Thanks for all the wonderful reviews, they are much appreciated. Here's the next chapter.

Chapter 14

Tuesday Evening at the Asylum

Sam retrieved the bolt cutters lying next to the open gate by the fence and put them, his empty can and the flash light into the trunk and was standing beside the car watching the flames now coming from the roof of the asylum leap skywards.

He looked from the flames to Dean who had stopped six feet from him and the car.

When Sam saw Dean go down on his knees; dropping the can and flash light from his hands to land beside him, he knew Dean was in trouble.

Sam felt the world had gone into 33 1/3 RPM as he started towards his brother with a cry of "DEAN."

He had only taken two steps forward when in front of his horrified eyes; Sam saw Dean's mouth moving, saying something that Sam couldn't hear a moment before Dean collapsed onto his back in the dirt.

When Sam reached Dean's side, after what seemed to Sam to take forever, the world returning to its regular speed. Dean was seizing uncontrollably, his head was thrown back his body stiff and jerking, his hands and jaw clenched; his eyes were half open with only the whites visible.

"Oh god Dean, I should have realized." Sam said breathlessly.

Taking off his jacket Sam pried Dean's jaw apart and jammed the sleeve of the jacket between Dean's teeth to prevent him from biting off his tongue in the throws of the seizure. Sam then wadded up the rest of the jacket and moved it around so it was under Dean's head to help cushion his head from the constant banging against the hard ground.

Sam lay his hands on Dean's shoulders just so he had some sort of contact with his brother, feeling Dean's body jumping and jerking under his hands.

As Sam watched Dean helplessly, Dr. Woodruff's departing words to Sam of the warning signs to watch for that would indicate a blood clot on the brain were ringing in his ears."Confusion, drowsiness, lapses in memory, headache, nausea, vomiting and the worst of all seizures."

Dean had been showing some of the signs all day. That's why he was in the bathroom for so long earlier, how could I have been stupid enough to not see what was goin' on with him.

After what seemed to Sam like a life time, but was only three or four minutes, Dean's body gradually stopped jerking and relaxed against the ground - the seizure was over. Dean's face and jaw had gone slack, his eyes still glazed and half open showing no recognition that he knew Sam was there beside him.

Sam gently laid his hands on each side of Dean's face. "Dean, man you hear me?" Dean showed no reaction to Sam's quiet voice.

Sam removed the jacket from under Dean's head and pulled the sleeve out from between his teeth, there was no blood on the sleeve, so Sam knew Dean at had not bitten his tongue. Sam took the jacket and the things Dean had dropped when he'd started fitting and ran back to the Impala opened the back door closest to where Dean was lying and threw the jacket on the floor. The other things he threw in the trunk and slammed it shut, and then raced back to Dean who was still lying as Sam had left him.

"Dean, you with me bro?" Dean did not respond to Sam's gentle voice or his hand stroking his hair back from his clammy forehead. The whites of his eyes clearly visible through the slits of his eyes.

From on his knees beside Dean, Sam pulled Dean into a sitting position and slid one arm into the hollow of his neck and the other hand under Dean's knees. Sam took a deep breath and as he exhaled he stood, lifting Dean in his arms.

Dean was not as tall as Sam but he was all muscle and heavy, but Sam didn't notice the weight as the adrenaline pumping through his body gave him the strength to lift his stricken brother easily and carry him with ease the short distance to the car. Sam lay Dean's head, shoulders and torso on the seat, his legs still outside the car, booted feet resting on the ground. Sam then went around to the other side, opened the door nearly ripping it off the hinges in his haste and leaning in through the open door he grasped Dean under the armpits, gently pulling him backwards until his whole body was on the seat and in the car. Sam reached down for the jacket on the floor and pushed the sleeve back into Dean's mouth, in case he fitted again on the way to the hospital. Slamming both back doors he slid in behind the wheel, turned the key and with a feeling of deja vu guided the Impala out of the asylum grounds onto the road and towards the hospital.

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Tuesday Evening at the Athens Memorial Hospital

Dean had seized again on the way to the hospital. Sam had risked a quick anxious glance over his shoulder at Dean but had kept driving. The best way I can help him at the moment is to keep driving.

Sam again had parked in the ambulance bay. He opened the back door and pulled Dean into his arms and lifted him out of the car and carried him into the ER. Sam's eyes scanning the place for someone anyone to help him. Sam moved forward down the deserted corridor saying loudly, "Someone help me please, my brother's having seizures."

The pretty redheaded nurse appeared from one of the rooms and moved towards him. When she saw Sam was carrying his brother she motioned Sam towards one of the treatment rooms, saying "Bring him in here," then added in a loud firm voice. "Dr. Davidson I need you in exam 1 stat."

She quickly moved to the door and held it open for Sam as he moved past her and gently laid Dean on the bed.

Sam straightened and moved back from the bed as the doctor moved to Dean's side. "What happened?" Dr. Davidson asked.

"He's had two seizures."

"How long ago?" The doctor asked as he was examining Dean.

"The first was about thirty minutes ago, the second about ten minutes ago in the car."

"How long did they last?"

"Ah, about three or four minutes."

"Has he been conscious or said anything since either?"

"No he hasn't."

The redhead was taking Dean's vitals and relaying them to the doctor, in between the doctor firing questions at Sam.

He lifted Dean's eyelids and shone a light into each eye, saying as he did "Dean. Can you hear me?"

Sam felt a hand on his arm and turned to see the redhead had moved away from the bed and was standing beside him; she smiled sadly at him and said. "You'll' have to wait outside, I'm sorry."

Sam stole a glance at Dean but could see only his boots and the bottom of his jeans, as Dr. Davidson leaned over Dean blocking the rest of him from Sam's sight.

Sam looked back at the redhead and said "Please, he's all I've got."

"We'll take care of him for you, please wait outside and the doctor will come and speak with you when he's finished his examination."

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Sam was pacing the corridor outside the door of exam 1. Two more hospital staff had entered the room but for ten minutes no one had emerged .He stopped dead when the door was at last flung open and Dean was wheeled out into the corridor by Dr. Davidson and three others, they hurried towards the elevator.

The lower part of Dean's face was covered by an oxygen mask and he was hooked up to an IV and various monitors and equipment. All of which was being rushed along beside the bed by the hospital staff.

"Doctor what's happening to my brother? Where are you taking him?" Sam asked as he too hurried along beside the bed.

They reached the elevator and Dr. Davidson pressed the button marked two, then spoke to Sam. "He had another seizure while I was examining him. We've stabilized him and we're taking him for a CT scan, it seems he's developed a clot and it's putting pressure on the brain that's why he's seizing. The CT will show us the exact location of the clot and then we'll have to operate to drain the clot."

"He'll be okay then." Sam said as the elevator doors opened and they pushed Dean inside.

"It's not good I'm afraid, surgery on the brain is very risky so I've called in a neurosurgeon to operate she'll tell you more when she arrives."

With that the doors closed, leaving Sam staring helplessly at the steel doors

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Wednesday Morning at the Athens Memorial Hospital

Dr. Sheppard the neurosurgeon had introduced herself to Sam and explained to him the procedure she was going to perform on Dean. The surgery involved drilling two small holes in Dean's forehead above his right eye down at a forty five degree angle into the blood clot which was located behind his right eye and drain the blood and fluid away through the holes. Two tubes would be inserted into the holes to keep the clot draining and from filling up again. She explained that all brain surgery was very delicate and risky, but she would do her best for his brother and was confident that the surgery would be successful.

Sam looked at Dr. Sheppard's kindly face she was a tall slim woman around fifty her long brown hair had a wing of gray at each temple and laughter lines around her eyes.

Sam knew instantly he could trust her and that she would do her best for Dean.

"Can I see him before the surgery doctor?" Sam asked hopefully.

"You can go in now while I scrub in, don't be too alarmed when you see him he's wired up to all kinds of equipment and as we need to monitor him closely and he's sedated to control the seizures."

Sam knew Dean as tough and strong, but lying there Dean looked vulnerable and fragile like bone china ready to shatter at the slightest touch his bare chest was covered in pads attached to the monitors, two IV's snaked from the back of each hand, a ventilator had now replaced the oxygen mask. For the second time in a week Sam thought Dean looked so young and so unlike the Dean he knew and loved, his long dark lashes shadowed the purple smudges under his eyes.

This was the Dean Sam had only seen a handful of times in his life, and it frightened Sam, because Sam knew that meant he could lose him. What if he doesn't make it through the surgery? What will I do without him?

Sam gently squeezed Dean's fingers so as not to disturb the IVs in Dean's hands. "I'm here Dean and I'll be here when you wake up, I know you can get through this Dean, please for me, coz I need my big brother, I can't make it without you."

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That was an hour and a half ago and Dean was still in surgery. Sam was pacing back and forth across the waiting room across from the operating theatre. Twenty minutes ago a staff member had brought him a cup of sludge that they passed off as coffee, it sat untouched on the small table in the corner.

The next time Sam turned he saw Dr. Sheppard removing her operating gown and cap as she came through the automatic doors leading to the operating theatres.

The doctor saw Sam and smiled at him, Sam relaxed a little when he saw that smile. That must mean something good, surely.

Sam stood rooted to the spot and let the doctor come to him "How's my brother?" Sam asked her.

"He came through the surgery, I've drained the clot and put the drainage tubes in place, he's still in recovery, shortly they will be taking him to the ICU, and he'll stay there for at least the next twenty four hours he's on a ventilator and under sedation. We'll ease off the sedation in a day or two and then we'll take him off the ventilator, when he's fully awake we'll see if there's any damage to the brain from the pressure of the haematoma, the blood clot."

"When can I see him?" Sam asked

"When he's settled in the ICU, you can see him, but of course he's sedated so he won't be awake."

"Yes, I understand, thank you doctor."

"It's my pleasure; I'll come and see him later to see how he's getting on, excuse me, please." Then she walked away.

After Dr. Sheppard walked away Sam sat down on the nearest chair in the waiting room. He was glad he was alone because the tears that had been threatening for the last two hours started to fall and it was long time before they stopped.

TBC

Mostly Sam in this chapter, with Dean mostly unconscious, shall I wake him up in chapter 15?

Please review and let me know.

Silvertayl