While Madeline and Sabrina were talking with Elena, James offered to watch Ricky and Gabby while Nell and Bobby Lee had some alone time together.

Sofia and Amber came in as they saw James rocking Ricky and singing to him, while Gabby was playing with James' stuffed jaquin Zebra, Greenie, and her own Lily.

"How's it going?" Sofia asked.

"Pretty good," James smiled. "Ricky fell asleep thanks to that song Mom used to sing to me and Amber, and Gabby's busy with her kitty party."

"Sofia and I were just going to take a walk around the palace. You can join us if you want," Amber offered with a smile.

"Not while I'm on babysitting duty," James smiled, putting Ricky in his crib. "Besides, you know Gabby and her leg."

"But I wanna walk!" Gabby pouted, hearing their conversation.

"Maybe we could take you for a walk down the hall," Amber suggested. "We could do a quick stroll and bring you back. Would that be okay?"

"Would what be okay, Princess Amber?" Bianca asked, coming in to check on Ricky.

"Sofia and I were thinking we'd take Gabby for a walk around the palace," Amber repeated. "Is that all right?"

"Well, as long as I go with you, and Gabby Anna promises not to overdo it, I suppose a quick walk would be all right," Bianca smiled. "But you understand that it will be quick. Helen Genevieve and Robert Lee will be back in an hour, and I don't want to get any of you in trouble."

"We be good!" Gabby promised, holding up her kitty.

"I'm glad to hear it," Bianca mused, seeing Ricky asleep. "But no bothering Richard Edward when you get back. He's exhausted enough as it is."

"What that mean?" Gabby asked, a little confused.

"Exhausted?" Sofia teased as Bianca took Gabby by the arm.

"He's tired, sweetheart," Bianca explained. "He's been sick, so he wants to rest. But he should be back to his old self either tomorrow or the next day."

"Okay," Gabby whispered. "You go night-night, Ricky. If you want, we play tomorrow!"

Ricky woke up briefly, cooed at his big sister, then fell asleep in James' arms again.

"And maybe we can ask your aunties and Elena if they want to join," Amber grinned, mussing her hair.

"No. I good," Gabby smiled, carefully walking by herself.

"All right," Bianca smiled. "We'll go slowly so you can keep up with us."

"Let's go!" Gabby giggled, but she held Sofia's arm.

"You'll be okay, Gabby," Sofia smiled. "Nell says you get better every time you go to the doctor's. You could think of this walk as practice before your next appointment."

"When I go back?" Gabby asked.

"Not for a few weeks," Amber assured her. "Nell always writes down your appointments so they know when to take you. This trip is just for a few days, but we'll be home soon so you won't miss it."

"Elena's gonna be sad when we leave," Gabby frowned, looking at the ground.

"But she can tell Snow White all about it," Bianca assured her, kissing her cheek. "Gabby Anna, you shouldn't worry about her being sad. Elena Lydia is tougher than that."

"Like with mean boy Jack?" Gabby asked in confusion. "Because of his daddy, he's nice now."

Bianca nodded, recalling how Jack's parents had separated. She knew that for his entire life, Jack had been given mixed messages on how to treat others; his father had always told him that teasing was not acceptable, while his mother had encouraged his behavior toward Elena and Gabby. She had often tried herself to talk to her, but Jack's mother wouldn't listen. "Maybe so, dear, but I've noticed that Elena Lydia still doesn't trust Jack."

"Why?" Gabby asked.

"Well, he's teased her for years," Bianca replied. "She thinks he won't stop doing it, even if he's in a different class and only living with his aunt and daddy, who are more positive role models and teach him how to behave."

"She just doesn't trust him not to tease her yet," Sofia agreed. "Trust is something that has to be earned, and Jack has a long way to go before he gains Elena's trust."

"Like me and doggies?" Gabby smiled, trying to run a little.

"Yeah. Just like you and doggies," Amber assured her with a smile as Madeline bumped into her.

"Elena's too upset," Madeline apologized, dusting off her dress. "I think our talk with her got to her a little."

"Well then, I think we should go see her and try to cheer her up," Bianca smiled. Nell had told her about the events leading up to Elena's timeout, and how Sabrina had swatted her on the bottom.

"Do you want to come with us, Gabby?" Sofia asked.

"Yeah!" Gabby smiled. "I wanna help Elena too!" She had been with Florence after she left James' room before his game with Esteban, so she hadn't seen what Sabrina had done. She just thought Elena had a meltdown and was sitting in her quiet area to calm down. She didn't know she was there for timeout. But now she felt awful. Her twin was upset with something she didn't understand.

Gabby tried to understand Elena sometimes. She tried to understand why Elena didn't like food touching, she tried to understand why Elena was a little slow when it came to writing and listening to story time, and she even tried to understand why Elena would forget their bedtime routine and have accidents.

But she still loved her twin. Even if understanding her was difficult sometimes.

She watched as Bianca knocked on the door. "Elena Lydia, are you all right?"

"Gabby!" Elena smiled as she came over and hugged her. Thankfully, the pain of the swats had gone away, so it felt good to sit again.

"You okay?" Gabby asked.

"Yeah," Elena smiled.

"You wanna talk about it?" Gabby asked.

"Not now," Elena admitted.

"We're sorry we made you cry, Elena," Sabrina apologized with a frown, hugging her close.

"You did get me sad," Elena remembered, looking at her hands.

"Why?" Gabby asked, confused as she handed her kitty to Elena.

"I was a bad girl and Auntie Sabrina swatted me," Elena admitted.

"Oh, yes, Robert Lee told me about that," Bianca mused. "Well, hopefully you learned your lesson."

"I did and I be a very good girl," Elena smiled, looking around. "Maybe we can ride the kitties now?"

"If they're not busy," Sofia reminded her with a smile. "Remember baby kitties need attention just like Ricky."

"But they don't look like him," Elena said, petting Kitty a little.

"Maybe not, but they're little and sometimes their Mommy and Daddy need to stay with them," Amber said reasonably. "They might have to give them extra attention for some reason so they can't play when you want them to."

"Okay," Elena nodded.

"We can ask the jaquins if they're free to give you a ride," Sofia suggested. "But remember, if they say it's all right, someone has to ride with you."

"Okay," Elena smiled.

"Good girl," Bianca cooed, musing her hair. "You're becoming such a big girl, Elena Lydia!"

"I like being big girl!" Elena giggled, flapping her hands.

"You've shown us that you can be a big girl," Madeline smirked, playfully taking Kitty from her.

"I have?" Elena questioned, trying to reach for Kitty.

"Yes," Madeline smiled. "You tried new food and ate like a big girl, you didn't run off when Nell and Bobby Lee gave you a bath, and you did your timeout without a whole lot of complaint."

"Yay! We see kitties now?" Elena asked.

"Yes, sweetheart, we see kitties now," Bianca smiled.

"Kitties! Kitties!" Elena sung with a giggle as Gabby ran beside her.

"Maddie, you okay?" Sabrina asked, seeing her frown. "Are your arms itchy again?"

"No, but I have a little headache," Madeline groaned, seeing Sabrina's worried glance. "I better go lay down."

"Sabrina, are you okay?" Amber asked, patting her shoulder. "This is a vacation for all of us. You shouldn't have to worry."

"I just want to sit down for a minute," Madeline murmured.

"I'm getting Nell," Sofia spoke up, "She'll take care of you, Madeline."

Sofia ran off to where Nell and Bobby Lee said they'd be walking, and she hoped Madeline would be okay.

"She didn't have to do this," Madeline murmured.

"We know, but we care about you, Maddie," Amber smiled. "Sofia will find Nell, and she'll help you with whatever's wrong."

"I just feel like Elena! I always take everyone's joy away!" Madeline shouted before she started to cry.

"Why would you think that?" Sabrina asked, stroking her hair.

"I don't know. She always needs special attention because of her autism and every time I don't feel well or my arms look red, I always have to take Nell's time away!" Madeline sniffed, burying her head in Sabrina's chest.

"Maddie, her time can be at a different day. Not you," Sabrina assured her, doing what their sister often did with their nieces.

"Is everything okay? I could hear you shouting," Nell said as she and Bobby Lee came up with Sofia and Amber.

"I've had a headache since this morning," Madeline admitted. "I didn't think it was so bad at first, but my head hurts even more now."

"Maddie, come here," Nell murmured, sitting down with her. "It's going to be all right. Lucky for us, the doctor who examined Ricky is still around, so we can have him take a look at you."

"But Elena, Gabby, and Ricky are so much more important than me," Madeline protested.

"Madeline Elizabeth O'Malley, do not ever put yourself down like that again," Nell said firmly, "You, Sabrina, and I have been sisters longer than I've been a mother. I actually got my first taste of motherhood when I was helping Mama and Papa raise you. And we took care of each other when we were Jimmy's prisoners. You and Sabrina wanted to help take care of me too when we learned that I was pregnant, and I appreciated every second we were together."

"But I interrupted your time together," Madeline sniffed, hugging Nell close.

"Believe me we've been interrupted by much worse than you not feeling well," Bobby Lee mused, stroking her hair.

"You have?" Madeline smiled a little. "By who? With what?"

"I'll tell you later, little Butterfly," Nell murmured as Amber came up with the doctor who had taken care of Ricky.

"Headache, is it?" the doctor asked. "Well, let's take a look."

Elena cuddled up next to Madeline and handed her Butterfly. "You can hug your Kitty while you sick."

"Thanks, Elena," Madeline smiled a little. "Kitties do make everything better, don't they?"

"Yeah!" Elena giggled, dancing around with Kitty.

"But why aren't you with the big flying kitties?" Madeline asked, knowing how excited she had been.

"Auntie Madeline first," Elena explained with a smile. "Kitties later."

"We've taught you so well," Sofia smiled, hugging her. "Just for that, I'll take you on a jaquin ride after the doctor checks out Madeline."

"Yes, Love Bug, you earned it," Nell smiled.

"Yay!" Elena cheered, dancing around with Sofia.

At that moment, the doctor came in to check Madeline.

"Nell please don't leave," Madeline whimpered, trying not to cry.

"Butterfly, I would never do that," Nell assured with a kiss on the cheek.

"I don't want him to find the scars," Madeline whispered, close to crying. "E-Elena can't see them."

"It'll be all right, Madeline," Nell murmured. "But if you want, we can have Elena sent out of the room. That way, we can explain in confidence about the scars if he asks about them."

"He won't tell anyone about them?" Madeline asked.

"That's right. Bobby Lee and Florence call it doctor-patient confidentiality," Nell assured her. "That means the doctor can't tell anyone about what we talk about."

The last thing Madeline wanted was to talk to someone she barely knew about the scars, and how she got them. But she did trust Nell to make sure their discussion was kept between the three of them. "Okay," she murmured.

"Everything's going to be all right, Maddie, I promise," Nell smiled as the doctor came in.

"The younger one is your patient, doctor," Bobby Lee greeted, taking Elena in his arms. "Be mindful she's a little scared."

"But she have her kitty," Elena frowned, not understanding.

"And she can most definitely keep her little friend with her," the doctor smiled, patting Butterfly on the head.

"Thank you," Madeline whispered as he looked her over.

"How long have you had this headache, Madeline?" the doctor asked.

"Since this morning," Madeline admitted. "It wasn't really bad at first, but this afternoon, it still hadn't gone away."

"Have you had this headache before?" The doctor asked, checking her heartbeat.

"When I was five, sir, but I don't remember much," Madeline answered with a frown.

"Do you remember, Mrs. Johnson?" The doctor questioned, unbuttoning Madeline's dress so she could start taking deep breaths.

Nell nodded. She knew she'd have to tell the doctor about her and her sisters' ordeal, but she didn't want Elena in the room when she started explaining. She looked toward Bobby Lee and Elena, and then toward the door.

"Come on, Love Bug," Bobby Lee murmured, taking the hint, "Let's let the doctor take care of Auntie Madeline. You, Sofia, and I can go see the kitties."

"Okay!" Elena cheered, but before she left, she gave Madeline a hug. "Kitty can stay with you and you be all better."

"Thanks, Elena," Madeline smiled as they left the room and Bobby Lee shut the door behind him.

Nell explained her and her sisters' ordeal to the doctor as Madeline nuzzled her and Elena's kitty against her.

She didn't want to think of her ordeal anymore, clutching onto the kitties as tight as she could.

"Well, first I must tell you both that you are exceptionally brave young ladies," the doctor smiled.

"Thank you, sir, but do you promise not to tell anyone about this?" Madeline asked.

The doctor squeezed her hand. "I promise, everything we say will not leave this room."

"Thank you, sir," Madeline sighed in relief before feeling him touch her arms. "Ow! Careful please!"

"I'll prescribe some cream for those arms," the doctor apologized, helping her up. "Can you tell me what you feel when you have these headaches?"

"Sometimes I feel dizzy when I have them," Madeline admitted. "Other times I feel like something's trying to jump out of my head, and that's when my head really hurts."

"Do you feel sick at all when you have these headaches, or do sounds or light make them worse?" the doctor asked.

"I don't really feel sick," Madeline replied, "But sometimes when Elena starts screaming, it makes my head hurt and I want to go someplace quiet."

"Oh yes," Nell murmured, "Sometimes when she has a meltdown, I've seen you running to your room."

"So loud noise increases the pain," the doctor noted, gently touching Madeline on the head.

"Yes, but I can't just yell at Elena to be quiet," Madeline frowned, looking a bit timid.

"Elena has autism," Nell explained to the doctor. "When she's angry, she has what we call meltdowns, which sometimes include screaming. I've sometimes seen Madeline running to a quiet place after she says that her head hurts."

"So you don't have to hear it?" the doctor asked. "Do you feel better when these meltdowns end and it's quieter?"

"Yeah," Madeline nodded. "I just can't take her screaming."

"Do you love Elena?" The doctor asked with a smile.

"Yes sir," Madeline muttered softly, twirling a lock of hair.

"Then there might be something you could do to help her when she starts screaming," the doctor suggested.

"Elena has a feelings puzzle she uses to tell us how she's feeling, and I sometimes help her with that," Madeline offered. "I used to read to her, and we played together."

"Those are good things to keep doing," the doctor smiled.

"I want to do them again," Madeline smiled a little.

"What can we do about her headaches?" Nell asked, squeezing Madeline's hand.

"Well, I can prescribe some medicine for her to help with the more severe headaches, and some different medicine for the lesser ones," the doctor suggested. "But since I'm not Madeline's primary physician, I suggest that you take her to your doctor when you go home and ask for their opinion. You should also tell them about everything we discussed and see what they have to say."

"I think that's a good idea," Nell agreed. "I was taking notes on everything you said, so I'll be able to tell the doctor all about this."

"You said you wouldn't tell anyone about this!" Madeline started to tear up.

"It's all right, Maddie," Nell assured her, "I'm only sharing his opinion with your regular doctor. He might agree with the plan, or if he doesn't, he can give us another idea on how to help you. You want to stop the headaches, don't you?"

"Yes," Madeline nodded. "I do want them to stop."

"Good girl," Nell smiled, hearing her start to yawn. "How about we watch Elena and Sofia in a night time kitty ride and get you to bed?"

"Okay," Madeline murmured. "Thank you, Nell."

"It's what big sisters do," Nell smiled, then she turned to the doctor. "Thank you, doctor."

"My pleasure," the doctor smiled. "Enjoy your kitty ride, and have a good night."

"You too," Madeline smiled as he left.

"Come on. Hopefully they haven't left yet," Nell grinned, carrying Madeline over her shoulders.

"I thought I was too big for this!" Madeline playfully teased with a smile.

"You're not that big," Nell smirked, taking the kitties in her arms.

They arrived in time to see Elena and her namesake sitting on Skylar. Elena was so excited that she could hardly sit still.

"Nell! Madeline! Do you want to come with us?" Queen Elena asked.

"Can I? You can come too, but can you stay with me?" Madeline asked.

"I'd love to," Nell grinned, mussing her hair and sitting behind her on Luna.

"Kitty ride! Kitty ride!" Elena giggled, trying to keep herself together.

"I hope that I'm not as bad when we hit the air," Madeline joked with a smile.

"You'll be fine," Nell assured her, "Sofia let you ride Minimus before, so this is kind of the same thing."

"Ready, everyone? Here we go!" Queen Elena called as Skylar and Luna took off.

Elena shrieked happily in her namesake's arms. "I fly on kitty!" she cheered.

"We're all flying on kitties," Madeline smiled.

"Auntie Madeline better?" Elena asked, looking at her with a frown.

"Yes I'm better," Madeline assured her with a smile.

"Ricky get better too?" Elena wondered hopefully.

"I'm sure he will," Madeline smiled. "His color was coming back the last time Nell and I checked on him, and Mrs. Luisa said he'd probably be better tomorrow."

"Yay! We take Ricky for kitty ride?" Elena cheered, being careful not to flap her hands so she wouldn't fall off Skylar.

"If he's up to it," Nell agreed.