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Live or die. Hero or coward. Fight or give in. I'll say it again to make sure you hear me. The human life is made up of choices. Live or die. That's the important choice.

And it's not always in our hands. Derek Shepherd. Derek Shepherd was an attending neurosurgeon and board director at Grey Sloan Memorial Hospital.

He was married to Meredith Grey and they have two daughters, Zola and Ellis and a son, Bailey. He died from his injuries after being hit by a truck. Early Life. Edit. Derek spent most of his life prior to his arrival in Seattle in New York City. As a child, Derek had no hair products, so he had a large afro, acne, a weight of 1. He was raised by a single parent, his mother Carolyn, along with his four sisters: Nancy, Kathleen, Liz, and Amelia.

Like Derek, all four of his sisters are doctors. His father owned a shop when he was younger, and one day two robbers approached him and demanded that he give up the watch his wife Carolyn had saved tirelessly to buy for him.

When he refused, the robbers shot him to death, with Derek and his younger sister Amelia bearing witness to his death while hiding in the closet. This event forms a large part of Derek's moral compass and consequently may have inspired him to become a surgeon to help save lives. As a result he is especially cynical when treating criminals and feels that they do not deserve any compassion from him. Derek's childhood best friend was Mark Sloan, who came from a wealthier but emotionally deficient background, and was like a second son to the Shepherd family. Derek used to ride a motorcycle, but after an accident that gave him a scar, he stopped doing so. Derek went to Bowdoin College in Maine for his undergraduate years.

He then attended Columbia University College of Physicians and Surgeons with Addison and Mark. During his medical education, Derek was taught by Richard Webber. Leaving New York. Edit. After Addison cheated on him with Mark, Derek left his private practice in New York and accepted Richard Webber's offer to come work for him at Seattle Grace Hospital with the possibility of becoming the Chief once Webber retired. Derek became aware that Burke was in the running too, after he was hired.

His sudden move to Seattle made him a curiosity to the other doctors as he gave up a well- established and respected practice in New York. Becoming the Chief of Surgery. Edit. While Richard was getting treatment for his alcoholism, Derek became Chief of Surgery. The job required more paperwork and less surgery than he thought, which led to his resignation. Gary Clark was a grieving widower whose wife was taken off of life support. He blamed the doctors who had taken her off of life support. He attempted a lawsuit against the hospital but had no case.

Still grieving heavily, he went on a shooting spree at Seattle Grace Mercy West. He killed Dr. Charles Percy, Nurse Vivian, Dr. Reed Adamson, and 8 other people, including 2 security guards. He also shot Alex Karev, Owen Hunt, and Derek Shepherd, along with four others who were injured, but not killed.

The stress of witnessing his shooting caused Meredith to miscarry. Derek coped with the traumatic experience by speeding.

He was arrested multiple times for speeding, which led to Meredith leaving him in jail overnight. He quit his job as Chief of Surgery, having intended to do so for some time as he realized he preferred to be in the O. R. instead of doing administrative work.

He told the psychologist Dr. Andrew Perkins that the shooting gave him the courage to step down and quit. After getting arrested prior to Cristina and Owen's wedding, Meredith told him about her miscarriage and begged him to stop making her worry with his speeding. Alzheimer's Trial. Edit. Inspired by Meredith's mother's disease, Derek decided to try and find a way to cure Alzheimer's. He initially selected Alex to work with him on the trial, but Alex couldn't handle how depressing it was, so Derek asked Meredith to work with him instead.

When Richard started to get worried about Adele's mental condition (he knew she had Alzheimer's), he asked Derek to have her put into the trial. She did not get into the trial because her Alzheimer's has not progressed far enough yet, which was shown by a testing. Eventually, she did get put into the trial because of her rapidly progressing disease. Meredith switched the envelopes to make sure Adele got the active agent and not the placebo and in doing, so she tainted the trial. Meredith would have been punished for her actions, but Richard stepped in and took the blame, knowing that she only did what she did because she wanted to help Adele.

The trial data was sent to another doctor to continue the work and Derek was blacklisted by the FDA. Hopeless Cases. Edit. Derek came to Seattle with a reputation as a gifted surgeon who had a penchant for taking on "hopeless" cases and highly complex procedures that are often passed on by his peers.

After being blacklisted by the FDA for the Alzheimer's trial incident, Derek resumed taking on impossible cases. He took Lexie under his wing and they worked on those cases together. Plane Crash Aftermath. Edit. Derek's hand after the plane crash. After having to smash his left hand with a rock to free it from plane wreckage, Derek's hand was severely injured.

Many bones were broken and there was significant nerve damage. Callie was able to fix his hand, with the help of the donation of a nerve from the leg of Derek's sister Liz. Not much time after promising Meredith to take a step back to take care of the kids so she could shine, Derek teamed up with Callie to create robotic limbs that could move through mind control. Derek developed special sensors that had to be inserted in the skull in order for the robotic limbs to work. Upon Owen's request, Derek sat down with guys from the President's brain mapping initiative as they expressed interest in using his sensors for their project too.

On top of denying them the rights to his sensors, Derek told them they were approaching their project all wrong and set them in the right direction. Later that day, Derek was called by the President, who asked him to join his brain mapping initiative. Derek accepted the offer and started working with his new colleagues from his office at Grey Sloan Memorial. He kept contact through video calls. He was shown to be of great value to their project when they bent the rules when he stated he'd quit if they wouldn't let Callie continue to use the sensors too. Initially, Meredith resented the fact that he didn't keep his promise to take a step back, as now she had to take a step back to take care of the kids. As he became more and more important, occassional business trips to Washington D.

C. were required. Luckily for him and Meredith, his sister Amelia decided to stay in Seattle, thus being able to take over his service, so that he could brain map to his heart's content, and help them take care of the kids, giving Meredith the time she needed for her career. When Derek returned from one of the trips to D. C., he had met the President, who was so interested that he wanted to make the meeting a weekly thing. He offered Derek a permanent position at the NIH and an attending position for Meredith at James Matheson Hospital, so Derek could do the actual brain mapping work himself. Meredith initially wanted to join Derek, but Cristina told her that even though Derek is dreamy, Meredith is the sun, not him.