Chapter 11 - Dear readers, thank you for reading and reviewing the story. We are sorry for this late update, but we had two very busy weeks. We worked hard on this new chapter, and we really hope you all we'll like it. We took in great considerations all your precious advices.
The chapter starts right where we closed the previous one and Derek is really concerned for what happened to Addison.
Read, enjoy and review!
"The woman in the black car, where is she?" Derek asked frantically to the rescuer as he surveyed the scene.
"Sir, there were at least three black cars that were involved. We can't monitor everything that's happening all at once."
Derek ran over to the black crashed Audi to view the full extent of the damage. As he came closer to to the vehicle his greatest fears started to surface as he saw the front of the car completely crushed. The sides were grazed and indented from the heavy impact of the other vehicles and glass covered the ground beneath him. Derek looked over at the rescue personnel once again and began to raise his voice.
"Pregnant woman almost to term, her name is Addison Montgomery, where is she? Is she alive?"
"Sir, we have a lot of work to do here, a couple of injured people have already been taken to Seattle Presbyterian you might want to try them first before you jump to any conclusions."
Another paramedic overheard the argument and approached the two men.
"Dave we're going to need your over near the SUV with the jaws." The paramedic said as he signaled for the man to go. "Sir, I saw a pregnant woman over there in that overturned bus," he said as he pointed in her direction. "I don't know about her condition but I have to go now."
"Addison, Addison? Oh my god, are you ok?" He said as he climbed over the broken chairs that were between him and his ex wife. "What are you doing in here? Have they checked on you and the baby?"
"Derek, calm down, I'm fine. I need you to help me transfer her onto a gurney and take her to an ambulance. Her pulse is weak and she's not going to last for much longer if we leave her here."
"What do you mean you're trying to help Addison?!. You're a victim here, you're pregnant, you need to seek urgent medical attention now!" he exclaimed as he tried to reason with her. "Let me triage you and check on you."
"Derek, I'm perfectly fine, now are you going to help me move this girl because if you aren't then you better go any get me someone who can!"
"I… I.. saw your car, it's completely destroyed Addie."
"I know, Jake's going to kill me when he finds out but it all happened in the blink of an eye. I saw the first two cars get rear ended, luckily I stopped mine in time and I came out, I was calling 911 when another car at high speed arrived and badly hit my car and then another one came and before I knew it there was a massive pileup."
"Addison, you're bleeding." Derek said as he notices the large gash on her forehead and cuts on her arms. "You need to be fixed up."
"Derek, it doesn't hurt… they are just minor excoriations due to the debris, I can wait but I need your help to move this girl."
Derek knew how stubborn Addison was going to be and proceeded to help her move the girl. He gently lifted her up and onto the gurney as Addison monitored her vitals and tied a toniquet around her leg. The two of them moved as fast as they could and were able to get the girl out in no time.
"Derek you go and take her to the ambulance and I'll finish grabbing these things." Addison said as she packed up the medical bag.
"Addison, I'm not leaving without you." Derek said as he looked down at her.
"Derek, now is not the time and I swear to god if you don't get her to an ambulance I will personally find you and kick your ass!"
The comment made Derek chuckle a little at how Addison was able to maintain a sense of humor given the circumstances. He pushed the girl out and into the ambulance. The man beside him signaled for the ambulance to head off and gave the go ahead to the rest of the crew. As Derek turned around he heard a large bang and noticed that Addison was not behind him.
He immediately knew that something was wrong and ran over once again to the bus.
"Sir, that rig is unstable, it hasn't been cleared you're going to have to stay out," the fireman said as he warned Derek.
"My wife's in there!" he yelled as he pushed through and jumped inside. "Addison? Addison!"
There was no reply as his voice echoed around the bus. He pushed through the wreckage as he made his way towards the back. The bang had caused the chairs to fall and strike Addison as she was getting out. Derek sifted through the junk until he saw a flash of red hair.
"Addison," he yelled as he pulled the chair off of her. "Addison can you hear me?"
"D..D..Derek you're here." She said scared.
"I'm here Addie, I'm here! I'm gonna get you out of here?"
"Derek, I can't move my left leg and it hurts so much"
"Is it broken?"
"It's trapped under one of these seats, and I can't move it " but as she tried to move her left leg she felt something lacerated her skin,"Aaaaaahhh" she yelled for the pain.
"Honey, what's wrong?"
She tried to touch her injured leg with her left hand, she panicked, without seeing what she was touching she felt a metallic bar, her hand was covered by blood, "Oh my god Derek, I have a metallic bar jabbed in my thigh, I'm bleeding and it hurts so much Derek" and cried "Please get me out of here, get me out of here"
"Ok, Addie, calm down, is the leg that is bleeding?"
"Yeah" she replied in pain
"Ok, I'm going to call help to take you out of this damn bus!" he said as he tried to process the situation.
"Damn!" she lashed out before he left, "I think my waters just broke!"
"Gosh, Addie, are you sure?"
"Of course I'm sure!... This is a nightmare"
"Addison, I'm going to get help ok, do you think you can hold on a little more?"
Addison nodded at Derek's request and watched him leave the bus.
Derek ran as fast as he could towards the firefighter and tried to grab his attention.
"I need a gurney right away! I've got an injured pregnant woman who's in labor."
"Sir, you're going to have to wait at least another 40 minutes, I just sent the last ambulance off and they've been backed up all night."
"Maybe, you don't understand, she's injured, trapped in a bus and in labor, I need a squad now to get her out of there!" he said raising his voice against the poor firefighter.
"Sir, everybody here needs help, we are doing everything we can to help these people, I'll send you the first squad available"
Without even waiting for the firefighter's response Derek ran back to Addison.
"You're back" Addison said with a fragile voice and teary eyes.
"Yeah, babe, I'm here…"
"But you're alone"
"Addie the ambulance won't be here for maybe another hour do you think you can hold on… How do you feel?"
"I'm scared, Derek"
"You will be fine, Addie" he said as he stroked her hair.
"It was all my fault…"
"Honey, you were just trying to help these people"
"All I ever wanted was to be a mother" she sighed.
"You will be an amazing mother, Addison"
"I've made so many mistakes, Derek…"
"Don't be so hard on yourself, Addie…"
"No, Derek, you don't understand what I'm trying to say to you."
"You're just scared Addison…"
"Derek… Can I ask you a question?"
"Of course, honey"
"Do you love your children?"
He really didn't expect this kind of question "Of course I love my children, they are like fresh air and this baby will be an incredible joy for you and Jake too as soon as you will hold him in your arms… I really hope our children will be friends when they get older. What are you going to name the baby?" he said trying to distracting her from the pain.
She started to cry out in pain as a contraction hit her body "Chris… Christopher William… Montgomery… Reilly" and without holding the tears from her eyes she asked again "…Did you… Did you… ever think about having a family with me, Derek? I mean a real family, not just you and me"
He didn't answer soon, then, he replied, "It doesn't matter anymore, Addison…"
FLASHBACK
Addison and Derek were in their car on their way to the hospital, "I don't understand why are you so against it?"
"Addison, do you really want to talk about this again? Because we already talked about this yesterday night and the night before!" he told her as he raised his voice.
"I just don't understand why all you say about this is a NO! You should at least explain to me why you're so against it?"
"Addison we are not ill or dying, we don't need it!"
"You're denying problem at hand here Derek!"
"I'm not denying anything Addison… I just think we are not one of those couples"
"You can't even name it!"
"Wha…?"
"Yeah Derek, for you we are not one of those couple who need ASSISTED REPRODUCTIVE TECHNIQUES!...but, maybe, since you've more experience than me in this field, you should at least explain to me why after more than a year we're trying that we still aren't having a baby?" she replied in a critical tone.
"We are stressed people Addison, maybe we just need to try a little harder!"
"…And maybe, in this great reasoning, you are forgetting you had a varicocelectomy when you were 17 year old"
"Are you saying the problem is me now?"
"No, the problem is US… We did our check ups and we know that our fertility potential is not as good as we thought… to not talk about the 25% of risk to conceive a baby affected by cystic fibrosis."
"Stop playing doctor with me, Addison, I don't need your punditry!"
"Oh my punditry, Derek… To be clear I'm just trying to face the problem and to find a solution. Unfortunately, you don't seem so interested!"
"For you the only solution seems to be a baby in a tube, Addie!"
"What's wrong with it? Millions of babies every year come in to the world this way! Why can't we have a baby in a tube? No, the question at hand isn't about me being ready it's about you…Derek, do you really want a baby?"
"Maybe if you weren't so focused on your career, we wouldn't have this problem!"
"Oh, sorry Derek, I'm an horrible person who forgot to have a baby in her 20s to focus on her job, because its ok only if it's the man the one that's too focused on his career!"
Derek stopped the car in the parking garage of the hospital "Addison, I didn't want to say this, sorry it was rude, and to answer you, I do want a baby, but not like this, not because we have to… If we wait children will arrive!"
She got out of the car, and before closing the car door she told his husband "I've waited enough Derek… And sometimes mother nature needs help!"
And suddenly, everything was clear in Derek's mind "Oh my god, when you said about how I wasn't at the appointment and how I wasn't into the FIVET did you mean that…and the name… Oh my… Addison, how could you do it without even asking me… This is just…"
"Please, Derek" she said crying as another painful contraction hit her body.
"I thought you had became a better person, Addison… What the hell were you thinking? And Jake who seemed always so earnest how could he have agreed with this?…"
"Derek, I… I…"
"I can't stay here… I just can't… I look at you… and… I can't even look at you right now" and as always he walked away, leaving Addison crying and sobbing.
"Please, Derek, don't leave me here… Don't leave me here alone, please, Derek!" Addison cried and sobbed, she begged him to stay with her, trying to grab with her hand his arm, "Please, stay at least for the baby…", but nothing could change Derek's mind, he felt angry and betrayed and the only thing he wanted to do in that moment was walking away from her.
He wandered through the scene of the accident looking for someone to help, but indeed, all he wanted was left that place as soon as possible.
Addison closed her eyes as the tears streamed down them, her whole body was in a world of pain as every movement she made caused her to cringe in pain. When she opened her eyes she stared blankly at the empty bus and tried to take in what had just exactly happened.
Derek roamed absently from a car crashed to another, ignoring the victims and his role of aid keeper. Its own mind was too busy trying to process the shocking news he just received. He met again the firefighter who less than an hour ago he asked help to rescue Addison.
"Sir, as soon as we finish getting out the people in this SUV we will send our men ad tools to help the woman in the bus!", Derek nodded absently not really taking care of the firefighter's words.
He was leaving the scene of the disaster when Owen stopped him "Derek, where are you going?", Derek ignored him, "Hey, I'm talking with you! Where are you going? There are at least a dozen of people here who need help, I heard in the grey SUV there's a little girl who needs to be check…"
"I'm sorry Owen…I…I can't stay here, I need to go at home…"
"Man, what's wrong with you? This people need help, you can't leave! I need you to check on that girl, she hit her head pretty bad and…" Owen tried to explain, but before he could finish Derek stopped him "I can't check on her, I need to go home… Sorry Owen, I'm not feeling good!"
Callie assisted at the scene, she was very confused by that strange behavior, Derek was always impeccable in his job and ready to face all kind of emergencies.
"What's wrong with Shepherd? He looks strange…" the orthopedic surgeon asked as Owen joined her.
"I have no idea, he just told me he was not feeling well and then left" Owen commented still shocked.
Another hour passed and Addison was still abandoned in the bus. Her body cringed in pain, she didn't know anymore if the pain in her heart from Derek leaving her or the searing pain in her leg with the more frequent contractions was more painful. She knew that she had be strong for her unborn child, she knew that she just had to hold on a wait for someone to find her, but being alone in an unstable rig was not helping at all. As Addison felt another contraction hit, she tried to move her body in the attempts of relieving some of the pain, but even the slightest of movements caused an even greater surge of pain that consumed her whole body. She closed her eyes and took a deep breath as she let the darkness consume her.
"I've always wanted to be a mother, I've always wanted to have a child, I've always wanted to have a family. I know that I wasn't ready before, that I put things off for too long but deep down I always knew that someday I was going to hold a little baby in my arms. Derek is a good man, a kind man and one that will love you unconditionally no matter what and Jake he'll protect you from anything and everything that the world throws at you and will always be on your side. I know that you probably don't understand what I'm saying to you right now, but I want you to know that you are loved. There are so many people in your life that will be here for you and will take care of you. From the moment that I found out that I was pregnant, my whole word changed for the better and everyday you make me want to be a better person. I've waited my whole life to meet you and soon I will and when I do I'll never leave you, I'll never abandon you and I'll never hurt you like I've been hurt before. I'm so sorry that I did this to you and I hope that you can please just be ok, that you can stay safe for Mommy because we're going to get out of this, we're going to go home and we're going to be a family, just you me and your dad Jake."
Owen walked over to the head Chief Fire marshall and discussed what was going to happen. After a few moments and a lot of serious discussions, Owen returned over to Callie and informed her of the situation.
"Torres, I've just spoken to the Chief Fire Marshall and he says that it's pretty much cleared with the injuries so we should probably head back to the hospital. The trauma's probably backing up the E.R. resources and I don't know if Kepner can handle it all."
"Yeah, from what I've seen there are at least 7 ortho surgeries lined up for me when I get back. This is going to be a long night," Callie said as she began to pack up her kit. "Have the other doctors gone back yet?"
"From what I can tell, everyone left about half an hour ago with separate trauma's the only exception is Shepherd leaving almost 3 hours ago but no one knows where he went."
"Maybe it was all just a little too overwhelming and he went home?" Callie said as she tried to rationalize the surgeon's actions.
"Shepherd's seen worse than this, I doubt that he would just up and leave like that. It was highly unprofessional and very out of character for him." Owen said in a concerned manner.
"Shepherd hasn't been the same lately Owen. He has a lot on his mind with Meredith and the baby being sick and maybe it was just a little too early for him to come back and see all of this. Just give him space Owen."
The two of them continued to pack away their things when a young fire fighter ran up to them.
"Doctor's we have another victim, a pregnant woman looks about late 30s early 40s with a leg injury and she seems to be in labor. We're not going to be able to move her for some time." Dave said as he pointed in Addison's direction.
"Torres go and triage the woman, if she's in labor and you can't get her out I'm going to have to bring an OB here to monitor her and the contractions." Owen said as he grabbed his cell phone and called Grey-Sloan Memorial.
Meanwhile at the Grey-Sloan Memorial Hospital
Nancy Shepherd walked through the hallways of Grey-Sloan Memorial taking in the familiarity of the setting as she made her way to her office. This place was going to be her home now and the thought of leaving New York and everything in it behind saddened Nancy but the prospect of starting fresh and escaping the past excited Nancy and for that she was grateful to be in Seattle. As she was crossing the nurses' station she noticed Jake finishing up a chart.
"Hey there stranger!" Nancy said as she surprised the surgeon.
"Hey there yourself!" Jake said as he embraced the brown haired woman. "I thought you were going to be in New York for another week?"
"Yeah well things moved along quicker than we both expected and now I'm here again." Nancy replied as the two of them walked towards her office.
"Well it's good to have you back, I know that Addison's missed her best friend greatly over the past week."
"Aww, how is my Addie? Not working too hard I hope." Nancy said they continued down the corridor.
"She's Addison so of course she's working too hard. I keep telling her to slow down for the baby but she's always in an O.R. or doing rounds. I'm so glad that she's going on maternity leave next week otherwise I don't know that I'd do."
"That's my Addie!" Nancy remarked at Jake's comment. "What time do you finish tonight? I want to see Addie because I've missed her so much."
"I finish in an hour, but I'm pretty much done now." Jake added. "Addison went home a few hours ago because she knew that I had to stay back, so I told her to take the car."
"I can give you a lift home if you'd like, I have a present for the baby." Nancy said as she pulled out a power blue onesie for the baby. "I saw it in New York and couldn't help myself."
"Thank you Nancy it's adorable."
Just as the two surgeons were about to depart ways Jo Wilson bumped into them startling Nancy and annoying Jake.
"Dr. Wilson please be mindful of where you're going."
"Sorry Dr. Reilly, Dr. Shepherd, I was in a hurry because I have to run these blood packs down to the E.R. it's a complete mess down there after the accident."
"What accident Dr. Wilson?" Nancy said as she looked at the intern curiously.
"There was a massive pile up on the highway with mass casualties and the majority of the trauma's got transferred here because of Seattle Presb. is having E.R. construction work done. I'm sure Dr. Kepner could really use both of you down there."
The two doctors looked at each other and tried to process what the young intern had said to them, they both obliged and followed her down to the E.R.
When they got there, Nancy and Jake gasped in shock when they observed the state of the E.R. everywhere they looked there was people in pain. From superficial lacerations to amputations it was all there for everyone to see. Doctors were running from patient to patient trying to work through the crowd but despite their best attempts the workload seemed endless. They were about to jump in and help treat patients when a soft high pitched voice summoned them to the administration desk.
"Dr. Reilly, Dr. Shepherd!" The voice said from behind the desk. "Doctors could you please come here!"
"What seems to be the problem April?" Jake said as he looked at her in a concerned manner. "You seem to have your hands full, where can we help?"
"I need one of you to go out into the field. I've just received a call from dispatch saying that there is a pregnant woman in labor out there who can't be transferred because she's too unstable. We're going to send through a neonatal kit because the baby is a premie." April said as she hung up the phone and addressed the doctors.
"I'll go!" Jake said as he grabbed the transcript.
"No, we'll both go!" Nancy said snatching the chart from Jake. "She's in a critical condition but also in premature labor you're going to need one person monitoring her and another on the baby. Don't fight it Jake I'm going."
"But they need at least one of us here Nancy." Jake said trying to reason with the woman.
"Dr. Reilly we didn't expect Dr. Shepherd to be back so we have Dr. Atcherson in from Johns-Hopkins covering the neonatal triage which was actually quite minimal in proportion to the other traumas admitted." April remarked. "Dr. Shepherd does make a valid point."
Nancy and Jake both grabbed their jumpers and kits whilst running into the ambulance bay. They packed the two ambulances with supplies and entered separate ones as they prepared themselves for what was going to come.
Callie and Owen both ran towards the crashed bus with their kits in their hands. The two of them stared at the wreckage in front of them and walked over to the firefighter in charge. The sounds of saws and screams filled the air as rescue teams rushed in and out of the rig.
"Oh my god and there's a pregnant woman trapped in there?" Callie said as she gasped at the scene.
"Sir, Ma'am, pay attention. Now the bus is highly unstable and could go at any minute." The man alerted.
"Where's the woman?" Owen asked as his eyes were glued to the bus.
"She's very close to the chairs at the back of the bus, she has a leg injury and is trapped under one of the seat, oh and she's in labor!"
"This just keeps getting better and better." Callie remarked in a sarcastic tone.
"My men are trying to remove the seat so that we can carry her out… apparently there's a metal bar from the seat that's stuck in her left leg."
"I need to get in there to check on her and the leg." Callie told the firefighter and Owen.
"Not now, my men are almost done getting her out, once she's out you can go and treat her."
10 minutes passed as Owen and Callie patiently waited outside the crashed vehicle for the emergency personnel to remove the injured woman. They were prepping their triage area under one of the tents when a flash of red hair caught Callie's eye. She gasped in horror when she realized who was trapped in the bus.
"Addison! Addison!" Callie screamed as she ran over to her friend. She stared at the woman in front of her and her heart stopped for a minute. The woman was Addison Montgomery a fearless surgeon that stuck fear into her enemy's eyes and one of the closest friends that Callie had, now lying on a gurney so weak and so pale with blood staining her skin and tearing up in pain. "Addison honey, I'm going to check on you now ok? You're going to be ok. Owen I need the Sonicaid to hear the fetal heart beat and something to do an hemostasis on her leg!"
"T…t..the baby first Callie," Addison said in a feeble voice. "...Callie, I'm in labor and my contractions are 2 minutes apart." Addison then closed her eyes and supressed a scream as another contraction violently hit her body.
"Addison, I'm going to do everything I can to help you and the baby, but I need you to just wait for a minute so that I can see your leg."
"Do you have any guesses about the depth of the laceration?" Owen asked as he cleaned the leg area.
"It's an impalement, Owen, I can't exclude a laceration of the nerves and vessels right now."
"Do you think that there's a possible femur fracture? He responded.
"No, I don't but I would need an X-ray to be sure. What's the ETA on the ambulance?" Callie asked as she feared for Addison's condition.
"She's not going to make it to the hospital with her contractions this close together. I've already put the call into Grey-Sloan Memorial to page any OB on call and have them ride out here with a neonatal kit."
"Callie we can't remove the bar here, it's too risky and we don't know the extent of the damage." Owen said as he tried to dress around the wound. "How's her BP and FHR?"
"Her vitals are stable for now but she really needs to get to that hospital right away. The longer we leave her here the more that she begins to deteriorate."
"The baby, tell me that he's fine. I'm not going anywhere until you tell me that the baby is fine." Addison pleaded crying in pain as she feared for the life of her unborn child.
Owen put the probe of the transducer against her abdomen and the three of them listened carefully as the sound of her child's heartbeat quietly filled the air. "He's fine Addison, the heart beat is strong. Will you let us tend to your leg now?"
Addison sighed in relief and willingly obliged at Owen's request as her heart rate slowed and her fear subsided.
The two ambulances roared through the streets of Seattle with their sirens blarring and lights flashing. Jake and Nancy although they weren't together both sat in their separate ambulances anxiously waiting to arrive at the scene. It had been years since either one of them had gone out into the field but both knew from past experience that whatever was out there wasn't going to be pretty and that they should always brace themselves for the worst. The ambulances screeched to a stop as they arrived at the scene, Nancy was the first out carrying her kit whilst Jake quickly followed behind after setting up the incubator ready for transport. As the doors burst open from the ambulance paramedics eagerly rushed to the new doctors.
"41 year old, pregnant woman nullipara at 36 weeks and 2 days, premature rupture of the membranes from a couple of hours, FHB present and regular, she's in active labor and she has an extent laceration caused from a metal bar penetrating her thigh. She had been in that rig over there for over 4 hours before anyone found her and she's already lost a lot of blood." The paramedic informed Nancy and Jake as they pushed the gurney along the ground.
"Ok, do you know if she's stable or if she's allergic to any drugs?" Jake asked before he approached the scene.
"No, we have nothing on her. Sir she's not in good shape, any longer and she may not pull through." The paramedic said somberly.
Jake and Nancy gasped at the scene before them and carnage that surrounded it. Being here and witnessing all of this brought back memories but also terrified the two of them as to what horror was lurking around the corner. They followed the paramedic and soon spotted Owen and a tearful Callie tending to the patient. The two obstetricians joined their fellow doctors, but before they could even ask about what happened the color drained from both of their faces as they recognized the familiar face in front of them. Nancy was the first to break the silence when she instantly went into a state of panic.
"Oh my god!" was all that Nancy could say to the doctors. "Wha…What happened?"
Jake stood there with a terrified expression as he gazed at his wife in such a fragile position. He had never seen Addison so weak and so petrified in her life. Everything was moving too fast and Jake couldn't stand seeing her in so much pain,
"We don't know what happened," Owen answered. "They were about to leave the scene when they did a final check and found her screaming trapped in the bus."
"I have to examine her." Nancy said as she tried to rationalize the situation.
"Nancy, you can't do that. Her leg injury is too severe." Callie replied. "Any unnecessary sudden movements can cause even more trauma to the area and I don't know how much more she can take."
Jake moved closer to his wife not breaking eye contact with her as if maybe it would help relieve some of her pain. He just wanted to take her away from all of this and keep her safe. She was meant to be going home and they were going to read to the baby. How could something like this happen? Jake thought that they had moved away from all of the drama, this was meant to be their fresh start. So why was it that his perfect little family was falling apart right in front of him? He stood right in front of her and gently ran his hand through her hair and held her hand as he kissed her forehead.
"T..th..the….the baby, Jake," Addison said though sobs and gasps of pain. All Addison wanted to do was hold Jake and pretend that none of this was happening but the harsh reality of the situation surged through her body as each contraction hit.
"Shhhh," Jake whispered as he tried to comfort his distressed wife. "It's going to be ok sweetheart just try and take deep breaths and breathe through the pain, you and Chicco are going to be fine I promise."
Owen noticed a small pool of blood forming on the blanket covering the gurney. "Where is all of this blood coming from? Is it the leg? Callie, is it the leg?"
"I need to see her now! I have to check the level of the head in the birth canal at least!" Nancy yelled as she tried to burst through Callie and Owen. "That baby is coming very soon and if you don't let me through you're going to have more than a leg injury on your hands."
"It's from the compressed medication, it's full of blood!" Callie said noticing the bandages that were newly soaked by the blood. She opened another first aid kit and enveloped her leg again with the bandages. When the new bandages were applied Callie then gave Nancy the nod to proceed with her examination.
"Nancy? Nancy?" Jake said as he panicked when he noticed Nancy being awfully quiet.
"The head's already at the perineum." Nancy thought aloud. She hadn't expected that Addison's labor would have progressed so rapidly in such a short period of time.
"What?" Jake exclaimed.
"I….I…I don't want to have my baby here." Addison added in between two contractions.
"Honey, you will be fine…" Jake said as he desperately tried to reassure Addison. "It's ok, everything is going to be ok."
"No.. Jake it's too soon." Addison sobbed as she squeezed his hands tighter.
"How's the leg? Is she losing too much blood?" Nancy asked Callie.
"Not at the moment, but like I said she's not going to be able to take much more of this." Callie retorted.
"Ok Addie, you need to listen to me. The baby is coming right now and I'm going to need for you to push ok?"
Jake saw how terrified his wife was and climbed in behind her on the gurney hugging his wife and letting her know that he was there for her. Addison appreciated the gesture and nodded at Nancy's request as she tried to conceal the pain but tears were streaming down her face as her body was turning on her.
"Ok I'm going to count to three and you're going to push alright?" Nancy said as she prepared Addison. "Dr. Hunt can you please get the incubator and neonatal kit from the ambulance?"
Dr. Hunt willingly obliged and fetched the neonatal equipment as he and Callie set it up.
A series to screams and cries filled the air as Addison pushed vigorously through the pain and contractions. Jake despite his fears and anxiety, remained calm and whispered sweet nothings and positive reinforcement into Addison's ears. Everything was moving so fast and with each push Addison became more and more exhausted as the strain of the labor was taking its toll on Addison's already weak frame.
"OK Addie can you give me another push?" Nancy instructed as she spotted the head.
Addison used every last trace of stamina in her body to get through these final pushes. Each round caused her to become more breathless and Jake did the best that he could to comfort her but nothing was helping the pain that she was experiencing.
"Alright Addie. I know you're tired and in a lot of pain but I just need one final push and then you'll have a beautiful baby boy." Nancy said as she tried to convince Addison to try again.
One final scream and cry of pain was all it took before Christopher William Montgomery Reilly came into the world. Nancy delivered the baby and grabbed the skinny new born covered in vernix caseosa and rubbed his back. She waited a few seconds until the baby finally cried for the first time in his life. She clamped the umbilical chord and cut it.
Addison collapsed against Jake in a sigh of relief as she heard her son cry for the first time. In that exact moment just listening to that sound made all of her pain vanish as she fell into a state of euphoria as her dream to become a mother had now become a reality.
"Is he ok?" All of the doctors question Nancy.
"Yes, he's little, but a beautiful healthy and strong baby boy... We need to take him to the hospital to be checked." Nancy replied. "Is the ambulance ready?"
Owen nodded at the doctor and grabbed the kits.
"Ok, Jake, Owen you go with the baby in ambulance 2, Callie and I will go in ambulance 1 with Addison as soon as we deliver the placenta."
"No, I'm not leaving her. I want to stay with her. I'm not going anywhere without Addison!" Jake said as he climbed out from behind Addison and stroked her hair.
"Jake the ambulance is ready!" Owen yelled from behind. "Come on, man! We need to carry the baby back to the hospital." But Jake was reluctant to leave Addison again.
"Jake hold the baby whilst I deliver the placenta then." Nancy instructed to the stubborn man and Jake grabbed the wrapped baby. She successfully delivered it and then took the child out of his arms.
"Hold up Owen, I'll go with you!" Nancy said as she wrapped the newborn in another blanket to keep him warm.
Addison reached out for Nancy before she left and whispered into her ear just so that Jake couldn't listen.
"I..I told him and he left me." was all that Addison could say before the paramedic interrupted them.
"We're ready to go!" Callie called from the other ambulance. "Jake strap her in and let's get her to the hospital".
The two ambulanced departed moments after one another, the first with Nancy, Owen and the baby and the second with Addison, Jake and Callie.
Jake smiled at his wife as she lay on the gurney still wincing in pain. He was curious about what Addison had said to Nancy.
"Addie, what did you say to Nancy?" Jake questioned his weak wife.
"I'd just want to hold him in my arms, I barely saw him… Is he fine, Jake? Is my baby fine?" She said with teary eyes, afraid to not see anymore her child.
"It's a beautiful little baby boy, Addison"
"We're a family now" she said as she closed her eyes.
Jake noticed his wife's hand let go of his and her vitals drop.
"Code Blue!" Callie screamed.
...We promise more is coming!
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