LATER

The chief walked down the corridor signing papers as he prepared for Eve's harvest.

"Two harvests in one day I don't know whether this is a good thing or bad thing for the hospital"

"Chief UNOS" said his secretary handing him the phone as he walked into the conference room.

"This is Chief Webber, yes, that's correct, ok, thank you" the chief hung up the phone and handed it to his secretary "Page them"

IN CHARLIE'S ROOM

Roxie's pager went off and she looked at it and immediately jumped up.

"I've got to go" she said running out of the room

Minutes Later

Roxie ran into the conference room where Chan was already stood with Hahn and the chief.

"Well?" asked Roxie

"Derek Decesare has the heart"

Roxie smiled "That's excellent"

"I assume you have never done a heart transplant?" asked Hahn

"No not personally" replied Roxie

"Then you can scrub in and assist me" she said walking out of the room

"He got the heart" smiled Roxie looking at Chan

"Congratulations" said the chief leaving the room

"I can't believe this" said Chan hugging Roxie excitedly

IN THE ER

Hunt walked into Kathryn's room along with the police hoping she was ready to tell them everything in order to protect her family.

IN AN OFFICE

Roxie walked inside an office pushing Sara and she sat down on a couch with Sara sat in the chair beside her and Dr Wyatt turned to see the girl before her.

"Dr Leoni?" she asked a little confused

"Psyche consults take forever and they'd probably send some half assed shrink down anyway. She needs the best so I brought her to see you. Sara this is Dr Wyatt she's my shrink she helped me after Faith died. When Faith died I dealt with it in my own which wasn't healthy and Dr Wyatt helped me deal with it the right way, I'm now an emotional basket case but it's getting easier now. When my daughter died I wouldn't have been able to be your doctor to help your baby or to be here right now with you I would have just ran away from it and not dealt with it thanks to Dr Wyatt though I can deal with it and I want her to help you the same way she helped me"

"What's going on?"

"Sara is thirteen, she was involved in a car accident earlier today and she was pregnant, we had to do an emergency c-section delivering her baby at twenty eight weeks unfortunately there were complications from the accident and her daughter Eve didn't survive, she had no brain activity. Sara is an extremely mature thirteen year old and she has just agreed to donate Eve's organs, shortly Eve will be taken to the OR"

"Dr Leoni can I speak with you?" she said walking out of the room followed by Roxie

"What are you doing bringing her here?"

"She's thirteen, her babies just died, her mother didn't know she was pregnant until today and has disowned her, her brother is hooked up to a vent and her Dad had a heart attack and on top of all of this she's most likely witnessed her father beating her mother up within an inch of her life. I don't know for sure what she knows exactly about the situation but I do know the accident was caused by her father who tried to run her mother down after she ran away due to an argument this morning. Her daughter is going to the OR to be cut open to have her organs harvested, she has to say goodbye to her baby within the hour, she's thirteen. Help me out please?"

Dr Wyatt nodded her head and walked back inside the room leaving Roxie outside.

A Little While Later

Roxie walked into Kathryn's room where she sat alone looking defeated.

"I am so sorry you're going through all of this, do you know how incredibly lucky you are to be alive let alone have minor injuries?"

"I don't feel lucky"

"You are and I believe that this happened for a reason, God wanted you to be fine so you could look after your family. Ryan's in recovery he's on a ventilator which looks scarier than it actually is it's just helping him temporarily until he's strong enough to breathe by himself. From what I've heard Doctors Karev and Yang can't find anything wrong with Maisie and Lukie the dog, he just turned up all by himself. Sara on the other hand is struggling, physically she's ok and she'll recover but emotionally she's hurting and she needs her Mom"

"I can't, I've made a lot of mistakes in my life but my kids I thought I'd got that right, I thought I'd got my kids right I thought I'd raised good, respectable, polite and honest kids"

"You have"

"No I haven't, good, respectable, polite and honest kids do not get pregnant at thirteen"

"You've tried to shield them the best you can but unfortunately Kathryn you can't completely shield them, she probably knows more about her father's violence towards you than what you think, make no mistake about it Sara is an amazing young woman and she probably had her reason's for doing what she did but only Sara can tell you why. We delivered a beautiful baby girl, she named her Eve…"

Kathryn looked at Roxie and smiled "That was my mothers name"

"…Kathryn, Sara needs you. There were complications due to the trauma from the accident and because of this the baby was harmed and deprived of oxygen, she has no brain activity…"

Kathryn looked at Roxie completely stunned by the news "She's brain dead?"

Roxie nodded "Sara had to make an extremely difficult and emotional decision by herself and it was an amazing and mature decision and you should be extremely proud of her and your granddaughter. She has given permission for us to use Eve's organs to save the lives of many other children"

"Oh my God"

"Very shortly Eve is going to be taken into the OR and her organs are going to be removed and sent to their recipients. Sara has to say goodbye to her daughter and although extremely mature for her age she's still a kid and this isn't easy at any age but I'm guessing more so at her age and she really needs her Mom"

"Oh my God" she said crying "He killed her? He killed my granddaughter. Oh my God"

Roxie stepped forward and comforted an overly emotional Kathryn as she came to terms with the news about her daughter and granddaughter.

LATER

Roxie and a now silent and numb Kathryn sat outside Dr Wyatt's room waiting for Sara who shortly appeared at the door and stopped and looked at her Mom. They both then burst into tears and Kathryn hugged her daughter, Roxie felt herself well up as she could relate to the situation.

IN THE LOBBY

Karev and Yang sat in the lobby with Maisie and Lukie knowing they couldn't take the dog near the patients they felt that this may just be allowed knowing how much the dog meant to Maisie.

"Dr Karev" said an intern as he handed over Maisie's results

"Oh my God" he said looking at the results

"What?" asked Cristina taking the chart from him "Oh my God, she's…"

"Completely fine"

"I told you I was fine" said Maisie as she stroked her dog

"That's incredible" said Cristina

"So what now?" asked Karev

"Her entire families here in the hospital she can't leave"

"She can't stay in the lobby forever"

"What about the dog?" asked Cristina

A Little While Later

Karev pushed Maisie in a wheelchair along with Cristina making their way to the relatives room. Maisie began to giggle.

"Hey kid what's going on?" asked Karev

"He's licking my leg" she said referring to Lukie who was sat on her knee hidden by a blanket

"We're going to get into so much trouble" said Cristina

"Just keep him covered up ok?"

"Ok"

They then arrived at the relative's room and Maisie and Lukie jumped out of the chair. Cristina closed the door and Lukie barked.

"Shh don't bark" said Cristina "I am not getting thrown out of here because of a dog"

"Yang just relax look how happy she is, probably the only one in the family who is right now"

LATER IN THE NICU

Roxie stood alongside Kathryn and Sara as they said goodbye to Eve before she was taken to the OR. They both cried hysterically as they realised this was really happening. Angela looked on and cried as she realised Sara was going through all that pain in order to help her son.

"They're ready for Eve now" said a resident

Sara and Kathryn continued to hold on to Eve. "I can't I'm sorry I can't"

Roxie looked at Angela and then at Eve and Sara. "Sara remember what I said earlier that I was raised to believe the spirit left the body?"

"I know she's not here but she's so small"

"Derek is getting the heart" said Angela

Sara turned to face Angela "His is?"

"Yes you said you hoped my baby got the heart and they've given it to him and he's down there now being prepped for a heart transplant and I have never been so scared in my life…" she said welling up "…because I know that even if it's only for a short time my baby is going to be dead. I can't begin to think what you're going through but because of your generosity and Eve's I don't have to find out and there are mothers just like us waiting right now for their babies organs to arrive and I know you can't bare the thought of this happening but I hope the thought of your baby saving all those lives and saving all those mothers from going through what you're going through will help you to come to terms with this and help you find solace at such a harsh time"

"Your babies going to be ok after getting Eve's heart?"

"I hope so"

"He shouldn't die because of me, he should get the heart" Kathryn cried hysterically and Sara turned to her "Eve's making a difference Mom" she said comforting her mother as she nodded for Roxie to take Eve to the OR

Roxie indicated for the resident to take Eve as Roxie stayed to comfort Sara, Kathryn and Angela.

LATER – IN THE OR

Hahn walked into the OR ready to do the transplant and noticed she was a little light on the ground.

"Where's Dr Leoni?" asked Hahn

"She's not coming, she's staying with the family"

"That's her decision but she's missing out on something miraculous"

"She's doing what she feels is right" said Cristina as she walked in

"What are you doing here Yang?"

"I'm taking Dr Leoni's place at her request. She said she wants the best team on baby Derek's case" smiled Cristina as she stood across from Dr Hahn

"Ok let's do this" said Hahn as she proceeded

Yang smiled as she finally got her cardio case and got the gratification she needed as she was requested for her skills by Roxie.

AT MR CROWS ROOM

Mr Crow sat up in bed as police officers entered his room placing him on bed arrest after his wife filed charges against him in hopes that it would put a stop to her hellish life and it would be hers and her children's escape from him.

IN THE LOBBY

Roxie sat next to Angela as they both looked over at the heartbroken thirteen year old who had to grow up quickly in such a short time and make a decision that many adults would struggle to make and dealing in her own way with a situation no thirteen year old should ever have to deal with.

AT THE RELATIVES ROOM

Karev sat with Maisie and Lukie while her family were divided by their own problems. Karev smiled and Maisie laid on the floor with her head rested on Lukie.

"You really love that dog don't you?" asked Karev

"He's my guardian angel" she replied

"Your what?" asked Karev

"Mommy said Lukie was brought to me so he could look after me when Daddy gets angry and that he'll make sure Daddy doesn't hurt me like he does Sara and Ryan"

"Daddy hurts Sara and Ryan?"

"Not a lot because Mommy stops him now she won't let him upstairs anymore but when Daddy's nasties are here Lukie comes into my room and lays next to me all night to make sure Daddy doesn't hurt me but when Daddy's ok Lukie has to sleep on the floor"

"So Lukie's a good friend?"

"Yep"

"You know when I was a kid my Dad got angry a lot too and I was scared sometimes but I couldn't talk to anyone I didn't have a brother and sister and I definitely didn't have a Lukie. Do you get scared sometimes?"

"No sometimes I get sad when I hear Mommy cry but Sara said it's because Daddy sometimes says mean things to Mommy but Mommy is always ok when we have breakfast the next day"

Karev looked at the little girl before him and wondered to himself what kind of life she was living outside the hospital.

LATER

The doctor in charge of the harvest approached Roxie who stood waiting for news. Sara and Kathryn looked on as Roxie shook his hand and she turned to them both. She slowly approached them and they stood up.

"Eve's body is ready to be viewed if that's what you'd like"

Sara shook her head "No I can't, I'm sorry but the last time I saw her she was alive and I want to remember her like that, I want to remember touching her warm cheek not her cold one"

"Ok that's fine" said Roxie

Just then Roxie's pager went off and Roxie checked it to see a 911. Sara and Angela hugged as she comforted the girl who bravely saved her sons life. Roxie walked over to the nurses station to answer the page.

"Hi this is Dr Leoni I was just paged. Oh God I'm on my way" she put the phone down and looked at the interns behind the desk "Hey you" she said pointing at an intern among the heard "I'm leaving you in charge of them" she said pointing to Sara, Kathryn and Angela. "Comfort them, be appropriate, be professional and page me if you need me"

Roxie then walked away and proceeded to her emergent case. Moments later she rushed into Ryan Crow's room where staff frantically tried to stabilise him.

"What's happening?" asked Roxie

"His lung collapsed again" said Lexie Grey

Roxie stepped forward and checked on the patient listening to his chest. "Diminished breath sounds on the left side, get me a needle I need to release the pressure" Lexie handed her a needle and Roxie inserted it between the ribs and gradually released the pressure from his pleural space. His heart rate returned to normal.

"He's still hypotensive" said Lexie

Roxie looked at the monitors and saw she was right. "Chest tube" she ordered and Lexie immediately handed her a chest tube and Roxie inserted the tube attaching it to the vacuum which would help Ryan.

"Ok we need to get more tests done Grey get Ryan more x-rays, an ECG and ABG"

"Yes Dr Leoni" she replied approaching her "Is that it is he ok?" asked Grey

"No Grey he's not ok I think he may have tension pneumothorax and if I'm right that's a lot of pressure on his body" Roxie walked out of the room and into Mark who was on his way to see a patient

"Hey are you ok?" he asked walking beside her

"No I'm not this day has been…"

"Yeah it has" he said stopping and watching her lean against the wall with frustration

"They say it comes in threes, bad luck I mean. The DOA, Sara's baby and I'm getting tests to confirm a tension pneumothorax on her brother and just hope he isn't going to be the third they've gone through enough today"

Mark pulled Roxie in close and held her tight in his arms hoping it would help her.

LATER – AT CHARLIE'S ROOM

Charlie was awake and sat waiting for the arrival of Skye whom he'd had paged. He smiled as he saw her arrive and walk into the room.

"You had me paged?"

"Tell me I was dreaming?"

"Excuse me?"

"You didn't go and try to steal an organ for me on a technicality?"

Skye looked at Charlie "No I didn't I can't do that it's down to UNOS who gets the organs but I just made sure the family respected his wishes to donate and they did and now you're at the top of the list"

"Oh this guy had two livers did he?"

"No…one of the guys in front of you on the list passed away"

"Well I'm very sorry about that and Skye I appreciate what you're doing for me I do but if this is what God has intended for me then it will happen you can't change my fate, it's predestined"

"You'll get a liver and now you're at the top of the list it's just a matter of waiting for a match"

"Don't give me hope that just makes it harder when nothing happens"

"You have to believe Charlie"

"I do believe and that's why I'm in this hospital bed and not drinking myself to death in the bar across the street but it can't be forced"

Skye knew he was right and she sat down beside him and held his hand.

AT THE RELATIVES ROOM

Roxie approached the room where Kathryn and Sara had been reunited with Maisie. Karev saw Roxie stood looking in and joined her outside.

"Are you ok?" asked Karev

Roxie shook her head and walked into the room followed by Karev. Kathryn stood up and knew Roxie was bearing bad news about either her son or her husband.

"Kathryn I was called to Ryan's room earlier his lung had collapsed for the second time, I released the pressure and inserted a chest tube to help him breathe but I asked for tests to be done as I suspected something and the tests have come back and confirmed my suspicions. Ryan is suffering from tension pneumothorax which means his lung has completely collapsed and due to this a lot of pressure is being placed on his body, it has also pushed on to his heart and its blood vessels causing pressure on his heart resulting in low blood pressure. Kathryn we need to take him into surgery to relieve the pressure on his heart or it could become fatal"

"Oh my God I can't believe this" she said referring to the days events

"Kathryn he's going down to the OR as we speak"

"What about consent?" she asked

"This is a medical emergency your consent isn't required but I had to inform you"

"If you relieve the pressure on his heart will he be ok?"

"If we relieve the pressure on his heart the hope is that his BP will stabilise, his collapsed lung will return to its normal size and everything should work itself out now I need to get to the OR and help Ryan ok?"

Kathryn nodded as Sara comforted her "He'll be ok Mom"

"Stay with them" Roxie ordered Karev

Roxie then left the room and made her way to the OR.