Summary: A/U This is my take on what should have happened after Addison's conversation with Meredith, and how these events will affect the lives of Addison and Derek, and those around them.

ThanX go out to my excellent Beta Agent Extremis =)

Disclaimer: I own nothing.

Across The Universe

Words are flowing out like

Endless rain into a paper cup

They slither wildly as they slip

Across the universe

Pools of sorrow waves of joy

Are drifting through my opened mind

Possessing and caressing me

Jai Guru Deva. Om

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

Images of broken light, which

Dance before me like a million eyes,

They call me on and on

Across the universe

Previously On 'Maybe':

"Derek, I'm so glad that you're here. I don't know if I can do this alone." She cried.

"Addie look at me. What's going on?" His voice tinged with dread.

"The baby. Something's wrong with the baby."

Derek felt like someone had punched him. He felt the walls in her office closing in and he could feel his heart beating rapidly. How could things change so quickly?! One day he'd felt like he was on top of the world...he had found out that he was going to father, and now...that seemed like it was going to be stripped away from him! He had been ready for this, even with the doubts and the questions regarding the baby, he was ready. Derek continued to embrace and caress Addison, trying to comfort her. They stood in the middle of the floor as she desperately clutched him, neither aware that they had an audience.

'Maybe'---By Agent Addek

Chapter 4: 'Across the Universe'

What is a miracle? Is it when beyond the bounds of possibility happens? Is it when something that was never meant to be, is? Miracles seem to happen everyday. Sometimes, they're very subtle and quiet, sweeping in like a soft touch on the face. Other times, they're extremely evident and impossible to deny. We had our miracle, a little human being growing inside Addison that was a combination of both of us. This little being had so many odds against it to begin with...we were no longer together, she couldn't conceive, we slept together once, and yet we found ourselves pregnant. We found ourselves in a situation that we never thought could happen.

We had dreamt of our family together, a boy and a girl, in that order. A house in Connecticut with a huge backyard, with weekends in the Hamptons and visits to the city. All of those plans changed after my absence and indifference, her affair, then mine. This family we had hoped for was no longer in the realm of possibility, but then it was. Even though we're no longer together, that life seemed to be piecing itself together right in front of my eyes, and then almost immediately, snatched away. I want this miracle. I need this miracle. We need this miracle.

XXXXXXXXXX

Derek held on tightly to Addison as she clung to his chest, still sobbing uncontrollably. His heart ached for her. He didn't know what to say other than to gently rub small circles on her back to help soothe her. He was afraid. He didn't know exactly what was happening, but seeing Addison this upset, told him that whatever it was, it was not good for their baby. Derek felt like someone was watching them, so he quickly turned to meet their gaze...it was Naomi. She was standing by the door, stunned to see him. He nodded slightly and she answered with a nod of her own, but then concern washed over her face as she eyed her distraught friend. Naomi quickly made her way over to them.

"Addison? Honey…"

"What's going on Naomi?" Derek quickly asked with concern.

"We don't know yet. I got her preliminary results and I have a few concerns, I just wanted to double-check…"

"I don't want to lose this baby, I can't…" Addison choked out.

"Shhh…Addie. Please calm down." He beckoned her. He knew that her being upset was not good for her, especially in her condition. "What do we need to do?"

"I wanted to take her to the hospital and check her out there. I've already called and informed their Chief of Staff that we're on our way."

"Then let's get going. I'll take her with me."

Naomi hesitated at first, then saw the look in his eyes and knew that he had no intention of taking no for an answer. She conceded, then turned to walk out of the office.

"I'm going to go and let Dell know that we're on our way to St. Ambrose. Meet me by the elevators?"

Derek nodded as he watched her leave. "Addie?' He said as he unwrapped one of his arms from around her and placed it under her chin, then brought her face up to meet his. "We're going to get you checked out okay? We need to know what we're dealing with, alright?"

Addison sniffled a bit and then nodded. He'd never seen her this devastated. Scratch that, he had, but he'd just chosen not to let it affect him like it was right now. She pulled away from him to grab her things and he suddenly missed the feel of her in his arms. He shook his head. His needs at the moment had to take a back seat to hers and their baby. He reached out to her and guided her out the door with a hand on the small of her back.

XXXXXXXXXX

They quickly arrived at St. Ambrose and as they entered, they were met by Charlotte King. Naomi had somewhat informed her over the phone of the situation. She took in Addison's appearance and tried to lighten the mood.

"Hey Montgomery, heard you needed a favor? Of course you know I was happy to oblige, since it gets you in my OR for the next month or so." She attempted to chuckle but then saw that her attempt of a joke fell on deaf ears. "Right this way." Charlotte instructed as she walked them to an empty exam room. Addison walked in with Derek in tow. Naomi stayed behind with Charlotte.

"Thank you so much for doing this. I'll try to do this as quickly as I can." Naomi offered.

"Don't worry about it. Just make sure she's okay. Take all the time you need...and if you need anything, just give me a holler."

"Thank you Charlotte."

"Don't mention it. Now get a move on, the sooner you do this, the sooner we'll know what to do."

Naomi stared at her with an inquiring eyebrow.

"What?"

"Nothing I just…"

"I like Montgomery." With that she walked away.

Naomi entered to find Derek standing by the side of the bed as Addison was adjusting her hospital gown.

"How are you feeling?"

"I'll feel better once we know what's going on." Addison simply stated.

"Okay, why don't we start with some more blood work, and hopefully by the time we're done with you're ultra vaginal exam, we'll have the results."

"You think you'll have them back that soon?" Derek interrupted.

"Charlotte said anything we need. So I'm sure that putting an extra rush in the lab won't be a problem." Naomi responded.

"That's good. That's really good."

Naomi turned away from him to grab a few test tubes along with a needle, and then set them on the tray next to Addison. Addison turned away, not wanting to see Naomi prick her arm.

"Okay, all done. Addie, you want to lie down for me?"

"Maybe I should wait outside…" Derek quickly stated.

Before he could turn to leave, Addison's arm shot out to stop him. "Could you please stay here with me? I don't want to do this alone."

"Whatever you need Addie." He replied as he laced his hand with hers.

"Let me just get these to the lab and set things up, and I'll come back to start the procedure. Please try and relax. I'll be right back."

"I'm so nervous." She said barely above a whisper.

"It's going to be okay Addie." He reassured her.

"How do you know that?"

"Because we wouldn't be given this miracle only to have it taken away."

"You really think so?"

"I do."

"Thank you Derek."

"For what?"

"For flying out here, for holding my hand and telling me everything's going to be okay. Thank you."

"I wouldn't want to be anywhere else." He said sincerely.

She caught his gaze and they stared at each other, both lost in the deep pools of the other's eyes. His thumb was drawing lazy circles on her hand as he held it. The electricity around them was palpable. They couldn't look away. Nothing was being said because nothing needed to be said. Everything was being spoken in silent promises. Promises that might never be realized, but in this very moment, were meant with every fiber of their being. Addison smiled when she felt this warmth enveloping her. It's almost as if their shared love for one another was blanketing around her, protecting her and their baby. Derek watched her with an incredulous look. She'd never looked more beautiful than she did now. The slight slam of the door brought them out of their shared reverie.

"You ready?" Naomi asked as she walked in. She suddenly felt like she was intruding. "I can come back if you need a few moments..."

"No…no…I'm ready."

XXXXXXXXXX

He had been running late and had attempted to call her on her cell phone to no avail. Why he hadn't thought of calling her office, escaped him at the moment. Maybe it was because he was nervous about seeing her. Addison had the ability to make him act like a sixteen year old boy again. She was different to the other women he had dated before. She was gorgeous. Not that the women he went out with previously weren't pretty, it was just the way that Addison carried herself was different. He smiled at the thought of her. He couldn't wait to have her all to himself.

The elevator doors opened and he briskly walked out, a bouquet of an assortment of flowers in his left hand. Kevin walked up to the reception area and nodded at Dell. "Hey Dell, how's it going?"

"Good. Thanks for asking. Are you here looking for Addison?"

"Yeah, I am. Is she in her office?'

"Actually she's not. She and Naomi left to the hospital."

"Patient emergency?"

Dell paused for a moment. He didn't know if he should tell Kevin what the real reason for her hospital visit was or not, but he felt that he should know. "No…she…something was wrong with Addison and Naomi took her."

"What? Is she okay? What happened?"

"I really don't know. Naomi just told me that if anyone asked where they were, that I should inform them that they went to St..." Dell didn't get to finish his sentence, Kevin was already heading towards the elevators.

XXXXXXXXXX

"Okay Addie, just like we did before. Could you scoot down a bit?"

Addison did as instructed, all the while looking at Derek. She needed a distraction to get out of her own head. She was afraid. Derek could sense the tension that was radiating off of her, so he tried to give her a calming look, even though at that very moment, he himself was terrified.

"You're going to feel some pressure, so just take a deep breath." Naomi said as she inserted the transducer and began to move the probe within the pelvic area. "Okay, let's see..."

It seemed like both Derek and Addison were holding their breath waiting for hope and devastation all at once. Everything that she had feared could be unfolding this very moment, and there was nothing she could do about it. What good did it do them to be two of the best in their respective fields if they couldn't do anything to save the child they conceived together? Addison inhaled sharply as Derek continued to hold on to her like his life depended on it.

"Okay, there's the heartbe...wait a minute..." Naomi continued probing and was taking different scans but then suddenly stopped. "Oh my god..." She half whispered.

Derek and Addison quickly turned to look at her. "What's wrong?" Derek asked panic-stricken, and almost immediately tightened his hand around Addison's protectively.

"Everything's fine, actually...I can't believe I missed this. Of course..."

"Nai, you're freaking me out! What's going on?!"

"Addie look." Naomi said as she pointed to the screen. "What do you see?" She said with wide smile.

"Oh my god." Addison's hand went to cover her mouth. Complete happiness now radiating off of her. "Can it really be?"

"Is everything okay?" Derek asked, completely lost.

"Derek look…just look." Addison said as she pointed at the screen as well. He turned his attention to what both women were in awe of, and then he finally saw it. He couldn't believe it.

"Addie…is that what I think it is?"

"Yeah, it is. How, I don't…"

""You're carrying monozygotic twins and they're monochorionic. I can't believe I missed this! I should've seen this. I'm so sorry Addison. I didn't mean to scare you. I'm…"

"It's okay Nai. I'm just happy that…Oh my god…I'm having twins! How does that happen? I went from probably never conceiving again, to being pregnant with twins. I don't even…"

"Here, why don't you get dressed. I'll print this out, go check on your labs, and I'll be back in a few, okay? I just want to get everything in order so that we can go over this." Naomi explained before she quickly exited the room

Derek had been quiet through this last exchange. When Naomi left, he was brought out his thoughts with the slight slam of the door.

"Derek? Are you okay?"

"We're having twins? We're having twins Addison!"

"I know…I know."

"How was this missed the first time?"

"Monozygotic twins that are monochorionic, share a placenta and are encased in a single chorion, which is the outer membrane of the sac.* Which pretty much means, that they are so close together, that one is shadowed behind the other. Plus, I'm only six weeks in, so that also had to do with it. I'm just so happy nothing's wrong with the baby…babies." She said with a smile.

Derek watched for a few moments, then took a seat across from her. He felt his legs giving out. "I'm in absolute shock…I don't even...I..."

"I hear ya." She chuckled lightly. "I'm gonna to get dressed."

"Do you need me to step out?"

"No. Don't be silly. It's not like you've never seen me before." She waved him off with a slight grin. "Why don't you distract me until Naomi comes back. When did you get in?" Addison asked as she untied her gown.

"Early this morning..." Derek said as he tried to look away but couldn't help but sneak a few glances. "I...ahh...wanted to call you and let you know, but I wanted you to...ahh rest after we spoke." He swallowed as he continued to take in gulps of her beauty, she looked wonderful, motherhood definitely suited her.

"Where are you staying?" She stepped into the dress, then turned her back to him. "Zip please."

He gently tugged on the zipper, taking in the smoothness and sleekness of her back as he inhaled her citrusy smell. 'God she smelled amazing.' That scent could only be described as 'Addison'. He lingered a little longer that he should have, but finally zipped it all the way. "Sorry, it got a little stuck."

"Thank you." She said appreciatively. She took a seat when she felt a little shaky. Derek instantly went to her.

"Are you okay?"

"Yeah...I just got a little dizzy. I'm fine."

He watched her for a few moments, still not convinced. "Really Derek, I'm fine." Addison said reassuringly.

"Sorry, I don't mean to be so...you know. It's just that now..."

"I know, and I appreciate it, but I'm really fine. So you never told me where you were staying?"

"I honestly don't know. I kind of just came straight to your office from the airport. I'll make a few phone calls after we leave."

"Don't be silly Derek, I have more than enough room. You can stay with me."

"Are you sure? I don't want to intrude."

"I'm sure. Besides, we have a lot to talk about."

"Yeah, I guess we do. Okay, thank you."

"You're welcome."

Just then, Naomi entered with Addison's file in hand. She was looking at the results pensively. Addison watched her, trying to gage her reaction to the results.

"Nai?" She questioned cautiously.

"Hmmm...hey sorry, I'm just trying to...Addie, everything looks really good." Naomi was finally able to say.

"Really?" She asked with shocked awe. Derek came up behind her and placed his hands on her shoulders supportively.

"Yes, everything looks normal. Here, why don't you take a seat and we can go over them together." Naomi said as she went to take a seat in front of the exam table. Addison followed with Derek in tow. He reached for her hand, wanting to let her know that he was with her, no matter what. She turned to him and smiled appreciatively. It was strange that even though their marriage had fallen apart, and they had managed to let go after their stolen moments together almost two months ago, that they were somehow brought back together again.

Naomi, who was still enthralled in the results, failed to notice the unspoken words that were transpiring before her. "Okay, well...as you may have noticed, you're carrying monozygotic twins that are monochorionic. This would explain the high levels of HCG. As you heard, they have a healthy heartbeat, they are in the right developing stages, and things look to be progressing as they should. Addie, everything that I told you last night still stands, but now you have to be extra careful. You have to watch your stress levels and eat right. You still run the same risks, but I'll be monitoring you closely."

"Okay. This is good. Everything's good!" Addison squeezed Derek's hand.

"What do you mean, she still runs the same risks?" Derek asked with concern.

"I'll let Addie explain that to you. Addie, I'm going to go and thank Charlotte. Do you want me to take you home?" She waited for a response and noticed the silent exchange between them.

"Ah...no, it's okay. Derek will drive me."

"Okay. Call me if you need anything. And by the way, I do not want to see you at the practice tomorrow."

"But Nai..."

"No buts Addison. You've had a couple of exciting days, you really need to relax. Besides, tomorrow's Friday, you can have a long weekend." Naomi finished matter-of-factly.

"Fine, but I'm not going to like it." Naomi smiled at her friend, then leaned in and embraced her.

"You will. I'm going to take good care of you Addie, whether you like it or not." With that, Naomi saw herself out.

Addison watched her go, then turned to look at Derek. Although he seemed amused by what had transpired in front of him, he still had a hint of worry in his eyes.

"So, you want to tell me what she meant about the risks?"

"I am, I will, I...Can you please take me home? I'm feeling so many different emotions right now, and I'd rather have them in the privacy of my own home."

"Okay. You ready?"

"Yeah, let me just grab my bag, woah..." She said, as she caught herself with one arm on the exam table. Derek quickly went to her side again.

"Addie!! Are you okay? Here sit down. What's going on? Is this normal? Let me go get Naomi..."

"Derek don't. I mean, I'm fine...just a lot of excitement. Plus, I think I just need to eat." She said with a reassuring smile.

"Are you sure?"

"Yes, I'm sure." She stood up slowly and began to make her way to the door, but not before he grabbed her and wrapped his arm around her waist protectively. Under normal circumstances, she would have protested, but she still felt a little dizzy and she wanted to indulge him to give him a sense of control. "Thank you."

They walked in unison towards the main lobby. Derek enjoyed the feeling of having Addison and their twins closer to him. It was odd when she had first given him the news. He was in fact stunned! But never did it cross his mind for her not to have the baby, well babies now. Yes, he was making an attempt to move forward with Meredith after his and Addison's last encounter. This was not something that he had planned on, and the thought of being a father scared the hell out of him, but having children with Addie seemed like the most natural thing in the world to him. He watched her, making sure that she was feeling better. He could tell that she still felt a bit uneasy, but the smile in her eyes was still there. Addison was happy. Who was he kidding? She was elated! Suddenly she came to a halt, leaving Derek a little rattled. The color in her face seemed to drain, almost like she was about to pass out. He gripped her tighter, not knowing what was happening. "Addie?" He asked fearfully.

Addison was still. She didn't say a word, she just kept staring ahead. He followed her eye line and finally caught sight of a man staring at them. He was now walking purposely towards them.

"Addison? Are you okay? What's going on?" Kevin asked as he went to her side, choosing to ignore the man that was currently holding her.

"Kevin...I'm fine...I..."

"I was so worried about you. Dell said something was wrong and that Naomi brought you to the hospital. Is everything okay?" He asked with concern. His instinct to protect her kicked in, so he tried to pull her towards him. She stayed firmly put, not due to her, but due to the man that was holding her. He finally turned to meet Derek's intense gaze. "Addison?" Kevin asked in confusion.

Thoughts meander like a

Restless wind inside a letter box

They tumble blindly as they make their way

Across the universe

Jai Guru Deva. Om

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

Sounds of laughter, shades of life

Are ringing through my opened ears

Inciting and inviting me

Limitless undying love, which

Shines around me like a million suns,

It calls me on and on

Across the universe

Jai Guru Deva. Om

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

Nothing's gonna change my world

*Possible to only see one baby?

MoMo Twins

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Transvaginal Ultrasound

./medlineplus