I applaud your bravery, you've made it this far on my sick twisted journey. It only gets worse from here but I'm more than positive that there is no going back now. We've reached the final lap. Buckle up, i like to go fast.

I promised you a horror story. Sure, a twisted resident who likes to harvest organs is pretty scary but it isn't the scariest thing in this story. We all know what happens when someone plays God. That is where the true horror beneath this story lies. The arrogance of man becomes his destruction.

Why was O'mally so strong in the spirit world? Why is it that he has managed to stick around so long when his connection to Callie is so... fine lined? Well the answer resides in his own feeding. The devouring of souls isn't enough for him. He must completely destroy them, and have them die without so much as touching them.

How many souls had he collected? Well eternity holds many secrets and I can't share all of them with you.

Dr. Shepherd's OR was his favorite place to be. The patients undergo long hours of surgery under heavy anastesia and most are put to sleep. George O'mally haunts dreams.

"Meredith tell me what has you distracted?" Derek said as he cautiously cut into the tissue prepping to remove a tumor.

"You're not the least bit concerned about all the changes?"

"Not at all. Callie's done a lot in so little time, and donating her own inheritance is extremely honorable. Dr. Hunt committed treason." He shot his eyes over at her in a glare of disappointment.

"You really believe that?" Meredith was about to drill into him like he was the skull on the table but the heart rate monitor began beeping off the charts.

"What's happening?"

George stood in the back of the room feeling the energy of the dying patient flow into him as he continued to manifest a deep agonizing sensation into the room.

Derek froze, he felt the dread evading the pores of his dying client. Though he had the capability to fix what was happening he lost all desire to.

"Derek! Derek!" Meredith shouted but the Doctor wasn't there. His mind was so far away that he didn't even notice when his wife took the reigns and saved the man on the table. "Close him up." She spat as his eyes slowly found their way into hers and the calm finally returned to him.

"You didn't answer my question." He whispered. "What's happening?"

For a split second... Meredith stared at George. In a complete sense of calm. With absolutely no emotion to her at all. She just stared at the ghost of her old friend

O'mally altogether vanished. The heart rate monitor flat-lined. "Time of death... 4:52 AM." Derek ripped off the mask and left his OR.

Meredith found herself in the locker room changing to go home. As she grabbed her bag she looked in the small mirror at the back of the room. She felt him watching her. She felt his eyes on her a certain plea. Like he was warning her.

Kevin struggled to his feet. He had only been in therapy once since his surgery. It would be forever before he could walk again but something in him felt the urge to try. If he could just get to his wheel chair, sneak past the nurses station, and find a way out of here. Everything in him told him to run. This place was lit up like city hall but it was being fueled with the same coals as the pits of Hell. This was no place for him...

He smiled as he sat down in the chair. A sense of pride manifesting in his soul.

"You wont get far without a heart." Dr. Karev laughed as he walked in the room.

It was everything in Kevin not to blush. The aura this man was giving off was so... magical. "Alex!" His pearly whites beamed.

"You miss me kid?" He licked his lips as he walked over slipping his hands beneath the teen celebrity gripping the kids body in ways that made him want to melt in the doctors arms.

Resting him down on the bed he placed a hand on the kids soft tan face. "You need to rest... if you're going to get a new heart tonight."

They locked eyes and even though Kevin was buried deep in a trance he knew there was a new evil in this man. The trapped sensation building in his veins he began to wonder how much he didn't know. "Will you be there?"

Alex sat down on the edge of the bed. "If you want I don't see why not."

"You saved my life Alex. I owe you the world." Something in the way this kid spoke just left a mark on who ever had the unfortunate fate of hearing it.

Alex looked down and felt himself being clouded with dirty thoughts, thoughts that he felt ashamed of. He wanted to touch Kevin. He wanted to hold Kevin. Protect Kevin. Kill the first person who tried to hurt Kevin.

"You're dead... I can feel it." The patient whispered. "Don't worry. I'll keep your secret."

"That's how you got out wasn't it?" Dr. Karev asked. "You escaped by playing your cards right?"

"I got out by abandoning who I was. That kid is still rotting beneath the ground..." He had this vibrating rage in him. "A version of me I can't go back for in this condition. If I am to save him..." He clenched his fist around the thick muscles beneath Alex's lab coat sleeve. His eyes swimming with desire and need. "I need to save myself."

"That starts with getting you a new heart." Alex smiled rising to his feet.

"Can you do something for me?" Kevin asked.

Alex popped his brow to ask what the favor was without his words.

"I want to watch you feed."

A weakness flooded the spirits essence and he felt himself quiver.

"I'm going to call the nurse, hopefully it'll be wanda because she's mean to me, and I'm going to watch you devour her." KEvin picked up the phone off the nightstand and hit the call button.

Within moments the woman walked into the room with a concerned look on her face walking right past Alex without seeing him. "What do you want now? I was on the phone make it quick."

"Oh it will be." He smiled.

Alex grabbed her by the shoulders slinging her against the wall. She cried out in agony but her lips couldn't make a sound. She looked upon the face of a monster that stood in the place of a resident she barely new. That resident was long gone and replaced with something vile and grotesque.

A flicker in the eyes of a victim who would come out as a king by the time the game was over as he watched death latch onto life like the plague. A disgusting virus radiating over her skin, ripping the very fabric of her universe apart. Dr. Alex Karev looked back at Kevin to see the boy smile and stare at her lifeless corpse. "Throw her out the window... I need to feel the air on my face." He pleaded.

Alex nodded grabbing her by her wrist and her ankles swinging her once, twice, then chucking her into the glass which shattered into billions of pieces. A rain of rainbow shards as Karev vanished and Kevin let out a convincing scream.

Several interns came racing down the hallway seeing the mess and looking to the kid on the bed. "She just... jumped..." He whined. "What did I do?" Arizona stepping in behind them to cross the room and check on him as her patient. "What did I do?" He looked into her eyes with true deep down sorrow.

"Nothing sweetie, this could never be your fault." She insisted as she unhooked his chords and pulled him into the wheel chair which still sat out from his attempted escape not too long ago. "Lets get you out of here." She pushed him out into the hallway as the other's scrambled to get help and assess the situation.

She pulled him backwards into an unoccupied room and stepped on his breaks for him. "I'll be right back. I need to get your L-Vad." She told him as she slipped out of the room leaving him in silence.

"You have power kid." O'mally spoke directly too him from the shadows of the room.

"You're back." Kevin looked over at the creature he still wasn't sure was a ghost or his subconscious.

"I never left."

Downstairs in the parking lot Miranda Bailey sat in the driver's seat of her car staring outside at the body of the nurse who had just flung herself down about ten stories. Her heart was racing as she looked into the still open eyes of the woman surrounded in her own blood. With quick movements she started the ignition and began backing up screaming as she stomped the breaks seeing none other than Meredith gray standing in the way.

Meredith walked over popping open the passenger door and sliding herself in to take a seat beside Miranda.

"Girl I could have killed you."

"Better you than this place." Meredith pulled the seatbelt over to click it into the buckle. "Let's go..." she gestured with her hands. "Drive!"

Miranda nodded feeling the intensity of the situation growing. She pulled out and floored it until she was out on the highway. "Where are we going?" She asked.

"To get our Chief back." All of her defenses were up. Meredith wasn't going down without a fight. If O'mally says there's something wrong she's going to listen.

"Dr. Hunt is under twenty four hour surveillance there is nothing that can be done about that man." Miranda began her breathing exercises to calm herself down.

"Not him..." Meredith cried. "We need Richard Webber."

Miranda nodded getting off the exit.

After a moment of silence Meredith decided she had to tell her. "I saw him too."

"Who?"

"George... he's been trying to warn us."

The look Miranda gave her was one of sheer relief. It feels nice to know that even if you are crazy... the whole damn rest of the world is too.