The Lieutenant's Love

I Will Follow You Into the Dark

I walked down to the pit cause I was on Robbins service today. I found Hunt with Alex in a trauma room shocking a patient while Robbins was watching.

"Where've you been?" Robbins asked.

"Session with my therapist," I said.

"Sinus tach," Alex called.

"Good call, Dr Hunt," Robbins said.

"Ah, it was a 50- 50 shot," Hunt said.

"Oh, no. It happened again?" Beth asked.

"Beth, I'm Dr Robbins, the pediatric surgeon on call. This is Dr Hunt," Dr Robbins said.

"You got beat up pretty bad while you were marching. We're gonna run some tests, check for internal injuries," Hunt said.

"I seized during the performance? But I took my meds," Beth said.

"Relax. It's not like you crapped your pants or anything," Alex said.

"It is like I crapped my pants. I had a seizure in front of the entire marching band. It is exactly like I crapped my pants. They're gonna kill me," Beth said.

"Who?" I asked.

"Seizure patrol," Beth said. Two students in band uniform walked in and stood at the doorway.

"You're the seizure patrol?" Alex asked.

"I'm the first chair clarinet. He's drum major. Whenever Beth has a seizure, we have to drop our instruments and go roll her on her side so she doesn't choke on her tongue," The girl said.

"We were in the middle of the northwest regional parade.
We were favoured to win," The boy said.

"Yeah, until Beth took down the snare drum, half of the woodwinds. The tubas tried to avoid her, but she was right in the middle of formation," The girl said.

"Ah, okay. Uh, why don't you just go call her parents?" Alex asked. The two students walked away.

"I'm gonna run some tests, but she's already coded once, So I want you to watch her and standby with a crash cart," Hunt told Alex.

"You want me to sit here and babysit the band nerd? That's an intern job," Alex said.

"I don't see any interns around," Hunt said.

Timeskip

I sat eating with Cristina, Meredith and Izzie. Meredith was telling us about Derek walking out of the hospital.

"And he just walked out. Without saying a word, he just walked out," Meredith said.

"Hunt won't even look at me since he went all "apocalypse now" on me this morning," Cristina said.

"It's called PTSD. You don't wake up a sleeping vet and you don't sneak up behind them without saying something," I said before realising that neither Meredith nor Cristina was listening to what each other was saying.

"If you guys are talking to yourselves I'm gonna go make out with my wife," I said.

Timeskip

Alex and I stood outside Beth's room while Hunt and Robbins had been in to check on Beth.

"Why is she coding when she seizes? It doesn't make any sense," Hunt asked walking out with Robbins.

"Not in a girl this young. Her heart should be fine," Robbins said.

"Beth coded before her seizure, not during it. I saw her heart go into v- Fib," Alex said.

"She's 17 with no heart history, Karev," Hunt said.

"Yeah, I know, but I saw it on the monitor," Alex said.

"You think you saw it on the monitor. Seizures are chaotic.
Doctors panic in the moment," Robbins said.

"I didn't panic. I know what I saw," Alex said.

"Are you suggesting that I tell that girl and her parents that she's been wrongly treated for epilepsy for six years?" Dr Robbins asked.

"And then I think we should do a cardiac workup with an E.P. Study," Alex confirmed.

"You want me to deliberately shock a perfectly healthy child's heart? Absolutely not," Dr Robbins said. Hunt looked like he was thinking about it. "Dr Hunt,"

"If he's right, it would explain the coding," Hunt said.

"If he's wrong, it will kill her," Robbins said.

"Look, I'm not wrong!" Alex burst out.

"Then it's your call, Karev," Dr Hunt said.

Timeskip

We were in the cath lab with protective aprons on ready to do the E.P. study on Beth.

"You're gonna be okay. You're in really good hands," Alex comforted Beth.

"I'm gonna ask you one more time, Karev ... Are you sure about this?" Dr Robbins asked.

"Yeah," Alex said.

"Then you're on crash cart. If you're wrong ... be ready to use it," Dr Robbins said taking the defibrillators off the box and putting them in Alex's hands. We'd been going a while.

"Let's take the pace up to 300," Dr Robbins said.

"Vitals are still stable," Dr Hunt said.

"This is pointless. The study is showing no sign of arrhythmia," Dr Robbins said.

"Wait. V- Tach," I said looking at the monitor.

"She's in v- Tach," Hunt confirmed.

"All right, let's just pace her out of it. Take it to 3- 3- 0," Dr Robbins said.

"B. P. 's down, 60 over 10," Hunt said.

"340. Damn it," Robbins said.

"She's not breaking," Hunt said. "Karev, get in there now," Just before Alex was going to shock her.

"Wait, hold the shock. She's coming out," Hunt said.

"This could be a. R. V. C. The right ventricle's causing the arrhythmia," I said.

"Her brain doesn't get oxygen-" Hunt began.

"And then she seizes. Oh, my god," Dr Robbins said.

"Karev, you just saved this girl's life," Hunt said. Alex was shaking. I walked behind him.

"It's okay. It's okay. Just ... just breathe. Put the paddles down and breathe. It's okay. It's okay," I said to Alex. He dropped the paddles. "I got you,"

Timeskip

Addison and I had put the boys to bed and were laying on the couch watching tv. The door knocked. I got up to get it. Meredith was standing on the porch.

"Meredith. Come in," I said stepping aside.

"Meredith," Addison said.

"I'm worried about Derek. He packed all of his clothes out of the closet. He's staying at his trailer and he's drunk," Meredith said.

"He's drunk?" I asked. "I'd better go," I said. Addison nodded.

Timeskip

I pulled up outside Derek's trailer.

"Go home Sage," Derek said.

"You've had a rough week. If you wanna be mad be mad. If you wanna get drunk, carry on but I'm not leaving you alone. You wanna wallow in pity go ahead but when we were younger and I came back drunk you wouldn't leave me alone so I'm here," I said.