LATER IN MR CROW'S ROOM

As police officers stood outside his room Mr Crow sat inside wondering what was going to happen to him and how his family were after not being told anything by hospital staff. Suddenly Mr Crow felt pressure on his chest and struggled to breathe, the monitors in his room started to sound and soon doctors rushed in as he began to code.

IN THE OR

Roxie was working on Ryan Crow's heart trying to relieve the pressure in order to stabilise his BP and help his lung return to normal size. As she worked on it with Lexie Grey by her side suddenly the monitors sounded.

"He's in v-fib"

Roxie looked over her shoulder at the monitors in disbelief "Ok massage his heart" she ordered Grey

"Mememe me?" she stuttered

"Yes Grey you massage his heart gently don't worry about damaging it, it's strong it can take it but still remain gentle, paddles" ordered Roxie as she watched Grey massage the heart "That's it you're doing it. Charge them" Lexie moved away and Roxie placed the paddles to the heart "Clear" said Roxie as she shocked the heart

"Nothing" said Lexie

"Ok charge again"

Roxie held the paddles to his heart once again "Clear" she said as she shocked the heart

"Ok we have a rhythm" said Lexie

"Ok lets save this boy and get him back to his family" said Roxie as they continued with the surgery

LATER AT MR CROWS ROOM

Hunt stood with Derek who had been called into Rob Crows room to check for brain activity.

"You did all you could Hunt" said Derek reassuring Hunt "Do you want me to speak to the family?"

"No I'll do it"

"Ok I'm sorry" he said before walking away

Hunt then exhaled as he walked through the corridors and met Roxie at the elevator. Roxie looked at Hunt and knew there was something wrong with him.

"What's wrong?"

"How's the boy?"

"He made it through now it's just a matter of waiting"

"Good because this family can't handle anymore bad news"

"What's happened?" she asked knowing he wasn't talking about just the baby

"The dad coded we got him back but he was down for too long neuro just confirmed no brain activity" he said walking into the elevator followed by a stunned Roxie

"I thought he was ok after the surgery?"

"Apparently God didn't want to save him today"

"I don't how they're going to take this news" she said honestly not sure how they were going to take the news of their abusive husband and fathers death

A Few Moments Later – Relatives Room

Hunt held the door open and Roxie entered followed by Hunt and Kathryn and Sara waited for news on Ryan. Kathryn stood up and could sense the bad news in the air.

"Oh my God please tell me Ryan's not dead" she said in tears

"Ryan is in recovery"

"Oh thank you Lord" she said with relief

"He's still fighting and his case is severe but he's out of immediate danger and he's in recovery being monitored"

Kathryn noticed the sombre look on her face and wondered to herself why she wasn't more excited about the good outcome of the surgery.

"There's something wrong, you're hiding something from me"

"Kathryn about an hour ago your husband coded, we were able to get a heartbeat but unfortunately because it took so long to revive him Rob was deprived of oxygen for a long time and Dr Shepherd our head of neuro has confirmed that there is no brain activity" said Hunt

Roxie and Hunt looked for a response to the news that never came.

"You didn't need a fancy doctor to tell you that just ask anybody who knew the man they'd all tell you he had no brain activity. Please keep me updated on Ryan?"

"Of course" said Roxie

"Do I need to do anything?" she asked Hunt

"Well he's currently being kept alive by machine until you make a decision"

"Pull the plug" she stated without hesitation

"Mrs Crow…"

"You said he was brain dead he's not going to wake up so pull the plug"

"There's paperwork and some information needed" said Hunt

"Such as?" she asked curiously still not showing any emotion about the news

"Things like if you request an autopsy for cause of death"

"I'm not interested in that"

"Ok there's the wishes of the deceased such as organ donation, spiritual or religious matters"

"He only ever believed in alcohol and his fists so no spiritual or religious matters to attend to as far as organs go he was too selfish to think about anybody else but I think he should do something to make up for all of this heartache that he caused so yes take everything it's about time he did something good even if it is in death"

Hunt shared a look with Roxie and she knew this was her area and not Hunts.

"Kathryn I can't possibly begin to know what you have been through not only today but in your life and I can only imagine the amount of anger you hold towards him but these decisions shouldn't be made with anger"

"You're a doctor I thought you would be happy with his organs"

"If this is your decision then yeah it's an amazing thing you're doing but all I'm saying is I don't want you to make a decision now that you may regret later when all the heartache and anger of this day subsides"

"The only difference between today and all the other days is that my husband killed my granddaughter other than that this is an average day for us so I'm sorry I can't be upset, I'm sorry I can't be dignified but I don't owe it to him. Now I'm here comforting my daughter after her loss while I'm sat here praying I don't have to be comforted for the loss of my son who you say is critical so that bastard is the last thing on my mind. I will sign whatever forms need signing as his next of kin but then I will give you his mothers number and you can get her to deal with the rest. Just get the forms and come back here"

"Ok" said Roxie realising she was making a fully conscious decision and her emotions weren't leading her train of thought as she watched Kathryn return to her two daughters.

A Little While Later

Roxie and Hunt stood before the chief in his office explaining the case with Mr Crow.

"Another harvest?" he asked stunned to his core that this was the third harvest within twenty four hours at Seattle Grace "Are you people trying to make a record?"

"Chief this is a good thing" said Hunt

"It depends which way you're looking at it Dr Hunt. Three harvests excellent a possibility of twenty four lives being saved and thirty six lives being improved. It's also three harvests in one hospital in less than twenty four hours which means three mortalities at the hands of our doctors"

"Two actually one of the donors was DOA" corrected Hunt

"Chief this was a bad crash that killed one in the field, an unborn baby due to traumatic complications from the crash and a guy who suffered two heart attacks following the accident. We did all we could we have been on our feet for the last fourteen hours dealing with these casualties, these three mortalities are not a result of bad care but of a bad crash with devastating outcomes. There isn't another hospital out there or any other doctors that could have done any better than your staff here today and you're standing there bitching and whining about how this looks to people, you should be out there congratulating your hardworking staff on their successes today and consoling them on their losses not bitching about coulda, woulda, shoulda's" snapped Roxie before walking out of the room

The chief looked at Hunt feeling humiliating at the dressing down he'd just been given by Roxie a dressing down in which he deserved "I'll inform UNOS and get the harvest team together, just get the papers signed"

"Yes chief" said Hunt walking out of the room and meeting up with Roxie on the walkover "You just told the chief off" said Hunt

"Right now in this hospital alone there are eight people waiting for organs this was nine a few hours ago until baby Derek got his heart. We have a guy on top of the UNOS list waiting for a liver right here in our hospital and the chiefs bitching about all these available organs we're getting today. These healthy organs that are going to save or better people's lives. I don't get his problem with it"

"He's just thinking with his business head eleven victims roll up to the doors, three die, two are critical. He's just thinking how this makes the hospital look, it seems wrong to you and I but it's his job"

"Business head or not Hunt, three lives lost has possibly saved and bettered sixty lives, you can't argue with that"

"Hey I agree with you I'm just saying the chief isn't heartless he's just doing his job and thinking about the reputation of this hospital"

"I have to go I've got patients to check on" said an exhausted Roxie

Roxie walked away from Hunt exhausted after a gruelling day at work.

A Little While Later

Karev was stood at the nurses station when he felt arms encircling his waist he turned and smiled as he saw Ryan.

"Morning babe" he said kissing her

"Hi"

"What are you doing here so early?"

"So late, I haven't gotten home yet. I've been out with the girls and I just thought I should end this good night on a high in an on call room with my man"

"Now there's an idea" he said smiling as he kissed her sweetly

"Oh look who it is" said Skye angrily as she approached the couple "My sister"

"Hi" said Ryan looking over at her sister wondering why she was so angry at her

"Tell me how come I see more of Karev than I do my own sister?"

"You work together" she quickly said immediately regretting her words. Ryan smiled and turned to Karev.

"Go wait for me I'll be there in a minute" Karev looked at Skye and then kissed Ryan before walking away

"Why are you so angry?" asked Ryan

"My sister falls off the face of the planet when I need her the most and working with Karev I know he's told you about me and Chan, for one you've stopped bugging me with wedding crap but you never once came to see me, to find me, to check that I was ok and if I hadn't walked in just then you still wouldn't be speaking to me"

"That's not true"

"Yes it is"

"You've got Roxie she does my job better than me anyway"

"She's too wrapped up in her own problems to care about mine and she has no obligation to me you're my sister Ryan"

"I'm sorry that you and Chan broke up, he seemed to make you happy but I couldn't come down here and tell you what to do. You have to do what feels right even if that does mean being on your own"

"He broke up with me"

"I know"

"I thought it would hurt more" she admitted to her sister "But it didn't"

"Then maybe it wasn't Chan that you loved but just the idea of you and Chan"

"How long do you wait after a relationship to move on?"

"I'm probably not the right person to ask"

"I met a guy, all we've done is talk with a little flirting but when I'm in the same room as him those few minutes are more exciting than my whole relationship was with Chan. He makes me feel special"

"But you don't want to hurt Chan?" Skye shook her head "Maybe you should talk to Chan and put a real ending to you guys and then it might feel easier for you to move on with this other guy"

Skye smiled at her sister and nodded "Yeah maybe"

"Ok well I have to go because Alex is waiting for me" she said with a dirty look in her eyes before walking away

"Ryan" called Skye turning to her sister who stopped and looked back "You're not as bad at this sister thing as you think"

"Thanks" she said with a smile before blowing a kiss to her sister and walking away in search of Karev

LATER

The chief stood in the conference room welcoming transplant teams as they gathered ready for Mr Crow's harvest. Roxie stood looking into the room exhausted from the last forty eight hours still unable to sleep as her busy head kept her awake she looked into the room of doctors waiting for their organs and wondered if she herself would be one of them as they waited for a decision on the liver. Dr Webber saw Roxie stood outside and made his way out to her he looked at her and could see how exhausted she was.

"So?" she asked wondering if a decision had been made

"The other hospital have come to claim the liver"

"What about Charlie?"

"It seems the other guy has deteriorated rapidly"

"Charlie's barely hanging on chief this is his liver"

"UNOS is still deciding"

"This is too much, two harvests and both times he's been overlooked"

"He hasn't been overlooked they're assessing the situation"

"When Robert Crow crashed Charlie was at the top of the list, when his wife signed the papers Charlie was at the top of the list. Half an hour from harvest and now this other guy is suddenly worse off than Charlie. He's circling the drain chief if he doesn't get this liver he'll probably be dead before that liver reaches their patient"

"If he doesn't get the liver then we just have to work harder at keeping him alive"

"I can do that, I can push him full of drugs so that he doesn't know his own name but I can't stop him from giving up and that's what he's doing chief he's tired and he's giving up"

"Chief UNOS are on the phone" said Patricia

Dr Webber turned to the room and looked back at Roxie before he made his way into the room to talk to UNOS. Roxie knew the call was about the liver and she stood looking into the room hoping for some indication that the liver was Charlie's. She looked at the chief who was hard to read and watched as he hung up the phone she then saw the dismay of the other medical team waiting for the liver and for a slight moment her spirits were high. The chief them walked out of the room and Roxie approached him.

"They're doing a curtain call aren't they?" she asked already knowing the answer

"The case will be assessed and a decision will be given once the liver is removed. It's that close Dr Leoni"

The chief returned to the room which Roxie couldn't bring herself to enter and she turned and walked away making her way to Charlie's room where she wasn't surprised to see her friend sat by his side. She walked in and an extremely frail Charlie opened his eyes the Irish fire had gone out and he laid there a defeated man and she wanted nothing more than to give him the fire back and tell him that he was getting a new liver but she couldn't and he could see that by the look in her eyes.

"I didn't get it?" he asked

"Nobody has yet they're going to assess the case and give a decision when the liver is removed. You and this other patient are so close, you're both a match, you're stats are almost identical it may come down to a timing issue who was put on the list first"

"And if he was then he gets it?"

"Yeah"

"I haven't been on it that long"

"He may not have been either. You just have to be strong and pray"

Roxie looked at her friend and could see the anguish in both hers and Charlie's eyes. Roxie then removed herself from the room and she made her way to the gallery where she watched the harvest take place. She sat among the interns and residents who were watching with interest as they were possibly witnessing a harvest for the first time or the third that day as the case may be; she sat waiting for the liver to be removed and as it was placed on ice she waited for the decision to come through. Mere moments later Meredith ran into the gallery frantically.

"Charlie got the liver!" she declared

"He got it?"

"He got it! They stabilised the other guy so Charlie was the more severe case. He got the liver"

"Ok lets go give him the good news"

IN CHARLIE'S ROOM

Charlie stared at the clock knowing the harvest was taking place wondering how long he would have to wait to find out if the liver was his or not. Skye still sat beside him waited anxiously for the news and she could see the fear in Charlie's eyes and tried to keep his spirits high.

"Maybe when you get the new liver and you're recovered we could go out on a date"

Charlie looked at Skye and smiled "I thought you weren't infatuated with me?"

"I'm not it's a sympathy date not many women are going to want you after this"

Charlie smiled "Is that right?"

"Yeah"

"So I have to get this liver to get a date with you?"

"That's right"

"What if I don't get it?"

"That's not a possibility this is a window, and it will close so you better hope you've got this liver"

Just then the door opened and Meredith and Roxie walked in.

"You got the liver" said Roxie

Charlie laid in shock "I got the liver?"

"You got it" she clarified

Charlie smiled and for the first time in a long time they saw that fire back in his eyes and he looked over at Skye.

"There's no backing out now" he said as Skye smiled

"Lets get you prepped right away"

A Little While Later

As Roxie and Meredith worked on Charlie in the OR Skye sat in the gallery above watching the surgery meticulously. She was joined by Mark who sat down beside her and looked into the OR.

"Hopefully after this she'll sleep"

"What?" asked Skye wondering what he was talking about

"She hasn't slept since this chaos rolled in"

"She hasn't?"

"No and she needs to sleep" referring to her condition "She's scared about the baby" he said confiding in an unlikely foe

"I know"

"I don't know how to make it better, or make it easier. I can't promise her things will be fine as a doctor I can't be that optimistic"

"As her boyfriend and the father of her baby you have to be. You have to forget what you know for the next six months for her sake and you have to keep telling her things are going to be fine to make her feel safe because there is nobody in the world who makes her feel more safe than you and she needs that at the moment"

"What if something bad does happen?"

"You deal with it but you can't sit around waiting for it. If it's going to happen then it's going to happen you can't stop it. And there are two huge differences this time around; firstly because of Faith they're going to be looking for placental abruption which will reduce the risk of it happening again and secondly she has Chan, he is an excellent OB and there's nobody I would trust more than him to look after Roxie and the baby. She's in safe hands"

Mark sighed and knew Skye was right but couldn't help but worry about Roxie because he knew it was going to take more than a speech to stop her from panicking but he knew he had to stop her from panicking before it harmed the baby.

"They're done" she said standing and looking down waiting to see the liver pink up as were the rest of the staff "Come on pink up, pink up" she begged

"Pink up damn it" said Roxie knowing it should have pinked up by now

"Why isn't it pinking up?" asked Meredith

"Wait for it" said Roxie praying it did "Come on Charlie you need this"

Skye looked down into the OR with fear coursing through her body as she knew the liver should have pinked up by now.

"It's too long" said Mark standing up and stating the obvious

"Come on Charlie" begged Skye as tension mounted over the patient

"It's not happening what do we do now?" asked Meredith

"Wait"

"Dr Leoni…"

"Grey just wait!" she exclaimed as she put her faith in Charlie and they waited

"Why isn't she doing anything?" asked Skye

"She is" said Mark knowing she was giving him more time before putting his body under more trauma

"Oh my God" said Meredith as she saw the liver begin to pink up "It's it's…"

"Pink" said Roxie finishing her sentence and smiling thankful the body reacted

"Oh thank God" said Skye as she saw the liver pink up on the monitor

Mark stood beside her and looked at her wondering to himself why she was so concerned about this patient.