Mark's expression was worrisome as he watched silent tears stream down Izzie's cheeks. Her face was pale, her body unmoving as soft, heartbreaking whimpers escaped through her lips. His hand slowly moved to her face, his fingers gently wiping away the moist droplets before they had a chance to seep into the pillow beneath her head. "Izzie," he whispered, brushing a sweat laden curl from her forehead.

Her only response was a quiet sob, the distressing sound causing Mark to cringe as she turned her head away from his caress. "Izzie, please," he said, his voice exhibiting his exhaustion as his fingers gripped her shoulder.

At his touch, her body jerked, her eyes opening wide as her pupils darted around the room. Her breathing sounded heavy, short gasps of air going in and out of her mouth. When her eyes finally met Mark's, they were filled with panic, her chin quivering as she struggled to sit up. "Oh my god," she croaked, her voice rising with alarm as another tear spilled over her eyelid.

"Izzie-"

Her face fell at his gentle tone, her eyes filled with sadness as she searched his features. "I don't know what happened, Mark; I'm so sorry…I don't know what I did wrong."

He shook his head in confusion, his hand wrapping more firmly around her shoulder as he helped her sit up. "Iz, what're you talking about? You were just having a bad dream," he murmured, his lips tenderly finding the side of her face as he pulled her body closer to his. "You didn't do anything wrong, baby. You're okay."

Her eyes sharpened at his words, studying his face as if to gage the truthfulness behind his claim. She looked around the room again, seemingly noticing her surroundings for the first time. Another sob escaped her lips as she quietly peeled her body away from him, freeing herself as her hand rushed to switch on the lamp sitting by her bed. They both grimaced at the sudden intrusion of light, but Izzie quickly recovered, throwing back the comforter as she looked down at the stark white sheets below her legs.

Mark frowned, unsure how to react to his wife's alarming behavior. "Izzie, what're you doing? What're you looking for?"

She swallowed through her tears, her heart hammering in her chest as her fingers felt the warm cotton beneath her hands. "It was just a dream," she whispered to herself, her eyelids fluttering shut in relief as she rocked backwards, her body resting against a pile of pillows beneath her back.

Mark brought his hand to her arm, his worry growing as he realized that she was only vaguely aware of his presence beside her. "Izzie, are you okay?"

Her face crumbled at his question, her fingers covering her eyes when she began to tremble with emotion. She leaned against him, allowing herself to be folded into his embrace and he began to gently rub her back. "I just…I just thought that…that there was something wrong," she stammered as her hand came to rest on the swell of her belly, her broken whisper barely loud enough for him to hear. "I thought we lost them…that we lost them, too."

"Oh, Iz," he sighed, closing his eyes as he soothingly rocked her body back and forth. "Honey, there's nothing wrong with the girls; they're okay, alright? They're just fine."

She bit her lower lip lightly between her teeth, trying to suppress the newest sob bubbling just beneath the surface. She eventually let out a sigh, settling closer to him as they lied back against the mattress. They lay silently, both afraid to speak as they stared at the soft glow of the light gleaming on the ceiling. Mark's hand rhythmically rubbed her arm, calmingly caressing her silky skin as he listened to her breathing become increasingly even. He tried to smile at her reassuringly, placing a tender kiss on her brow. "Do you think you can go back to sleep?"

Izzie frowned, the idea of closing her eyes and surrendering to unconsciousness sounding nearly unbearable at that moment. "I…I don't know."

Mark nodded understandingly, making no effort to turn off the light that was still glowing on Izzie's nightstand. He spared a fleeting glance at the alarm clock, suppressing a sigh when he saw that it was nearly three o'clock in the morning. "Do you want to talk about it?"

She sniffed, ignoring the moisture that began to slowly trickle from her eyes once again. "It was just so real, Mark," she whispered, gripping his soft t-shirt between her fingertips as her tears soaked through the grey cotton. "Everything was happening so fast. I woke up and they were just…just gone. Like with Ben; I just woke up and it was already too late. There was nothing I could do. I just sat there; I couldn't move, but I could feel…I could feel myself losing them and I…"

She suddenly tensed up, her body going rigid in his arms. Mark glanced down at her, frowning when she stopped speaking. "Izzie?"

"Oh no," she whispered, pulling herself from his grasp as her eyes widened in alarm.

He could feel his own panic surfacing as he watched her face pale to an unnatural colorlessness. "Izzie, what's the matter?"

Her breathing once again became labored as she stared trancelike at the bed. "What if…what if something is wrong? What if the dream was my body's way of telling me that there's something wrong with one of the girls?"

Mark tilted his head to the side, regarding her almost sympathetically as his hand came to rest on her belly. "Izzie, there's nothing wrong with these babies. Every ultrasound you've had has been perfect. You can't let yourself have thoughts like that just because of a dream."

Her fearful demeanor remained unchanged, almost as though his words hadn't penetrated her mind. "I need to call Addison," she said quietly, already turning toward the phone.

He sighed, trying to remain patient as he brought his hand to her shoulder. "You can't call Addison right now," he told her, attempting to reason with her as she began to dial the phone number of Alex and Addison's apartment. "It's the middle of the night."

She shook her head irritably, not even trying to hide her sudden flair of anger. "There could be something wrong with our children, Mark," she snapped, her voice sounding sharp as the phone began to ring in her ear.

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Alex jolted awake at the shrilling sound coming from his nightstand. He opened his eyes, blinking several times to clear his vision before glancing at the clock next to the bed. He groaned when he saw the time, wanting nothing more than to cover his face with a pillow and drown out the obtrusive sound. Beside him, he could feel Addison shifting as the ringing pulled her into consciousness. She placed her hand on his arm, sitting up just enough to peer over his body at the clock. "Is that the hospital?" she asked, her voice hoarse from being awakened so abruptly.

"I don't know," he answered, already reaching for the telephone. He glanced down at the caller ID, his body immediately tensing when he recognized the number. "It's Mark and Izzie's house."

They simultaneously sat up, both wide awake at the prospect of something being wrong with one of their friends. "Hello?" Alex said into the mouthpiece, holding the phone so that Addison could hear the conversation.

At the sound of Alex's voice, Izzie lost any semblance of composure she had left. She began to softly weep, struggling to get her thoughts out as the phone shook in her trembling hand. "Al- Alex," she said, closing her eyes as she tried in vain to remain composed. "Alex, I think there's…there's something wrong with the babies."

That was all Addison needed to hear. Within a fraction of a second, she was off the bed, racing to the closet and blindly pulling out something to wear to the hospital. She was dimly aware of Alex trying to calm Izzie down as he spoke to her in a soothing voice.

"Izzie, honey, you're not really making sense," Alex said, running his hand tiredly over his face as he joined Addison in the closet, taking a pair of his slacks from a hanger. "Is Mark with you? Can I talk to him?"

Addison was only half listening to Alex's conversation as she dressed in record time, and then she was moving into the bathroom, brushing her teeth and splashing a handful of cool water onto her face. She glanced up when she heard Alex enter the bathroom, their eyes meeting in the reflection of the mirror. She noted the grim expression on his face, the phone hanging limply by his side before he placed the receiver on the bathroom countertop. She frowned at him, turning around so that she was looking him squarely in the eye. "What did Mark say? What's going on? Is Izzie okay? Did she…did she miscarry?"

Alex sighed, picking up his own toothbrush. "She had a dream."

Addison shook her head, positive that she'd heard him wrong. "A dream?

Alex nodded. "Mark doesn't know exactly what happened, but he said she woke up thinking that she'd had a miscarriage and now she's convinced that there's actually something wrong with one of the babies." Alex's tone was solemn as he relayed his phone conversation to Addison, unsure what to think about the turn of events. "I told them we would meet them at the hospital to make sure everything's okay."

Addison shook her head. "You don't need to go, Alex. I can go take care of it; you should get some sleep."

He shot her a look of irritation. "Of course I'm going. You may be her doctor, Ad, but she's one of my best friends." Alex cringed as soon as the words left his mouth, almost instantly regretting the biting tone of his voice. Sighing unhappily, he rubbed his tired eyes. "Sorry, this is catching me a little off guard, I guess. I might've expected something like this right after Ben died, but it's been almost five months."

Addison shrugged, her hands resting gently on his shoulders as they stared at one another in the mirror. "Five months isn't very long Alex, especially for a parent who's lost a child."

Blowing out a breath of frustration, Alex leaned his arms against the sink, his head hanging low. "I guess you're right. I just…I feel like this is kind of coming out of nowhere."

"She had a hard day. She seemed okay this afternoon, but I know it couldn't have been easy for her seeing Ben's room cleaned out. It had to have dredged up a lot of emotions and fears that she doesn't usually allow herself to think about."

Alex nodded, wiping his face on a hand towel by the sink before turning around to face Addison. He offered her a smile that didn't quite meet his eyes, pulling her into his arms. "I just hope that she isn't right about the twins. She and Mark can't handle another blow like that right now."

They left the apartment a few minutes later. The drive to the hospital was quiet, neither needing to speak for them to know that they were both consumed with worry over Izzie and her pregnancy. When they exited the elevator on the maternity floor of Seattle Grace, Addison moved immediately to where Olivia was sitting behind the nurses' station, Alex close on her heels. Olivia smiled at them, standing up from her chair. "Dr. Montgomery, Dr. Karev."

Addison returned her smile, scanning the halls briefly before meeting her gaze. "Are Mark and Izzie Sloan here?"

Olivia frowned. "Yeah, they're in the first exam room on the right. Is Izzie okay? They didn't tell me what was going on."

Alex and Addison both remained silent, ignoring the nurse's nosiness when they each failed to come up with a diplomatic answer. "Thanks, Olivia," Addison replied, taking Alex's hand in hers as they walked toward Izzie's exam room.

They found her already lying on an exam table wearing an overly large t-shirt that belonged to Mark and a pair of old grey sweatpants. Mark was beside her, his head resting against her shoulder as he whispered soothing words that weren't entirely clear to the couple standing in the doorway. Addison cringed in sympathy for her friends, her heart aching for what Izzie and Mark must be going through.

Behind her, Alex shut the door softly, the click of the doorknob gaining Mark and Izzie's attention. Izzie's eyes were wide as she stared at them anxiously, sitting up on her elbows so that she could look at them more easily. "I'm sorry for making you come so late, but I…I just…"

Addison smiled reassuringly when Izzie trailed off, walking with Alex to the exam table. "It's fine, Izzie. I'd rather come here at three o'clock in the morning than have you up all night worrying about something you don't need to be worrying about."

Izzie nodded, attempting to return Addison's smile despite the tears filling her eyes. She turned her gaze to Alex as he walked toward her, leaning forward and wrapping his arms around her shoulders. "Everything's going to be okay, Iz."

His eyes closed as he felt Izzie's arms wrap around him, her trembling chin resting against his shoulder. He knew that, as a doctor, he had no right to offer a patient any kind of promises, but the moment he walked into that room, he knew that he wouldn't be able to act strictly as a doctor treating a patient. The way Izzie's body was trembling against the sterile exam table, the way her teeth were beginning to lightly chatter as fear overtook her body, was enough to break his heart.

After checking Izzie's vitals, Alex backed away from the table, stepping aside so that Addison could move the ultrasound equipment closer to the bed. "Izzie, have you felt any cramping recently? Have you had any bleeding or back pain?"

Izzie frowned, shaking her head. "No, I haven't."

Addison nodded as she turned on the machine, lifting the t-shirt over Izzie's belly and squirting the cool ultrasound gel onto her skin. They all held their breaths as Addison placed the transducer on Izzie's abdomen, moving it around until a picture of her uterus filled the screen. Addison smiled as the picture became more clear, the sound of a heartbeat filling the room. "There's Twin A," she said, studying the picture before pointing to the screen. "Look at that; she's sucking her thumb."

Izzie smiled slightly at the sight, a soft laugh escaping through her aching throat. The noise sounded strained as her voice shook with emotion, a fresh wave of tears filling her eyes. "And she's okay? Everything looks normal?"

Addison nodded, her eyes never leaving the screen. "She looks great."

Mark smiled down at his wife, running his hand lightly over her hair before looking back at Addison and Alex. "And the other one?"

Moving the transducer around, Addison's eyes scanned the monitor. She didn't have to look at Izzie to sense the panic that was growing within her as Addison searched the screen, Izzie's body visibly tensing as the silence in the room stretched on. "Addison?" she whispered, her voice quivering.

Addison's shoulders relaxed almost immediately, a smile crossing her face as she looked at Izzie. "There she is; there's Twin B. She's hiding behind her sister."

Relief flooded through Izzie as she stared at the monitor, her other daughter finally in plain view as the sound of her heartbeat filled the room. Addison's free hand found Izzie's arm, gripping her gently in a reassuring embrace. "Izzie, she's fine. Both of your daughters look perfect."

Izzie blew out a breath, glancing up at Mark. She could see everyone in the room staring at her expectantly, seemingly waiting for her reaction to the news of her daughters' health. She swallowed, her head falling back onto the pillow as she stared at the ceiling. "I think I, um, I want to have an amniocentesis."

Addison pressed her lips tightly together, looking first at Mark and then at Alex, before finally glancing back down at Izzie with a sympathetic expression. "You don't need to have an amniocentesis, Iz. That test is used primarily on women who are at risk for genetic or chromosomal problems, and you don't carry that risk. Your history indicates no need for you to have an amnio."

"I don't care," Izzie responded, unable to stop the bite of her tone.

Mark sighed, lightly gripping Izzie's shoulder. "Izzie, Addison knows what she's talking about. You need to listen to her."

Izzie shook her head fervently, ignoring Mark's advice. "I need to know that my girls are okay," she said, her shaky voice rising with each word. "I have to do everything I can to make sure that they're healthy. What if there's something wrong that the ultrasound's not picking up?"

Addison nodded, closing her eyes as she tried to approach the increasingly hysterical tone of Izzie's voice in a professional manner. "I understand your thinking, Izzie, I really do, but as your doctor, I don't think that you need to have this procedure. It's invasive, and there's no need to put yourself through it if you don't have to."

Izzie's eyes sharpened, her chest burning as she grew irritated by Addison's lack of understanding. "I would do anything for my children, Addison. Almost any mother would do everything in her power to make sure that her kids are okay. I realize that you don't understand what that's like, but it doesn't matter if you understand because it's my choice to have the procedure."

Alex and Mark both looked sharply at Izzie, their faces revealing the surprise they felt at Izzie's words. "Izzie," Mark whispered harshly.

Izzie took a deep breath, already regretting her words as a look of hurt washed over Addison's features. Clamping her mouth shut, she looked away from Addison's face, staring shamefully at the bed. "I'm sorry, I shouldn't have said that," she whispered.

Addison nodded, using all of her energy to keep her face blank as she avoided Alex's concerned gaze, struggling to keep the sudden rush of tears from spilling down her cheeks. "It's fine."

Izzie closed her eyes against Addison's injured tone. Reaching her hand out, she touched Addison's arm, waiting until her friend locked gazes with her. "It's not fine, Ad. I'm sorry. I'm just so scared right now, but I…I shouldn't take it out on you."

Addison was momentarily silent, her eyes searching Izzie's. Finally she offered her a smile, covering Izzie's hand with her own. "I know you're scared, Izzie, but you don't need to be. We can do the amniocentesis if you want to, but your babies are healthy. You can't torture yourself worrying that something might happen to them."

Alex nodded, stepping forward so that he was standing beside his fiancé. "She's right, Iz. You're not doing you or your daughters any favors by stressing out over an imaginary problem."

Izzie frowned, covering her eyes with her hands. "I know you guys think I'm being crazy, that I'm overacting, but I can't let this go. I'm not going to be able to stop worrying about this until I do everything I can to know that my girls are okay."

Addison sighed, pressing her lips together as she watched Mark press a gentle kiss on the top of Izzie's head. Addison looked briefly at Alex, the two of them silently communicating. With a small nod, she eventually turned back to Izzie. "Alright, I'm going to need you to change into a hospital gown."

Within half an hour, Izzie was lying on her back on the exam table, her gown pushed above her belly as a thin blanket covered her lower body. Her arms were placed above her head, her body shivering slightly as Alex cleaned the skin of her abdomen with antiseptic. He looked at Izzie, smiling at her reassuringly as their eyes met. "You know how an amniocentesis works, right? I don't need to explain this to you?"

Izzie smiled nervously, shaking her head as Mark grabbed her hand. "I know how it works. Let's just get it over with."

Mark knelt down, his hand running lightly along the contours of his wife's cheek. "Are you okay? Are you sure you want to do this?"

She sniffed, squeezing his fingers as she brought her lips up to his, brushing a soft caress on his mouth. "I need to do this, Mark," she whispered, sighing as her head hit the pillow. "I'm fine; just stay with me, alright?"

He smiled at her as Addison walked into the room with a medical kit in her hand. Mark rubbed Izzie's arm, suddenly wishing more than anything that he could trade places with her. "Of course I'm staying with you. Where would I go?"

She held onto his fingers more tightly as Addison walked toward the bed, exchanging a look with Alex. "Ready, Izzie?"

Izzie nodded as Alex moved to the ultrasound machine, placing the transducer on her belly. As a picture of her uterus appeared on the screen, Izzie watched Addison pull out a long, hallow needle. "Alex is going to use the ultrasound machine to help me guide the needle into the amniotic sac, okay?"

Again, Izzie nodded, her body unconsciously bracing herself as she watched Addison guide the needle to her abdomen. With painfully slow precision, she guided the needle through Izzie's skin, pushing through her tissue until she punctured the uterus, and finally the amniotic sac.

Izzie cringed as the hallow needle was pushed into her body, a small whimper escaping her lips. She was aware of Mark bending down, his mouth pressed against her ear as he whispered quiet assurances. She closed her eyes, trying to ignore her discomfort as Addison withdrew amniotic fluid before promptly removing the needle from her body.

Addison glanced down at Izzie, offering her an encouraging smile as she deposited the fluid into a testing tube. "You okay, Iz?" When she nodded, Addison looked at Alex across the table, indicating that it was time to move on with the procedure.

Alex moved the transducer over Izzie's belly, careful to avoid the irritated area where the first baby's fluid had been withdrawn. "There's Twin B."

Looking briefly at the monitor before exchanging a look with Izzie, Addison held up a fresh needle. "Are you ready to do this again?"

Izzie swallowed, looking away from the intimidating length of the needle, her eyes landing on her husband's face. She could feel herself somewhat relaxing as she stared into his eyes, his closeness calming her nerves. "I'm ready," she told them, her eyes not wavering from Mark's expression.

Mark tried not to reveal the anxiety he felt as he watched Izzie's face contort, a sharp pain going through her abdomen as the second needle pushed into the other baby's amniotic sac. He could see her body going taut as she fought to remain still, her eyes narrowing.

Alex glanced up, his gaze roaming Izzie's face. "Izzie, are you okay?"

She nodded, still unwilling to take her eyes off her husband. "Yeah, I just…I'm okay."

Alex frowned, looking back at the monitor. "You need to move the needle a little to the left, Addie," he told her, watching the needle move on the monitor as she listened to his instructions.

Izzie pressed her lips together as she felt a pinch of discomfort, easily recognizing the sensation of the fluid being withdrawn from her body. Closing her eyes, she tried to focus her attention on Mark's presence as his face moved closer to hers, his cheek resting against her forehead. "I love you, Mark."

"I love you, too, Iz," he told her, unable to stop himself from inhaling the faint vanilla scent of her hair.

Addison sighed, pulling the second needle carefully out of Izzie's abdomen and depositing the fluid into a second test tube. "That's it, Izzie. We're finished."

Izzie blew out a breath, smiling when Mark placed a kiss on her lips. "You did great," he told her.

Addison smiled at them, handing the test tubes to Alex as he turned off the ultrasound machine. "We're going to take the fluid to the lab for testing; if anything's wrong with your girls that the ultrasound can't pick up, this test should find it."

"How long will it take the test results to come in?" Mark asked, his thumb stroking Izzie's palm.

"It usually takes a couple of weeks," Addison told them, watching Alex leave the room in the direction of the lab. "But I can probably have them back to you in four or five days."

Izzie frowned, the thought of having to wait nearly a week for the results sounding far more torturous than the procedure itself. Sighing she tried to sit up, cringing when her abdomen screamed in protest.

Addison scowled when she saw Izzie trying to move, her hand rising to her shoulder to keep her from sitting up. "I need you to stay here for at least an hour for monitoring."

At the distressed look on his wife's face, Mark offered her a smile. "Everything's going to be fine, Izzie. We've been through too much this year to have something else happen to us."

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Meredith hurried from her car, trying her best to jog through the rain that was pouring from the Seattle skies. Climbing up the front steps of Mark and Izzie's house, she shivered from the cold, frowning down at herself as she looked at her clothes that had been easily soaked in the nearly torrential downpour. With a scowl on her face, she rang the doorbell, rubbing her hands up and down her arms in an attempt to warm herself while she waited for the door to be opened.

Izzie met her at the door, looking exhausted as she stood in the threshold. She was dressed in a pair of maternity yoga pants and a loose fitted t-shirt, her hair piled high on her head. It had been six days since she'd had the amniocentesis and the lab results still hadn't come in. She'd been anxious about the potential outcome for days, finding herself distracted and unable to sleep through the night, and her growing exhaustion was well displayed by the dark circles beneath her eyes and the sallow look of her face.

Meredith smiled sympathetically, holding up a Tupperware container in her hand. "I made you some soup. I thought it might be nice to have on a rainy night like tonight."

Izzie smiled at her, though she was slow to take the plastic jar from Meredith's hand, observing the soup skeptically. Meredith rolled her eyes, thrusting the container into Izzie's hands as she pushed her way into the foyer. "It's from a can, Izzie. I just warmed it up on the stove, okay? It's safe to eat."

Izzie forced out a laugh, shutting the door behind Meredith and following her into the kitchen. "Well, thanks for the gesture," she said, putting the soup in the refrigerator. Joining Meredith at the counter, she smiled at her friend. "Where's Jack?"

"He's at home with Derek. We've just been stuck there all day," she told her, grabbing a freshly baked muffin from a plate in the center of the counter. "We both had today off, but the weather's been so terrible that we haven't been able to do anything."

Izzie nodded knowingly. "Mark's working, but I've been stuck at home all day, too. I feel like I'm just sitting by the phone waiting for Addison to call me with the freaking lab results."

Meredith smiled sadly, leaning her elbows on the table. "I'm sure they'll be in soon, Izzie, and I know everything will be fine." Tilting her head to the side, she studied Izzie's expression. "You look exhausted, Iz. Mark said you haven't been sleeping well."

Izzie rolled her eyes. "Nice. My own husband's been gossiping about how crazy I am."

Meredith scowled at her. "He's not gossiping about you. He was just talking to me; he's worried about you."

With a sigh, Izzie rested her chin in her hands. "I know."

"Is there anything that I can do for you? I feel like I need to do something to help."

Izzie shrugged. "You don't need to do anything. I'm sure everyone's right; I'm sure I'm worried over nothing, but I just have to know for certain that-"

She stopped speaking when the phone began ringing, her eyes widening as she looked at the screaming receiver sitting across the room. Meredith frowned at her, edging to the corner of her seat. "Do you want me to get it?"

Izzie shook her head, moving swiftly to the phone. Her heartbeat quickened when she recognized Addison's number on the caller ID, her hand immediately flying to the receiver and picking up the device. "Hello?"

Meredith watched intently as Izzie spoke to the caller, her grip on the phone growing increasingly tighter as the conversation stretched on. Occasionally, Izzie would nod her head, her gaze trained on the floor as she mindlessly curled a loose strand of hair around the end of her fingertip.

It was several minutes later when Izzie finally hung up the phone, walking back to the counter as though she were stuck in slow motion. Her eyes locked with Meredith's as she sat down in her seat, her hands gripped tightly together in her lap.

Meredith watched her expectantly, trying to remain patient when Izzie didn't volunteer any information. "Izzie? Was that Addison?"

Izzie lightly bit her bottom lip, nodding her head slowly. "Yeah, she was calling with the amnio results," she told her, a small smile stretching on her lips. "She said everything was fine with both babies."

Just as the words crossed Izzie's mouth, a jolting clap of thunder caused both women to jump, and then the lights abruptly shut off, bathing the room in blackness and leaving the house eerily quiet.

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Longest. Chapter. Ever. I'm exhausted now. Maybe I'll update sometime next month. But YAY! Next week is the premiere of season four. And a HUGE yay for Katherine Heigl winning an Emmy! I was finally able to appreciate an award's show.