his damp chest.

"Meredith, what does this mean?" There was a hint of concern in his voice.

"It means that I can't be around you for more than 2 minutes without losing control. Christina is going to kill me."

"I need more than that."

"Derek. This was so fast. I have your sister unconscious in my care, and all you want to know what the sex means?"

"Yes, right now, I want to know what the sex means."

"It means that obviously I'm incapable of moving on, and when I move across the country to get away from our past, it still finds a way to find me."

"Shouldn't that mean something to you?"

"It does, Derek. But now I have a guilty conscious. I should be sorting out my life, not having sex with you." She reached for her clothes, and Derek grabbed her arm, stopping her.

"Mer, I'm not going to let you go again. You don't get to run away this time."

Meredith's heart felt like it had jumped into her throat. She had no words for that. She took a deep breath, "Okay."

"Okay?"

"Okay."

"Okay," he agreed. Amazed that he might have actually talked some sense into her. They both started getting dressed again.

"Would you like to go see your sister now?" He nodded, adjusting his shirt. "Alright, follow me," she motioned for him to walk next to him.

They passed Christina in the hallway, and she gave Meredith a knowing gaze. Almost like she had seen everything. "Hello, Christina," Derek greeted his old intern.

"Hi, Dr. Shepherd."

He tried resting a hand on her side as they walked past. She pulled way, but not quick enough for her friend not to notice. "Not right now, okay?" He nodded at her request, feeling slightly disappointed. She turned in front of him right before they reached his sister's room, "Listen, Derek. You know how these things go. Be prepared, okay? There is a lot of swelling and she's still unresponsive."

"I'm expecting the worst," he mentioned. "I wouldn't be able to deal if I didn't."

She quickly picked up his hand, and squeezed it, showing him that she was here for him, even if she was being a little more distant than he would like. He smiled, "Thanks." She let go of his hand and followed him into the room.