At the hospital Derek was being moved on a gurney the doctor was speaking rapidly.
"We have a caucasian male about 17 years old involved in a car crash. He has massive injuries to his head and abdomen." They pushed Derek into a room where his bed was located just several feet from Casey. Derek's eyes were barely open. He could see the doctors pumping her chest. Just then her head turned to him and she looked him in the eyes. Derek suddenly became wide awake and began trying to sit up but he could barely move due to all of his pain.
The doctors tried to calm him down as he shouted.
"Casey!" Derek called out as they gave him a shot of what he could only assume was morphine. "I love you!" He saw Casey's mouth open.
"Der-" she said as blooded spattered from her mouth as he saw her flatline.
"Casey! Casey!" He called softer and softer until he passed out from the drugs he was given.
The doctors performed surgery for hours before a doctor finally emerged from the OR to speak with the Venturi/MacDonald family. The family stood as the doctor came closer and closer.
"I'm very sorry." The family broke down into tears and they said assorted things.
"No!" "Why?" "It's not fair!" "Take it back!" That's all the doctor heard.
"I'm very sorry." The doctor spoke softly. "Casey was lucky to of made as long as she did..." The doctor paused for a moment. "Derek. He didn't stand a chance. His brain was hemorraging..." He stopped once again trying to break the news to the greiving family. "We did everything we could." The doctor walked away to let the family mourn their loss.
The entire family was hugging and crying. Sam walked in just in time to see the display. He knew as soon as he saw them what had happened. Sam fell to the ground in tears as people passed him only assuming what he could have lost... Not knowing it was everything.