Chapter 10

A/N: Omg! I'm in the double digits! Haha I'm glad you guys are enjoying the story as much as you are! Just letting you know this chapter is not focused as much on Japril and has more to do with another couple in the story. I'm hoping you like the drama I came up with for this. I'm thanking Shonda Rhimes for her storyline that I am mixing up a little in this chapter.

Jackson woke up to hear a familiar buzzing and beeping noise. It was his pager. He groaned when he looked at the clock on his bedside table and saw that he was supposed have at least three more hours of sleep. Didn't they know he wasn't on call? He rubbed his eyes and realized that he wasn't on call, which meant that this was an emergency. He jumped at of bed and checked his pager. It said nothing out of the ordinary just stating that there was an incoming trauma.

As he was getting dressed he heard the buzzing and beeping again, but this time it wasn't his pager. The noise got louder as if more than one pager was going off and he stuck his head out of his bedroom to notice that his three roommates were all doing the same.

"Did we all just get the same page?" Alex asked with a hint of irritation in his voice that was most likely from lack of sleep. They all nodded. "Shit." and suddenly the rushing began. They were only ever all called in at the same time if it was something really urgent. Within fifteen minutes they were all ready to go and Jackson drove them all to the hospital.

When they arrived they heard the distinct voice of the Chief of Surgery, Owen Hunt, barking out orders. People were rushing past in a blur and it was hard to tell what was going on, until two gurneys went by them and they saw the familiar flash of blonde hair followed by the baby bump they all knew so well. It was Callie and Arizona.

Lexie stood frozen in her spot. Did Mark know about this? How hurt was the baby? What happened? These were all questions she had but was unable to get out of her mouth. Luckily April sprang into action.

"Hunt! We're here. What the hell happened and what can we do?" April had already managed to get on the yellow trauma gown and was working on the gloves. The boys quickly followed her lead while Lexie remained stuck in her spot waiting for Hunt's reply.

"Torres and Robbins were in car accident. They were going around a bend when a man in a pickup veered into their lane and hit them. Callie wasn't wearing her seat belt and flew through the windshield. She got the worst of it. Arizona is just being checked for a concussion. Right now all medical attention needs to be focused on Torres and the baby. Seeing as Dr. Robbins was in the accident and is unable to work we need to page another pediatric surgeon." Hunt informed them.

"I know the best surgeon there is for a trauma like this. But she's in LA. Ah hell, I'm calling her anyway." Alex said reacting the news first. He promptly ran out of the ER to find the nearest phone. Addison Montgomery would be the only to hope for Callie and the baby, Alex knew.

"Good work Karev!" Owen called after him.

"Does Mark know?" Lexie asked quietly. So quietly, in fact, that Hunt almost didn't hear her.

"What was that?" Hunt asked her to repeat.

"I said, does Mark know? The father of Callie's baby. Has he been informed?" Lexie spoke up her voice much stronger this time.

"No. I haven't paged him yet." Hunt said in a calm voice to an obviously emotional Lexie. "Dr. Grey, you could really help me out if you run down to the blood bank and get plenty of blood. I have a feeling we're going to need it." He requested knowing that she was not in the best shape to handle much else, but needing to put her to work. She nodded and walked off in the direction of the blood bank. As soon as she was out of earshot Hunt turned back to Jackson and April urgently. "Dr. Avery, I have it on good authority that you have been on Dr. Sloan's service a lot lately because you're considering Plastics as your specialty?"

"Yes, that is correct. What can I do, sir?" He stood ready to take on any task asked of him.

"I need you to go be the Plastics expert on this case until Dr. Reynold's is out of surgery and able to help. Because Mark can't work on his family I am expecting you to really step up and work as you think Sloan would." Hunt directed him.

"Of course. I'm on it." Jackson sped off to the trauma room he saw Callie rushed into just minutes earlier.

"Kepner, I need you to be my right hand man. Whatever I ask you do. Right now I need you to man the pit. We have another incoming trauma and I need you to run it. If there are any complications we find me immediately. If everything goes smoothly, again you find me immediately and I'll put you where needed on Torres' case." Hunt gave April her orders and she nodded as he went. He turned on his heels to check on Callie but quickly turned back around to add something. "Oh, and when Dr. Grey comes back with the blood send her to trauma room 3. Then put her to work in the ER." With that Hunt was off and she heard him call out to a nurse "Page Shepherd! Damn it where is he? We need a neuro consult in here!" April went straight to work preparing the ER for the next trauma.

Later that night the residents were sitting around a table in the lounge discussing everything they knew about the case thus far. Arizona had a minor concussion and was admitted so she could be monitored throughout the night. Addison Montgomery had flown in from LA on a private jet as soon as she got the call from Alex. She examined Callie and the baby and figured she needed emergency surgery if the baby were to have a chance at survival. Derek did a neuro workup and declared she needed surgery as soon as she was strong enough, but if he didn't operate soon Callie could go into brain death. He and Addison fought, as was typical of them, about the best course of action. The decision was made when Mark was finally informed and he demanded they save the baby's life knowing it's what Callie would have wanted.

Addison took her into surgery and did all she could and made sure the baby was stable inside of Callie before stating that she was not strong enough yet to undergo any more intensive operations. She was now lying in a hospital bed in the ICU in a medically induced coma. Mark and Arizona were told they had to make a decision about Callie's brain surgery within the next 24 hours. The problem now was if they said no to surgery because she wasn't strong enough she would die but the baby had a shot at life with a C-section, and if they said yes to the surgery the chances of both Callie and the baby surviving were only 30%. To Mark the answer was simple. Do whatever they could to save both lives. Arizona was torn. Did she sacrifice her wife's life for the best chance of her baby living or did she risk both lives with the surgery? It was truly an impossible decision for her especially in her injured state.

As time went by with nothing agreed on by Arizona and Mark Hunt added in another twist. He told them that if no decision was made by the time the surgery needed to be performed, they would use Mark's decision and take her into surgery. Typically this would never be an option, but Hunt decided that extraordinary measures needed to be taken in this particular case.

"I can't even imagine being in that position, needing to make such a potentially life-altering decision." April said as they all started in with their opinions on the case.

"I know exactly which option I would choose if it were up to me." Jackson said matter-of-factly.

"And what option would that be?" April asked suddenly curious. Without even realizing it his answer would give April major insight to his character.

"I'm with Mark on this one. Whatever you can do to save the most amount of lives." Jackson answered.

"Even though the chances of survival are slim to none for both lives?" April shot back.

"So, I guess we now know the option you would pick." Alex chimed in.

"As a woman," She gave both men in the room a good long look. "I have to think about what it would be like to carry and grow a baby just to lose it when there was a perfectly good shot at survival passed up."

"So you don't think Mark is considering his own child's life because he's what? Not a woman?" Jackson sat up straighter in his seat as he made his point.

April laughed incredulously. "You really believe I think that little of Mark? Of course I'm not saying he doesn't care about his baby. I just think.." she paused thinking of her next words carefully so as not to start an unnecessary dispute. She sighed and continued "I'm not saying anything against Mark's character. I just know this must be really difficult for Arizona. She had to witness the accident first hand, suffer a concussion, and now is being forced to make a decision that involves the life of her wife and child. She's been by Callie's side every day throughout the pregnancy. She made the decision to stay with Callie and help raise the baby as her own. She's had to deal with every craving and hormone imbalance her wife experience all the while still going through her own, because she is also a normal woman that has monthly mood swings. That's the only point I was trying to make about her being a woman." April explained in a much softer tone than she had started with.

Jackson nodded understanding that they both got close to pushing each other too far. A silence settled in the room for a minute until Alex began to speak.

"Moving on from the major problem of the day, but I feel bad for Meredith right now. I mean believe me I know her predicament isn't nearly as bad and I don't want to sound like a complete heartless ass but she must be feeling some type of way with Addison here. She and Derek just started fertility treatments to get pregnant and the ex-wife shows up. The stress of it all, the accident and Addison's surprise appearance, can't be good for her chances of getting pregnant right now." Alex said at the risk of getting ripped apart by his friends.

"You're right." Jackson said. "You are an ass."

"I guess I deserved that." Alex rolled his eyes and settled back in his seat.

"No, you're not. I mean you are most of the time, but not about this." Lexie finally spoke up for the first time since they entered the room. "Today has been crazy and stressful for everyone. You are allowed to be concerned for more than just the person of the hour. And you're right; none of this could be great for Meredith right now. She's already under enough stress as it is; now Addison shows up and argues over order of operations with her husband." Lexie seemed to be really thankful for the change of subject and her and Alex continued to go on about Meredith and Derek until Hunt entered the room.

They all turned their attention to him and listened as he explained what was happening. "Back to work. We need all hands for this surgery. Kepner, you'll be assisting me, Karev, Montgomery and Jackson, Mark requested you as the lead Plastics man in this operation." Hunt told them.

"Wait, they're doing the surgery?" Lexie questioned and stood up from her spot on the floor.

"Yes, Callie is being prepped right now." Hunt started walking back out the door.

"I thought you said all hands. What's my job, Chief?" Lexie asked.

Hunt turned back to her and answered, "You need to be with Mark right now. He wants to be in the gallery and I don't think that's best, but if he does sit up there he's going to need a support for sure." Lexie nodded in understanding and watched as the four of them filed out of the room and off to a surgery that could very easily be killing two of the most important lives in this hospital.

A/N: Hope you liked it! What do you think the surgery outcome will be? Review and let me know what you think is going to happen in the next chapter!