In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) may be having the elevator ride from hell, but man, he's still so handsome. Love him!
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In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) looks like he wishes he never got out of bed this morning... or at least had taken the stairs.
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In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) and Rose (Lauren Stamile) talk in the elevator. Doesn't look like it's going well. Nice!
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In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) gets clowned on my Dr. Mark Sloan (Eric Dane) for the awkwardness of this elevator ride.
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In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) may be wishing he had taken the stairs about now. Lots of women he likes in there!
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In this photo from "Piece of My Heart," Dr. Derek Shepherd (Patrick Dempsey) experiences an awkward elevator moment. Addison is back!
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A promotional photo from the May 1, 2008 episode of Grey's Anatomy, called "Piece of My Heart." Dr. Addison Montgomery (Kate Walsh) returns and talks with her ex-husband Derek Shepherd (Patrick Dempsey). This one should be good!
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A promotional photo from the May 1, 2008 episode of Grey's Anatomy, entitled "Piece of My Heart." Dr. Addison Montgomery (Kate Walsh) and Dr. Derek Shepherd (Patrick Dempsey) share a lighter moment. They used to be married, can you believe it?
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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)

I want to marry you. I want to have kids with you. I want to build us a house. I want to settle down and grow old with you. I want to die when I'm 110 years old, in your arms. I don't want 48 uninterrupted hours. I want a lifetime. Mmm. Do you see what happens? I say things like that and you fight the urge to run in the opposite direction. It's okay, I understand. I didn't, but now I do, I do. You're just getting started and I've been doing this for a long time now. Deep down, you're still an intern, and you're not ready.

Derek