Meredith woke to the sound of her pager going off.

'ICU, SIMON HORNTHAW, WOKEN' Meredith yawned and threw the feet over the side of the bed. Pushing herself up she fixed her scrubs. She had been sleeping for and hour and half.

'Crap,' Meredith redone her hair and left the on call room.

'Meredith,'

'Hey Simon, how you feeling?'

'My head is killing me,'

'I'll get you some pain killers,'

'How did it go?'

'Very smoothly. Barring any complications, I should be able to take your bandages off tonight.' The young boy's eyes lit up.

'I don't have a dent anymore?'

'If all is well then no you don't,'

'Thank you so much,'

'It was my pleasure,'

'Your still hot,' Meredith started laughing.

'I'm married and having a baby so I'm off the market,'

'Damn,' Meredith started laughing.

'I'll be in to check on you later,' Meredith left Simon and headed over to the nurses station.

'We've just received a call from Trauma, major pile up, your needed down the stairs,' Meredith headed down the stairs when she realised what she meant. There were eight critical patients and three minor. Looking at the boards she headed for room 3.

'What we got?'

'Forty year old male, conscious, belt prevented major head injury but has no sensation from the waist down. BP 190 over 70, tox-screen clear, GCS 0f 8,'

'Send him for a CT and page me with the results, send an intern with him,' Meredith left the room and headed to room 5.

'Details please,'

'Seven month old female, severe head trauma, car seat wasn't secured properly, head went into front windscreen. BP 60 over 30, GCS 2, major blood loss, received 2 units of blood,'

'Page Dr Sloane, send her up to CT, priority and Book an OR,' Meredith lifted a pair of gloves and looked in the child's eyes.

'Page Shepherd as well,' Meredith headed along the corridor, taking the priority cases first. Opening room one, her breath caught in her throat.

'Stats?'

'35 year old male, no obvious head trauma, drifting in and out of consciousness, tox-screen clear, BP normal,'

'Page Dr Stevens, tell her it's critical,' Meredith walked over and took hold of the males' hand.

'George…can you here me?' George groaned and opened his eyes and looked around the room.

'What happened?'

'There was a car accident. Does anything hurt?'

'My chest,'

'What about you're head?'

'No,'

'Ok, I'll page Burke,' Meredith walked over to the phone and Paged Burke. The room door burst open and Izzie ran over to George's bedside.

'George…'

'Hey,'

'Oh my god,'

'Hey, don't cry, I'm fine, honestly,'

'George…don't lie,'

'Izzie, I'm ok,'

'Mere, what's happening?'

'There's no obvious head trauma. Burkes on his way down. Izzie, he'll be ok,' Meredith left Izzie with George.

'Dr Shepherd, you paged me,'

'Yes Dr Burke, George O'Malley has been brought in with the accident. He's complaining of chest pains. Will you take a look?'

'Sure, I'll send him for a CT,'

'Get a head one down as well, just in case,'

'Of course,' Meredith headed back along to room five. Addison was standing over the small baby's body.

'Hey, how's she doing?'

It's not looking good; I need to get a CT to see what damage has been done,'

'Ok. I need to go and see room five, you got it from here?'

'Yeah,' Meredith headed back along to room three.

'We got a name yet?'

'Steven Gorney,'

'Family been phoned?'

'Wife is on the way,'

'Mr Gorney, I'm Dr Shepherd, can you tell me where you have pain?'

'No where,'

'You're not sore any where?'

'No,' Meredith walked down to the end of the bed and lifted his tow legs.

'Hold your legs up for me,' Meredith let his legs go but they fell back into her hands.

'Wiggle your toes for me?' There was no movement. Lifting an empty syringe she nipped his legs with it.

'Tell me when you feel anything,' as she came up his legs onto his stomach there was still no feeling. Touching his arms he moved it suddenly.

'You feel me touching your arms?'

'Yeah,' Meredith tested his chest where there was still sensation. Lifting the CT scan she groaned.

'Clear,' The Spinal CT scan was a mess.

'Mr Gorney,'

'Call me Steven,'

'Ok you have what looks like two cracked bones in your back and a broken bone. I need to operate to repair it,'

'Do I have a broken back?'

'Basically yes. But please don't worry. I'm going to try and fix it,' Meredith handed the scans back to the nurse.

'Book an OR for thirty minutes,'

'All the OR's are being used within the next thirty; next one I can get is in an hour,'

'What! He needs emergency surgery, who's booked them?'

'Valentine has an amputation, Shepherd has an OR booked, Sloane has an emergency surgery, Burkes got two booked,'

'Throw Valentines out, he can wait,'

'But Dr Shepherd, it's been booked for twelve hours,'

'I don't care if he booked it yesterday, throw it out, and send him up,' Meredith left the room and went to get scrubbed in. Dr Valentine was standing at the nurse's station.

'What do you mean it's been thrown out? I booked it twelve hours ago. Who threw it out?'

'Dr Meredith Shepherd,' Meredith walked down and lifted Simons chart.

'Who the hell do you think you are?'

'Excuse me?'

'Throwing my surgery out without consulting anyone,'

'Who are you shouting at?'

'Somebody who thinks they rule this OR!' Meredith put her hand over her stomach.

'I have man coming up with a broken Vertebrate and two cracked vertebrates; he is a top priority,'

'I don't care,'

'How dare you! That man needs emergency surgery and if he doesn't have it he could be paralysed for the waist down. Your surgery has been rescheduled for this afternoon,'

'Who gave you the right to reschedule surgeries?'

'The patient comes first. Your patient is not critical. We have another four emergency surgeries going on, so your patient waits until there is an OR available,'

'I don't believe you. You have no authority over that board at all and you are very much mistaken if you do,'

'What the hell is going on?' Derek walked over raging at the sight in front of him.

'I got a page saying an argument was going on out here over an OR. Dr Valentine would you care to explain?' Meredith put her hand on her back and looked at the floor, leaving one hand resting on her stomach.

'I had an amputation booked for twelve hours. I was standing in the scrub room when I got told I had been pulled from surgery by Dr Shepherd,'

'Why was the surgery pulled Dr Shepherd?' Derek looked down at Meredith. Grinding her teeth she looked at Valentine.

'I have a man in his forties, came in with the trauma. He has a broken vertebrate and two cracked vertebrates. He needs emergency surgery if he is going to walk again. I am not going to stand here and take shit off this pompous ass who thinks that because I am a woman and pregnant that I am going to stand and take shit off of him,' Meredith walked away leaving Derek standing, his jaw hitting the floor at what she had just said. Dr Valentine looked at Derek and shook his head.

'I'm reporting this to Richard,'

'You do that, cause I'm with her on this. If that man is to walk again he needs emergency surgery,' Derek left him standing, fuming at what happened. Meredith was scrubbed in and starting the operation when Derek walked in.

'Dr Shepherd, can you please leave, I'll find you after I'm done,' Meredith looked up.

'Is something wrong?'

'No, please. I'll find you after I'm done,' Derek turned and left Meredith. After three hours she hand put two small pins in his back so he could walk again.

'Good job, can you sow him up for me?'

'Yeah,'

'Thanks,' As Meredith stood up from the table, Richard walked in.

'Meredith, a word in my office please?' Meredith nodded and got cleaned up. Avoiding Derek, she headed straight up to Richard office.

'I have just had Sean Valentine at my office, complaining that you pulled his surgery, you wanna tell me why?' Meredith sat down in the seat, her hands on top of her bump.

'The trauma that came I brought in a man who had a broken vertebrate and two cracked vertebrates. His patient needed an amputation that I have rescheduled for this afternoon. What would you rather, a man who can't walk and a woman without three fingers, or a man who can walk and a woman who yeah might not have her fingers but at least has had the operation?'

'I understand what you mean but you didn't have to call him a pompous ass,'

'He was standing shouting at me in the middle of the hall. I have hormones right now that makes me one of the deadliest women alive that are not to be messed with. He should be glad that's all I said,'

'You need to clear it with the other surgeon before you pull their surgeries,'

'Ok, fine,' Meredith left the office and headed down to check on Simon.

'I heard you having an argument with another doctor earlier,'

'Yeah,' Meredith checked his heart rate.

'You were great,' Meredith grunted.

'I just got told off for it,'

'So, you kicked that guy's ass,' Meredith started laughing.

'I'll see you later,' Meredith walked over and marked up Simons chart when Dr Valentine came up beside her.

'This isn't over yet,'

'Are you threatening me?'

'No, just saying, this isn't over,'