A/N – This idea came to me a while back and originally it was done as a script but then I decided to do it as a fanfic so it's been rewritten as one.
A well I bless my soul
What's wrong with me?
I'm itching like a man on a fuzzy tree
My friends say I'm actin wild as a bug
I'm in love
I'm all shook up
It had been a year since the horrific plane crash that had nearly cost six surgeons and Seattle Grace Mercy West Hospital was just getting to return to normal. Everyone was finally happy, a first in the lives of surgeons at the hospital. After spending a while working in Minnesota, Christina had returned to Seattle, missing the constant fight for surgeries and the life that Seattle Grace Mercy West had but most of all she'd missed Owen. After many arguments Meredith and Derek had decided to stay in Seattle, his hand now fully healed. Mark had broken up with Julia and he and Lexie were now together, although they were taking it slow, this time at Mark's insistence rather than Lexie's. April and Jackson were now happily together as a couple after Chief Hunt had realised his mistake and re-hired April.
"Is there something wrong with me?" April found herself asking her three friends as they ate their lunch.
"What do you mean? There's nothing wrong with you," Lexie replied worriedly.
"Well, you know, Jackson and I have been together for a good few months and we haven't had sex yet, barring that whole thing the night before our boards which doesn't count because we were both drunk. But I mean seriously, am I that unappealing?" She said, confiding her deepest worries about her relationship.
"Yeah and the day after you failed your boards and went near crazy because you'd 'broken your promise with god'," Christina said with sarcasm, for someone who'd only ever been in committed relationships, she really was bad at giving advice on them.
"Maybe he's just trying to take it slow, you know like Mark is with Lexie," Meredith assured her friend.
At that point they felt the ground shake, the kind of shake that makes you fear for your life, a somewhat likely thing for Seattle. Lexie, Meredith and Christina clambered to get underneath the table. April sat still as the ground beneath her rumbled and shook "April get your ass underneath the goddamn table!" Christina yelled at her friend and before April could do anything a piece of cement from the ceiling fell from above, hitting April's head, knocking her out and onto the floor. This was followed by another falling piece of concrete.
When the tremors finally stopped, Meredith and Lexie got out from underneath the table and ran to check that everyone else was okay. Seeing that only April was injured, they began work on her. They were shocked to see blood pouring from a cut on April's head and another; larger piece of cement compressed her stomach. Christina was the next to crawl out and see the scene that awaited her, "Page Shepherd!" she yelled.
"Derek's on his way back from the airport with Mark, Amy and Liz," Meredith said to her friend, not wanting to think of the possibility of what may have happened to her husband or her sister's boyfriend.
"I can do it!" Lexie exclaimed, she'd decided on neuro as her specialty and having studied under Derek for almost two years, plus having her photographic memory, she knew as much as she possibly could, if not more, for her level. She sat beside April and tried to get a good look at the cut on her head "It's a blunt force trauma to the head, if we can get the piece of cement off her stomach we need to get her a CT scan," she said calmly.
"Okay, let's try and get the concrete off her, NOW!" Christina yelled before she, Meredith and Lexie attempted to get the large, grey chunk of concrete off their friend. Even with their joint strength the three of them couldn't lift it, "We need help, Meredith go to the ER and get Owen," Christina said as calmly, her husband would be the only one capable of dealing with a mess like this.
Meredith ran as fast as her legs would let her, downstairs into the Emergency Room where she was greeted by Owen and Jackson, both of whom were beside themselves with worry. "Christina is fine but, I don't know how to say this, April's got a blunt force trauma to the head and possible internal bleeding caused by a rather large piece of concrete that's crushing her and Christina, Lexie and I couldn't get the damn thing off!" she exclaimed.
Jackson felt as though his world was spinning out of control, with everything that had happened at Seattle Grace Mercy West, the shooting, the plane crash, April had always escaped injury. Always. He felt as though his entire world was crashing down on him because that's what April was to him, she was everything. "H-how bad?"
"We won't know until we can get the concrete off of her and then get her to a CT, I'm sorry Jackson but that's all I can determine for the moment, Lexie's doing what she can with the head trauma though," Meredith replied, she spoke to him like she did the loved ones of other patients. "Dr Hunt is there any chance that you can get up there and help Christina, she seems to think that you're the only one who can help," this wasn't reassuring to Jackson and his face betrayed everything he felt.
"Okay, can you and Dr Avery take over the ER whilst I do that? There's been a car accident with four passengers that's coming in about five minutes," he told her before rushing off to the canteen.
When he reached the canteen, Owen found Christina and Lexie still trying to lift the piece of concrete, they had now been joined by Bailey. "Dammit, why the hell is this thing so heavy?" he heard Lexi yell.
"Need a bit of help?" he asked, noticing a sigh of relief from all three women he kneeled beside Christina and said "Okay, on my count, all four of us lift, got it?" his question more of a demand than a request. The three women nodded and Owen called "Three, two, one, lift!" between the four of them the piece of concrete was lifted and discarded so Bailey could check for signs of internal damage.
"We should get her a CT and an MRI to check whether she has a contusion or a concussion, Christina can you get a gurney?" Lexie announced as Bailey continued to check April's abdomen.
"She's got tenderness around the abdomen," Bailey announced.
Christina ran off to find a gurney and moments later she was back with the gurney and after they'd lifted April onto it Owen told her "I'm going to leave this with you three and get back to the ER so I can help Grey," before dashing off to the ER, he knew there'd be an influx of passengers after the earthquake and for some reason, he couldn't pinpoint why, he was worried for his surgeons who weren't currently in the hospital.
The ER was hit by an influx of ambulances when he arrived there, four of them to be precise, 'One for each passenger in the car accident, must be serious' Owen thought to himself before running to get a trauma gown. When he reached the ambulance bay the first of the patients was unloaded. "Mark Sloan, aged 39, suspected ruptured appendix, possible fracture to the left tibia and his right hip is dislocated," the paramedic yelled as Meredith rushed over to him.
When he saw Meredith, Mark immediately began worrying about Lexi "W-where's L-Lexie?" he asked his voice trembling as he worried about his girlfriend.
"Lexie's fine, not a scratch on her Mark, now I'm going to page Callie so we can get your hip back into place and then I'm going to sort out that appendix of yours, so you'll look half-decent when you next see Lexie okay?" she said kindly, since Lexie and Mark had gotten back together Meredith had become close friends with him.
"Okay," he told her as he went into a sleepy sort of state.
"Wilson, page Torres, NOW!" she yelled to one of the interns, the most capable of them all, who immediately did as she was told.
Between the two of them, Meredith and Jo wheeled Mark into a trauma room where they waited for Callie. When she eventually arrived Callie was shocked to find Mark in the trauma room. "He's got a dislocated hip which I need you to pop back into place so I can sort out his appendix which according to the paramedic might be ruptured, and then his left tibia is fractured," Meredith told her colleague.
"Okay, Wilson I need you and Dr Grey here to hold him down, now Mark this will hurt," she said before she tried to pop the hip back into place. A scream of pain escaped from Mark's lips as a massive crack was heard. After that Meredith injected ten mils of Morphine into Mark's arm, hoping that it would be enough to relieve her friend of some of the pain. "Is there an OR available? Wilson go and check!" Callie found herself yelling to the intern who was becoming more and more frightened by Callie's tone.
When Jo had left Callie and Meredith were left alone with their injured mutual friend "Zola's fine by the way, Arizona's with her and Sofia right now," Callie told the fellow mother, allowing Meredith to give a sigh of relief.
Thoughts of Derek entered Meredith's mind, her husband had been in the same car as Mark and she needed to know that he was alright but she thought that if she asked her friend and patient she wouldn't receive good news.
She was right at that same time, in the trauma room situated next to where Meredith, Owen was desperately trying to deal with Derek, who seemed to have a case of Cardiac Tamponade. Apparently whilst in the ambulance, Derek's injuries had only seemed superficial but once they'd arrived at the hospital he had fallen unconscious and when his shirt was ripped open Owen had noticed red blotches all over his friend's chest. He'd paged Christina, the only surgeon in the hospital who seemed capable of dealing with such a situation.
When she arrived in the trauma room, Christina saw Derek lying on the bed with Owen suturing deep cuts, she grabbed the ultrasound and carefully placed it on his chest, checking to make sure that the first guess was correct. Unfortunately it was and Christina immediately lifted the bed to a 40 degree angle before trying to find the 5th intercostal space. Quickly she reached for a needle and attached a catheter to it, she quickly pushed the needle into her friend's husband's chest and waited for the fluid to drain. When it had finished draining, she removed the needle and hoped and prayed for the best.
The situation brought back mental images of that first night after the plane crash, when Meredith had to drain Mark's pericardial sac after the four of them had saved Lexie from what was surely a horrible and gruesome death. At the thought, the cold-hearted Christina Yang began to cry uncontrollably and Owen had to stop suturing in order to comfort his wife. He brought her into a hug as she cried into his shoulder and once she'd stopped crying the pair went onto check a still unconscious Derek for other injuries, they discovered that his recently healed hand was fine but his left leg seemed to have been broken and his patella was dislocated. They paged Callie who was currently rushing Mark into surgery.
She checked her pager, "Dammit, I've got another trauma do you mind if I leave Mark with you and then come back and sort out his tibia later?" she told Meredith, quickly.
"Sure, go for it and if you see Derek tell him I'm worried," she replied before Callie rushed off to deal with Derek.