"Anna-Alexandra Montgomery, nine years old post op day one from the removal of a significant tumour pressing on her optic nerve. There was slight bleeding during surgery but Dr Shepherd is confident that no complications will arise" Dr Karev's intern rhymed off Anna's chart adding the last sentence in on his own accord. Derek looked at the intern then at Dr Karev trying to think back to when he said that no complications would be present.

"No I am confident that Anna is strong but I never said that I was confident no complications would arise. We won't know anything until Anna wakes up and I can run some tests" Derek corrected shooting Alex a 'do something about your intern' look.

"Why haven't you already done a post op CT?" Addison asked anxiously. She had been worried for her daughter's life since Anna was rolled into the operating room and the fact that Anna hadn't woken up wasn't helping.

"I would really like to wait til she wakes up. Addison please you need to stay calm. You know the recovery time and process after brain surgery" Derek insisted and rested a supportive hand on his ex-wife's shoulder. Addison shook his hand off and stood up angrily.

"Derek it's been too long and Anna still isn't awake. You know there could be complications" she burst. Derek pulled Addison out into the hall and gestured for Alex and his intern to follow. Shutting the door to Anna's room, Derek didn't want her mother's yelling to be the first thing Anna could possibly hear if she woke up.

"Addison you know what to expect in neuro patients after such an intense surgery like the one Anna went through"

"Kids are resilient, Anna will bounce back" Alex assured her

"Anna will bounce back? All you can say is Anna will bounce back?" she snapped

"Addison you will regret not being in there when Anna wakes up. Dr Karev will make sure you get a coffee or whatever you might need" Derek insisted. Addison nodded knowing Derek was right. Walking back into her daughter's room, she took one last glance at Derek and Alex before shutting the door.

"Not so fast Dr Karev you too Jackson" Derek snapped as Alex was about to walk away with his intern "I do not want either of you pulling those kinds of stunts in front of a patient's family again" he continued before focusing on the young intern "We never promise a positive outcome unless we know for sure with the right tests and assessments. In paediatric cases in particular, you make sure the family understands the information without giving them false hope. Kids are resilient but their parents aren't so much. You do not promise anything until you are absolutely certain even if the patient's mother is a world renowned surgeon"

"S...Sorry Chief" the intern stuttered "I'll just go get Dr Montgomery a coffee and a sandwich and ice chips for when Anna wakes up"

"You go do that"

"Dr Shepherd..." Alex began before Derek cut in

"You know Addison and how emotional she can get with patients but this is her daughter so you cannot treat her like any other parent. We cannot just tell her that Anna will bounce back, she knows the sugar puff routine we try and fool parents with"

"Dr Shepherd with all due respect I am just trying to do my job and if I'm not mistaken you are in my department"

"Anna is a neuro patient and I am the Chief. Neuro trumps Paeds and this whole hospital is my department" Derek growled and pushed Anna's chart into the young Attendings chest.

"Derek! Derek!" Addison called from Anna's room. Derek and Alex raced into the room fearing the worst only to see Anna squirming slightly and rubbing her eyes.

"Welcome back Annie"

"Open your eyes baby girl" Addison smiled. She was so relieved Anna had finally woken up. If she had taken much longer to wake up then something serious could have happened in surgery.

"I don't want to" Anna whimpered softly. She was scared that her sight would still be blurry if not worse and gone altogether. Addison sat down next to her daughter and took her hands gently "What if I can't see at all?"

"Open your eyes and find out for yourself" Derek chuckled and sat down opposite Addison waiting for Anna to open her eyes.

"Uh uh no"

"Anna please"

"Please Annie?"

"Alright fine" she nodded and slowly started opening her eyes. Holding her hands out in front of her face, she examined every inch of her pale hands "I can see the freckle on the back of my hand. I can see the freckle shaped like Italy" Anna giggled

"Oh Annie that's great" Addison smiled as she burst into tears. Anna couldn't see that silly little freckle at all before the surgery but now she was looking at it from every angle possible. Derek was having trouble getting the nine year old to look forward so he might be able to assess her sight. Finally sitting still, Anna couldn't stop smiling

"Karev can you please order another CT and have one of your absent little interns back here to run Anna's bloods again"

"Yes Chief" Alex nodded and wrote up the orders on Anna's chart before leaving the room.

"You're really kinda handsome and a little bit mean" Anna giggled

"Thank you Annie. Anything to get rid of your father for a little while so you can be with your Mom" he smiled and stood up "I will check on you again in a couple of hours"

"Thanks Dr Shepherd"

"Call me Derek. People that let me cut into their brains should call me Derek"

"Thanks Derek" she smiled "And I can watch you leave and not just your blurry outline"

"You're very welcome"

A few hours later

"Mom you should go get something to eat or at least go back to the hotel, you look terrible" Anna chuckled as she looked over at her Mom falling asleep on the chair by her bed. She didn't sleep at all the night before hoping and praying that Anna would wake up and now that everything was ok she needed the rest. "There are so many beds in this hospital, please use one to sleep"

"I'm fine..." Addison lied

"You are not fine"

"I'm fine"

"I had a brain tumour, don't argue with me" Anna smirked

"Is that going to be your secret weapon for the next few years to get whatever you want?"

"Try the rest of my life"

"Try a few weeks til we're home and you're back to your normal self" Addison smiled and stood up. Kissing her daughter's forehead softly, she lingered for a moment before straightening up "I'll go down to the cafeteria and get a cup of coffee. Do you think you will be alright on your own for that long?"

"I'll be perfectly fine on my own for longer than that, you need sleep" the nine year old insisted "Don't make me call Uncle Mark"

"Alright, alright. I just don't want to leave you here alone"

"If I get lonely I'll page Uncle Mark or I'll torture some interns. I will be fine"

"You are too much like Mark" Addison laughed "I'll only be gone a few hours. I won't sleep long"

"Sleep as long as you like. I need you not to collapse on me, I'm the patient remember?" Anna chuckled and pulled her Mom into a tight hug "I'm just fine"

Addison checked Anna's chart one last time to make sure she would be ok medically for the next few hours as long as nothing went wrong. Picking up her handbag, she kissed Anna's cheek before walking to the door. She looked back at a waving Anna with a laugh before reluctantly leaving Anna's hospital room.

Anna was fine for a few hours until she slowly started to shiver but she was sweating, she ached all over and couldn't sit still. She knew something was wrong but she didn't have the strength to yell out to any of the passing nurses. It wasn't until her blood pressure dropped so low that it triggered an alarm on the many monitors she was attached to.

Alex was the first to hear the alarms and raced into Anna's room. Noticing all the symptoms, Alex knew straight off that Anna was slowly going into septic shock. He wasn't about to let Addison Montgomery's daughter die.

"Someone page The Chief and Dr Montgomery and free up a bed in the PICU" Alex barked to the nurses and interns that rushed in to help him treat Anna. He continued to bark orders for antibiotics to give the nine year old to try and stop the infection from getting any worse than it already was. Working as they walked, Alex and his team got Anna to the Paediatric Intensive Care Unit and got her started on an aggressive course of antibiotics. The little girl wasn't improving which scared Alex. He couldn't let Addison Montgomery's daughter die.

"Come on Anna, come on..."