Disclaimer: I don't own Grey's Anatomy, or the characters thereof. This is just for fun.

Hi everyone, so hear's another AU fic based on 8x09. Please let me know what you think.

Enjoy!

Chapter One

"Alright, I think we are done. Wrap her up, and move her to SICU, I'll be up in a few minutes." Dr Amelia Shepherd was relieved as she stepped back from the operating table. It had not been an easy case for the troubled neurosurgeon, in fact it had been one of the hardest cases of her career, and she had only left rehab eight hours earlier.

"You okay, Ames?" Dr Addison Forbes Montgomery looked up from the set of foetal monitors that had been her single focus through the operation.

"I'm fine," Amelia said, brushing her off as she left the OR to speak to her patient's husband, her big brother Derek.

To Amelia it felt as though everyone was staring at her, talking about her even as she walked past; maybe it was irrational, but for the thirty-nine year old recovering drug addict it was the reality.

All that kept her grounded was the sight of her brother sitting in his office, trying to console the dark skinned toddler that he was holding, all the time looking as though his entire world had fallen apart.

"Derek," Amelia said softly as she approached.

Wearily Derek stood to meet his sister. There was so much that he wanted to say, but in that moment all that he could think of was, "How'd it go? How's Meredith?"

Flashback - The night of the accident

News of the accident had spread through the hospital like wildfire, and as the ambulances started to pull up holding the victims, everyone was gathered on the helipad awaiting their arrival. More so they were waiting for news on their friends.

Alex, along with the occupants of the van that had collided with the ambulance were being transported by ground, but Meredith and the infant however had been deemed in need of much more urgent assistance.

The wind created by the helicopter's blades, and the roar that accompanied it filled the air as the flight medics unloaded their patients.

The baby was first. Arizona moved forward quickly along with a team from the neonatal unit to take the baby straight to the OR.

Then the medics pulled out a second stretcher, holding Meredith; she was secured to a backboard, a cervical collar was wrapped around her neck, and she was intubated and connected to a portable ventilator. She was barely hanging on.

Mark Sloan kept a firm hand on Derek's shoulder, holding his best friend back. It was clear to everyone that Derek was devastated by the sight of the full extent of his wife's condition.

"Thirty-eight year old female, suffered head, neck, and abdominal trauma in an MVC. Was conscious initially, but went downhill on the flight. Suspected intracranial bleed, and possible cervical fracture."

Even as they moved downstairs to the pit an intense discussion was taking place on how they were going to treat Meredith. Owen Hunt had taken charge of the team. "Derek, you know I can't let you scrub in," Owen tried to reason with his colleague, "Nelson's on his way in. He can manage the neuro trauma."

"No, no way. Nelson is an incompetent idiot, I'm not letting him near her."

"...Meredith needs surgery, Derek," Owen could see that he was getting nowhere. Trying a different approach, he asked, "Is there another surgeon that we could call in? Someone you trust?"

Derek thought for a moment, before he realised that there was only one neurosurgeon other than himself that he trusted to operate on Meredith, his little sister Amelia. "I need to make a call."

As they reach the emergency department, Derek moved away from the bustling crowds to make the phone call. He was a little surprised when he tried Amelia's cell phone, only to realise that it had been turned off.

So instead Derek called her office, but the phone rang out.

Now, not only was he worried about his wife, but also his sister. Resisting the urge to just break down, Derek tried one more number, his ex-wife who worked at the same LA practice as Amelia.

Addison answered her phone on the second ring; she seemed calm and composed, that is until Derek revealed that he was the caller. "...Derek, what's going on?"

Derek sighed deeply. "I'm trying to reach Amy, she's not answering her cell or office phones."

"Derek, what is going on? Is it something I can help you with?"

"Meredith was in an accident, we're about to take her for a scan, but her presentation is pretty classic of a tear in her MCA. I need Amelia to fly up to do the surgery."

Addison was quiet for what felt like hours, but in reality was probably less than a minute. Then she told Derek, "Amelia's in rehab-"

"Wait? What? What happened?"

"She was drinking, then the drinking turned to oxy. Her fiancé ODed."

"Fiancé? Since when did she get engaged?"

"It's a long story, Derek." Addison didn't feel that it was her place to tell Derek anymore of what had transpired while Amelia had been using. "I haven't seen her, but she's meant to be discharged next week." Addison could tell that there was only one piece of information she could give him that would be enough. "She's at Pacific Serenity Treatment Center. The number there is 555-0194."

Derek felt numb, almost surreal as he listened to the phone ring. His baby sister was back in rehab, and he needed her help.

"Pacific Serenity Treatment Center, how may I assist you?"

As Derek spoke it barely even felt as though the words he spoke were his own, "I need to speak to a patient, Amelia Shepherd. I'm her brother, Derek ...It's urgent."

"Alright, I'll just put you on hold for one moment while I see if she's available. But it is group time so you may have to try again later."

"No. I need to speak to my sister right now, it's a matter of life and death. Please."

"Okay, just give me a minute," The receptionist's tone softened noticeably before she put the phone on hold, assumingly to go in search of Amelia.

It seemed like an eternity to Derek, before finally the sound of his youngest sister's voice came over the line, "Derek, what's wrong?"

"Meredith was in an accident. I need you to come to Seattle; she's got an intracranial bleed, and you're the only person that I trust to do the surgery, Amy."

"...Derek. I can't."

"Please Amy. I need you." Derek paused, his voice cracking. "There's already a helicopter on its way to pick you up. You know I wouldn't ask this of you if there was any other option. Ames-"

"Okay," Amelia agreed reluctantly, though it was still going to take her some time to wrap her head around it. "Okay, okay. You'll need to get privileges there for me-"

"I'll sort it out. Just be ready to go when the helicopter lands," Derek paused. "Thank you, Amy."

The trauma room was abuzz with activity as Derek came in... just in time to see Jackson performing an ultrasound on Meredith. That was when Derek heard the stunned words that changed everything, "She's pregnant!"

Jackson's exclamation seemed to ring through the room, all the other noise in the room faded away.

No one had seen Derek enter, and their first and only indication of his presence came as he shoved Jackson out of the way, intending to confirm the seemingly impossible news for himself.

Derek gently pressed the ultrasound wand on Meredith's bruised abdomen. There it was, a tiny foetus.

"...Looks like about eight or nine weeks," Miranda Bailey said in quiet awe; she knew too well of the struggle that Meredith had recently faced trying to fall pregnant.

"Derek, can you find a heartbeat?" Owen asked, not daring to hope. Everything he knew told him to expect that the force of the accident would most likely have caused a miscarriage.

TBC...

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