Sister, Sister¹

Baby in Need

Ivy is walking down the hall when she hears Arizona call her name, "Shepherd, ride with Karev. He's on a baby run."

"Grabbing my jacket!" Ivy calls, quickly following them.

Her and Alex quickly get the ambulance suited for a neonatal transfer. She quickly takes a seat across from Alex and sighs.

"You ready?" He asks her.

"Yeah. Newborn life hanging in the balance, here we come," Ivy says.

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They sit in silence for awhile before Alex tells her, "Meredith got a call from Janet. Apparently, they were told to move on."

"What? Why?" Ivy turns to him.

"They're courtdate got canceled," he tells him.

"God, I can't imagine how they're feeling. I'm sure Derek's going to try suing and Meredith, well you know her better than I do."

Alex sighs, "Shes going to want to give up. Shes been let down to many times."

They arrive at the hospital then and quickly unload. Bring the incubator in, Alex looks to the nearest staff member, "Hey, we're here to pick up a newborn, take her to Seattle Grace."

"You're, uh, you're looking for me. I'm Jordan Wagner. I am really glad to see you guys," a doctor says further down the hall.

Alex does introductions, "Yeah, I'm Alex Karev. Ivy Shepherd."

He nods and starts guiding them to the patient, "Okay. Li-uh, listen, she was born six hours ago, right away, trouble breathing. Stomach looked distended, so we put down an N.G. tube. But the x-ray showed that it was just coiling in her chest. We've done everything we can to keep her breathing, but it's been a struggle."

"You don't have a neonatal mask?"

"We're not set up for neonatal or O.B. She was an emergency delivery, otherwise, we would've sent her to the hospital in Leavenworth," Wagner explains.

"Pulse ox is 79. Respiratory rate is 80. Shes got retraction," Ivy reads.

Alex looks to Wagner, "How come she's not intubated?"

He shakes his head, "The smallest tube we had didn't fit. Please tell me that you brought a neonatal tube."

Alex looks through the kit as Ivy says, "We're gonna need x-ray in here for a post-intubation film. This I.V.s no good."

"Yeah, you don't even have a neonatal central line kit,"

"No."

"I.O. needle?" Ivy asks.

He shakes his head, "No."

Ivy opens the kit and looks through it aggressively, they need to figure this out and quick.

○○○○

Ivy quickly grabs the phone for Alex to fall Robbins, Jackson picks up and takes them to Robbins. Ivy keeps working as Alex talks with her.

"The kids septic. Shes got pneumonia. Yeah, well, they don't have any neonatal stuff here at all. We intubated, we started an umbilical line to hang D10 normal saline and antibiotics. But her SATs aren't coming up, and all the oxygens going into her stomach. They don't have a 3-0 E.T. tube. You think they're gonna have an amplatz? All right. Get her head up," Alex directs Ivy, "A Fogarty catheter? Yeah, what else? Uh, how about an 8 French suction catheter? Got it. All right. We're gonna call you when we get to rig. Yeah, I know that."