I was just getting out of surgery with Maggie and I see mom with Melissa by the OR board.
Delilah: hi mom.
Maggie: Melissa.
Melissa: Maggie.
Delilah: how is it being back mom?
Mom: oh, it's good to be operating again. Tell me, how are things here with the restructuring?
Delilah: Tom Koracick is... a... brilliant surgeon.
Melissa: not everybody's cup of tea.
Delilah: yeah, he's a jackass.
Mom: I heard he and Jackson really got into it.
Delilah: yeah, but you know Jackson.
Mom: that boy can be so tight-lipped. He gets it from me.
Melissa: my boy gets that from me too. And I know that's hard to live with at times Maggie.
I look over at Maggie who looked just as confused as I was.
Maggie: have you and Dylan talked much lately?
Melissa: we should have dinner soon. Us, plus Catherine, Richard, Jackson and Lilah. And Lilah, you are more than welcome to bring the kids. And bring Joey too.
Maggie: I don't know if that's such a good—
Melissa: oh, no excuses. Come on. Family's too important.
Maggie: yeah, okay.
Mom and Melissa walk off.
Delilah: that wasn't awkward at all.
I walk off and I find Jackson in the lobby with Dylan.
Delilah: hey babes!
Jackson: hey beautiful.
Delilah: listen, I need to talk to you about a patient of mine. Can you do a quick consult for me in the imaging room?
Jackson: sure hon. Dyl, you got it from here?
Dylan: yeah man.
I walk with Jackson to the imaging room.
Delilah: did mom text you about dinner with Melissa?
Jackson: she did.
Delilah: Melissa doesn't know that Maggie and Dylan broke up.
Jackson: ouch.
Once we make it to the imaging room, I start talking about my patient.
-later-
I got a text from Alex saying he wanted to meet for coffee so I drive to Pac North and I see Mer.
Delilah: hey stranger!
Meredith: hey! Alex told me you'd be joining us.
Delilah: yeah. How you doin'?
Meredith: doing okay. You?
Delilah: I'm fine.
Suddenly, I see Maggie coming out of the hospital.
Meredith: hey.
Maggie: what are you guys doing here?
Meredith: in the neighborhood. Lunch break. Having coffee with Alex.
Delilah: same. My day is pretty limited, so I decided to have coffee with Alex.
Meredith: what are you doing in enemy territory?
Maggie shows us scans of a tumor.
Meredith: wow.
Delilah: that's a beautiful tumor.
Meredith: are you taking this out?
Maggie: I wish, but no. I can't do it.
Delilah: is it too risky?
Maggie: please, I would destroy that thing. No, I can't do it because it belongs to Richard's niece. And she doesn't want me to. We look so much alike, we could be twins, which is, you know, surreal, but it's not more than I can handle. But she thinks it would be like getting cut into by herself.
Meredith: I had a dream like that once.
Delilah: same. Not good.
Amy: what are we all doing here?
I turn around and I see Amy walking up to us.
Mag,M&D: patient [Alex].
Amy: what patient?
Mer shows Amy the scans.
Amy: sexy.
Maggie: yeah, I know.
Amy: I told Owen about the baby.
Maggie: oh, that's why you're here. I thought you were defecting.
Amy: I told him about the baby, and he got weird.
M&D: that's understandable.
Amy: is it? I mean, he's with Teddy and he's happy. And just now, he just seemed like he was angry with me for being pregnant. But he's gotta get with the program. This kid is gonna be Leo's little brother or sister. So he and Teddy are gonna be... aunt and uncle, I guess?
Maggie: does Leo call Teddy "mom"?
Amy: no, no, he calls her "Weddy" because he's working on his T's.
We all look at Amy.
Amy: oh, I get the question. Uh, I'm... auntie Amelia. Betty's more like big sister. So Teddy's... stepmom, I guess?
Maggie's phone goes off.
Maggie: damn it. Sabi's crashing. Here.
Maggie grabs the folder from Mer and takes off.
Amy: Sabi is...?
Meredith: her patient.
Delilah: and Richard's niece.
Amy: oh damn.
Meredith: yeah.
Amy: you know, Owen can be pushed at me– I don't care– but he can't take it out on a patient.
Meredith: do you want any...
I see that Amy had left and I chuckle.
Meredith: everyone's got a patient. I want a patient.
I chuckle at Mer and lean my head on her shoulder.
-later-
I'm back at the hospital and I'm in the ER going over charts when I get approached by a nurse.
Nurse: Dr. Avery, incoming trauma. We've paged Dr. Altman.
I grab a trauma gown and I wait in the ambulance bay. Just as three rigs pull up, Teddy comes out.
Teddy: what do we know?
Delilah: accident downtown.
Teddy and I run up to the first rig.
Delilah: what we got?
Paramedic: Kevin Peters, 35 years old. Blunt force trauma to the head and multiple leg fractures. Witnesses saw him run past the red light, claims he wasn't paying attention.
Teddy: take him into trauma one and page Ortho.
The paramedics wheel him in as Teddy and I run up to the next rig with Nicole.
Delilah: talk to me Nicole.
Nicole: you shouldn't be here Avery.
Delilah: why not?
Nicole: it's—
Paramedic: Joey Mitchell, 17 years old. Major blunt force trauma to the head, multiple fractures, decreased breath sounds on the right. Unresponsive in the field...
My heart drops into my stomach when I see my little brother on the gurney.
Delilah: oh my god. Joey!
I grab my light and check his pupils.
Delilah: his pupils are unresponsive. Joey!
Teddy: Lilah, I've got him. Go to the other rig.
I stay frozen in my place as Teddy wheels Joey inside. I snap out of my trance when I see the other rig.
Paramedic: Jonathan Mitchell, 58 years old. Major blunt force trauma to the head, multiple fractures, last BP was 80/30.
Delilah: let's page Dr. Koracick. Hang in there Jonathan, you hear me?
We get Jonathan into the trauma room and I start assessing him.
Delilah: I need an ultrasound.
Once I got the ultrasound, I get in there.
Delilah: damn it, he's bleeding into his belly. We need to get him up to the OR right now. Let's get him ready to move.
Just as we prep to move, Koracick walks in.
Tom: talk to me Shepherd.
Delilah: he's got blood in his belly and major blunt force trauma to the head. Possible brain bleed. I need your help Koracick, and I've got no time for cocky remarks. This is my little brother's father and I'm trying to save his life and distract myself from the fact that my little brother is fighting for his life.
Just then, his monitors start going off.
Delilah: he's going tachycardic! Paddles! Charge to 100!
I grab the paddles and charge.
Delilah: clear!
I shock him, but no avail.
Delilah: come on Jonathan. Your kid needs you. Charge to 150. Clear!
I charge then shock, and I get him back.
Delilah: okay, we've got him. We need to get him up to the OR.
Tom: you said this is your brother's dad?
Delilah: yeah. His son is my half brother.
Tom: I can take it from here. You can go to the waiting room.
Delilah: no way Koracick. I need to operate.
Tom: I'll page Altman.
Delilah: Altman is with my brother since I can't operate on him. If I don't operate on his dad, I'm tapping in with Altman on my brother. Your move Koracick.
Tom looks at me for a moment.
Tom: fine.
Delilah: LET'S MOVE!!
We start wheeling Jonathan to the OR just as Teddy comes out with Joey.
Delilah: Teddy.
Teddy: I'm taking him into surgery. I'll take good care of him, I promise.
Delilah: I trust you.
I felt tears in my eyes as I look at Teddy.
Delilah: please... don't lose him Teddy. He's my little brother. I love him with everything I have.
Teddy: I've got him, I promise.
I nod at Teddy then I continue to wheel Jonathan to surgery.
-surgery-
Delilah: just finished repairing his liver. Suction. Koracick?
Tom: everything seems to be okay on my end.
Just as Koracick finishes his sentence, Jonathan's monitors start beeping erratically.
Delilah: what the hell?
Suddenly, Jonathan starts bleeding out.
Delilah: damn it! His heart was punctured in the accident. Suction!
Tom: damn it, damn it!
Delilah: talk to me Koracick!
Tom: he's herniating!
Delilah: no. No, no, no. Come on Jonathan! You need to live! Your kid needs you! SUCTION!
Jonathan continues to bleed out.
Delilah: come on, come on, come on!
Tom: check his pupils.
One of the nurses checks Jonathan's pupils.
Nurse: fixed and dilated.
I shake my head as I step away. He's gone.
Delilah: damn it. DAMN IT!
I storm out of the OR as tears roll down my face.
Nurse: Dr. Avery?
Delilah: WHAT?!
Nurse: I'm sorry, but Mr. Mitchell's wife and family is here.
Delilah: um... yeah, okay.
I walk out of the scrub room and walk towards the waiting area where I see Stephanie and a man and a woman who I assumed were family members of Jonathan.
Delilah: are you related to Jonathan Mitchell?
Emily: yes. I'm Emily, and this is Evan. Jonathan is our brother.
Delilah: Emily, Evan, my name is Dr. Delilah Avery-Shepherd. I was your brother's doctor—
Stephanie: she's the one I've been warning you two about. I wouldn't trust her.
I glare at the petty woman.
Emily: shut up Stephanie!
Wow. Clearly they don't like her, and I'm here for it.
Evan: is our brother okay? Can we see him?
Delilah: Emily, Evan, Jonathan had major blunt force trauma that caused a brain bleed and he had blood in his belly, so we took him into surgery. Everything seemed to be going okay, but he started bleeding out. We discovered that his heart had been punctured in the accident. I was trying to repair his heart, but his brain started herniating. Dr. Koracick and I did absolutely everything we could, but unfortunately... we were too late. I am so deeply sorry, but... we couldn't save him.
I bow my head down as I hear Jonathan's sister cry. I felt a hand on my shoulder and I look up to see Jackson next to me. Jackson takes my hand and pulls me away a bit.
Jackson: what's going on?
Delilah: Joey and his dad were in a really bad accident. Koracick and I just lost his dad.
Jackson: you're kidding.
Delilah: I really wish I was. God, this is going to kill...
I see Teddy coming up to us.
Delilah: how is he? Can I see him? Is he asking for me?
I see tears rolling down Teddy's face and my heart drops into my stomach.
Delilah: no...
Teddy takes my hands in hers and lets out a deep breath.
Teddy: he had a massive blood clot. We tried to stop the bleeding as much as we could, but... we were too late. I'm... so sorry Lilah.
My heart stops. My little brother... is dead. I drop to the ground and start sobbing. I shut out everything around me and I sob in Jackson's arms.
-later-
Joey and Jonathan were taken to the morgue a while ago and I'm with them right now. I haven't left the morgue since I came down with their bodies. I haven't let go of Joey's hand since Teddy brought me to see him and I refused to leave him.
Delilah: you promised me you wouldn't leave me.
Flashbacks of Joey come flooding through my head.
{Flashback}
Joey: I know about you.
I felt my heart drop, but I do my best to act natural.
Delilah: I have no idea what you're talking about.
Joey: you're my sister. Well, half sister. My mom told me all about you.
There's no use in pretending.
Delilah: look Joey, I hate to sound harsh here because you're a nice kid and I like you, but I don't want to know you.
Joey: I've wanted to meet you for a long time now.
Delilah: I wouldn't hold your breath kid. I'm sorry.
I walk out of the room and go home.
{Flashback over}
{Flashback}
Joey: I just... I want to talk. You know, as brother and sister.
I sigh at Joey.
Delilah: Joey...
Joey: I'm sorry. I know you hate my mom, but I've been wanting to meet you since my mom first told me about you 7 years ago. I've always had this dream of having a big sister—
Delilah: I will come in every once in a while to do a Neuro eval.
I walk out of the room before Joey could say another word.
{Flashback over}
{Flashback}
Delilah: hey kid. I wanna... I want to apologize.
Joey: what for?
Delilah: I've been totally unfair to you since we met, and I want to apologize for that.
Joey: you don't have to. And I get that you don't want a relationship with me. I promise, I'll back off.
Joey backs up, but I pull him back.
Delilah: I do want a relationship with you.
Joey looks at me in shock.
Joey: w-wait... actually?
Delilah: yeah.
Joey smiles at me and I chuckle when he hugs me.
{Flashback over}
Delilah: you changed my life Joe. I love you kid.
I hear someone come in as tears roll down my face.
Jackson: sweetheart.
I felt Jackson next to me and I immediately lean into his chest and start crying.
Jackson: shh, it's okay. I'm right here.
I continue to cry into Jackson's chest.
-later-
I haven't left my bed since I got home. I feel empty. My little brother is gone.
Jackson's POV:
Lilah hasn't spoken to me since Joey died and I feel horrible. Joey was a great kid and Lilah loved him so much. She was so against having a relationship with him at first, but she didn't have any regrets about starting one with him. Just when she was building a relationship with him, he gets taken away from her. I genuinely liked Joey and I hated seeing my wife like this.
My POV:
I hear someone come into the room, but I don't bother looking up.
Alex: Ellie.
I hear Alex's voice and I look up at him.
Delilah: my brother died.
Alex sits with me on the bed and I immediately burst into tears.
Alex: shh, I'm here. I know.
I cling to Alex and I spend the rest of the night crying in my best friend's chest.