Okay so I seriously rewrote this chapter 3 times, that's why it took so long for this to happen haha, but I think that I've got this where I want it. And truthfully what happens in this chapter wasn't really part of the plan for this story, but it kind of developed and I think I like where I'm going to go with this. Let me know what you think! Oh and I'm not a medical professional, so don't expect the medicine to be perfectly accurate.

Chapter 3: Christmas

Alex and Jo spent the next week blissfully happy. They had decided not to tell anyone about the baby until after the first ultrasound, which they had scheduled for January 5th. So they had spent this time just being happy for themselves, and to make things even better Alex and Jo had both somehow managed to get Christmas off.

"So tell me again how you don't have to work on Christmas, I mean Arizona is off because she has Sophia and Callie, so wouldn't that mean you would be working then?" Jo question at lunch.

"Normally yes, but the hospital decided last month to hire a new pediatric surgeon, and seeing as he's the new guy he has to work Christmas." Alex explained as he took a bite of his sandwich.

"What, when did this happen? How long have I been out of peds?" Jo questioned.

"Well they had interviews right before Thanksgiving, and the guy had to give two weeks at his last job, so he didn't start until last week." Alex answered as he grabbed a grape from Jo's plate.

"Hey hands of my plate," Jo scolded as she leaned in closer to Alex, "I'm eating for two now, so no more stealing my food."

"You don't know that you're only eating for two, you could be eating for three, four, or even five. You could be having quadruplets." Alex joked.

"So help me if there is more than one child in there you are never laying another finger on me!" Jo responded.

"Well if you're having quadruplets you'll get so big I won't want to touch you." Alex quipped back, with a smart ass smirk on his face.

"You're such a jerk!" Jo said as she swatted him in the arm with her napkin, "I'm going to get big enough with one."

"And you will be just as beautiful as the day I met you," Alex said. "Then again maybe not."

"What?!" Jo exclaimed in disbelief.

"What you'll be even hotter, which I find hard to believe right now, because you are so damn hot, but it'll happen." Alex commented as he leaned in and kissed Jo.

"You amaze me with your ability to make me love you more and more every day." Jo said as she stared into Alex's eyes.

"Oh gag me!" Cristina said as she put her tray down at their table, Meredith not far behind her. "Do you guys ever get a room?"

"Shut up Yang, you're just jealous because you're not getting any." Alex shot back, as he and Jo moved apart.

"Okay enough you two, Alex what are you doing on Christmas?" Meredith asked, changing the subject.

"Nothing, Jo and I both have off so we were going to spend the day drinking egg nog and making fun of sappy Christmas movies." Alex said as he took Jo's hand under the table.

"Oh sounds like a happy Evil Spawn Christmas," Cristina said as she took a bite of salad.

"Do you ever say anything nice?" Alex asked?

"Sometimes, but you just make it so easy." Cristina confessed.

Alex was about to make some smart ass remark to get back at her when is pager went off. He glanced down at it and saw that he was being paged to the pit. He stood up before looking over at Jo, "Hey Yang my intern went home sick, mind if I steal Wilson?" He asked.

"Ehh go for it." She replied.

Jo got up and headed for the pit with Alex. When they got to the elevator Alex and Jo were both glad to see it empty. They climbed on and watched as the doors slowly closed, and as soon as they shut Alex and Jo pinned against the wall. They feverishly felt every inch of each other as fast as they could, but it was only a few seconds until they heard the ding, announcing that they had arrived. They pulled apart and straightened their clothes just before the doors opened.

"Hey, who paged me?" Alex asked at the nurses' station.

"Incoming trauma, 9 month old girl, parents say she fell down the stairs." The nurse said, knowing that the odds that the child had actually fallen down the stairs, at least on accident, were slim to none. "They're about five minutes out."

"Thanks," Alex said, as he walked away.

"Can you believe this?" Jo asked as she was tying the back of Alex's hospital gown. "How does a 9 month old baby fall down the stairs?" Jo questioned, and Alex could hear the anger in her voice.

"People are horrible Jo, if this is too much for you…" Alex trailed off as he placed his coat over her shoulders.

"I'm fine, it's just good to know that we can try and help her. And I'm glad to be away from Dr. Yang." Jo replied truthfully.

"Cristina is not that bad." Alex defended.

"Alex she doesn't let me scrub in, like ever, I'm always doing her scut, or running her errands." Jo complained.

"She does that to all her interns." Alex said.

"No she doesn't, Shane is always doing these amazing procedures, Stephanie practically did a whole valve replacement by herself last week, and even Leah got to assist on a trauma." Jo said, proving her point.

"She's only doing it because she likes you," Jo gave Alex a questioning glance. "Look a lot of this have happened here, a lot of our friends have died, or almost died, so she doesn't like to get close to people. That's why she is so mean, she doesn't want to get attached because she likes you." He explained as he gave her a quick kiss.

"That makes no sense, yet it explains everything," Jo commented.

"I know you just have to muddle through it, eventually she will give up." Alex confessed. "Once she sees that I'm going to keep you around for a while," Alex said with a small smile.

"I love you." Jo said as the ambulance pulled up.

Alex smiled at her as they both stepped up to greet the paramedics. "What have we got?" Alex asked as the back of the ambulance opened.

"Emma Johnson, 9 months old female, possible head and abdominal trauma following a fall down a flight of stairs." The paramedic explained.

Alex shook his head, as he got the history and vitals from the paramedic, and wheeled the baby into the trauma room. "Where are her parents?" Jo asked as the carefully moved the crying child onto the gurney.

"They're on their way, but ahh they don't look so good themselves." The paramedic said as she left the room.

Alex barked orders to the nurses in the room while he assessed the condition of little Emma. "They said she was 9 months old right?" Alex asked.

"Yeah chart says she was born March 16, 2013." A nurse said as she reviewed Emma's chart.

"She looks like she's six months old." Jo observed.

"She's dehydrated, underweight, and severely malnourished, I think she may have broken her right arm," Alex said as he continued to look the baby over. "Let's get her into the scanner, see what's going on inside." Alex said.

Just as they were leaving the trauma room Emma's parents came rushing in, "Oh God, Emma baby!" Her mother shouted when she spotted the baby. Alex immediately noticed that both of Emma's parents seemed to be strung out on something. "How is she doctor?" Emma's mother asked.

"Why don't you go get her scans, I'll talk to them." Alex said to Jo before addressing Emma's parents. "Mr. and Mrs. Johnson, your daughter is very sick. We aren't sure what injuries she sustained from the fall, but she likely has some internal bleeding, and I think her arm is broken." Alex explained to Emma's parents, who seemed concerned about her condition, though Alex suspected they were to blame for this.

"Dr. Karev," Jo called out, motioning for Alex to look at the scans.

"If you'll excuse me I need to go check on Emma, I will let you know how she is as soon as I know." Alex said leaving Emma's parents in the E.R. "What's up?' Alex asked as he entered the room.

"There's free fluid in the abdomen, she has a right humorous fracture, an old femur fracture, and what looks like a healed cranial fracture, but there doesn't appear to be any new cranial damage." Jo explained as Alex studied the scans.

"How does a 9 month old have healed fractures?!" Alex asked appalled by the condition of the child.

"She clearly has parents who don't care about her." Jo answered as she looked out the window at the Johnson's.

"Though I'm inclined to agree with you let's not jump to any conclusions." Alex warned just as a nurse was walking in with Emma's lab work. Alex took it and looked it over before letting out a deep sigh. "She has no medical reason to be this small, all her labs came back normal. Jackie could you please book an O.R., and then call the police." The nurse nodded and made the calls.

"Let's go figure out what's bleeding in there, and call Ortho to come set her arm." Alex said to Jo before walking over to the gurney that held a whimpering Emma. "Hey sweet girl, we are going to fix you up real good." He said to her while stroking her check. "And we are going to make sure that no one hurts you anymore." Alex smiled when the baby cooed back at him, it was like she knew she was safe now.

Alex and Jo brought Emma up to the O.R. and began the surgery. As soon as Alex opened her up he knew that it didn't look good, "She has lost a lot of blood," He commented as he tried to find the source of the bleeding, while Jo suctioned.

"Damn it," Alex said when he finally found the source of Emma's bleeding. "It's coming from her kidney, damn it, damn it, damn it, there's too much damage here." Alex said as he tried desperately to repair the damaged organ.

"Can you repair it?" Jo asked though she knew that chances were that he couldn't.

"I don't think so, I'm going to have to remove it." Alex said glumly.

"But she has another one," Jo stated, as though reassuring herself that this wasn't something that would affect the child much in the long run.

"Yeah," Alex said as he removed Emma's kidney, he then went to check and make sure there was no damage to the other kidney.

"Oh no," Jo said, and Alex watched as she turned white as a ghost. "Alex that kidney isn't functioning much, if at all." Jo said quietly, almost like if she didn't say it out loud it wouldn't be real.

"Shit, well let's check for any more bleeders and close her up." Alex said knowing there was nothing that could be done, and that he wouldn't have done anything different if he'd known the status of her other kidney.

"So what happens now?" Jo asked as she checked for more bleeding.

"We close her up, monitor her kidney function, and looking at her remaining kidney, I say it lasts maybe two weeks, and once it fails we put her on dialysis." Alex answered.

"What about a transplant?" Jo questioned knowing that was Emma's best chance for survival.

"I'll call UNOS right away, but she won't be close to the top until the remaining kidney fails." Alex said as he began to close the baby's abdomen.

"Poor thing, she's been through things that most people don't go through in a life time, and she isn't even one." Jo said grimly.

"Yeah well life's tough, whatever." Alex said, wanting to forget that the world could be so cruel.

Jo looked up at him, but he didn't look up, in fact he hadn't looked at her at all during the surgery. She looked back down, she knew that this case struck a nerve with him.

"Are you going to talk to the parents?" Jo asked as they left the scrub room following surgery.

"Yeah, I'm going to tell them that their daughter is going to be just fine but she will need close monitoring and constant treatments, then I'm going to tell the police what we found on her scans, and hopefully they will be arrested, and never see that poor child ever again." Alex said, clenching his fists at his sides.

"Hey come here," Jo said grabbing Alex and pulling him into a nearby supply closet. "You okay?" Jo asked grabbing his hand.

"I just don't get it, she's nine months old Jo, what could she have done to deserve this?" Alex asked.

"It's horrible, I know and I feel the same way, we haven't even seen our baby yet and I already love him so much, and wouldn't let anything happen to him. And these people have this beautiful little girl and they treat her like shit, I get it. But Alex please don't do anything stupid, just tell them she will be fine, and walk away." Jo said knowing Alex well enough to know he was ready to hit something.

"Him?" Alex asked, and then smiled when Jo simply shrugged.

"Just a hunch," She said. "But stop changing the subject," Jo said taking Alex's face in her hands, so he was forced to look her in the eye. "That baby was dealt a shitty hand, but things will get better for her, and you hitting someone isn't going to make things better for anyone." Jo said know that Alex wouldn't think twice before hitting Emma's father, he reminded Alex too much of his own father.

"I won't, let's just go get this over with, so I never have to deal with those horrible people again." Alex said as he turned to leave the supply closet.

"Wait," Jo said grabbing Alex's arm. He turned around and was greeted by Jo's lips. He loved when she kissed him, it always made everything better.

"I love you, and I love our little baby." Alex said staring Jo in the eye, and he could see the same deep love reciprocated in her eyes. She smiled at him, and then kissed him one more time before leaving the closet.

"Mr. and Mrs. Johnson," Alex said as he approached Emma's parents. They were fidgeting and sweaty and he knew that it had been awhile since they'd had a fix, and that they were be irritable. "Emma is out of surgery, she did have some internal bleeding, her kidney was damaged very badly, and we had no choice to remove it." Alex explained. "And her other kidney, isn't in the best condition,"

"She got a severe kidney infection when she was about three weeks old, it reduced function in her left kidney to about 50%, but the doctor said that her other kidney would compensate." Emma's mother explain.

Jo watched as Alex's face turned red his fists clenched at his side. "You knew she had a damaged kidney?" Alex asked through slightly clenched teeth.

"Yeah and she was fine until you took out the other one, so now that you've damaged our daughter, we'd like to take her home." Her dad said to Alex, like he was the monster.

"I damaged her?" Alex questioned in disbelief. "Emma just had major surgery, we had to replace half of her blood, because she 'fell down the stairs'. So either you weren't watching her because you were shooting up or trying to find your next fix, or she didn't actually fall down the stairs." Alex said, doing his best to not raise his voice, but Jo knew that he was going to lose control soon.

"How dare you?" Emma's mother said in disbelief, mostly because she knew that Alex was telling the truth. "We love our daughter, and we want to take her home." Emma's mother said matter-of-factly, like that was going to change Alex's mind.

"She can't go home," Alex said his voice slightly raised.

"Dr. Karev," Jo scolded, knowing this was only going to get worse.

Alex looked down at Jo, and then back up at Emma's parents, "Visiting hours are over for today," Alex lied but he didn't want to see them anymore tonight, "You are more than welcome to wait here for updates, but you can see her tomorrow morning at 8." Alex said before turning and walking away, Jo hot on his heels.

"But she's our baby, she needs to be home with us." Her mother called after him, clearly not understanding the severity of her daughter's condition.

"Well she can't go home anytime soon, I'm sorry." Alex said, over his shoulder as he continued to walk away.

"Hey where are you going?" Jo asked as she caught up to him.

"To find the police," Alex said, and then took off toward the nurses' station when he spied the officers he had called for.

Alex explained to the police offers the condition of Emma, as well as the new injuries she had come in with today. He also told them that he suspected drug use, the police agreed to talk to the parents and review the case. When they went to find Emma's parents Alex wasn't surprised to find that they had left, he gave the police their address and hoped that it was real.

"Can this day be over?" Jo asked as they headed back to check on Emma.

"Almost, we have to check up on Emma, and then I have to check on my other patients, and hand them over to the new guy." Alex said, grabbing Jo's hand, they normally didn't flaunt their relationship while they were working, but Alex needed to know Jo was there.

"Does this new guy have a name?" Jo chuckled.

"Ahh I think so it's like Fiddler or Fielder or something like that." Alex said, he then released Jo's hand as they entered Emma's room. "How is her arm?" He asked the Ortho resident.

"I set and cast it, she's young so it should heal in four to six weeks, and I don't foresee any permanent damage." She answered.

"Thanks, Tasha." Alex said as she left the room.

"You know her name," Jo commented as she looked down at the sleeping baby.

"And I knew her as an intern," Alex replied.

"Alex you didn't, is there anyone in this hospital that you haven't slept with?" Jo questioned.

"There's a few," He said as he looked over Emma's vitals. "She should be waking up soon." He commented while looking at her chart.

"Poor little thing, you think they'll find her parents?" Jo asked while rubbing the baby's stomach.

"I hope so, they deserve to rot in jail." Alex said. "I'm going to check on my other patients so we can get out of here, do you want to come with?"

"No I think I'll stay here, she's starting to wake up and she shouldn't be alone." Jo responded, smiling down at the baby.

"Okay I should be back in an hour tops." Alex said before leaving the room.

"Hey sweet girl," Jo said as the groggy baby opened her eyes. Emma looked around the room and began to cry when she realized she was someplace new. "Hey it's okay." Jo said softly in an attempt to comfort the child. When Emma continued to cry, Jo reached into the crib and carefully picked up the baby.

Jo sat down in a nearby rocking chair and began to rock Emma until she calmed down. Even after she had stopped crying Jo continued to rock the baby. She stared at the little girl in her arms and couldn't imagine someone ignoring her or hurting her. An hour passed and Jo still hadn't seen or heard from Alex, she figured something had happened with a patient, but knew that if he needed her he would page. After two hours holding the little girl in her arms a nurse came in and offered Jo a bottle, which she took and gave to Emma, and before long Emma was sleeping comfortably in Jo's arms. Jo looked at the child one more time and then yawned before dozing off herself.

Alex had just finished checking on all his patients when his pager went off. "You've got to be kidding me!" He said as he checked it and headed for the pit. A 14 year old with a heart condition was on his way in, he had collapsed at home.

When Alex arrived in the E.R. he found that Cristina had beat him there and had already assessed the patient. She informed him that the boy need surgery. Alex sighed and agreed to scrub in with Cristina. He sent Jo a text letting her know that he would be late, and that she should just crash in an on call room until he was done.

After 8 hours Alex and Cristina were finally done with the surgery, and Alex glanced at his watch. 2:27 a.m. is what it read, shit¸ he thought as he scrubbed out and headed down the hallway. He checked in every on call room, and found them all void of his girlfriend, "Hey have you seen Dr. Wilson?" Alex asked one of the nurses on his floor.

"Last I saw her she was in Emma Johnson's room." The nurse said, and Alex headed off in that direction.

Alex arrived at Emma's room and smiled when he peered inside. Jo was sleeping in the rocking chair with Emma asleep in her arms, in a few months that will be our baby. He thought as he stared at Jo, he then remembered the time, and figured that they better get going. He entered the room and quietly walked over to Jo. "Hey princess," He said placing a kiss on her head. "Jo," He said a bit loud and he gave her shoulder a shake.

"Huh?" Jo asked as she began to stir, "What time is it?" She asked as she took in her surroundings.

"Quarter to three, how long have you been in here?" He asked as Jo got up and carefully place Emma back into her crib.

"I never left." She answered as she look Alex's hand and they headed home.

Jo sat down on the couch next to Alex and handed him a cup of egg nog. "What are we watching?" Jo asked as she curled up next to him.

"Only the sappiest movie I have ever seen in my life," Alex said as he paced his arm over Jo's shoulder and pulled her closer to him. "That guy there," Alex said motioning to a character on the screen. "He lives in that store, like he could do that without anyone knowing."

"Seriously?" Jo said with a chuckle at the absurdity.

"Yeah, and he's competing with that one to make the best window display, except he just lied to her so she would spend the night with him in the store." Alex explained, as they watched to two bicker.

"I really missed a lot," Jo commented as she set her cup on the coffee table and wrapped her arms around Alex.

"Yeah well you only took half an hour in the shower, and then I think you must have made this egg nog from scratch," Alex joked.

Jo sapped him playfully on the chest, "Shut up, you were the one who didn't do the dishes, which means that I had to wash the glasses before I could use them, and then I couldn't find the egg nog, and I think the nutmeg could have been here when Meredith's mom bought this place."

"And you put it on my drink?" Alex questioned a bit worried.

"Yup," Jo said like it was no big deal, and then laughed when she saw the worried look on Alex's face. "Oh stop that, I knew you didn't have any so I picked some up on my way home yesterday."

Alex sighed, and then smiled back down at Jo, "Do we really have to watch this movie, I already know how it's going to end, and they will fall in love and make the display together and live happily ever after, blah blah blah."

"Have you seen this before?" Jo asked amazed that he knew the ending.

"No! that's just how all of these holiday love stories end." Alex said, like he was an expert.

"Well then Mr. I Hate Happy Endings, what do you want to watch?" Jo asked.

"I thought you'd never ask," Alex said as he turned the station. "Only the best Christmas movie ever made,"

"Oh yeah, what makes this movie so great?" Jo questioned.

"Well they play it nonstop for twenty four hours, which means it must be the best. Plus everyone knows that this is what Christmas is really like." Alex said, his eyes glued to A Christmas Story.

"You know what movie I always watched at Christmas time?" Jo asked.

"I thought you didn't have T.V. in your car Hobo Jo." Alex said, smirking at Jo.

"Shut up, it's not like I lived in a car my whole life!" Jo defended knowing that Alex loved to make fun of her. "When I was little, I would always watch It's a Wonderful Life, and wonder what the world would be like if I wasn't there." Jo confessed.

"The world would be a dark hole without you," Alex said seriously.

"You have been watching too many sappy Christmas movies," Jo said brushing off Alex's comment.

"I don't know what my world would be like without you Jo, I mean I was really having a hard time when I met you." Alex said kissing the top of her head.

"Stop, I'm all hormonal, you're going to make me cry," Jo said as she held back tears.

"Fine, but I do have something for you." Alex said as he got up and walked over to his coat.

"I thought we agreed no gifts that we had everything we needed." Jo said, feeling guilty that she didn't get him anything.

"I know, but I bought this before we agreed." Alex said as he sat back down, handing her a small black box.

"Alex you didn't," Jo said her mouth going dry.

"No, trust me it's not that, I mean unless you want to," Alex rambled.

"Stop, I don't want to, at least not right now, especially after the disaster the last wedding we went to turned out to be, and you have some crazy exes that could show up and pull an Avery." Jo said, playing with the seam of the box.

"Good, it will happen though, one day. Now would you please open the box?" Alex asked, and watched anxiously as Jo opened the box.

"Alex, it's beautiful." Jo said as she stared at the gold pendent. It was a small circle with the words, I love you with all my heart, inscribed around the outside, and then there was a silver heart in the middle of the circle and two diamonds set in the middle of the heart.

"I saw it, and knew that I had to get it, and look at the back." Alex said motioning to the necklace.

Jo flipped over the circle and saw a small 'A' inscribed next to a small 'J'. Jo smiled and looked up at Alex, "This is amazing, I can't even tell you."

"And the jeweler said that we can add letters to the back, though if you're having quadruplets we may need to get a second necklace." Alex joked as he took the necklace from Jo and placed it around her neck. "Beautiful," Alex said as he stared at Jo.

"You won't be saying that in a few months when I'm six feet wide with quadruplets," Jo joked back.

Alex chuckled before taking Jo's face in his hands and kissing her with as much passion as he did that day it April's wedding. "This is best Christmas I've ever had," Alex confessed when he finally pulled away from Jo.

"I never thought that I would be happy on Christmas, I hated it growing up because I didn't have a family but now I do," Jo said.

Alex smiled at her, "Yes you do, you have me and our four children." Alex chuckled.

"I promise you Alex Karev if I am having more than one baby you and your super sperm are never coming near me again." Jo warned as they curled back up on the couch.

"I love you Alex," Jo said.

"I love you too," Alex said, and they spent the rest of the day just like that, together on the couch, happier than they'd ever been on Christmas before.

Well there you have it! Reviews are much appreciated.