Disclaimer I do not own Vampire Diaries or nything regognisable on TV.

Hello. New fic and my first Vampire Diaries one :D

So this is a medical drama and all medical procedures will be from Grey's Anatomy, Private practice or other such shows due to my lack of medical knowledge.

Oh and in this story Elena and Katherine are similar looking but not identical in appearance. People will however notice the similarity between them, ( think Nina Dobrev and Victoria Justice real life look-alikes.). Not that Katherine will be Popping up any time soon, in the maybe not so distant future. Perhaps, who knows.

AU/ALL HUMAN. Enjoy! & Please Review :D

Chapter 1: Day One

When Elena Gilbert woke up on what was most probably the most important day of her life, she woke up late.

"Crap." Elena whispered.

She tried to get up, but an extra weight that was partly draped on her prevented such action. There was hot, naked, unknown man lying half on top of her. Shit. How much did she have to drink last night? She flopped back down on her pillow, her long brown hair sprawling everywhere, her brown eyes lazily blinking away sleep.

Last night was a blur of wild dancing, tequila shots, and really, really great sex. This brought her back to reality. She was late, she needed to get to work, and she needed mystery guy gone.

"Hey!" She called hoping it would wake up her guest. She's embarrassed by the fact that she slept with a guy whose name she now didn't even remember. "Hey." Gathering what energy she could she shoved him off her. "Wake up!" She urged grabbing the bed sheets tangled around her feet and wrapping it instead around her naked body. Elena pulled her hair out of her face checking the time once more. "Hey!" She punches mystery guy in the arm hard enough to wake him up.

Mystery guy rolled over to face her before lazily blinking away sleep. "Hi!" Elena couldn't help her cheeks burning from embarrassment. This was new for her. One night stands really weren't her thing. She had always been the relationship kind of girl.

Well, at least the guy she brought home was extremely hot. He's chest alone, God! She tried to push away the mental image of exactly how much more than just his chest she got to explore last night.

"Hi." Mystery guy whispered back stretching his arms. She watched as his muscles flexed for a moment before swiftly looking away.

"Um, am sorry but, you… Err, you need to go." Elena blurted out.

"Okay." Mystery guy answered before getting up in all of his glory. Look at his face Elena.

"I really am sorry, but am late. And it's my first day of work, and I really can't be late"

"Oh, uh okay. Me too… by the way."

"What?" Elena asked distractedly. She was trying to find his clothes so that hopefully he'd leave.

"It's my uh, first day of work. Too"

"Yeah, okay" Ha, Finally. She spotted his clothes scattered in a small pile on the floor where they hastily abandoned it last night. She chucked his clothes at him, turning to give him the privacy of changing.

"Am decent now." He said his breath softly tickling the back of her neck. His was voice deep and sexy. He was standing so close; she could feel the heat radiating from his skin. Elena took a step forward and out of reach putting some well needed space between them. She swallowed nervously taking another couple of steps. She opening her bedroom door and waving her hand in a 'well-there-you go', kind of gesture.

Her guest stepped outside and opened his mouth to say something

"You can let yourself out." She said in before he could say anything. She internally grimaced as she shut the bedroom door as nicely as she could in his face.

"Thanks." Stefan said to the white door before making his way downstairs. He had hoped to at least get a phone number. He looked around the house he didn't get to see much of last night. It was nice; it had a homey feel to it, and was well decorated. As oppose to the bare, cramped, and scarcely decorated little apartment he was now living in. He shrugged on his leather jacket and turned to open the front door when it swung open seemingly by itself.

In staggered a young man about his age maybe younger. The young man pulled his key out of the lock. And Stefan felt obliged to say something

"Oh. Hi." He cleared his throat "I'm Stefan." He offered out a handshake.

"Jeremy." The man responded ignoring the hand Stefan stuck out in front of him. Stefan dropped his hand awkwardly. He placed both his hands in his pant pockets' and silently moved aside to let Jeremy pass.

"Hey, you forgot your" Both man turned to face the stairs where Elena still wearing her bed sheets froze. A stunned and mortified expression crossed her face. "…Your phone." She handed him the IPhone he accidentally left. Stefan looked back and forth at the two.

"Jeremy! Where have you been?" Elena's lips pursed together in anger, sounding like a mother scolding a naughty child.

"That's nice 'Lena. Fashion statement?" Jeremy slurred swaying on his feet. It was obvious he was intoxicated.

"I am going to go now." Stefan said pointing at the door. "Yeah" He said before slowly leaving shutting the door behind him. Not that the other two noticed.

"Had a good time last night?" Jeremy asked with an entirely fake ear-splitting smile before staggering upstairs. She scrambled up the stairs after him being careful not to trip because of the stupid bed-sheet she had wrapped around herself.

"Where were you last night? Getting stoned?" Elena demanded.

"Listen." Jeremy turned to face her. "I stay out of your life, so how 'bout you stay out of mine and mind your own fucking business." Elena took in a deep breath and paused. She grabbed Jeremy's arm and tugged him towards her forcing him to look at her.

"You're better than this Jeremy, and I am not going to stand by quietly and watch you throw your life away." Jeremy stood looking down in silent again, reminding Elena how much taller than her he was. Elena tried not to feel hurt when he roughly pulled his arm away her. "What happened to you? What happened to the guy that was top 10 of his classes and planning to finish med school? The guy who was going to be an amazing doctor just like Dad would have wanted. What happened to my brother?" She tried to hold her tears at bay not wanting to start her day like this.

"Fuck you." Jeremy spat out. She tried to tell herself that it was the drugs talking, that her brother wasn't this cruel young man. "Don't you have work anyway?" He yelled as he stomped up the remaining stairs.

Work. The thing she was late for.

"This isn't over Jeremy." Elena warned as she also hurried up the stairs to the bathroom.

She showered and brushed her teeth in record time. And even managed to save some time by doing things such as brushing her hair and doing her make-up at red lights.

She parked her car and sat just a couple more seconds. She had been here at this building many times before, but somehow it felt different. The past four years of her life had led to this moment.

Mystic Falls Hospital the greatest hospital in the state of Virginia. And it made top 15 hospital in America. The fact that they accepted her was amazing.

Elena killed the engined and pulled the key out before getting out of the car. She made her way into the building using the back door.

She slipped through, gently letting the door shut behind. Elena stood at the back of a room full of 20 odd people of who she assumed was her new colleagues. Everybody's attention seemed focused on an older woman who was addressing the crowd.

"Each of you comes here today hopeful. Wanting in on the Game. A month ago you where being taught by doctors. Today, you are the doctors."

Elena knew who that was immediately. Liz Forbes. Chief of this hospital, and one of the greatest surgeons to walk the halls of Mystic Falls hospital. Her inspiration, and most likely everyone else's in here.

Forbes was the no-nonsense type. Her blond hair was always cut short, and her clear blue eyes where calculating, it seemed to pick up on everything. She was the only one in the room to notice Elena's late entrance, sending a warning look her way.

Forbes owned the game at Mystic Fall. The surgical game that is. she had for the past 30 or so years. The woman single-handedly had the best outcomes ever seen in this hospital.

"The seven years you spend here as a surgical resident will be the best and worst of your life. You will all be pushed to the breaking point." Forbes continued. "Look around you, say hello to your competition…Eight of you will switch to an easier specialty; five of you will crack under pressure;-" She paused for a second to stare down a pretty blond girl, who did her best to avoid Forbes seething glare. " Two of you will be asked to leave." Elena swallowed nervously at those odds "This is your starting line. This your arena. How well you play that's up to you." The room clap and Forbes gave them a nod and a small smile before leaving.

Elena follow the crowd still trying to process that she made it. She was here. She could feel that bubbling feeling of excitement as she changed from her civilian clothes into her pale blue scrubs. Now she had to survive her first shift. The next 48 hours was going to be brutal.

"Elena." A familiar voice called from behind her. She turned around..

"Matt!" As an ex boyfriend Matt.

Matt was a long story. They went to med school together and had dated for two years before she ended it, two months ago. Matt was great, really. He was kind, thoughtful, good-looking and he made her happy, but she couldn't help but feel as thought something was missing. And after two years of not knowing what was, she broke it of.

"How are you?" Matt asked.

"Am good." She answered with a somewhat forced smile.

"And things with your brother?" Matt asked. He was giving her that look. His deep blue eyes had a way of looking directly though you. Like every single word you had to say mattered and he was there to listen. Which made it almost impossible to lie to him. Elena sighed leaning against her locker in defeat.

"Worse." Behind her she could hear a male voice calling out names grouping them with a resident. As well as the exited and nervous chatter of her new colleagues.

"So, Which resident are you assigned to?" She asked changing the topic.

"Tanner." Matt frowned slightly.

"The Nazi. Me too." That bought a real genuine smile to her ex's face. What where the chances?

"You got the Nazi? Me too" A new voice pipped in drawing her attention away from Matt. It was the blond girl she noticed from before, the one who Forbes had something against. "Am sorry." She apologised, smiling sheepishly as she brushing her blond hair out of her face. "I wasn't eavesdropping I swear. I just sort of over heard. I'm Caroline by the way…"

"Elena"

"Matt"

"Gilbert, Forbes, Bennet, Donovan." They hurried to find their assigned resident. Elena followed Caroline who seemed to know where she was heading more than any of them. They cut across to another corridor which lead them to an impatient Tanner leaning against the nurses desk.

"So does anybody know why he's called the Nazi." A new girl with long brown curly hair, and golden brown skin asked. Bennet, Elena presumed. Elena shook her head. She had no idea.

Tanner stared them down. Mouth drawn in a straight line with disapproval. "I have five rules. memorize them" Tanner boomed as they reached him. "Rule number one don't bother sucking up it's not going to get you anywhere. Trauma protocol, phone calls, pagers, Nurses will page you." He said moving. "Answer each page at a run. A run that's rule number two." They all jogged to keep up with Tanner who walked at an incredibly fast pace. "Your first shift will start now and last 48 hours"

"I think I have some idea." Matt answered Bennett's previous question. The dark-skinned girl smiled.

"On call room." Tanner stopped for a second opening a door to show them the on call room. There were a bunch of small hospital beds in two neatly stacked rows next to the walls opposite to each other . "Attendees hog them. Sleep when you can. Which brings me to rule number three: when am sleeping DO NOT wake. Me. Up. If you do your patient better be dying, rule number four he/she better not be dead when I get there because not only would you have killed someone, but you would have woken me up for no good reason are we clear."

The blond, Caroline raised her hand hesitantly.

"That was just four rules, what's rule number five?" Tanner gave her the most impressive death glare she's ever had the displeasure to receive. Suddenly the man's pager beeped and he took of at a jog.

"Rule number five. When I move you move." Tanner shoved some poor orderly who didn't have enough sense to move out-of-the-way when he said so. And the four interns hurried to follow him.

Tanner navigated his way expertly through hallways that all looked identical to Elena. Eventually he lead them to the roof where a helicopter was landing.

"What have we got?" Tanner asked as the paramedics pushed the trolley towards them. Elena tried to take mental notes of the current diagnosis.

The patient was a blond girl was having seizures as they rushed to find her a was yelling out directions and they all followed his orders exactly. Once they got the girl to stop seizing Tanner took them in the hall and gave them their personal assignments.

"Bennet your on labs; Donovan patient workup, Gilbert get her for a CT she's your responsibility now." Elena nodded.

"Wait, what about me?" Caroline asked. Tanner gave her his first real smile.

"You get to do rectal exams." He said opening a door two doors down. In there was an awaiting 60 or so year old man.

"Great." Caroline replied with an overly forced smile that was slowly turning into a grimace. "That's just great."

"Good luck." Elena wished her before leaving. Matt gave her a sympathetic pat on the back and Bonnie comforting smile. All of them glad they didn't have her assessment.

"Okay." Caroline said to the room that was now only occupied by her and her new patient as she shut the door closed behind her. She put some gloves on squirted some lubricant on it as the man to crouched. "Now I am going to insert my hand. Into your" She swallowed uncomfortably "Rectum."

Just great.

At hour 7 Elena walked to the nurses desk with two cups of coffee, one in each hand.

"You look like you're about to crash." The bubbly, curly-haired brunette with blond highlights says.

"Am sleep deprived." Elena answers, pushing a cup towards her aunt Jenna. Jenna's face light up before she snatched the coffee gleefully. The older woman is clad in her nurses uniform and is swivelling on her chair.

"Thank you." Her aunt just about squealed before taking a sip. Only Jenna would get so exited about coffee. "7 hours and you only now find the time to come say hi." Jenna asks with mock disappointment on her face.

"My schedules been a bit busy" Elena answers sipping her own coffee.

"So how's the first day been? Dr Gilbert." Elena smiles at that, it has a nice ring to it.

"Not how I expected." She answers Jenna's question. "Listen can I borrow your phone, Jeremy's dodging my calls"

"Yeah, sure no problem." Jenna says nodding as she slides her smart phone towards her niece. Before pointing at the file room behind her knowing that Elena would want some privacy.

"Thank you." The younger girl whispered.

Elena slipped into the room silently. She flicked on the lights and pushes the door till its almost closed, leaving only fraction opened. She dialled her brother number and it goes straight to voicemail. So she dials again, and again. "come-on Jer… Pickup, pickup, pickup". She knew if Jeremy didn't pick up when she called, He wouldn't pick up on Jenna's phone either.

She gave up. She lets the phone slide into the pocket of her white lab coat. After she slumped to the floor in defeat. She ran her fingers through her hair, a habit she does when she's thinking, or when she's nervous.

"Rough first day?" Elena jumped in surprise, and rests a hand over her heart.

"What are you doing here?" She said standing up.

"It's the files room. Am looking for files." It was her hot, sexy, mystery one night stand. He's standing there in his pale blue scrubs. He stood taller than she remembered, his short brown hair a gorgeous mess. His eyes that she just now noted is green, were intensely focused on her, his jaw was strong and chiselled and he was nicely tanned. He was also the guy she drunkenly slept with, and slammed a door in said guys face twice.

"You work here." It wasn't a question it was a realisation. She could already feel the embarrassment seeping through, tinting her olive skin a light pink.

"First day." He smiled. That's right, he said something about that.

"I have to go." This was confusing. He was her one night stand. He wasn't supposed to work in the same place as her. He was supposed to be the night that never happened.

"Elena wait!" He said grabbing on to her arm and turns her so she would face him. "I hope things aren't weird between us? Cause I like you, I think you're funny, smart, sexy." And there's the smile again. The one that got her to sleep with him in the first place. "So how about a do over?" He asked. She nods slowly, unsure about what a do over would mean.

"Hi. Am Stefan Salvatore." Stefan re-Introduced himself. Not that she really remember the details of their first introduction.

"Doctor Elena Gilbert. Now if you'll excuse me Mr. Salvatore I've got to go." She brushed past him. With a small smile on her face. It takes all she's got not to turn around.

Elena made her way to the lunch room and after stocking her tray full. She sat at the lunch table next to Matt who was sitting among other interns few of which she recognises. Matt being his usual caring self asks her how she was doing. Well, she's tired and overworked and Jeremy was avoiding her calls. Not to mention her patient was a pain in her ass. She swears if she hadn't taken an oath she would have suffocated the girl with a pillow. Did that make her a bad person?

"Of course not." Matt answered.

"Ugghhh." Caroline groaned. "Do NOT motion the A word." Her previously perfect golden hair was now a mess. Her food laid on her tray, barely touched. "I have performed 17 rectal exams. The Nazi has it out for me."

"Sorry." Elena apologized. Matt scoffed.

"The Nazi is a resident . I have attendees hating me."

"Your workup didn't go so well?" Elena asked as she took a bite from the red apple on her tray. Matt nods, but doesn't comment aside from that

" Seriously, I think Tanner hates me." The blond girl continued.

"He doesn't hate you." Elena replied. Though it did seem like Tanner wasn't fond of Caroline.

"Well, I didn't come here to give old, hairy,fat guys orgasms."

"Great." Elena muttered. "Now my appetites gone."

"I though coming here would mean great surgeries." The blond continued.

"Why?" Bonnie interrupted, joining the conversation. "Because Chief Forbes is your mum." Caroline froze.

"Wait. The Chief is your mum?" The Elena asked. "Did you know that?" She turned to Matt. Matt shook his head not seeing what the big deal was.

"What! No! so what if she is. Doesn't mean that I should be penalised because of it. I am not the only one here who has parents as surgeons" Yes, but Forbes isn't just a surgeon, Elena wanted to argue. She doesn't get the chance though.

"Good afternoon interns." The entire table sat straighter as an attending Elena did not know by name addressed them. The attending was an older male in his 30's and dressed the navy blue all Attendees wore "As you know am sure, the honour of performing first surgery is of course reserved for whichever one of you show the most promise." Elena couldn't help noting Caroline sat a little more straighter, crossing her fingers. "Matt Donovan." The attending pat Matt on the back.

"Wait me." Matt almost spits out his drink.

"You'll scrub in for an appendectomy this afternoon. Well done." And just like that the attending left. There was a small moment of stunned silence, then the entire table hooted and cheered for Matt while he ducked his head shyly.

"I honestly thought the dude hated me."

"Congratulations Matt." Elena smiles.

"This is stupid. There is absolutely nothing to do here." Fifteen year old Katie Paisley complained.

"Your not supposed to do anything. It's a hospital try resting." Elena answered.

"Last time I was here my room at least had a TV."

"Hmm."

"Why can't I have the same doctor I had last time. At least he was cute, with nice arms." The girl sighed. "I would totally fall more often if it meant I got that type of treatment. Nothing happened of course. The whole Doctor patient rule."

"You do realise you're a minor which is why nothing would happen. If it did it would be illegal."

"It's not like am a virgin. Please, I train 5 hours a day for my Talent part of the pageant. Besides like he would say no, I Am both beautiful and very flexible."

"Eww." Elena grimaced.

"Prude." Elena zoned out after that. And Paisley continued to drone on and on about how hard her life was.

Elena was about to give in to the urge of smothering the girl with a pillow when a pair of strangers burst into Paisley's room. They made their way to the girl concern on their faces.

"Katie, honey. Are you okay" A woman who she assumed was Katie Paisley's mother asked. The woman was almost in tears as she cupped the young girls face. Elena was slightly impressed and mostly irritated when Paisley turned from teen bitch to the perfect princess.

"Is she going to be okay?" The man who came in with Paisley's mum asked.

"They gave her a sedative for the CT, but she'll be okay." Elena answered with a small professional smile.

"Our doctor at home said that she might need an operation is it true?" The man asked.

"What kind of operation" Paisley's mum asked looking at Elena with a look of horror on her face.

"She's err… well , umm. Am not a doctor. I mean I… I am a doctor am just not her doctor" Elena internally groaned at herself. "So I'll go get him." She managed to get out exiting the room quickly, whilst offering the worried couple a reassuring smile.

She walked down another corridor and opened a door that she nearly whacked into Doctor Tanner.

"What?" Tanner spat out bitterly.

"Katie Paisley's parents have question you answer them or -"

"No Paisley case has been handed over to the new attending, Doctor Salvatore. Take it up with him." Tanner said pointing behind him before leaving.

Salvatore, Oh God, let it not be Stefan. It wasn't standing before was a tall handsome dark-haired man with intense piercing blue eyes. Where all Salvatore's insanely good-looking?

"Doctor Salvatore." She asked unsure. Those piercing blue eyes looked at, no through her. Salvatore froze , for a second he looked at her as though he recognised her. He shook his head and raised a perfect eyebrow before making his way towards her.

"What is it?" Doctor Salvatore asked impatiently. She wordlessly handed him the file in her hand and tried to stay still as he read through it.

"Do you happen to be related to a Stefan Salvatore?" She couldn't help but ask. Aside from their insanely good-looks there was nothing in common with the two. But, Salvatore wasn't a popular name, and she was curious.

"How do you know Stefan?" Doctor Salvatore retorted without looking up from the files.

"He's ugh, were…" Elena clamped her mouth closed. There was no way she was going to tell her boss about her one night stand, that now happened to be working at the same hospital as her. She gave him an uncomfortable smile not knowing how to answer the question. Doctor Salvatore was looking at her now, with a small smile of his own. A smile that made her even more uncomfortable. The way he looked and smiled at her, it was like he could see through her. As though he knew all her secrets.

"Well you're certainly his type." Elena frowned. She couldn't help feeling as though that sentence had extra meaning she did not understand. "He's my younger brother." The man admitted after a few awkward seconds.

"Oh." Elena cleared her throat. "So Paisley…"

"Matt!" Bonnie yelled again.

"Listen could we take a break my mind is all fuzzy?" The blond man look over at the dark-skinned girl. Bonnie was sitting on one of the many identical looking, single white beds they had in the on call room. It was just the two of them. Bonnie had her hair pulled out of her face, a big medical book open in front of her as she sat cross-legged opposite him.

"Listen Matt, like everyone else here I work to do. And you're the one that asked me to do help you with this in the first place."

"I know and am grateful… I am. I just need like five minutes for my brain to stop reeling from all that information." Bonnie just nodded before letting her head fall tiredly in her hands. They sat there in silence for a couple of minutes.

"So how Elena doing?" Matt blurted out. Bonnie paused, before grabbing one of the many energy bars they had scattered on her bed. Study food

"Um. okay, I guess. Shouldn't she be?" Bonnie answered a small frown between her eyebrows.

"Has she ever said anything about me?" Matt asked hesitantly.

"Okay, what's the story with you two?" Matt shook his head and Bonnie unwrapped her granola bar and took a bite, waiting for an answer. "Cause, before I assumed you where together." She continued when Matt stayed silent.

"We where." Matt answered with a sigh. "We used to. Now its just complicated... We dated for two years, and things where great. She had just moved in with me and I though we where happy. Then like three months ago she breaks it off. Says that she needs time to find out who she is. Whatever the hell that means." Matt stopped. He hadn't meant to tell Bonnie all of that . But, he needed someone to talk to and it sure as hell couldn't be Elena.

"You love her." Bonnie said with a smile.

"Yeah. Yeah I do." He had known that. Matt cleared his throat before reaching to grab the book in front of Bonnie, ready to change the topic. "So first thing I do…"

Bonnie sat above behind the glass panel, in the observatory deck watching Matt get ready for his appendectomy. She was the first one there and sat nervously while the others piled in. Caroline took a sit next to her, and Elena came in a couple of seconds later doing the same.

"Ten bucks he's gonna mess up the mcdory" Tyler Lockwood said from the back row.

"Fifteen he'll have a total meltdown" one of his friends laughed.

"Fifty says he'll pull's off the operation." Bonnie glared at those behind her. All heads turned to her "That's one of us down there. The first one of us. Where's your loyalty?"

Elena nodded in agreement, sending Bonnie a smile before mouthing 'thank you'.

"Seventy-five says he can't even ID the appendix." Caroline said bitterly next to her.

"I'll take that action." Tyler leered in a way that suggested he meant more than just a bet.

Bonnie shook her head in disappointment glaring at the blond next to her. "What?" Caroline asked. Bonnie ignored her and kept her eyes on Matt.

"Scalpel." Matt asked bellow.

"Scalpel" A nurse answered handing it to him.

The observation deck cheered. "Woo! Donovan." The attending below glared at them and the cheering devolved into a low chuckle.

The operation started and Matt did really well. Just as they practiced. His confidence grew, his actions swift and precise. Bonnie kept her fingers crossed. "Damn, he got the it open. Am out." Tyler groaned. Bonnie smiled so widely she probably looked ridiculous.

"Told you he was gonna pull it off." The dark-skinned girl gloated.

The room cheered and hooted once more as Matt successfully pulled out the appendix. Trouble hit when Matt accidentally ripped the segum. In the corner of her eye she saw Elena take in a sharp intake of breath.

Matt froze, he stood there stumbling as though he was unsure of what to do.

"C'mon you know this." Bonnie muttered under her breath. For what seemed like forever to her Matt stood there staring at the patient in horror. Eventually the attending Zachery Salvatore pushed him aside and proceeded to finish the operation himself.

"He's 007." Tyler said. A mummer of agreement. And Bonnie groaned at the child-ish nickname that was bound to stick.

"What's double 007?" Elena asked confused.

"License to kill."

19 hours in and Caroline dropped her head in defeat on the service desk. This was not how things were to turn out. Being a doctor was meant to be sexy, and kick-ass, and awesome. And here she was fingering old mans asses. She pulled the blond strands of her hair out of her face and tied it up in a pony tail, before burying her face in her hands.

"Rough first day?" A voice asked behind her.

"You have no idea." She turned around to see herself face to face with a really attractive guy.

"Your not the only one." He smiled. "I'm Stefan."

"Caroline." She breathed out. "So how bad has your first day been?" She asked teasingly. Stefan sighed, resting his forearms on the desk next to hers.

"I had my first ever patient die on me." Green eyes locked with her blue one's making her regret her blunt question.

"Am sorry." She whispered. Stefan nodded.

"Yeah. Uh Darrin Malloy. He an his girlfriend Brooke Fenton where in a car crash.

She's in critical condition barely holding on." He's face seemed impassive, but that was how surgeons dealt.

"Forbes" Tanner yelled from across before sending her a come here gesture. She picked up her file from the desk turning to face Stefan.

"Good luck with, I hope the girls okay."

"You too. Caroline." She sent him a shy smile before making her way to Tanner.

Elena stood flipping through her files trying not to look like she was eavesdropping. Which she wasn't she was just overseeing. She had a few spare minutes and thought she'd spend it with Jenna. It so happened that Jenna was busy talking to Tyler Lockwood.

"4B has post op pneumonia". Tyler diagnosed.

"We'll are you sure that's the right diagnosis?" Jenna asked. "Becau-"

"We'll I don't know am just the doctor. Why don't you through four years of med school then tell me… She's short of breath, she's got fever, she's post op just give her anti-biotic" Elena noted how Jenna barely controlled her rage as she stormed off. If there was anything Jenna despised it was being spoken down to.

"God I hate nurses. She's hot though." Tyler voiced from the opposite side of the room. Was he talking to her? "I'm Tyler. Elena, right? " He was smiling that smile. That you wanna sex with me smile.

"She might not have pneumonia you know. She could be splinting or have a PE." Elena said without looking up from the files she was busy with.

"Like I said, I hate Nurses." He said before walking off. Elena slammed her file shut.

Her pager beeps distracting her. Great it's Paisley. And as much as she doesn't want to she sets out in a jog, and tried not to get lost as she navigated her way to her patients room.

When she gets there the room is full with a dozen nurses. Paisley is suffering from another bout of seizures. The girl is lying on her side her body shaking with so much force it took 5 nurses to hold her down. Elena froze, in the doorway.

"What took you so long." A female nurse yelled at her.

"What?" Elena asked. Her suddenly mind numb. What the..?

"Doctor Gilbert, how do you want to proceed? Dr Gilbert?" 'I'm not the Doctor is on the tip of her tongue, but nothing comes out. The nurses voices felt so far away and distorted. It was impossible to focus on anything. The panic that was clawing through her was making it impossible to hear.. and think.

The girl looked so small and fragile. Paisley was no longer the annoying inconvenient brat she wanted to smother with a pillow. She had a family and friends. Paisley was a person. A person who was dying.

"Doctor you need to tell us what you want to do." Her mind refuse to form any thought process. Do something

Elena grabbed the girls file not really seeing the words written. "O..Okayy. She's full on lorazapam."

"She's had 4 milligrams." Another nurse answered.

"Page Dr Tanner and Dr Salvatore." Elena orders her voice shaking.

"Lorezopam's not working."

" Phenobarbital load her with Phenobarbital." Phenobarbital Elena thinks: use sedative, hypnotic, anticonvulsants.

"No change."

"Someone Page Doctor Salvatore." She commands, though she is sure the hysteria is obvious in her voice.

"What do you want to do? Dr Gilbert you need to tell us what you want to do?" She wants them to call her real Doctor. That's what she wants. She want's to not be useless right now. "Doctor?" She can't listen to all the voices at once. They were all jumbled and incoherent.

Then Paisley flat lined. The monitors straining to a monotonous singular beep as a thin green line stretched across the monitor screen.

"Her heart stopped."

"Code blue. Code blue." Elena just stood there uselessly, Paisley's charts in her hands.

Shit.

Please review. Whether its questions or ship-preferences, bits you enjoyed.

So REVIEW. It brings a smile to my face and motivates me to write more :D Thank you for reading. All mistakes are mine as it is Un-Beta'd so if anyone is interested. Also I have never worked with a Beta reader.