Derek immediately went to his mother's side. Carolyn was greatly shaken up by all of this, but she was glad that her son had come. "What do we do?"

"We can monitor her for the night, and see how her stats are in the morning."

"What if we don't have that much time?"

Derek looked over to the doorway where Meredith was standing, "We've been monitoring her," she said, "But things haven't been improving. The bleeding hasn't stopped."

"Then, at this rate, surgery is our best bet," Derek told his mother. "I'll do it."

"Derek…we both know that isn't an option," Meredith told him, and his mother agreed with her.

"I can't let someone else operate on my family," he insisted.

"Derek, you're too emotionally involved. Remember when I drowned? The chief had to kick you out of the room. There's no way you can do your sister's surgery yourself." Meredith reminded him. "You can be in the room if you want, but there's no way you can perform her surgery yourself."

"But…" Derek walked over and picked up Nancy's hand.

"Der, I'll be the one doing it, and I learned from the best. I learned from you."

Derek nodded his head. He knew it was for the best, but it killed him that he wasn't going to be the one doing the surgery. At least he would be in the room, which would help, just to hold her hand.

"I'll let you be alone," Meredith told them. "I have a few other patients to check on. I'll send someone in to prep her in a few minutes." She turned around and headed over towards the nurses' station for charts of patients she had to check on. She saw Trevor standing there, reviewing a few charts himself.

"Mer," she heard Derek calling behind her. She turned around to face him.

Trevor looked over to see her talking to a man he didn't know, like they were old friends. He saw the man reach for her hand.

She pulled her hand back, "Not here."

"Then, where? We need to talk about this."

"Derek, your sister is going in to surgery in a few minutes. Go be with her."

"I know…I just…I can't leave it like this." He had a look of concern on his face. Trevor couldn't make out what they were saying, but he could tell by the look on his face that it was serious. He decided that he was going to go check it out.

"You're not leaving anything. I'll still be here after her surgery." Trevor walked up behind Meredith.

Meredith looked over her shoulder, then turned back to Derek and closed her eyes. Derek could tell that whoever this was, it was not someone that she wanted to see them arguing. "Hi, babe," Trevor said. Derek looked at him, then back at Meredith. She looked him in the eye, and they spend a few seconds not breaking eye contact.

Derek extended his hand, "Derek Shepherd," he introduced himself, "And you are?"

"Trevor Thompson. I've heard of you before. You're a legend!" He was excited to meet such a figure in surgical history.

"Thanks," Derek smiled. He shifted his eyes back toward Meredith.

"Trevor, could you go check on Mrs. Robinson in room 214 for me?" She smiled at him. He could tell that she was trying to get rid of him. He had no idea what his girlfriend would need to privately talk to such a surgical legend about, but he wasn't about to get in the way.

"Sure," he smiled, "I'm off in an hour. Dinner tonight?"

"I'm not going to be getting out of here anytime soon. I have a big surgery in a few minutes. I'm sorry, it looks like I'm going to be here most of the night."

"Tomorrow then?"

"Tomorrow."

"Ok, I'll see you tomorrow." He leaned down and kissed her. Derek fought back the urge to hit him. They both watched him walk away.

"That would be why you have a guilty conscious." He stated.

"That would be why."

He looked at her, a million questions circling his head. "Are we going to talk about this?"

"After Nancy's surgery I'm free to talk," she promised him. Derek nodded, taking her hand back into his, not letting her pull away this time.

"I know that we…I messed things up before…but, Mer, I want this. I'll drop everything for you, but only if you ask me to." Meredith gave him a weak smile. He leaned closer and she rested her free hand on his chest. He kissed her, soft and quick, kind of like a habit. Like they would do it every day for the rest of their lives.