What does it mean?

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He continues to kiss me, and I let him. He's still up against the door, and he locks the door. It felt so good but so bad at the same time. I had to think quick and decide whether to have sex in the on call room or stop all together. I had been thinking about this all day. And it felt so good to get it out. We both started taking off our clothes.

Afterwards, all I thought was, "Was this a mistake?". Before I know it, we're in bed, both naked. "Oh my god," I say laughing. "I know," he says.

And then it hit me, right then in there.
"OH MY GOD," I yell, I quickly get up and get dressed. "What is it?", he gets up too and puts on his pants. "We had sex. The one thing I did not want to do." I say trying to finish getting dressed. He grabs me by my shoulders and says, "Calm down. Yea, we had sex. What's the problem?"
I stop getting dressed and sit down on the bed where we did it. "My sister is going to kill me. Derek is going to kill me. My life is ruined, because of you!!!" I yell at him. I put on my shirt and grab my pager. "This never happened. WE never happened." I say as I run out. I go to Henry's room feeling like a total slut. He's not there anymore, he was taken up to surgery which I would have known if I hadn't been screwing Mark Sloan.

I go to the OR board and see he was having surgery in OR 3. I start heading there in a rush and accidentally run into Meredith. "Hey, are you okay? You look tired." She says looking me up and down. "Uh yea, totally fine. Did not have sex with anybody." I say, I hate lying. Plus I suck at it. "Uhm, okay..I'll see you at home then I guess." She says and walks off. I arrive at OR 3 to see that the surgery was finished. So I had sex with Mark, and I missed my one surgery today. Great.

My pager starts beeping, 911 in OR 6, I run upstairs. I get there, but nobody was in the OR, besides Mark. "What the hell? Did you page me 911, to an empty OR?!" I say angrily.

"Do you regret it?", he asks me. I didn't mean to hurt his feelings earlier. "Mark, we had sex! Like full on, no protection, completely naked sex. And oh my god, it was incredible." I begin to say. I suddenly feel trapped. I try to form the words to come out of my mouth. I walk closer to him, I place my hand on his cheek. "No, I don't regret it but it shouldn't have happened. I just wish it didn't have to be like this. I wish that we didn't have to sneak around," I say to him.

"Then we shouldn't. I don't care what anybody thinks, so why do you?" He says. He grabs my hands and holds them. I let go of his hands and say, "I'm not like you, I'm not confident like you. I'm nerdy and awkward and not at all like you." I walk back and forth, trying to decide whether to stay or go. He follows me with his eyes as I pace around the room. "So? I don't see anybody who cares. Only you." He says nonchalantly. I hear a door close, I see somebody walk out but I didn't see who. "Oh shit." I say and run out to see who it was. Whoever it was, heard our entire conversation.

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