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Meredith woke up in the On-Call Room. She looked at her watch and was glad to see she managed to get and hour and fifteen minute nap without any interruptions. She stood up and noticed that Derek was no longer in the other bed. He must have gotten called into surgery or had some other business to work with.

George walked into the room. "Hey, I was just coming in to catch some shut eye. Where are you off to?"

Meredith grabbed her stethoscope saying, "I have to check on my patient, and then file some paperwork. Then check in with Dr. Bailey. Enjoy your nap."

As George sat on the lower bunk he said, "Oh Thanks. "

Meredith went to check in on Molly. She checked her file and saw that her last follow-up showed great improvements. She checked the levels of antibiotics and liquids being inserted through her IV, and then moved on her way. She was very careful not to wake her up.

When Meredith walked into the hall she saw Dr. Bailey coming in her direction.

"Grey, I need you to run these labs to Dr. Montgomery. After that they need two patients sutured up in the Pit. One is rear end collision patient. The other is an I-D-I-O-T who thought it would be brilliant to jump from a barrier onto a pile of rocks. I don't know what makes these fools do this, but they are still patients." Bailey handed the charts to Meredith and walked right past her. She turned around. "Actually, Grey I'm going to send Karev down there and you two are in charge in the Pit. I want paged when your shift is over. I don't want you two out of here until paperwork is filed for any non major surgical patients. I know you're tired, but you have another 13 hours of your shift. When you get a chance make sure you eat, I don't want any stomach growling whiny interns. That will get on my nerves, then I might want to smack you. You don't want that." Meredith could not help smiling, she knew Bailey meant business, but it was still comical.

By the time Meredith sutured up the first two patients Bailey assigned, Alex made his way to the pit. Meredith was waiting in a small room for the next case.

"So, Grey. What do we have?" Alex said as he entered the room.

"Well, we have a 9-1-1 on the way in. It is most likely surgical, with no option to scrub-in. Bailey needs us down here. We also have two sutures in exam rooms one and four. So, we can answer the 9-1-1, then you take one and I will take four." Meredith handed him the chart.

"Alright." Alex handed Meredith a yellow scrub smock and they put them on. They rushed to the ambulance dock and waited for the emergency to arrive. "So, how is Izzie?"

"She's ok. She has a long way to go; this has been hard on her. She needs her time." Meredith and Alex could hear the sirens getting closer. Suddenly it backed in the dock and the men began to bring out the gurney.

"Female. Nineteen years old, single gunshot wound to the chest." The man said as he pumped the air into her weak body.

"Page Dr. Bailey. Tell her that we are bringing her up." Karev led the gurney. "Grey, I'll be right down."

Meredith felt bad for the young woman, but knew that she needed to get into the exam room. When she walked in she saw a man with a huge gash in his knee." She walked in and looked over the chart. "Mr. Peters, I am Dr. Grey. I'll be suturing you up. May I ask how this happened?"

Mr. Peters looked at his leg and said, "I was cutting wood with an axe and missed. I've never been one with the coordination. My wife is going to kill me."

Meredith smiled and put on some gloves. "Well, it seems that you got yourself pretty good. I'm going to suture you up and prescribe an antibiotic of Penicillin. But first we are going to have to flush your leg to prevent early infection. I'm going to have a nurse come and and run some water through and I will be back to sew you up."

"Thank you Dr. Grey. I think you are real pretty. But don't let my wife know." He laughed and she went out to check on the other waiting list. She saw that Alex had returned and was seeing two separate patients. She went exam room two, since all they needed was to get a tic-tac out of a four year old boy's nose. She was able to get it out very quickly and gave the boy a sticker.

When Meredith's pager she went off she saw that the nurse was paging her from Mr. Peter's exam room. She rushed in to find the nurse's running around. Olivia ran up to grab the paddles.

"His BP is dropping rapidly. He may be having a heart attack. Dr. Grey he is losing circulation!" Olivia handed an oxygen mask to Meredith.

"Mr. Peters I need you to stay with me." Meredith put the mask on him and took the paddles from Olivia. "Charge to 200."

Olivia replied, "Charged to 200!"

Meredith put the paddles down, "Clear!"

Nothing

"Charge to 300!" Meredith shouted. "Page Burke or Shepard, or whoever can get down here the fastest."

Olivia turned up the charge, "Charged to 300!"

"Clear!"

Flat line.

Meredith tried her best to perform CPR until help could arrive, but he was gone.

"Time of Death 7:30." Meredith turned around and exited the room. Derek turned around the corner.

"Hey, what's up? I saw you paged." Derek said with a concerned look on his handsome face.

"My patient had a gash to his leg, but suffered a heart attack. He's gone." Meredith hung her head. Derek pulled her into the office and shut the blinds. Meredith began to cry.

"Derek, I don't know what is wrong. It was just a gash; his BP at the time was fine and stable. He showed no signs, I had the nurse flush the leg, but he just died. Dead." Derek kissed Meredith gently on the lips.

"This stuff happens and you could not have done anything. Listen, you are stressed. You have ten hours left in your shift. I do too, so why don't we go back to your place. Take a shower, eat some dinner and go to sleep. I love you." Derek ran his fingers through her hair and rubbed her cheek.

"I love you too." Meredith kissed him back. "I better go; I have to get back to work."

Meredith and Derek walked to the nurse's station.

Derek responded, "Well, I don't have any surgeries scheduled right now. So I told Bailey, I would help out down here."

Meredith looked over the files and compared them to the waiting list. "Well, it looks like Alex has a dehydration epidemic in four and sutures on the floor. I can take the next case numbers seven, nine, and eleven. You can take case numbers eight, ten and twelve. Let me know if you get paged."

"Alright Princess Grey." Derek smirked as he walked away.

Meredith looked at him and smiled. She proceeded to do her first three cases. One was a baby who needed a CT, so it took her two hours to get to her patients. She felt bad, but knew that was what people risked when they needed to go to the ER and it was not a high risk situation.

Meredith got a call from Bailey to scrum in on a simple medical surgery. It was simple, but a three hour at least surgery. It made time go faster. Now she only had five hours left, so she decided to meet Christina for lunch in the cafeteria. After that she took a few labs, helped suture in the pit and watched Bailey's son for fifteen minutes.

When the shift was over she met Derek outside of the locker room. Derek decided to order some carryout and meet Meredith back at the house.

Note: Ok all!!! That is all for now, I hope it was not boring I just wanted to make a medical story. Don't worry, there will be much more Derek/Meredith stories. I hope you enjoy and please review!!!!