It took a few hours for Carlisle to process Rosalie's blood test results at the hospital, but he was soon back at the house with the results in his hand. Emmett and Jasper were home now, and Emmett was refusing to move from Rosalie's side.

Carlisle had a small crease between his eyebrows – he was flustered about something. I took his hand in mine as he looked over at Rosalie on our bed. "What is it? What's wrong?"

He rubbed a hand across his face and sighed. "The blood results show that Rosalie has a severe electrolyte imbalance of glucose, sodium, potassium, calcium and magnesium."

"What does that mean?" Alice said quickly as she looked over at Rosalie's sleeping form.

"It means that Rosalie is severely malnourished and dehydrated. She isn't eating or drinking enough and probably excessively exercising." Carlisle wouldn't meet anyone's gaze.

We all knew what this meant. Rosalie wasn't better. Rosalie was very much in the depths of her eating disorder and none of us had noticed. A family full of vampires and we hadn't noticed that Rosalie had been slipping away right before our eyes. She hadn't gotten better. How much of her life over the last couple of months had been real?

"I'm going to set up an IV to get electrolytes into her and we will go from there, but it needs to work slowly to not overload her body. She's severely sick at the moment and I don't know what the outcome of this will be." Carlisle was monotone as he spoke, detaching himself from the situation completely because he was in so much pain seeing his daughter like that.

2 hours later, Rosalie was awake again. She immediately ripped the IV line out before anyone even registered that she was awake. She shot up in bed and quickly headed for the door. Emmett and I were the only ones in the room.

Emmett quickly grabbed Rosalie from behind and stabilized her around her waist. Rosalie screamed and started to cry as she thrashed against Emmett's body. She was going to cause herself some serious damage if she didn't stop.

I tried to speak to her to calm her down, but my effort was fruitless because she couldn't hear me over her own screams. Eventually, her body became limp in Emmett's arms and her eyes rolled back into her head. Emmett was stood frozen, he had no idea what to do. He was holding her up, but Carlisle had come into the room and encouraged him to put her on the bed.

Emmett moved quickly and just as he laid Rosalie down on the bed, her body began to flex and arch before it started convulsing. She was having another seizure.

This one went on for over 5 minutes and I knew Carlisle was growing very concerned at this point. He pushed some sort of liquid into the side of Rosalie's cheek and continued to monitor her very closely. He explained it was rescue medication for the seizure as it had gone on for too long. He increased the oxygen as Rosalie's body began to relax.

I was about to breathe a sigh of relief as it appeared she was coming out of the seizure, but I grew more concerned when Rosalie started having shortness of breath and she then vomited. Thankfully she was on her side and didn't choke but I was frozen in fear. Something was very, very wrong.

Quickly, the room grew quiet. Rosalie's breathing stopped. Carlisle quickly felt for a pulse, but I already knew the answer. Nothing. There wasn't a pulse.

"Esme," Carlisle called quickly. "She's in cardiac arrest. I need you to do rescue breaths. You know how, yes?"

I nodded weakly. I knew what rescue breaths were and I was certain I could help.

Alice had entered the room to restrain Emmett because he was in complete distress, wailing for Rosalie.

As Carlisle and I began CPR, Alice coaxed Emmett from the room so we could concentrate.

Carlisle had brought the defibrillator back with him from the hospital, and I was so thankful my husband knew exactly what to do in this situation.

We worked tirelessly in sync to fight to get Rosalie back. We were able to get a faint but rapid pulse so Carlisle could then use the defibrillator. Eventually, the third shock to her body worked and I heard the hum of her pulse stabilize and the sound of her very shallow breathing fill the room.

Carlisle quickly rolled Rosalie over onto her side and secured an oxygen mask over her nose and mouth. He started to hook her up to an ECG machine to keep an eye on her heart and reinserted an IV. "I'm going to intubate her, but I need Edward to help me. He will back within the hour, we just need to keep her stable."

That hour felt like a lifetime, but Rosalie remained stable, and the ECG wasn't showing anything majorly abnormal that was concerning to Carlisle.

When Edward arrived, he and Carlisle worked quickly but professionally to sedate Rosalie and intubate her. They inserted a nasogastric tube to give her nutrients and I helped Carlisle with the urinary catheter to help maintain Rosalie's dignity.

When they were done, I changed Rosalie into a fresh pair of clothes; being mindful to pick something that made it easy to access the tubes and wires attached to her. I then braided her hair to hopefully help stop it matting during the time she would be asleep.

I climbed onto the bed with her and stroked her forehead carefully. The bed felt too huge for her small body, and I chided myself for not noticing something was wrong. How was it possible that just hours ago I'd felt like she was the happiest I'd ever seen her? "What happens now?" I asked quietly.

Carlisle hesitated for just a second before proceeding to tell me. "I'm going to keep her in an induced coma to give her body chance to heal. The electrolytes, the nutrition from the feed and the oxygen should help her physically. Unfortunately, I don't know what sort of damage, if any, has occurred from the second seizure and the cardiac arrest. I'll only know the extent when Rosalie wakes up."

"What sort of damage are we talking about?" I asked. I continued to stroke Rosalie's forehead.

"Speech and language problems, memory issues, fatigue, changes in personality, dizziness and balance issues, confusion, involuntary movements, permanent brain injury…" Carlisle trailed off as though he couldn't bear to continue.

Emmett came storming into the room after hearing our conversation. Jasper was close behind him, trying to send calming waves to everyone. "Why can't we just change her?!" Emmett shouted.

Carlisle pressed a firm hand against Emmett's shoulder. "If she has even just a 1% chance of survival as a human, I want her to be able to have that chance. I won't turn her unless we absolutely have to."

Emmett said no more. I think he was too broken to press the matter. He grabbed a chair from my vanity table and grasped Rosalie's fragile hand in his own. "She was doing so well, I don't understand."

"She wasn't doing well, Emmett." I said softly. "She's lost weight, she's got bruises over her. I noticed marks on her inner thigh and there is scar like marks on her inner wrist where her bracelets were. She wasn't fine at all and none of us noticed."

Emmett gingerly turned over the hand he was holding and ran his fingertip along the faint white lines on the inner part of Rosalie's wrist. "My sweet Rose." He murmured. "I'm so sorry."

"It's nobody's fault." Carlisle spoke now. "Rosalie is mentally ill. Eating disorders are very complex and secretive. We can't dwell on what we didn't do or what we didn't notice. We need to make sure from this moment on that we do everything we can to help her."

I nodded in agreement. Words were failing me, and I had no idea how we were going to get through this situation.