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There is absolutely zero negative intention meant by it in any way. What she said is actually lovely.
ETA: What is an amazing connection Meredith and Derek have together? The fact they have three children together!
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They did tons of bad in his last episode and how they did the aftermath but, that line from next episode, for me there's absolutely nothing wrong with it. But like I said it's a beautiful term to refer to him.
ITA. That is the greatest connection they will always have together. They made 2 beautiful children and chose another one to be their daughter.