Silver Flood

Ivy walks with Jackson in the hall, "Who did you get to watch the twins tonight?"

"My mom. She'll pick them up from the daycare and then bring them to our house tomorrow morning," Jackson tells her.

She smiles, "So...we have the house to ourselves tonight?" Ivy looks down onto her pager, "Oh, we need to head to the pit."

On their way to the pit, they find Callie talking to Cross, "A silver flood is a fracture feast. I need slings, splints and pelvic binders, as many as you can get your hands on."

"Silver flood?" Ivy smiles at one of ther mentors.

"Silver flood. Oh, and page every on call x-ray tech," Callie smiles back.

"Haven't seen one of these since Mercy West," Jackson comments.

She laughs, "Oh, this is my dream day. Trauma meets ortho in a glorious amount? This will be fun"

The intern asks, "Yes, but what is it exactly?"

○○○○

In the E.R., Ivy finds her perfect blend of trauma and ortho. Owen and Callie find her smiling behind the nurses desk, "Shepherd-Avery, how are you holding up?"

She is giddy, "Are you kidding me? This is my jam. Ortho and trauma. Even as an intern, during Silver floods, every attending wanted me. My patient care is unbeatable not to mention my surgical skills. This is my playground."

Owen looks at Callie, "She is like this because of you."

"No, this is all you, meat-baller. She may be my ortho goddess, but she is a trauma soldier first," Callie snorts.

" is right here. Now, I've got to go because is see a problem," she rushes to find an intern doing chest compressions, "How long has he been down?"

He continues, "10 minutes. I ran through the ACLs v-fib protocol twice," Ivy takes over.

Ivy nods, "Okay, charge to 200. What happened?"

Cross hands her the paddles, "He was having chest pains, so I gave him some nitro. His B.PM bottomed out all at once. I'm worried he was on E.D. meds. We asked him."

"Well, was he? Clear!" She shouts.

Jackson walks up to them, "What happened?"

"He insisted he wasn't. We asked him several times. We told him what could happen."

"Clear!"

"He probably lied," Jackson sighs.

Cross questions, "Why would he do that when we told him?"

Ivy sighs, "People can be stubborn, men usually even more. Time of death 12:19."

"We told him. What do...what do we do now?" Cross looks to Jackson as Ivy walks away.

Getting back to the nurses station, Ivy feels a tap on her shoulder, "Yes?"

A nurse hands her some papers, "The blood analysis you asked for for the Jane Doe?"

"Oh, yes, thank you!" Ivy grabs them, putting them in her pocket for later.

○○○○

Ivy hears how Hunt has been teaching the interns about the four L's so she sets off to find him, "Hunt. What the hell is going on?"

He's confused, "Sorry?"

"I'm hearing that you're giving interns a crash course in breaking bad news?" Ivy asks.

"Yeah, they needed it."

She nods, "Oh, a crash course. Is that how it's suppose to go? You want the answer? No, it's not how it's suppose to go. That is not how that works."

Owen argues, "Shepherd-Avery, this is a teaching hospital-"

"-That I partly own-"

"-We teach from experience. Now, I've given them te four L's-" he continues.

She shakes her head, "The four L's are not enough. They need a lot more. Trust me as someone who's given a lot of bad news as well as recieved it."

Owen nods, "Of course they need more. Thats why they have to do it. They have to...experience it. They have to live it. And to learn it, they have to be up close and personal with it."

Ivy sighs, "Then let me give them the personal truth about it. Cause I have a lot of experience."

○○○○

"When you walk into a room to tell someone that their loved one has died, it's not just a bullet pointed lost that you memorized. They will remember your face for the the rest of their lives. Before you walked into that room, they could worry about regular life things. Picking their children up from school, make dinner. Then, they are brought here. To this room. So you can share with them the worst news they could possibly imagine. I witnessed three people on my life, friends and family, die. I still didn't believe it to be true. I was told that my brother died by my husband and I still felt small bubbles of anger and hatred boil up because he told me. They will hate you for years to come. You are the ones changing their life forever. No one tells you when you become a surgeon of this responsibility of this moment. The moment that person goes from having a brother that they've counted on their whole lives to anger and confused and sad is on you. This part of the job, this person, is not an inconvenience. They are not someone to just check off. Whether you want it or not, you are a part of their life. Your words, your face are forever engraved in their mind. Take. This. Seriously. Recognize your role and respect that person's pain is the most important thing in that room. If your lucky, it won't ever be you. You got it?"

They all nod.

"Good. If you can't handle this, find a new career because it sucks. It is hard. It is the worse part of the job, by far. Which is why I preach patient care. You don't make it about you, this is about them. Forever."

○○○○

Ivy grabs Jacksons hand and brings him into the attendings lounge, "Hey, Ivy, what's up? Everything okay?"

She nods, holding both of his hands, "Yes. Now, I have a present for you."

"What?" He chuckles.

Not answering, Ivy grabs the envelope and the box. She hands him the box first, "Open it."

Jackson cautionously opens it to find a cupcake, "Baby #3?" He looks up at her, "Really?"

"Open the envelope," she smiles.

"Okay, okay," he tears it open.

"I had some blood work done earlier because I was late and I wanted to be sure and that confirms it," she explains, "Jackson Avery, I am pregnant with our third child."

Without saying anything, Jackson picks her up and spins her around, "Oh, this is....this is the best news I've ever heard! Well, matching when you said yes to my proposal and told me you were pregnant with the twins. But still."

She giggles, "I know what you mean. God, I'm so happy. Nothing could ruin this night. Now, let's head to Mers house."

He wraps an arm around her, "I'm guessing we're waiting to tell them?"

"Actually, I want to tell them at dinner tonight. I think after the year we've all had, we could use some good news," Ivy grabs his hand, heading to the car.

"You're right. Lets go tell our family that we're adding one more."

If only they knew what was waiting for them. Jackson would have kept her far, far away from that dinner party.

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AN:  sorry that took so long and is kind of short, but I'm sure that the ending made up for it :)

Next part will probably be up tomorrow.

QoC: who's excited for Baby Avery #3?

Thank you for all of the reads and views and comments!!