It was a quiet night at the Seattle Grace Hospital. Most of the nurses had gone home, and the ER doctors were bored out of their minds. Cristina, Bailey, and Burke were sitting in the break room playing cards, along with Alex and Izzy. George, Meredith and the Dr. Shepards had gone home earlier in the day and everything was at a lull. That was until George came busting into the break room.

"George, why are you here?" Izzy asked.

"Its Meredith, she was in a car crash."

"Where is she?" Cristina asked and the room fell quiet.

"They took her to Sacred Heart."

"Why didn't they bring her here? Sacred Heart must be at least a half an hour away." Burke stood up to face George.

"Uhhh…she ummm……she was involved in a head on collision. Its really bad, she was…"

"George! Why isn't she here?" Bailey said/

"She has severe brain damage. The nurse who called said that she asked the EMTs to take her to Sacred Heart. Not Seattle Grace."

"That makes no sense, why would one of our interns be sent to S.H?"

"Shepard." Izzy said, staring at the table with a blank stare. "She didn't want him to operate on her. She must have known how bad it was."

"They are going to run her into surgery any minute now."

"Stevens, Yang, go over to Sacred Heart, make sure you are there when she wakes up. I don't need to have an intern who is bleeding out and has psych problems." Just then a young nurse opened the door to the break room.

"Dr. Bailey, we have a problem."

"What!"

"Your patient in room 147, we were rechecking her cat scans and we found something."

"Don't tell me that that girl has a tumor."

"She needs surgery."

"Karev, call Dr.Shepard, the male half, and tell him to get his ass in here. And mention nothing about Grey, nothing. Stevens, Yang, go!" Bailey put her fingers on the bridge of her nose.

Two Hours LaterSacred Heart HospitalRm227

"What are you saying?" Izzy said, staring at Meredith's body laying on the hospital bed, covered in tubes.

"I'm sorry miss, but our surgeon cannot fix her brain damage. We would need a more experienced doctor."

"Then get one."

"Miss, the we have the finest doctors here, there is only one person that I could think of that could have the slightest chance of fixing her."

"Don't say Derek Shepard. Whatever you do."

"Ma'am, he is the only one left. We need to transfer her immediately if you want your friend to live."

"Cristina…"

"She doesn't get a vote right now, she is unconscious, I say we move her."

"Fine. But I am not going to scrub in on a friend's brain."

"I will call Seattle Grace and tell them we have incoming."

Seattle Grace35 min later

" 25 year old, CCV, transfer from Sacred Heart, needs immediate surgery, heading to prep for operation. Notify Dr. Shepard that he has got one coming in 10 minutes."

Flash to McDreamy in front of the dry erase board as a surgical nurse writes up his next surgery.

CCV, brain damage, stop internal bleeding

Ripped aortic valve, multiple rib fractures

Grey, Meredith. 12-3-05 23:05

Dr. Preston Burke recovery surgery

Dr. Derek Shepard emergency surgery

He read the second line, then the first, and the second again. Brain damage what was he going to do internal bleeding he ran into the prep room and washed his hands emergency surgery he walked into the room and looked up and the 4 interns sitting in the viewing box, and the one intern on the operating table. Grey, Meredith.