Being the youngest of 6 kids isn't easy, its especially harder having them all be doctors. Ivy Shepherd is in her 3rd year of residency when her hospital merges with another, bringing her to work with the older brother with the even bigger career. There she meets his new wife and her friends.


Season 6- Season 13

Jackson Avery/OC
Derek Shepherd/Sister!OC

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Sister, Sister¹

Ivy leads a trauma class, "Infinite possibilities put the patient on the table in front of you. Now you have to figure out- will they live? Will you be able to save them? Or are they a lost cause?"    


Jackson gives Ivy a neck message as she folds laundry, "I can't believe he asked for a divorce. I mean, yeah, she left the country without asking his opinion but I thought they were trying to make it work."    


"Ivy, I'm sure they will be fine. I understand where he's coming from thought," Jackson tells her, kissing the back of her neck.    


"Really? So if I left for my own health and sanity, you would be asking for a divorce?" Ivy turns to him, hands on her hips.    


"What? No. If you didn't talk to me. About anything. Ivy, our relationship, is...it's open and we talk through our problems or if we don't feel like we can, we say that. From the beginning, you and I have been brutally honest with each other," Jackson reminds her.    


Ivy rolls her eyes, "Would you let that go? It's been almost ten years!"    


You called Charles and I oafs, then preceeded to tell us that it wasn't worth your time to get to know our names because we wouldn't be around long," Jackson chuckles.    


"Well, how the hell was I supposed to know that we'd end up married with kids? As well as owning a hospital together. Oh, I saw that Tatiyana was having her final surgery soon," Ivy changes the subject.    


Ivy lays next to him on the bed, "She's come such a long way. You should be proud."    


Jackson smiles, "I am. I mean, I-I will be once it all kind of comes together. I've performed so many surgeries on her, you know, that he face is just this road map, you know, of an incredible journey we've been on together. I'm rambling, I'll stop."    


She shakes her head, "No. I love when you talk about your patients. I see how much you care for them and it makes me love you even more. So, tell me more. About any patient."    


"Okay. So, I had that burn victim from a couple weeks ago..."    


Ivy holds a scan up, asking Wilson, "Where's my maxillofacial consult?"    


Amelia lists, "G.C.S. is 9. Pupils are asymmetric. We need to establish an airway."    


"What do you got?" Jackson asks, snapping on some gloves.    


"He fell 20 feet. C6-7 unstable fracture. He's breathing on his own, but he needs a secure airway," Ivy tells her husband, smiling as he winks at her.    


Ivy holds Christopher in one arm and Alexus in the other as she relaxes in bed. Jackson has a late surgery so she's taking some time to spend with the kids. She carefully sets them down on the bed beside her and turn off the lighs before covering them up and falling asleep.    


Jackson sighs as he hangs his coat up and makes his way to his room. Stopping in the doorway, he smiles at the sight of his wife and children sleeping. They look so peaceful. Ivy has this look of calm that he hasn't seen her have in years.    


Cute Moments