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Derek and Addison were originally going to have a teenage daughter.
Of course, Grey's made Burke single and had him fall in love with Cristina.
Shonda said that this would've been Derek's chance to make up for his past mistakes.
Shonda originally wanted an interracial couple at the center of the show.
Shonda told EW, "I wanted to see his last day [alive] really badly. What I thought was interesting was the idea of, we now know it's the last day of someone's life, [so we’re] looking at it differently than [we] would any other time."
Shonda ultimately scrapped the idea, saying, "That was going to suggest that the love was not true, the thing we had said for 11 years was a lie and McDreamy wasn't McDreamy. For me, that was untenable."
At the time, showing and talking about abortion on network TV was uncommon and Shonda didn't feel comfortable pushing back so early in their run.
Shonda personally loved this idea, however she and the writers ultimately decided that Lexie was his great love and he wouldn't be able to move on from her.
The episode ended up included only Ellis Grey standing in the gallery.
Eventually during Season 6, Shonda felt like Meredith was in a good place and started to introduce the idea of kids.
Sara Ramirez's filming schedule for Madam Secretary made it hard for her to return, but they did have Callie come back in a subtle way through some texts.
With the introduction of Lexie, Shonda gave ABC an "option" should the show need to continue without Ellen, however Shonda has said multiple times that there is no Grey's without Ellen.