"So we haven't had down time together in a while," Annie smiled at Allison.

"No we haven't grandma," Allison laughed.

"How is my grandson the same age as your daughter," Annie wondered.

"We're age gap sisters," Allison smiled.

"Ellie was showing me those videos she thought Josh and I should make some with our departments for the hospital social media," Annie laughed.

"Let's do one," Allison suggested.

"We're age gap sisters," Annie asked.

"We're age gap sisters. She finished medical school before I was born," Allison laughed.

"We're age gap sisters, she's closer in age to my kids," Annie tried.

"We're age gap sisters, her grandkids are the same age as my kids," Allison suggested.

"We're age gap sisters, people think I'm her mom," Annie giggled.

"We're age gap sisters, at work she's my attending," Allison smiled.

"We're age gap sisters, she's the reason I wanted kids," Annie added.

"We're age gap sisters we always have each others backs," Allison finished.

Should we for hospital social media?" Annie asked.

"It would be cute," Allison agreed, "we're trying to show Grey Sloan is family friendly."

"It's just funny," Annie smiled, "but we could do a few for the different peds departments and adolescent medicine. Can you write them?"

"I guess in my abundant free time working as a fellow with three kids," Allison laughed.

"Has Leo talked to you recently," Annie asked.

"They have," Allison replied, "you've heard the news?"

"Theresa is pregnant with twins," Annie smiled, "we've never had twins."

"We haven't," Allison agreed, "we've been on some of the same cases and she's really showing. I thought I showed fast with Carly but for 14 weeks."

"Twins," Annie smiled, "she's okay. And when you work together you look out for her."

"She's our sister of course I do," Allison replied, "we're going to bring you and Josh in on an international pro bono case. Child from Guatemala hit by a landslide about a year ago hasn't healed well. We got the xrays and they're pretty bad. Theresa and I will do the hips, femurs and ribs in a set of staged surgeries over 4-6 weeks but there appears to be a fistula in the abdomen and a mal-rotated aorta on the images we have."

"New round of family surgeries," Annie smiled, "siblings bring Leo in as well. You, Leo and I can do it."

"Not Josh," Allison asked.

"He can but I want one the three of us," Annie said, "as full surgeons. Sneak mama into the gallery not that anyone would stop her."

"We can," Allison agreed, "I hadn't thought of that. Him and I scrubbed in last week on my first week back."

"Why did you go back so soon," Annie asked, "I thought you were doing six months again you only took 4."

"We need the money," Allison admitted, "with Ash doing more classes and the kids are more expensive than ever. I'm going to ease in . I have four totally off and 2-3 part time."

"Are you okay," Annie asked.

"We are," ALlison replied, "it's just reworking some things and our relationship changing again. Switching who's making more money."

"You're making real money now," Annie smiled.

"I am as Ash goes back to school," Allison smiled, "it's his turn. He's put so much on hold for my dreams and the kids. He wants his MBA. he doesn't want to work as physically as he does for ever. Theres been injuries and some are getting chronic."

"Chronic injuries and his wife is an ortho surgeon," Annie laughed.

"Over use," Allison replied, "his shoulders. He wants to do more of the business side. Still pitch in when needed on job sites but he wants to run the business."

"He should," Annie smiled, "it's him growing up and changing and that's seeing you and your ambition. When Ev was little you two struggled and then it was med school and his eyes opened up as our family showed him a different side of life."

"His dad told him who he would be and what he would do," Allison explained, "Mark wanted total control. It's taken 14 years of therapy to see that his dad was so wrong in limiting his kids. We have to let him grow."

"We do," Annie smiled, "I'm proud of both of you. You have that deep connection and grew up together. "

"It's hard," Allison admitted, "in some ways I wonder what I missed. I wouldn't trade Ash or my kids but to have always lived in a ten mile radius."

"I think you always will," Annie said, "you were so young, you're barely out of residency and have three kids. You've been a parent since you were 17."

"Leo has been talking to Ash a lot," Allison said, "I wish Theresa would come to me instead of keeping it all in."

"It's hard," Annie said, "when I had Ellie you were only 4. I remembered mama's pregnancy. You had memories of me pregnant with all of mine and Heather was only 4 when you got pregnant with Ev. Theresa hasn't been around. She hasn't seen that day to day. Her mom is gone."

"She had a baby before," Allison told Annie, "she's 16 and the girl was adopted at birth."

"Hopefully she's talking to mama," Annie replied, "mama will understand what she's going though that way."

"I can't imagine what she's going through," Allison said, "Andy was scary and stressful enough."

"You haven't had easy deliveries with any of yours," Annie replied, "but I doubted myself with Matt almost more than I did with Ellie."

"I doubted Ev the most," Allison replied.

"I totally understand that," Annie smiled, "you've done well and we don't say that enough."

Meanwhile Theresa was helping Teddy make cookies.

"You don't have to help," Teddy smiled.

"I like to," Theresa said rolling the peanut butter cookie dough in sugar.

"How did it go with Aliyana," Teddy asked gently.

"Well I think," Theresa said, "she's been texting me a lot and has a lot of questions."

"I went though that with Annie," Teddy replied, "just tell her the truth."

"I think she saw my bump and it was harder for her," Theresa said.

"It would be," Teddy replied, "Annie was 25 and it was hard for her. She was jealous I kept Allison and it took both her and I a long time to realise it and understand it. But her and I were mother and daughter, she had already changed her name to take my last name."

"I think she just needs answers," Theresa said, "are you and Owen sure it's okay Leo and I bring the twins home here?"

"We want you to," Teddy assured, "Owen and I can help with the babies. We adored helping with Ev as a baby and now that we'll both be retired by the time the babies come home you'll want us to stay upstairs."

"I'm worried about feeding them and keeping up," Theresa confided.

"Supplement with formula," Teddy replied, "it's only Ellie that never had any and I thought Annie was crazy for never supplementing and should have given her some so many times."

"I'm not sure if I can," Theresa whispered.

"I doubted I could with Allie," Teddy replied, "but we have an advantage you still have all the milk ducts your body grew for Aliyana. You grow more with each pregnancy and never loose them so that will help."

"If I can't," Theresa said, "my mom told me she was never able to feed me that way. And I see how easy Allie makes it look."

"I've only fed Allie but talk to her and Annie," Teddy reassured, "they both fed all of their kids. Ellie is. You have sisters in law and cousins who can help you. I'll help as much as possible."

"I'm not sure if I want to," Theresa said.

"Then don't," Teddy replied, "it's all your choice. Have you started thinking about what you'll need?"

"We have a list," Theresa said.

"Online," Teddy questioned.

Theresea nodded.

"Send me the link," Teddy replied.

"I will," Theresa replied, "Allison has been helpful with that but it's knowing what we need doubles of and what we're okay with one."

"I'd say cribs, bouncy seats and car seats," Teddy replied, "you only need one jolly jumper and one activity table and they can take turns."

"I want them in our room at first but don't know how to tell Leo," Theresa mumbelled.

"I think it's just a given" Teddy replied, "he knows Allie's kids were in their room at first."

"It's the first time he'll have a genetic relative," Theresa said, "I know he has parents and grandparents somewhere."

"They've never been in his life," Teddy replied, "his biological mom overdosed when he was two that's how we ended up fostering then adopting him. No one knows who his birth father is. He's looking forward to it. I don't want you over doing it sweetheart. Pregnancy with one is hard and two I can't imagine."

"I'm tired," Theresa admitted, "but I think it's that we haven't stopped or had time to rest. I want to get to at least 30 weeks working the go off on medical leave early."

"You can do that," Teddy replied, "or if you need medical leave sooner you take it. You do what is good for you and your babies. And I will be here for you both every step of the way. You two are not in this alone."

"Thank you," Theresa nodded, "this is what I need the normal family stuff. I missed it for so long."

"Then we will do it," Teddy promised, "and create those memories for your babies."