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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Nope, it just doesn't work. Go away Rose! She probably will leave our Der alone... at least that's what Grey's Anatomy spoilers have indicated. She looks to be a factor in this episode #12 of Grey's Anatomy's fourth season, though.
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Always a fan favorite, Derek Shepherd poses for the camera.
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Derek and Miranda talk as a patient's life hangs in the balance in "Forever Young," from Season Four of Grey's Anatomy.
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Derek Shepherd and Miranda Bailey discuss the day's events on "Forever Young," the episode from Grey's Anatomy's 4th season, airing originally on November 15, 2007.
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Grey's Anatomy Quotes

Amelia: I think I'm falling in love with Owen Hunt, and I'm really afraid that it's gonna destroy me.
Derek: It wouldn't be love if it didn't.

When we say things like "people don't change" it drives scientist crazy because change is literally the only constant in all of science. Energy. Matter. It's always changing, morphing, merging, growing, dying. It's the way people try not to change that's unnatural. The way we cling to what things were instead of letting things be what they are. The way we cling to old memories instead of forming new ones. The way we insist on believing despite every scientific indication that anything in this lifetime is permanent. Change is constant. How we experience change that's up to us. It can feel like death or it can feel like a second chance at life. If we open our fingers, loosen our grips, go with it, it can feel like pure adrenaline. Like at any moment we can have another chance at life. Like at any moment, we can be born all over again.

Meredith