Izzie yawned and stretched her arms out as she awaited her next emergency in the pit. She turned her neck to finally see the sun shining brightly through the few windows.

"Oooh coffee!" she said brightly as Derek walked past.

"Not for you," he replied with a cheeky smile. Izzie pretended to be sad. Derek laughed.

"Good morning, everyone!" George O'Malley said happily. Way too happily for a 7:00am start. Izzie glared at him. He didn't appear to notice as he walked towards her with a spring in his step.

"You weren't there when I woke up this morning," George said, leaning in for a kiss. Izzie pulled away.

"No," she said, sounding annoyed. "That's because I've been here since 3:00am."

"They paged you to the pit at 3:00am?" George asked, confused.

"No, George," Izzie replied, fighting off a yawn. "You made me come here. You and your sinuses." George moved his fingers to the top of his nose.

"What's wrong with my sinuses?" he asked.

"You're snoring, George! Seriously. It woke me up every twenty minutes. If I rolled you one more time you'd be on the floor so I came in here and now that I've performed an appendectomy and endoscopy I'm feeling a little more calm but-"

"Someone needs to lay off the red bull," George muttered, surprised by Izzie's early morning ramblings. Izzie glared at him. "Okay, okay," he said with a little laugh. "I'll get it seen to."

"Today?" Izzie asked. It was more of a warning than a question.

"Sure thing," George replied. "Can I kiss you now?" Izzie's face softened into a smile. She nodded and closed her eyes as George softly brushed his lips against hers.

"I wasn't aware that this was a supplies closet or an on call room or wherever you kids like to-" Miranda Bailey chimed in as she went over to Izzie and George.

"Sorry," they said at the same time with mischievous grins.

"I'll go take a shower," Izzie said.

"You go do that," Bailey replied. She watched, hands on hips, as Izzie left the pit.

"I'll just…" George's voice drifted off as he followed Izzie.

"Please! Somebody help me!" a woman screamed from the triage window. She sounded terrified. Everybody in the pit turned their attention to where the voice was coming from.

"What's going on?" Bailey asked, swiftly making her way to triage. She opened the doors as the distraught woman ran through carrying a fragile looking teenage girl.

"Karev!" Bailey shouted as she spotted Alex finishing up with a patient consult. He rushed over to them and carefully took the girl from her terrified mother. They found a bed and Alex gently placed the girl down. He started looking over her immediately.

"I bought her medical records," the mother said tearfully, handing a thick manila folder to Doctor Bailey.

"What made you bring her in?" Bailey asked.

"She has leukemia," the woman responded, her voice wobbling. "And she wouldn't wake up this morning and then her breathing was all shallow and she was curled up in pain. She screamed every time I tried to move her."

"Where does it hurt?" Alex asked. The girl pointed to her abdomen.

"Everywhere," she responded in a fragile voice. Alex took her blood pressure.

"It's through the roof," he told Bailey grimly.

"What would you recommend here, Doctor Karev?" Bailey asked, testing him.

"We should proceed with a round of general blood tests, urine analysis and get an ultrasound down here."

"What do you think it is?" the girl's mother asked.

"We can't be sure yet," Bailey said gently, flicking through the file. "But based on your daughter's medical history I would say that she stands a high risk for going into organ failure."

"What?!" the woman exclaimed.

"It might be her kidneys," Alex added. "The sooner we work out what it is, the sooner we can treat your daughter."

"Adopted daughter," Bailey said, reading the file as she realised exactly who the girl in front of them, Hannah, was.

"That's right," the woman said.

"You've been in here before," Bailey said. She nodded.

"That's right. About a year ago. We got bone marrow from-"

"Yes I remember," Bailey interrupted in an attempt to protect Izzie's privacy. She didn't want to be responsible for Alex Karev knowing the secret that she'd sworn not to divulge. "Doctor Karev will get these tests started," Bailey said. "I'll be back soon."

"Have you seen Izzie Stevens?" Bailey asked Christina and Meredith who were standing at the surgical board. They shook their heads.

"Is everything alright?" Meredith asked, concerned. Bailey didn't reply. She kept walking through the surgical ward.

"I wonder what that's about," Meredith wondered. "Doctor Bailey doesn't chase down other surgeons."

"Not unless they're in trouble," Christina said, not taking her eyes away from the surgical board. She wrote her name down next to a valve replacement surgery that she wanted in on, hoping that nobody would remove it.

"I wonder what she did," Meredith mused.

"Everything went well," Izzie explained to her appendectomy patient. "The incision is nice and neat," she said, admiring her own handiwork. "We need to keep you in for a little while under observation but if you keep improving you should be out of here in no time."

"Thanks so much," her patient, a nineteen year old college student replied.

"Not a problem," Izzie said with a smile. She turned around to see Miranda Bailey standing in the doorway of her patient's room with a grim look on her face.

"What's up?" Izzie asked, as they left the patient's room. Miranda took Izzie's arm and led her into the quiet room that surgeons used to talk to relatives of their patients. They sat down. "Alright, you're kinda freaking me out here," Izzie said.

"I just thought you should know… you didn't hear it from me," Bailey started to explain.

'Didn't hear what?" Izzie asked anxiously.

"It's violating doctor/patient confidentiality but I didn't want you to just see her on the ward and-"

"See who?" Izzie interrupted.

"Your daughter," Bailey said softly.

"What?" Izzie asked dumbfounded. "Why? Does she need more bone marrow?" Bailey shook her head.

"We're doing some tests now."

"What do you think it is?" Izzie asked.

"I shouldn't say," Bailey replied.

"Miranda," Izzie stood up, hands on hips.

"Possible kidney failure," Bailey almost whispered. "You didn't hear it from me." Izzie nodded, clearly shocked. "I'll keep you updated but for now I need you to just do your job and stay calm. I only told you because I didn't want you to find out at the same time as the others. Izzie nodded again, staring into space. Bailey gave her am a supportive squeeze and left her alone in the quiet room.