Hi Everyone , this story is set at the same time Edward left Bella in New Moon then continues on after he left. Jacob is not in here though.

Hope you enjoy it. Sirius xoxox

The Change

"Good evening Dr Cullen, welcome back to Forks, how was your trip away?"

"Thank you Angela, the trip was good thanks, but it is good to be back in Forks again" Carlisle smiled kindly kindly at the new young nurse. He knew Angela attended Forks High school when his children Edward, Rosie, Emmett, Jasper and Alice had attended. Thoughts of Edward always brought a torrent of pain in Carlisle's heart. Four years ago, Edward made the painful decision to leave Bella, unfortunately it meant we had to leave as well. He had wanted her to have her own life as if we had never existed. Alice was heart broken and then when Edward forbade her to look into Bella's future it was like a part of Alice died, if a vampire could die any more than they were already. She screamed such hurtful things to Edward that even Jasper's calming influence couldn't help. It wasn't until Jasper collapsed on the floor did Alice stop and then she only stared at Jasper's figure laying on the ground. Edward watched as Esme and I lifted Jasper onto the lounge but he just stood there, he didn't move a muscle to see if his brother was OK. Rosie and Emmett had just returned from hunting and took in the site in front of them.

What did you do Edward Rosie's thoughts screamed through his mind, Edward flinched but then composed his staunch stance.

"We're leaving Forks, there's nothing here for us anymore"

"What are you freaking talking about Edward, have you lost your mind" Emmett was trying to help Alice of the floor and also see what had happened to Jasper. All the while Esme held Jasper's head in her lap trying to clam him down. He felt guilty since he realised this was all his fault. If he hadn't tried to attack Bella at her birthday when she fell and cut her arm, Edward wouldn't be leaving her and all this fighting wouldn't be happening. If Jasper was still human he would be having an anxiety attack right about now.

"Edward what is going on, why are we leaving?" Rosie tried to keep her composure but you could tell she was only just reining in her emotions.

"I said we are going Rose, don't argue, you didn't even like her anyway" Edward looked out the window, probably so no one could see the emotions that played across his face.

"No I won't go and you can't make me go" Rosie stood with her arms folded across her chest, just daring Edward to challenge her.

"YES WE ARE" Edward screamed through the air which made Esme, Alice and Jasper jump.

Edward had lost his patience by now and Rosie was pushing her luck. Emmett sat on the floor nursing Alice in his huge arms. Edward and Rosalie continued to scream at each other and when they started to take on their defense positions, Esme spoke up.

"Rose, Edward Stop" Esme's calming voice echoed through out the house. Everyone turned to look at her although it took Rosie a bit longer to calm down and get out of her attack position.

"We are family, we don't fight like this and we stick together, whether we like it or not" Esme looked at Edward's face when she said the last part.

"No Mum this is Not Fair, it's always about him, He endangered us when he saved Bella from the car accident, he endangered her by letting her be a part of this family, letting her know everything she had guessed about us was true. He endangered us when he let us love her like a part of our family and now he leaves her and expects us all to follow. You are so selfish Edward" Rose had started to run out of steam and turned to see Emmett had walked up behind her and circled his enormous arms around her waist. She turned in his arms and sobbed uncontrollably. Edward was still reeling from Rosie's speech, he didn't realise everyone had grown to love her so much, but no one could love her as much as he did, and this was what was for the best. She was never safe with him and his kind, she needed to live her own life and forget that we existed. His resolve was strengthening, he knew he couldn't go back on his word. Every time he closed his eyes, he saw her crying and running through the forest looking for him, it broke his non beating heart over and over again. What amazed him even more was that she just believed him, no argument, not nothing, she just believed that he didn't love her. That killed him more than anything because he knew that if she truly believed that he didn't love her, then she would get on with her life and live.... without him.

It didn't take long to relocate. I had been receiving offers from hospitals all over the world. We chose to go to Alaska, one for the weather and two because it wasn't so far that Alice could still be in short flying distance to get to Bella and Rosie was happy with that choice too. It also wasn't close enough for Edward to be suspicious either. Not that it mattered since Edward only stayed for a year then announced he was leaving and didn't know if he would be back. He called from time to time to let Esme know he is OK, even though she knows he is stubborn she still waits for him to ring and say I am coming home. I knew Esme and the kids weren't happy here and one night we were having a family meeting, and Rosie asked why we had to stay away any longer, Edward was gone and had been for nearly three years, Rosie and Emmett had an opportunity to open a mechanic workshop, which coincidentally was in Forks and Alice wanted to try her hand at running a clothing shop. The look on the kids faces was priceless when I told them Forked Hospital had been left without a doctor and they called and offered me the position. We packed and moved within a week, a record for even us.

"Sorry Dr Cullen, are you OK?" Angela had been waffling off the patients conditions to me while I was lost in thought.

"Yes Angela I apologise, just some memories coming to the surface"

"Well I hate to have to be the bearer of bad news but our last patient here is someone you know.."

"Really, who is it?"

"Ummm, It's Bella Swan sir" Angela's head hung low and the pain in her voice was evident. At first I just stared at Angela, I wouldn't have thought anything of it except for the sound of her voice.

"What happened Angela" I tried not to panic, knowing how clumsy Bella was it was probably another fall.

"We had better go in Dr" Angela led the way to a small single room at the end of the hall. We entered and the sight in front me even made me gasp. Bella was almost unrecognisable. She was painfully thin, she looked like a skeleton that had a layer of skin over it, her skin was white, deathly white. If I hadn't seen the drip infusing her arm I would have thought she was already a vampire. I walked closer and touched her arm, I turned it over and saw scars all along her arm, I checked the other one and saw the same thing there. She had scars everywhere, she looked like she had just battled a mountain lion.

"What happened Angela?" I was momentarily stunned by the sight in front me, I recovered and my medical practice took over. I checked her vitals and read her chart. Angela still hadn't answered my question so I turned to look at her. She was silently crying.

"Angela?"

"Oh Dr Cullen, I am sorry I really don't know how to tell you or whether I even should" Angela walked over to Bella's side and started to carefully stroke Bella's hair.

"Angela, please understand I can't help her unless I know what happened, who even did this to her?" Angela's eyes shot up to me and she whispered so quietly that if I wasn't a vampire I wouldn't have heard her.

"She did, Sir, she did" Angela quickly and roughly dried her cheeks from the falling tears.

"Dr Cullen, I will tell you what happened because I know you are probably the only one in the world who can save her now" I looked at Angela and wondered what on earth she could be talking about.

Angela then spent the next two hours filling me in on Bella's past four years. Everything from how she 'coped' or should I say not coped with Edward leaving, and then her parents death. She became destructive and her only will was to die. The reason she was here in hospital this time was because she had jumped off a cliff at La Push Beach. This time she nearly did it, she nearly got her wish but one of the local boys saw her jump and he dived out to the water to get her out. He was only young and not very strong against the waters current but he managed to succeed only to collapsed from exhaustion once he reached the shore. Another couple walking by saw the two of them laying in the sand and called the police. She had been in the hospital for three weeks as the doctor who initially saw her thought an induced coma would help her recover, but now she didn't seem to want to come out of the coma at all.

"Dr Cullen, is it possible for someone to die from a broken heart?" Angela's eyes were swimming with tears and for once in my life I couldn't answer her. After my silence had stretched on, Angela turned to look at me.

"I thought so"

Angela left and went home since her duty had finished hours ago. I was left there with Bella and couldn't believe how one decision could affect someone so badly. I was furious with Edward but also felt for him, he would never have thought this would happen to his Bella, this will destroy him. After my shift finished I drove home slowly, just wondering how on earth I was going to tell my family what had happened. I drove up the driveway and sat in my car but knowing I could not put it off any longer, I walked into the house to see the family sitting at the table. Obviously Alice had told them I needed to talk to them. Esme's face was full of concern and once she saw my face she was even more worried. I fell into the chair at the head of the table. I felt Jasper's calming influence over us and I looked at him,

"Jasper you might need to keep that feeling going because what I have to say will be upsetting for everyone" Jasper nodded once and Esme reached over and took my hand.

"OK everyone, as you know I started work at Forks Hospital today and I have some very disturbing news about Bella"

"What happened, I can't see her, I haven't been able to see her for so long, what has happened" Alice was frantic, apparently she hadn't heeded Edward's warning and had been checking on Bella. He had to ask her later what she already knew. Jasper directed his power to her and she immediately calmed.

"OK Listen to me, this is extremely hard to talk through so I would appreciate only having to go through it once. Can you all ask me questions at the end and I will do my best to answer them as best as I can" There were nods all around the table.

"OK you all know when we left, well Bella didn't cope with it at all, apparently she looked for Edward in the forest until she collapsed from exhaustion and hunger. By this time Charlie had already sent out a crew to search for her as she had been missing for twelve hours. They found her, and after a few days in this hospital she was ok to go home. Needless to say, Charlie was over protective then. Her friend Angela said he was always on her case about getting over Edward. Bella just couldn't get over him. Well as they say bad luck breeds bad luck, four months later Bella's mum and step dad were killed in a plane crash coming back from Jacksonville, the entire team were killed along with the pilot. Bella and Charlie went to the funeral and half way through she collapsed again. She spent quite a few more days in hospital that time but when she promised to look after herself for Charlie, he gave in and let her come home. She actually did improve on the surface, she started trying hard at school again, she went out to the movies with some friends and on the surface it looked like she was actually getting back on track. Well not all was as good as it seemed, our beautiful Bella started getting destructive."

Esme was openly sobbing by now and I could see Rose's face had gone from anger to such deep sadness, it was horrible. Emmett's head was hung low and he was holding Rose's hand and Alice's hand with his other hand. Alice was leaning into Jasper while he held her. The support they were giving each other was wonderful to see. Esme was also holding Jasper hand and mine with the other one.

"What do you mean destructive Dad?" Alice's face held so much pain it was hard to look at her.

"Charlie is good friends with the La Push Indians, the Quiletes, so he started taking Bella down there to socialise with the wolves so to speak"

"That's why I haven't been able to see her, she has been with them" Alice spoke up

"You're probably right Alice, well these boys are into daring sports and such, they have too much time on their hands, and our Bella decided to join in"

"Join in what Carlisle?" Esme's eyes were almost bulging.

"The boys down there have motor bikes and they play dangerous games, Bella was only watching at first but then decided she wanted to feel again, and well adrenaline is a drug" I got up to walk over to the large open window only because I couldn't look my family in the eye.

"She only started out riding on the dirt at first, the first day she fell off and hurt her arm and for some ridiculous reason she marveled at how her blood trickled down it. That was the beginning, she started doing more and more dangerous tricks until she almost broke her spine"

"What on earth did Charlie do about all of this?" Esme was angry now

"Well apparently Bella sweet talked her way out of it, saying that an animal ran out in front of her and she skidded into a tree. He didn't want her to leave her friends down at La Push because he hadn't seen her so happy in such a long time. Charlie relented and let her continue seeing the boys down there. Apparently she was doing 90 miles an hour in the rain without a helmet or any protection. It was amazing the bike even managed to get to that speed. Anyway she continued riding and decided to try bush riding, a couple of trees later she comes out with another broken arm. This time Charlie put his foot down and took the bike off her."

"First descent thing he did" Rose was shaking her head.

"Unfortunately it gets worse Rose, about a year ago, Charlie was attending a break in down at the wharf and the two robbers pulled a gun on him, one panicked and shot him in the chest, he made it to the hospital and when Bella had arrived he said his goodbye and passed away." If we could cry a mountain of tears they would have started flowing by now, I am sure Esme, Rose and Alice would have. Jasper looked like he was struggling with keeping the calm in the room.

"Apparently at the funeral, as Charlie's coffin was being lowered, Bella screamed out for Edward and then collapsed." Esme's shock was evident in her voice and she turned into Jasper's shoulder and sobbed. I walked back over to my wife and held her tight. Each of the girls had to be consoled by their husbands. It was horrible to be going through this knowing someone we all loved so much had been suffering and we weren't there to help her.

"When did that happen, is that why she is still in hospital?" Emmett was the only one who could voice what everyone was thinking.

"No actually, after the funeral, Angela's family helped her settle the estate. Charlie had left her enough money and the house was paid off so she was set. She never did attend University as she stayed with Charlie since Renee's death had come at the beginning of semester. She got a job at Newtons store and then stayed there full time. One day her truck wouldn't start and Mike Newton took her into Seattle to buy a new car, she chose a small, very fast shiny, silver, car. She had no one to tell her it was too dangerous now. She drove around like a lunatic and then one night she saw someone in Seattle who looked like Edward, this man was with his wife and kids and she completely lost it" I paused so I could tell them the rest of the horrible life that was Bella Swan's.

"She drove home and apparently the police said she must have been traveling at over a 100 miles an hour as the car was completely ridden off when she wrapped it around a tree ... out the front of our house" Esme screamed out a mangled NO and hid her face in her hands, Rosie stood so fast that her chair smashed through the glass door behind her.

"I will kill Edward myself" Rose was panting, she was so angry

"Rose sweetheart, Edward would have never in a million years thought this would happen to her, think about it, Edward will be devastated when he hears all of this, he will blame himself forever"

"Good so he should" Rose was still angry but she knew her father was right.

"Rose please, he is still your brother no matter what" Esme was still crying and Alice looked like she was frozen in time, she wasn't having a vision, she was just trying to process all this information.

"Anyway by some miracle Bella lived through the car accident but was in hospital for three months in a body cast. To answer your question Emmett, the reason she is in hospital now is that after she recovered from the car accident she jumped off a cliff" I knew the girls would react badly but Emmett completely lost it

"Is she dead Carlisle?, Is that what you are trying to tell us?" Emmett was so distressed that I couldn't keep him waiting

"Emmett, No she is not dead but she is dying, a bit more everyday and now she is on life support. She is in a coma which was self induced at the beginning but now for some reason her mind won't let her come out of it,"

"Of course not Carlisle, she wants to die" even though Jasper spoke so softly it still stunned everyone into silence.

"I know Jasper, but what do I do?"

"I think you know what to do, you just want our permission" Jasper looked at me and then with his eyes I knew exactly what he wanted me to do, I looked at Rose and Emmett and both of them nodded. I turned to look at Alice and then I saw a smile on her face, probably the first real smile I had seen in years. She also nodded, then I looked at Esme and she smiled her beautiful smile. I knew she loved Bella as her own daughter and it had killed her to leave Bella when we did, so I knew I would have no objection from her.

"Are you all sure, this is something we have to do as a family?" I already knew the answer but I wanted to give everyone time to really think about it. There were nods all around the table.

It was time to 'save' Bella Swan.