Chapter 7

"Shit!" Alex runs out into the road where Izzie lay crumpled.

"Izzie! Izzie talk to me baby! Come on baby wake up! This is not happening!" Alex falls to his knees next to her. Two paramedics and a nurse who had been outside for fresh saw the whole thing. The nurse runs inside to get help, one paramedic runs over to Alex and Izzie while the other runs after the car which has slowed considerably.

"Please baby wake up!" He cries as he begins to check her over to see how bad her injuries are. The paramedic crouches on the other side of Izzie and gently pushes Alex's hands back as he checks for injuries. Alex grabs hold of her hand and whispers to her to wake up, to be okay.

"Alex! What happened?" Meredith yells as she follows the stretcher outside shocked to see Alex there.

She freezes for a second, "Oh no." Alex keeps hold of Izzie's hand as Meredith crouches next to him.

"Alex?" She prods pulling him back from Izzie and out of the medic's way.

"I, I don't know. One minute she's walking towards the lot, and then there's this car and and it just…" He pauses and takes a deep breath. "There wasn't time for anything, the only reason I saw him was because the lights reflected off his car. Izzie couldn't have seen that. He was going so fast. Even if he tried to stop there wasn't enough time."

Meredith glances over to see another paramedic guiding a man into the ER while Alex's gaze returns to where Izzie is being lifted onto the stretcher and he is instantly at her side again.

Alex tries to remain by Izzie's side when they enter the emergency room, but is told to stay out of the way or get out.

"Head trauma, two broken ribs, possible puncture to the lung, fractured tibia, possible internal bleeding. Call for an OR. I want to get her stabilized!" The doctor calls. Alex clenches his fists tightly as he listens to the injuries.

Dr. Bailey enters the room confused as to why she was being paged for an accident victim. She spots two of her interns against the wall and her heart stops. "Grey, Karev, what in the hell happened?"

"Izzie was hit by a car. Thomas is down the hall keeping an eye on the driver to make sure he doesn't bolt." Meredith answers.

"How bad is she?"

"Bad." Meredith replies softly. Bailey looks at Alex for a moment.

"Grey, take Karev out into the waiting room. There's nothing either of you can do right now."

This jerks Alex out of his haze. "You are not making me leave! I need to be here! She needs me!"

"Karev there is nothing you can do for Izzie right now. Go out into the waiting room and once they find out a little more I will tell you." Bailey says gently as she steers him out of the room.

"Grey find O'Malley; tell him I need to see him." Bailey leans against the wall watching Meredith lead Alex to a chair and turns back to the table as one doctor leans over Izzie.

"Lungs sound good, but I want an X-Ray in here stat to be sure before she's sent up to surgery!"

In the waiting room Meredith pushes Alex into a chair. "I'll be right back Alex. Just stay here okay. Normally I would somehow threaten you with something to make you listen, but…" She trails off with one last glance at Alex's averted head before heading upstairs to find George.

"George!" Meredith calls rounding the nurses station on the surgical floor. "You need to go to the ER. Bailey wants to see you."

"What did I do now?"

"Nothing, please George, just go, now."

"Meredith are you okay?"

"No. Just go, you'll find out." George rushes down to the ER with Meredith following at a slower rate. As she passes the nurses station she stops in to grab a couple of coffees. Then she makes her way down to where she left Alex.

"Dr. Bailey?" George questions as he enters the hectic room.

"Here O'Malley. I want you to go get Shepherd. Tell him it's urgent and that he needs to get his skinny ass down here yesterday. Do you understand?"

"Yes Dr. Bailey" George replies while trying to look over her shoulder at who is on the table.

"Just get Shepherd, O'Malley. Make it quick." George nods before running back upstairs to the surgical floor where Shepherd's office is.

Meredith takes a deep breath as she enters the waiting room where she left Alex. She pauses in the doorway scanning the room looking for him.

"Damn." She sets the coffee down and starts heading back to Izzie's room where she finds Alex leaning weakly against the wall.

"Alex? Come on we have to go back. You shouldn't be here right now."

"Where is he?"

"Who?"

"The driver."

"I don't know." She lies. Alex pushes off against the wall and starts making his way down the hall.

"Where are you going?" Meredith asks following him. Alex ignores her question as he looks in and out of each room that he passes.

Finally at the end of the hall Alex pauses in the doorway of the room. Before Meredith can react he's launched himself at the man. Alex has pinned him to the ground and punches him over and over again before Thomas can pull him off.

"Who the fuck do you think you are! Too good for headlights! Too good to get a cab! How drunk are you! How fast were you going before hitting her slowed you down!" Alex yells lunging against Thomas' hold.

Derek enters the ER room right behind George and looks to Bailey.

"What is it?"

"Car accident with head trauma. She was walking out into the road when the car hit her."

"How bad?"

"They don't know for sure. But I want you prepped and ready to go the minute she's stabilized enough for surgery. Room three is going to be used" Usually Derek would take offense to being bossed around by a resident but something in Bailey's voice gave him pause.

"Who is on the table?"

"Izzie Stevens." Bailey forces out.

George gasps as his head swings back to the table. Between two nurses he can see a hint of blonde hair covered in blood.

"How, what, why?" He stutters his eyes glued to the table.

"O'Malley, Grey is outside with Karev. Help her keep an eye on him, make sure he doesn't do something stupid." George nods and turns to go find Meredith and Alex.

An aide comes running back into the room with the test results of Izzie's skull and lung. The doctor grabs then from him and holds them up to the light.

"Lungs are good, but she has a fracture to the temporal bone and blood is building up! Call up to surgery and get me a brain surgeon!"

Derek steps forward. "Right here! Get her prepped, three is set up. I want her sent upstairs right away."

"Who called you?" "She's a surgical intern. I was called after the accident." Derek grabs a hold of her chart.

"She has a subdural hemorrhage forming; this shouldn't be forming so quickly. I want her upstairs stat!" Derek walks out the room making his way upstairs.

"Meredith? Alex?" George calls as he walks down the halls looking for the two interns. He follows the sound of yelling down the hall and looks into a room to see Alex fighting against Thomas' hold while Meredith helps some guy off the floor. George jumps in the help Thomas. Finally Alex calms down enough for George and Meredith to lead him out of the room, while Thomas keeps a close eye on the man waiting for the police to arrive. Bailey who is following Izzie's stretcher spies them at the end of the hall and stops to wait for them. She turns to Alex.

"They're taking her into surgery. She has a fracture of her skull that is causing a hemorrhage. Shepherd is already upstairs scrubbing in. They set her leg and and will wrap her ribs after surgery. She'll be in three because I know sure as hell even if I told you to stay out you wouldn't listen." Bailey leads the trio back to Izzie's stretcher which is waiting for the elevator.

Christina walks down the halls on the surgical floor shocked to see how empty it is. She cannot find Meredith or George anywhere. Hell she'd even take spending time with the evil spawn to find out where everyone has gone. She passes by the surgical board where a nurse is adding a surgery.

"Craniotomy! I have to get in on that!" Christina continues down the hall as the nurse adds the patient's name to the list, Stevens, I. She spies Derek hurrying along the floor towards the operating rooms.

"Shepherd!" She calls running over to him.

"You're doing the Craniotomy I'm sure. Is there anyway I can scrub in?"

Derek looks at her blankly a minute, then realizing that she must not know what happened replies. "No interns allowed to scrub in for this one."

Christina mumbles something about high horsed surgeons before making her way over to the nurse's station.

Behind her Bailey, Meredith and George follow Alex as he walks next to Izzie's stretcher holding her hand.

"Karev stop right there." She says to Alex who is about to follow Izzie into the operating room.

"No one is allowed in there. You can watch from the pit, though I don't think it's wise." She heads over to the wash room to get ready to scrub in for the surgery.

Author's Note: Thank you so much for the reviews! I hope this setup is easier to read. Also I took a like license with Izzie's injuries. Usually subdural hemorrhaging occurs weeks after some kind of head injury and they are very serious. For purposes of this story I sped it up.

Hope you guys liked the new part.