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OK so We know Dr. Sloan found out about his nickname when Meredith was on pain killers yelled out woohoo mcsteamy! lol

I do not know or remember how did Derek find out about his nickname Mcdreamy? did anyone tell him?

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It was never revealed on-camera that Derek himself found out about his nickname; from the episode it was established, Derek already knew. During "Into You Like a Train" in season 2 when Izzie was on Addie's service, she asks what do 'they' call him, and Izzie tells her 'McDreamy'. Addie responds that must embarrass him, and Izzie replies, "it does".

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Actually, Christina nicknames him McDreamy passively to Meredith. It's in Season 1.

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Grey's Anatomy Quotes

Did you say it? 'I love you. I don't ever want to live without you. You changed my life.' Did you say it? Make a plan. Set a goal. Work toward it, but every now and then, look around; Drink it in 'cause this is it. It might all be gone tomorrow."

Meredith (closing voiceover)

There's a reason I said I'd be happy alone. It wasn't 'cause I thought I'd be happy alone. It was because I thought if I loved someone and then it fell apart, I might not make it. It's easier to be alone, because what if you learn that you need love and you don't have it? What if you like it and lean on it? What if you shape your life around it and then it falls apart? Can you even survive that kind of pain? Losing love is like organ damage. It's like dying. The only difference is death ends. This? It could go on forever.

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