(A/N: Here's chapter four! Enjoy!)

Choices and Consequences

Isana learned that the twins that were taken into the Eisler Memorial Hospital names were Johan and Anna Liebert. She felt a little sorry for them because now they were orphaned children who just lost their home in a matter of hours.

She never really liked the idea of children living a lonesome life of fear and anger. Probably because of how miserable Naruto and Sasuke's childhoods were due to their status's as orphans. That's why, during the Fourth Great Ninja, she decided to open a children's clinic after the war was over. Too bad she died before she could achieve that.

As the dark-haired teen was waiting for Dr. Tenma to finish, she decided to visit the little sister of the twins.

The girl laid motionlessly in bed, an expression of pure shock and terror etched permanently across her face. Isana was well aware that the girl was in a state of mental shock. Whatever she saw must have really traumatized her. She's been like that for two whole days. Luckily, the blonde-haired girl's, Anna, arm was hooked to an IV, so she didn't have to worry about her lacking any nutrients. But an IV can only work for so long…

"Ki-"

Isana's eyes widen slightly as Anna began to speak.

"Ki-"

The pinkish-brown haired girl could barely make out the words the younger girl was saying. The blond-haired child lips quivered as she tried to make out the words she was trying to convey. Her mouth moving like she was in a trance.

"Kill…"

"Kill?" Isana straightened up as she contemplated Anna's meaning. Kill? Is she trying to tell her what happened?

Sometimes, she wished Ino was here. Ino, with her clan's mind techniques, could easily help the poor Anna recover from her trauma-induced amnesia. And, in addition to that, learn what the young girl was trying to say.

The lilies she brought the other day stood up freely on the table next to the window. The flowers looked a little crooked, so Isana went to fix them. She gave the girl one last sympathetic look before leaving the room.

Next, Isana entered the boy's room. The boy was lying in bed, seemingly asleep, with bandages wrapped around his head. He had a lighter shade of blond hair than his sister and his skin was slightly paler as well.

"How are you feeling?" Isana asked, knowing that the boy wouldn't respond to her.

She went to a sit on the chair next to the window, minding the presents that were scattered around. There were presents in his sister's room as well. As much as the pinkish-brown haired girl could appreciate people's sympathy for the twin's plight, material possessions are not something that could replace what they had lost. It could never make up for the pain they are both going through.

"I wonder what's going to happen to both of you now that your parents are gone?"

She sighed as she glanced out the window to the other nurses playing with other sick and injured children.

Isana turned her head back to the sleeping child. She knew the boy was faking. He was awake. Why he doesn't open his eyes, that's something only he knows. Was he afraid? The death of one's parents can be very traumatizing, especially to a child so young.

She didn't know what to say to make their situation any easier. Nothing she could say will make this go away.

"There's nothing I can do to make your pain go away. I really wasn't any good at this sort of thing. Just don't give up! It may take awhile, but things will get better. Strong people are those who endure!"

Isana's face turned a pale shade of pink. "My god, that sounded so lame. That's something Naruto would say."

She let out a depressive sigh. "I miss him."

This was getting awkward. Here she was talking about relics of her past life to a seemingly unconscious boy who was perhaps four or five years younger than her.

The pinkish-brown haired girl took out a book from her backpack. The name of the book was 'Beauty and the Beast'. She couldn't read anything too adult to a ten-year-old kid. She opened the first page and began reading the fairytale.

She didn't know how long she'd been reading until Dr. Tenma entered the room to check the boy's vital signs.

"You seem to visit the twins frequently, Isana," he commented, giving the teen girl a gentle smile.

Isana simply smiled at the boy in a thoughtful manner. "They remind me of very close friends I used to know. They were orphans as well."

Tenma checked Johan's blood pressure. How the boy was still feigning sleep while stuff was being done to his body was actually pretty amazing? The only reason she could tell he was awake was because she was a former trained ninja, and she could tell when a person is awake or asleep by the pattern of their breathing.

The doctor eyed her in concern. "Friends, you say? Do they not keep in contact with you anymore?"

Green eyes glossed in a melancholic manner as she recalled her last memories of Naruto and Sasuke. "No, they died." She somewhat lied. They didn't die, she did.

Tenma didn't know what to say. There's nothing that could be said. He sent her a sorrowful look. "I'm sorry to hear that."

She shook her head, as she closed the book she was reading. "Don't be." She smiled, reminiscing about the times she spent together with Naruto and Sasuke as Team Seven. "At first, we were nothing but complete strangers to each other. We were classmates, but we hardly talked to one another at all. Then we had…an incident…" She recounted one of their very first missions to the Land of Waves and facing Zabuza and Haku. "…After that experience, we were inseparable. We became somewhat like brothers and sister. We were a family, not related by blood but a family by bonds." She glanced out the window, her eyes shone with mirth. "Somebody once told me that blood ties do not make a family. A family is connected by strong bonds and love." The teenage girl beamed, almost happily at the doctor. "As long as I still carry their memories, dead or alive, we'll always be connected."

There was quite a bit of the tale she was glossing over, but that's a story for another time.

She stood up from the chair. "Heh. Look at me, getting all sentimental. Well, I guess we should check on your other patients, right, Dr. Tenma?"

Finishing his check up on Johan, Tenma gathered his equipment. He wrote some numbers down on a chart. "Johan seems to be completely normal, but he's still in a coma. We can only wait for him to wake."

Isana wanted to blurt out that the boy is awake, but kept her mouth. She didn't want to cause problem, if the blond boy wasn't ready to deal with them. "When do you think he'll wake up?" she asked instead.

"I don't know," Tenma shook his head, solemnly. "That depends on the child himself."

"If you are done, we should probably leave," Isana suggested.

"Yeah, I still have other patients I need to check before my shift is over."

As the two left the room, they didn't notice a pair of emotionless blue eyes staring at their retreating forms.

When Isana entered the hospital the next day, she was instantly greeted by a loud, terrified, girlish scream. She rushed towards the source without bothering to check herself in.

The teenage girl was finally met with the sight of a frantic doctor and nurse dragging an unconscious Anna away. The expression of fear and anguish on her face was a dead giveaway that the scream came from her.

Dr. Tenma was arguing with another doctor about something, but she was too far away to hear. But judging by the look on his face, he looked pissed off. The other doctor simply smirked, smugly at Tenma before pointing him towards Johan's room.

Isana was finally close enough to hear what was being said.

"I was simply ordered by the Director to take a picture of the twins' heartwarming reunion under the care of our prestigious hospital." He held up the camera he was holding to emphasis his point. "And as you can, the boy is showing a normal response at seeing his sister again."

The way he spoke about the twins as if they are merely tools to gander the hospital's popularity made her blood boil. She took note of the boy crying, his hand outstretched in front of him, probably reaching out to his sister.

"Congratulations," the doctor sneered in pure mockery. "Your job with the twins is done." He shoved Tenma out the room. "Now, get back to your post!"

That does it!

Isana threw a powerful punch towards the doctor's face. She smiled in sick satisfaction as she heard a crackling sound, indicating that she broke the bastard's nose.

He fell towards the ground with a loud thud. She straddled him, so he couldn't move, ignoring Tenma's protests.

The pinkish-brown haired girl glared angrily at the asshole doctor. "Listen here, you piece of shit! Children are not toys, they are human beings! They are not tools for you to do as you please! It's bastards like you that really piss me off! Lives are not meant to be taken for granted! And don't you realize what you did to the poor girl?! Because of what you did, her mind may be completely broken and she may never recover!" She sent a sharp punch to his jaw. "Assholes like you, who only value money and power, have absolutely no right to call themselves doctors! Shannaro!" Her fist was again met the doctor's face with such brutal force that this time, she broke his jaw.

"Isana, that's enough!" Tenma yelled at her, as he pulled her off of him. "Control your anger now! It's not very professional to cause physical harm to the staff of the hospital. You should know that!" he scolded her, displeased with her behavior.

"What's going on here?" Another overweight doctor asked as he approached the scene. He had a very stern look on his face. "You shouldn't be here, Dr. Tenma. The twins are not your responsibilities anymore."

"Y-yes, sir!" Tenma ducked out of the hallway, pulling a seething Isana along with him.

During dinner, Isana told her parents about how awful the staff were treating twins. Her mom and dad could understand how their daughter feels, but they also grasp the value of the political advantages of having two courageous siblings recovering miraculous under the hospital's care.

It was after dinner, that a loud knock resonated throughout the house. "I'll get it!" Isana announced, as she put down the science textbook she was reading.

"Thanks, honey!" her mother called from the kitchen, as she was doing the dishes.

When she opened the door, her eyes widened in shock at te two police officers standing before her.

"Are you Isana Blum?" one of them asked, holding up his badge.

Her mother came out of the kitchen, wiping her hands on the yellow apron she was wearing. A look of concern and fear was plastered on her face as she wrapped her arms protectively over her daughter.

"The police? What do the police want with my daughter?" Carla demanded, glaring at the officers.

"We just came to ask you a few questions…" The other officer pulled out a notebook and pen from his shirt pocket. "As you may not know, the Director of Eisler Memorial Hospital, Dr. Heinemann, Dr. Oppenheim, and Dr. Boyer are all dead."

Carla was shaken from the horrific news, her eyes were wide in horror. "Three people died? H-How?"

"I don't know, ma'am, that's what we are trying to figure out. You daughter works at the hospital as a student intern, correct?"

"That's right," Isana answered, trying to act as nervous as she could. She felt bad that those doctors died, but she honestly couldn't care less. They were assholes. "I work under Dr. Tenma."

The officer nodded, processing the information. "Where were you after six-thirty?"

"She was having dinner with her family," her mother emphasized her point, gesturing towards the dirty dishes in the sink.

"Okay. Well, just let us know if you see any suspicious characters roaming around. And be extra careful."

The two officers left the Blum's household afterwards.

Isana began thinking and coming up with different scenarios of how all three of the doctors died and at the same time. She knew that they pissed her off, but she would never wish death upon them. Someone must have really held a grudge against them. The only other person that came to mind was Dr. Tenma. But the good doctor was too kind and gentle to kill another human being, no matter how much they mistreat him.

When Isana attended the funeral for the deceased doctors, she heard from Tenma that the twins vanished the same night the doctors were killed. Call her crazy, but it did seem a little suspicious that both Johan and Anna Liebert simply disappeared after those three staff members' deaths.

Some of them thought the twins may have been kidnapped by the same assailant that attacked their home a few days before. The fifteen-year-old girl couldn't rule out the possibility of a kidnapping, but nothing is absolutely certain as of yet.

Little did she know that this was simply the beginning of a gory, enigmatic puzzle of fear and destruction.

Nine years have passed since the Eisler Memorial Hospital incident, and Dr. Tenma was working as the Head of Neurosurgery just as long. Until an unexpected event will change his life forever.

He was taken care of an ex-criminal, who recently had a major brain injury, named Junkers. There was string of middle aged couple murders and he was the prime suspect.

However, just like nine years before, Junkers vanished from his hospital room.

Feeling paranoid about the uncanny scenario from years ago, he decided to follow after his patient.

Tenma followed Junkers to an abandoned warehouse.

"No! Doctor, stay away!" Junkers yelled out, frantically, the fear was very evident in his voice. "Don't come any closer! If you see his face, he'll kill you!"

Ignoring Junkers's warnings, the brave doctor marched until he reached the top of steps, wondering who this 'monster' was that his patient feared so much. Enough to escape from his room out of desperation.

When Tenma reached the very top, he was greeted by a frightened Junkers kneeling on the ground in front of a mysterious assailant. Was that person the 'monster' Junkers was talking about? It was way too dark to make out the man's features.

"Don't look at him! He's the one who killed my friends!"

As Junkers spoke those words, Tenma couldn't help but feel a shiver of fear tinkle up his spine. So, this guy standing in front of Junkers was a murderer?

"So, we finally meet, Dr. Tenma. It's me," the guy's voice was very calm and soft spoken. It was almost hard to believe someone with a voice as gentle and soft as that to be a killer. "Nine years ago, you saved my life," the man, elaborated. "Don't you remember about the twins?"

"J-Johan," Tenma breathed out in disbelieve.

A hint of a mock relieved smile graced the man's, now identified as Johan, lips. "Yes, that twin… You remembered." He seemed quite pleased, if Tenma could tell by the sound of his voice.

Despite the unpleasant dread he felt, Tenma gathered his bearings as he remembered the reason why he was here.

"What are you doing?" the doctor demanded. "Mr. Junkers is my patient! Let him go!"

Johan tilted his head. "What am I doing?" He reached inside the jacket he was wearing and casually pulled out a Beretta 92FS and points it at Junkers. "An execution," he explains as if he was merely talking about the weather.

Tenma eyes widen in horror as someone could talk about taking another human being's life so casually without so much as batting an eye. Junkers screamed in terror as Johan made his claim known.

"What are you doing?!" The doctor tried to quell his fears, so he could try to reason with his former patient's humanity.

"Run, doctor!" the hostage shouted at Tenma out of fear and desperation. "He killed my friends, and he'll kill you too! We were hired by him. He'll call us each time, and a large amount of money was wired into our bank accounts after each job. That way, it seems like we've taken the money and split. He had it all figured out!"

Tenma was completely caught off guard by the dreadful information. "O-oh my god, so the one who instigated those murders of the middle-aged couples was you?"

"When the police started suspecting me, he tried to get rid of us. He already killed Fritz and Boris! Right when he was dying, Fritz told me that we were…we were… THAT WE WERE HIRED BY A MONSTER!" Junkers screamed out in absolute fright and terror, his whole body shaken in horror. "He doesn't even blink when killing someone! It means nothing to him! Run or he'll kill you too!"

Johan merely cocked his gun. "You talk too much, Junkers."

"Stop it!" Tenma yelled, frantic and angry. "It doesn't seem like Mr. Junkers knows who you are, but I do. I was your doctor. You are Johan Liebert, the elder brother of the Liebert twins. You are the son of Michael Liebert, an East German trade advisor who crossed the Berlin Wall in 1986. With all the information we have on you, it'd be impossible for you to escape. Don't add to your crimes, Johan!"

Johan chuckled in a cold, cynical way. "Johan, huh? Yes, there was time I was called by that name. But you know something, doctor, 'Johan' isn't my real name."

"Huh?" The doctor was genuinely confused by this.

"You must never know about my past. Not about those four couples, nor the Lieberts. But… You and that woman are different, doctor. You both cared for me and restored me to life. I feel like you are like a father to me, Dr. Tenma. And that woman is not quite old enough to be considered a mother. Perhaps, a lover will do," he said, almost as an afterthought.

Dr. Tenma seemed to process this startling news. "Woman? Do you mean Isana Blum?" he questioned. The disarming smile was enough to confirm his suspicion. "Keep her out of this!"

"I'll visit her again, in due time, of course," Johan stated, coldly. He seemed confident that he'd have his reunion with Isana. "But first…" He clicked the trigger of his gun, causing Junkers to cry out in terror.

"Stop it! You can't just go around killing!"

"Why not?" the man asked simply, as if he wasn't just pointing a gun at someone's head.

Tenma was surprised by his nonchalant attitude. "Why not? The life of every human is sacred. Don't you see that? Nobody is better than anyone else. Saving your life opened my eyes. All human life is equal! That's why no one has the right to take another's life! As a doctor, I lived by those morals for last nine years because of you!"

In response, a cold, chilling giggle erupted out of Johan. The breeze blowing in the wind made it even more ominous.

"You became the Head of Surgery soon after incident, didn't you, doctor? I was so glad I was able to help. That was a good thing."

"Wh-what are you talking about?" Tenma almost choked on his own words.

"You were promoted because the Director and the others died, right? I'm really happy that I was able to repay my debt."

Tenma froze in shock at the revelation. The horrifying words only the true culprit would know. "Then… You…" He started the panic at the terrific information laid out before him.

"You're the who one said it, who wanted it. That's what you confessed to me right after I regained consciousness. That you hated them so much, you wished they were dead."

Tenma's eyes widened in horror as the monster kept rubbing salt in his wound, reveling in his despair.

"All I did was grant you your wish."

The doctor's whole body froze in horror, hopelessness, and despair. His whole worldview seemed to shatter in an instant.

"Save me, doctor!" Junkers backed away in fright. "I don't want to die! I don't want to die! Doctor!"

Two gunshots resonated throughout the room, and Junkers pleads for help were silenced as his body dropped towards the ground in a loud heap.

Johan pocketed his weapon and insouciantly stepped over Junkers's corpse, not concerned at all about the dead body. He walked at a leisure pace until he was right next to Tenma.

"I was supposed to die that night. You're the one who resurrected me, doctor."

A traumatized Tenma tried with all his might to look at the cold-blooded killer in the eye. He finally managed to, and was meet with the face of a beautiful man with blond hair and cold, cynical blue eyes.

As the monster left the building, Tenma dropped to his knees in devastation.

What the hell happened?

(A/N: This is the end of chapter four! I doubt my descriptions could do a beautiful series like Monster and this ending scene justice. But I tried my best and I hope you guys enjoyed it in return. Johan is such a beautiful, murderous asshole. This is one of the best establishing character moment I've seen in anime so far! Now, what terrifying plans does Johan have for Isana? The next chapter or two will probably be from Tenma's viewpoint before I go back to Isana. Monster is known for having developed characters, main and side characters. I'm trying to give as many people a chance at screen time as I can. Of course, there are times the main character doesn't show up for episodes on end and they focus on the side characters, so don't be surprised when there are chapters that Isana don't show up at all. She might be mentioned, but would, otherwise, be a no show. Reviews, comments, questions, criticisms, I'll love to hear them all! And see you next time!)