Disclaimer: I don't own Grey's Anatomy, or the characters, and chances are that I never will.

Here's a new fic I thought up when I watched the scene in Tainted Obligation where Bailey is operating on Meredith, this was just something that I had to right.

Enjoy!

How is it that you can be going through your life, just getting by, and then in an instant… You're life is changed irreparably? You miscarry, you nearly drown, your mother dies, you are diagnosed with cancer, you're hit by a bus. There should be some kind of warning, a message or something, but there isn't, it's just random and devastating.

And right up until it happens to you, you are certain that it won't be you that's life is turned upside down, it'll be someone else, these things always happen to someone else.

It started out like any other day, Alex got out of bed, got organized and left the house well before his friends were awake, since everything had been happening with Izzie, the cancer, her near death, he had found solace keeping himself busy, working even longer hours, avoiding any kind of social gathering which could lead to talking, talking about things that he didn't want to talk about. He was driving his dark green jeep towards the hospital on highway five, it wasn't too busy, mostly trucks making early morning deliveries of groceries and other such items, Alex had a CD playing, it was loud, just how Alex liked it, he was weaving in and out of the trucks, and not really paying much attention doing it.

He was tapping his fingers on the steering wheel in beat with the music, and in his mind he was going over the plan for a facial reconstruction he was assisting Dr Sloan with that afternoon, he was trying to visualize the procedure.

Alex was so focused on what he was doing that he didn't see the truck in front of him suddenly slam on their brakes, unbeknown to Alex there was a car broken down in the lane barely fifty metres ahead.

The peace of the early morning was broken by the awful sound of metal crashing into metal, the truck had slammed into the broken down station wagon, thankfully its occupants had been waiting for the tow truck on the other side of the roadside barrier, they had a horrifically clear view as the truck impacted with their car, and then Alex's jeep ran up the back of the truck, crumpling beyond recognition in an instant.

"Oh god!" The station wagon's driver, Lara Watson cried out in horror at the sight before her, her dad's car was totaled, wrapped around the front bull bar, the truck had jackknifed, blocking all three lanes of the highway but only sustaining minor damage, a green jeep wedged around the side of the truck, and every vehicle behind the carnage swerving to avoid it.

Lara's three friends who she had been giving a ride into the city to were standing just behind her, freaking out. After all they had just witnessed a massive crash.

One of the truckies who had been forced to pull their rigs to an abrupt halt, Lou Reid, a veteran truck driver of forty eight years, and by no means unfamiliar to this horrific scene had been quickly to radio in the accident before climbing out of the cabin to see if he could help. He went first over to the other truck's cabin, and checked on the driver, Larry Fisher, he had a bad cut in his hairline and thought he may have broken his arm, other than that he was just shaken, after helping Larry out of his truck, onto the ground, Lou made his way towards the wrecked station wagon, he looked inside, and it was clear to him that the car had been empty at the time of impact, he glanced over at the group of hysterical teenage girls on the roadside and guessed that it was their car.

He then went to the last vehicle involved in the horrific crash, he could barely tell what sort of car it had been before the accident. He went straight to the driver's door and peered into the wreck, he could see a young man, Alex wedged against the steering wheel, there was blood everywhere. "Sir? Can you hear me?"

Somehow Alex was still conscious. He turned his head slightly towards the voice. "Wha? …Hurts."

Lou's first instinct was to reach out to Alex, to offer him comfort, but he could barely even see him, let alone reach him. "You have been in an accident. Just hang on, okay? Help is on the way. What's your name?"

Alex was in agony, he could see that his car was crushed around him, he was certain that he wasn't going to survive. "Alex. Please… tell my wife, tell Izzie I love her."

"No, listen to me kid, you're going to be fine and you can tell her yourself. Just stay awake, keep talking to me. Help's coming, you are going to see your wife again."

"So tired, can't… please tell her."

"Kid?! Alex!?! Come on, hang in there." Lou tried in vain to rouse Alex, but he had given in to the pain he was in and slipped out of consciousness.

Kim Bonner and Wayne Turner had been on shift at the firehouse since eight o'clock the night before, but for the most part it had been quiet, they were just about to get off shift when the call came in, pile up on highway five, unknown number of victims. "Damn it." Wayne cursed in frustration, this was going to take at least an hour, he was hoping that he'd get home on time for once.

"Sorry." Kim murmured as she flicked on the lights and sirens and turned the ambulance around towards the reported accident site.

Seeing as how it was only five-thirty am, most of the firefighters were asleep back at the firehouse, but within minutes of getting the call they were on their way.

Kim and Wayne's ambulance arrived on scene first, they had barely pulled up when an elderly man, Lou shouted out to them for help. They grabbed their bags and rushed over.

Kim moved to Lou's side, and placed a hand on his arm, as she asked. "Sir? Are you alright?"

"I'm fine, but the guy in this car, he's in bad shape. He was talking when I got to him, but he passed out about ten minutes ago. His name's Alex."

"Thanks, please step back now sir." Wayne said, gently pushing Lou out of the way so that he could get to Alex. A quick survey of the wreckage told Wayne that there was no way they could reach Alex. "You better radio dispatch, we're going to need rescue to cut this guy out."

"Okay, I'll see if I can get any kind of access, you go see if there's any one else hurt."

Miranda Bailey had been working barely an hour, she had arrived to find the pit in a state of chaos, there had been a collision two hours ago and they were still sifting through the walking wounded, mostly scrapes and cases of shock, the worst so far had been a truck driver, Larry Fisher, and that was just a few sutures and a wrist cast. She was supervising a couple of interns doing sutures, when a gurney was brought through the doors, four paramedics were surrounding the gurney, working on the unfortunate person that lay on it.

Miranda felt her heart skip a beat when she heard the bullet.

"Twenty nine year old male, MVC vic, altered consciousness, dilated right pupil, suspected sternal fracture, needle decompressed a tension hemo-pneumo, near amputation of left arm, bilateral open tibia, fibula, and femur fractures, prolonged extrication. He was intubated for agonal respirations, three bags of saline in, given ten milligrams of morphine. Driver's license says Alexander Karev."

Miranda turned on her heels, and ignoring the interns, she went over to the rapidly moving gurney, she had to push past several over eager interns to get to the gurney, the body lying on it was covered in blood, almost unrecognizable through the cuts and contusions, but it was unmistakably Miranda Bailey's former intern, Alex. Whilst attempting to mask her shock, Bailey looked up at one of the interns how had made it to the gurney. "You, go find Dr Stevens, now!"

TBC...

So, how was that? Are you liking this story? Please give me some feedback on this!

And as always, suggestions and CONSTRUCTIVE criticism are welcome, feel free to put them in a review or PM.