So here is your bonus chapter because I did take so long to review. I really do enjoy writing this and I also enjoy reading your reviews. As in Chapter 4, I again included quite a bit of medical information. Though I did research it, I am not a doctor, med student or biology major and therefore do not offer any of the information for the truth of the matter asserted.

Disclaimer: I do not own Grey's Anatomy or any of its characters, but I do own Kathleen and all of the other Cassidys.

Chapter 10

As Kathleen, Alex and the half a dozen doctors, residents and attendees entered, Melanie's hospital room grew smaller and more cramped. The tension in the room was thick. What if the test results came back and Alex wasn't a match?

Bailey broke the awkward silence. "Dr. Grey, present the patient."

"Melanie Cassidy; age 9. She was treated for cancer and went into remission a year and a half ago. She presented with jaundice, fatigue, nausea, and tenderness over the liver, which tests at Des Moines General and here at Seattle Grace confirmed to be liver disease. It was most likely triggered by the drugs used in the chemotherapy she underwent. She is here to receive a liver transplant from her father."

"Dr. O'Malley, present your patient."

"Alex Karev; age 29. He is here to donate a portion of his liver to his daughter. Tests revealed that he is completely healthy and will make an excellent donor for Melanie Cassidy." The room breathed a sigh of relief; Alex was indeed a match. "UNOS should let us know within an hour if they will approve the match. Pending their approval the operation can take place today."

"Today? We can end this worry today?" Kathleen was happy; just one more day to tote the weary load.

"Yes, Ms…" George noted Kathleen's expression "Kathleen. The tests came back very promising."

Richard took charge. "Does anyone have any questions?" Melanie rose her hand which made the Chief smile a little bit. "Yes Miss Melanie."

"Will I get sick again after this operation?" She looked like the innocent child of 9 she was, one who had been dealt a cruel hand by fate.

At this Dr. Webber came closer to her bed and knelt down so he could look her in the eyes. "I never promise anything, but this surgery will make you better, I promise."

Alex went closer to Melly's side. "This is the boss of all the doctors in the hospital."

"All of them?" interrupted Melly. "Even you and Izzie?"

"Yes, especially me and Izzie. If he says this will make you better, it will make you better."

"What about you? Will you be ok?" Melly didn't want to lose her dad after only one day.

"I'll be fine. Didn't you hear Dr. O'Malley? I couldn't be any healthier." Alex wanted, no, he needed to be fine after the transplant. He had already missed the first nine years of Melly's life; he had no intention of missing the rest of it.

Richard's pager vibrated where it was clipped to his belt. All eyes in the room were on him now. There was no doubt that it was UNOS informing him on their decision. His eyes looked down. "We have the green light from UNOS. Dr. Karev, if you could return to your room so Dr. O'Malley can start his pre-op exam, we can get started."

Alex kissed his daughter's head and looked straight into her eyes that nearly mirrored his own. "I have to go now, but I'll see you after the surgery. Ok?" she nodded. "I love you sweetie."

"I love you too Daddy." Her words brought a smile to everyone's face. She was such a sweet little girl.

Alex didn't want to leave, but knew he had to. So he gave Melly one more kiss and left with Izzie and half of the doctors leaving Melly and Kathleen. In the next room he changed into a paper hospital gown and proceeded to allow one of George's interns to do the usual pre-op exam. He listened to the warnings and procedure that he had watched before. Izzie on the other hand stood next to him, thinking about all the ways Alex could die. She couldn't help but think back to Denny; how it had been the one thing, a blood clot, she hadn't thought of that ultimately had killed him. At least this time she wasn't stuffed into a prom dress. She stopped herself, I can't think this way. I believe in the good. I can't believe he is going die, I can't even think it. Her mantra was interrupted by Alex grabbing her hand. "Iz, everything is going to be all right."

"Alex is right Izzie. He will make it through the surgery." George was doing his job as Izzie's best friend.

Izzie knew what she wanted to say. What about after the surgery? There are so many things that can go wrong; infection, blood clots… Instead she just replied "I know." However she couldn't stop the tears gathering in her eyes. "I just worry."

"Iz, I told you before. I'm not going to die on you, I promise."

"I know." She was going to have to leave the room soon if she couldn't maintain a calm demeanor.

George spoke up "We are going to go see when the OR will be ready. We'll be back soon."

"Ok," said Alex while Izzie simply nodded as everyone left. When as Alex and Izzie were the only ones left, she sat down on his bed and let him hold her. Everything is going to be fine. He's going to make it. There is no alternative. This became her mantra and repeated it in her head as Alex stroked her hair. Everything is going to be fine…

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I'm not promising anything but I will try to update by the next episode of Grey's Anatomy.

Thanks for reading, Jen