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

Just because we can live without something, it doesn't mean we have to.

Meredith

Derek: I am calling post-it, Zola, Bailey, the tumors on the wall, ferryboat scrub caps. I thought D.C. was everything. I was wrong. You... you're everything. I love you and I'm not going to stop loving you. I can't live without you. I don't want to live without you, and I'm going to do everything in my power to prove it.
Meredith: I can live without you, but I don't want to. I don't ever want to.