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"Karev!" Alex turned around to see Derek calling his name. Doctor Shepard caught up to them. "Kepner told me you needed to see me."
"Um… yeah, can we talk in private?" He asked Doctor Shepard
"Sure" he answered him
They walked into a conference room and sat down.
"This is Arianna Anderson, aged 17. She was diagnosed with an inoperable tumor 6 months ago. We were wondering if maybe you could take a look at it."
Derek looked a little confused at this, seeing as usually the parents come to him. "Sure. But in order to do a CT, we need a parent or guardian signature. Where are her parents?"
Alex and Arianna looked at each other until Arianna pulled a piece of paper out of her pocket.
Silently, she handed Derek her birth certificate and Derek confusedly looked at it, gasping when he read the father's name.
"Wait, Karev… You're her… DAD?" Derek yelled in shock
Nurses and doctors stopped in their tracks staring at them. They realized they forgot to shut the door.
"Shit!" Alex got up and slammed the door and closed the blinds. "Thanks, Shepard…"
"Let's go get this tumor looked at" Shepard awkwardly said, and stood up.
Alex followed them out of the room, and down the hallway.
She looked at Alex, "Why did you freak out like that? You know, back in the room. Are you embarrassed by me or something?" She asked him
"No I'm just… not ready for people to know yet." He looked up to avoid eye contact.
"Fine. Let's just go get this over with" She followed quickly behind Shepard
Alex sighed, "Women" he muttered to himself.
Alex stood next to Derek, looking at the scans of his daughter's brain.
"Wow…" Derek muttered.
Karev's jaw hung low. In front of him was one of the biggest tumors he had ever seen. "Oh my god" he whispered to himself.
"Well this is going to be quite a challenge." Shepard was mumbling to himself, going over what they could do to operate.
The door opened and Meredith and Christina came in. "You paged?" they asked
"Come take a look at this" McDreamy told them
"Shit…" Christina mumbled
"Is this… actually someone's brain?" Meredith asked in awe
"Yes, and I'm going to operate and I'd like to add you to the team." Shepard told them
"I'm in!" Christina said excitedly
"Me too." Meredith added.
"I'm going to page Arizona and Bailey and see what they think, but were going to have to operate fast; we don't have much time left."
"Hey Evil Spawn, how'd you manage to get on this case?" Christina turned to him
"I'm not" he said as he walked out, leaving a very confused Meredith and Christina behind.
At lunch Karev lead Arianna to a table where Meredith, Christina, Lexie, April, and Jackson were sitting.
"Hey guys" Alex said, sitting down
"Who's this Karev?" Jackson asked him, referring to Arianna.
"This is Arianna" He looked over at her, and she widened her eyes as if to say 'tell them' "My… Daughter"
Everyone except for April had looks of complete shock on their faces.
"You're what!" Meredith finally asked
"That was her brain scans you were looking at"
"How are you alive?" Christina asked her
Right at this moment Arianna cradled her head in her hands, and turned to Alex.
"Alex, I need to leave"
"Are you okay, what the matter?"
"My head is killing me; it feels like my brain is going to explode. Alex believe me I we don't get me into a dark quiet room now it won't be pretty"
Immediately Karev grabbed Arianna and guided her up, but she could barely stand, her hands were covering her face.
And then she fell to the ground and started to seize.
All at once all the doctors at Karev's table leaped into action.
In about a minute the seizure ended and Arianna was crying. "My head. Oh my god it hurts so bad!" The cries turned into sobs, and suddenly Arianna had another seizure.
Somehow she ended up on a gurney and being wheeled into the hospital and into a room where she could be monitored.
Alex walked into Arianna's room holding a pudding cup.
"How are you feeling?"
"Better, thanks"
"You probably already know but what just happened was a result of your tumor."
"Yeah it's not the first time it's happened" she admitted
"Doctor Shepard will be in a minute or two to talk about operating on it." Alex was going to say more but was silenced by a woman running into his daughter's room.
"OH MY GOD!" She yelled
"Mom?" Arianna sat up, confused
"I can't believe you! Running off like that! And now you're in the hospital!"
Alex suddenly felt awkward so he stood up and began to read Arianna's charts.
"Are you the doctor that's treating my daughter? Why didn't you call me! She's a minor you know!"
"Actually I'm-" Alex began slowly
"Mom, this is Alex Karev, my dad." Arianna cut him off
"Oh my…" She didn't know what to say, it seemed like she was in shock
"Arianna came here to meet me, and she learned that I am a surgeon. I brought here to talk about getting her tumor removed by a colleague of mine."
"We were told, that it was inoperable"
"Well Derek Shepard is an outstanding surgeon and takes on cases like this all the time." Alex tried to reassure her.
"Could I be able to hear our options from him?"
"Yeah he should be here in a few minutes to talk to you"
"Alright" She looked flustered "So, how've you been Alex?"
"I've been… Busy" he said
"Me too. I've been planning my wedding. It's a lot harder that you may think."
"You're getting married? That's great" he smiled at her
"Thank you." She smiled "So, do you have a wife or girlfriend?" she asked him
"Actually no, not at the moment" they stood awkwardly for a moment before Arianna started to talk
"He likes this girl named April though" she said teasingly
"No I don't!" He defended himself
Right at this moment, April runs in. Her hands were filled with patient charts, and she looked exhausted and sad.
"Alex, do you think you could find Bailey for me?"
"Yeah sure. Are you feeling okay?"
"Yes, I-I'm fine. Just tell Bailey I'm looking for her please" April walked back out into the hallway
'"That was weird" Arianna said
"I'll be right back" Alex said slipping out of the room.
"Wow… He's not even dating her and he's already whipped." Arianna said to her mom, laughing