The Unfortunate
Fandom: Grey's Anatomy
Summary: Alex, Izzie, and George have been through a lot. But the Universe isn't quite done doling out tragedies.
Warnings: Trans male characters, trans male pregnancy, pregnancy, mentions of Cancer, mentions of near-death experiences, mentions of trauma, anxiety, surgery, graphic descriptions of injuries, mentions of miscarriage
Word Count: 4,120
Ship(s): Alex Karev/George O'Malley/Izzie Stevens
Archive link!
A/N: So I was reading a trans Alex fic where he gets pregnant with George's baby and that gave me this idea, which then refused to leave me alone. I really love these guys as a ship and so it's fun for me to write that all three of them are alive and together. I had to give them a little bit of angst to make things interesting, though. I hope that you can all enjoy it! Stay sissy and bitchy everyone <3
"How are you feeling?" Izzie asked her boyfriend as she tucked one of the long strands of hair back behind his ear. With their jobs and illnesses neither one of them had really managed to get a professional to cut their hair and they were only so-so with anything that wasn't a scalpel.
"Shepherd already asked me and I already answered," he replied with a small shrug.
"George…" she said, her tone slightly warning.
He grouched and leaned back in the chair. He winced a bit as the damaged nerves from his pelvic injuries made themselves known once more. "How about you answer the question and then I'll let you know?"
"Fine, fine, I get the point. Alex just likes it more when we can take care of ourselves and each other so he doesn't have to run after us and make sure we're not driving ourselves into the ground," she leaned forward and kissed the top of her boyfriend's nose. She could still very faintly see the scars from where Sloan had to reconstruct the side of his face. They were fading fast, though, to the point where the common stranger and patient wasn’t even able to tell that he had something happen.
"Or send Meredith after us," George rolled his eyes.
"He cares about us. I know that it's utterly suffocating but he does just care," she chuckled in reply. They were both sick of being treated like they were going to drop dead at any second, even if they had both coded and were legally dead for a few minutes each. She sighed as she checked the clock again and saw that they had another five minutes before their time was up and the other doctors would let them return to work. "I kind of wish that he hadn't left. I know that he wanted to reconnect with his family and see how things were going but I miss him."
"I miss him too," George murmured. He reached over and grasped her hand with his own.
She threaded their fingers together softly and let a smile grace her face. "He's coming home tonight though, which means that we should do something exciting for him!"
George dropped his voice to a whisper so that they weren't overheard by some of the others around them, "Callie cleared me for sex again, we could totally do it. Maybe just not as rough as last time." He winked.
Izzie's cheeks turned an adorable shade of red and she floundered on what to say for a moment. "You're the one that decided that you wanted to do that even though you weren't even fully healed!"
"I didn't know that it would start re-breaking my bones," he hissed back at her. The two of them were close enough now that they could feel the other's breath when they talked. They laughed for a moment before George leaned forward and placed a soft kiss on her lips. "Our break is done. You should get back to work. I'll go find Hunt."
"Make sure to bring your cane for the long walk down. I know you don't like using it but those muscles are going to need their strength if you really want to do that tonight," she winked at him like he had to her moments before.
The doctor let out a grumble as he reached over and took the cane. It was black with a golden handle on the top, with the words 'To George: The Cripple' on the side of it, courtesy of Cristina. When he had first woken up after his myriad of surgeries he had been devastated at finding out that he may never walk properly again. He had mentioned being crippled so many times that when it became apparent he was just going to have a limp and chronic pain once he healed, the sarcastic woman had gifted him with it.
He reached out and took Izzie's offered hand as he pulled himself up into a standing position. He stood there for a moment as the pain radiating around his hips finally let go and he was able to walk again. "See you when our boyfriend finally decides to show up."
"Excuse you," she chuckled as she gave him another peck on the lips, "but he's my husband."
"Sucks to be you," he teased before he turned and began to limp towards the elevator so he could get down to the ER and trauma floor. Izzie watched him go, as if in disbelief that he was really there and wasn't just a figment of her imagination that her Cancer-ridden brain had cooked up to help her deal with her grief.
Things immediately picked back up once he was finally back to work. Hunt glanced at the clock to make sure that he had stayed resting for the right amount of time before assigning him to the rooms that he could work in. George let the low level of pain he was in to melt into the back of his brain as he focused being able to diagnose what was wrong with a lot of his patients and help them recover. He worked amazingly well despite not being able to walk as fast as some of the other doctors. The interns listened to him and did what they were supposed to do immediately when he was in this mode, even if they didn’t listen as well when he wasn’t being as serious. They were able to work as a team and got patients rotated in and out of the rooms easily and efficiently.
The young surgeon turned towards the door as he heard the attending shout, "Keep O'Malley out of trauma two!"
"Why are you keeping me out of trauma two? I was cleared for all work other than the surgeries longer than six hours a month ago," he walked to the doorway and then felt his heart drop low into his stomach. All of the anger and resentment that had been bubbling in him over feeling coddled by his colleagues immediately melted away. He understood why they wanted to keep him out of the trauma room when he saw who the patient was.
Alex was lying unconscious on the gurney that they were wheeling through the hallway. Blood covered a lot of his body and there was a portion of bone sticking out of his arm as well.
"Damnit," Hunt swore as he hoped off of the gurney and walked over to his protege. "Listen, you've been through a lot recently and you've already been working for about two hours after your last break. I want you to go and stay in an on call room until we have some news for you about him."
"I can still work," he replied hoarsely, though he could feel the anxiety attack building.
"I know. But I'm asking you not to as your friend," Hunt replied. "And I want you to be the first person to be able to tell Stevens. She needs to hear the news about her husband from her boyfriend, not some random nurse."
George nodded, his mind still reeling from seeing yet another of his partners laid out like that, obviously in pain. He had only taken a step when someone grabbed his shoulder. He turned around to face the paramedic, and then felt tears well up in his eyes as he was handed Alex's backpack, "Can you get this to his partners? When we pulled him out of the wreck and got him into the ambulance he was holding it and wouldn't let go. He kept saying that he had something important to give someone named George and Izzie."
"Well, I'm George," the doctor shrugged. "Thanks," he took the bag and then limped down the hall to where he had left his cane. He knew that if the person on the gurney hadn't been Alex, Hunt would have noticed that he wasn't using his cane and yelled at him.
He was moving as if he was in a daze as he found Izzie and brought her back to the closest empty on-call room that they were able to find. The entire time that they were walking she was trying to ask what had happened but he felt like his mouth was full of sawdust. News of their boyfriend's accident had apparently spread around the hospital faster than he had anticipated because no one even tried to stop them or ask where they were going. He sat heavily down on one of the beds and then moved so that he was leaning back against the wall with his bad leg propped up by the shitty mattress. Izzie sat down by his leg, wringing her hands in her lap.
"What's going on, George? You're starting to scare me a little bit," she whispered as she inched closer to him. "Wait, isn't that Alex's? Why do you have Alex's backpack?"
"He's been in an accident," he croaked.
Her eyes widened and tears began to dance on her lashes. She opened and closed her mouth a couple of times before she was able to speak again. "I… what kind of accident?"
"They didn't say," he shrugged. "He was covered in blood and really banged up. Iz, what are we going to do?"
She reached over and threaded their fingers together. He could feel her shaking a little bit as they moved closer together on the bed. "We're going to make it through this. You had an accident and you made it through all of those surgeries just fine," she whispered.
George rubbed his other hand over his forehead. "I just wish that we could catch a break. I mean, Meredith got married and she's finally happy. Why can't the same thing happen to us?"
Izzie let out a small chuckle. She took Alex's backpack from George and put it in her lap. She wrapped her hand around the charms that they had given him before he went on his trip back to Iowa. "We're plenty happy in our relationship, we've just been having a lot of issues with our health," she smiled a little bit. "And we'll make it through this just like we made it through your accident and my Cancer. At least this time we're both healthy and can support him back."
They sat together in silence for a couple of minutes before George opened up the bag in her lap. "The paramedic said that Alex was obsessed with something in here and kept mentioning us when they were bringing him back to the hospital."
His girlfriend was eager for the distraction and quickly sat up. She reached her hand into the backpack. She laid out his laptop and charger on the bed that they were sitting on before she pulled out a box that was just a little bigger than both of her hands. It had a bow on the top and a couple of tape pieces hanging off of it like their boyfriend had been trying to wrap it before eventually giving up. George took the box from her and flipped it over to see that Alex had written 'To Izzie and George' on it in his horrible handwriting.
"Maybe this was it?" she whispered as she placed her head on George's shoulder.
George flipped it back over. He placed the box in one hand and used the other to lift up the top so that they could see what was inside. There was a paper over something that rattled inside when the box shifted. Izzie reached over his arm and took the tissuepaper to reveal two pregnancy tests. "Holy shit, holy shit," he whispered as he reached into the box and flipped over the tests to see that they were both positive. "Iz, is that what I think it is?"
"Huh?" she asked as she tore her eyes away from the tests that he was holding in his shaking hands. "Shit," she whispered. He glanced down to the bottom of the ultrasound as saw their partner’s last name and the date that the ultrasound was taken.
"They're bringing him into surgery," George mumbled, his lips sticking together due to his mouth going dry from shock. His eyes widened a little bit as he began to scramble to get off of the bed. "They're bringing him into surgery and they don't know that he's pregnant! Iz, they're going to kill the baby!"
She dropped the pregnancy tests in her hand down onto the bed and quickly got to her feet. She handed him his cane before she rushed out of the room. George didn't bother to use it as he sprinted down the hall after her, the sound of the door clicking and his cane clattering against the tile floor ringing in their wake. They finally stopped when they were at the nurse's station, "Where is Alex Karev? Have they brought him into surgery yet?"
"Yeah, they're in OR one," she nodded, pointing behind her towards the surgical board.
The duo glanced at each other and then rushed down the hall to the OR that the nurse mentioned. They stopped only long enough to grab a mask each. George managed to move in front of her as he burst through the door. "Stop!" he shouted before he moved the mask so that it was covering his mouth and nose.
"O'Malley, Stevens, what the Hell are you two doing in here?" Bailey asked as she turned to face the two of them.
"I thought I told you to stay in an on-call room and cope with each other until we were finished," Hunt snapped.
George paused when he felt the pain echoing through his back and legs because of how hard he had just pushed himself. "He's pregnant."
"It's true," Izzie said with a small nod as she was able to slip into the OR beside her boyfriend. "He had something in his bag that was going to tell us. You have to be careful during the surgery."
The three attendings all glanced at each other before they looked back at the residents. Callie was the next one to speak, gently placing the arm that she was preparing to fix back down. "Fine, go page someone from OB and we can get a fetal heart rate monitor. Do you know how far along he is?"
"The, uh, he had an ultrasound," Izzie said, closing her eyes as she tried to remember details from just glancing at the item.
“There was a note on the back that said we had to wait until… September. That’s about seven months in the future, so maybe eight weeks along?” George finished for her.
"Eight weeks isn't that far along. How do we even know that the fetus managed to survive this long after the accident?" Callie asked. "I need to fix this arm."
"Callie, please," George whispered as he looked into his ex-wife's eyes. She conceded, stepping away from the table with her hands in the air so that she really wouldn’t be tempted to do it anyway despite the risk it might pose to the fetus. The nurses had already gotten to work at paging the OB.
Hunt glanced back at her and then towards the two residents. "Now go and wait for us to give you information. I can already see how worn out that stunt you just pulled made you both."
"Can we watch from the gallery?"
"Absolutely not! Now go," Bailey called, pointing towards the door out of the operating room.
The duo slipped out so that they were in the scrub room outside and couldn't be seen by the attending surgeons. They waited until the obstetrician had shown up and gone inside of the OR.
George groaned and placed his hand on his back, "Bailey was right. I hurt."
"Where's your cane?" Izzie asked as she looked around the scrub room to try and see if he had dropped it.
He smiled, his cheeks turning bright red as he realized that he had been caught. "I, um, left it back in the on-call room so that I could get here quicker."
"Well that's why you hurt, you idiot," she snorted. She offered her arm out to him and he gratefully took it. Getting back to the on-call room took about four times as long as it took them to get away from it. He nearly collapsed down onto the bed in the on-call room once they got into it again.
---
They had both fallen asleep by the time that Alex finally got out of surgery and someone bothered to come to update them. "Both of you, wake up," Bailey said as she knocked on the door. They startled awake and Izzie was off of the bed in a second, though George struggled to stand up for a while before he managed to get onto his feet.
"Do you have any news?"
"Can we go see Alex?"
She rolled her eyes, turning to the side a bit in exasperation. "You two. Have you eaten anything?"
"Alex," George repeated, grabbing his cane so that he could go out and see his boyfriend as quickly as possible.
"I'll have someone bring something to his room. Come on, you two," she waved at them to make them follow after her. She explained everything that they had done to help stabilize him during the surgeries, but neither of them were really able to listen. The only thing that really got past them was that their boyfriend had survived and was a lot more stable than when he had come into the hospital in the back of an ambulance. They had to walk slower than they would have liked since George had gone from a medium-pain day to a high-pain day due to the stunt he had pulled a few hours before.
They both stopped just outside of the hospital room as they looked in on their boyfriend. Izzie was gripping his backpack in her hand and the repackaged pregnancy tests and ultrasound in the other. Alex was laying on the bed with a bunch of tubes and wires strapped to him. The only thing that was out of place from every other patient they saw on a daily basis was the fetal heart rate monitor next to his own heart monitor. "When is he going to wake up?" she asked after a moment, turning back towards their attending.
Bailey wrung her hands in front of her for a moment. "Go in and sit down. I know neither of you are going to go home and rest like you should," she opened the door and motioned for them to enter. They did what they were told, George almost collapsing the second that he could near a chair. "He's been through a lot, but he didn't code on the table and he's breathing completely on his own. He should wake up at any point tonight, depending on when his body wants to."
"Great," Izzie nodded as she sat down on the other side of her husband than her boyfriend. George reached out and held Alex's hand while he watched his lover take in slow, deep breaths.
"I'm going to send someone up with some coffee and food for the both of you. Stevens, you've taken your medication?" Bailey asked as she looked them both over. She was going to have to make sure that the nurses kept an eye on the trio for the next several years at this point since they each seemed insistent on getting themselves waist deep in illness and injury.
"I did, George made sure that I did," she nodded. She was fidgeting with the box next to her. Her eyes drifted towards the fetal heart monitor and then back to her husband.
It took about an hour or two for Alex to wake up. Meredith was sent up to give them some food after about ten minutes of just sitting with their partner. George refused the pain meds that Callie offered him after coming to check in on them both, he wanted to make sure that he was awake and alert when his lover finally woke. They had both drifted off into gentle conversation, talking about anything and everything other than the obvious elephant in the room. Both of them became alert when they heard a small noise coming from Alex.
"Sweetheart, are you awake?" George asked eagerly.
"Alex?" Izzie whispered as she reached out and grabbed his hand. The other resident had never let go of Alex's hand the entire time they were sitting with him.
"What the Hell happened?" he groaned as his hands began to fidget in their own.
Izzie got up and moved to the edge of the bed since she could. She was looking him over like she was his doctor, out of habit and to give her something to do without mentioning the pregnancy. "You were in an accident, and now you're in the hospital. Do you remember your name?"
"Yeah, and I know who the two of you are too," he chuckled. He groaned a little bit as he let his eyes fully open to look up at her. A gentle smile fell over his face and she felt her heart melt. "I didn't hit my head. The car hit me from the side. I passed out from blood loss in the ambulance, I think. I remember talking to someone that wasn’t a doctor here and wasn’t one of you," he mumbled.
"So you do remember everything then," she leaned down and placed a small kiss on his lips.
He shifted on the bed so that he was sitting. He glanced to the side and his brows knitted together in worry as he saw George. "How are the two of you doing?"
"Are you seriously asking us how we're doing when you're the one in the hospital?" George asked. He grabbed his cane and used it and the arm of the chair to push himself up so that he could get closer to his partner. "Bailey and Mer have been taking good care of us. Callie checked in on me too, which was awkward as Hell but still nice."
Izzie brushed a hand over his hair. "Do you need anything or is it okay if we talk?"
"We should talk," he nodded immediately. "I, um, I don't know how much you guys know or if- if," tears were welling in his eyes.
George was quickly able to tell what was going on in his mind. "Alex, we found the box and were able to get an OB into the OR before they went in so that they could monitor the baby while you were in surgery. You're still pregnant," he sat down on the other side of the bed than Izzie. To an outsider it may have looked like they were crowding their partner, but Alex adored having them this close to him.
He relaxed a little bit and smiled. He moved his hand over his stomach as he looked towards his partners. "So… how are we feeling about this?"
Izzie let out a laugh, like a ringing bell that made both of her boys grin ear to ear, "Alex! How do you think we feel about this?"
"Good?"
"I didn't let Mer talk me into letting all of my eggs be taken out of my ovaries because I hate babies! We get to be parents," she beamed. "I assume by the fact that you tried to give us a present to tell us that you want to keep the baby, right?"
"If you guys are ready to deal with me being moody and hormonal," Alex snarked back at them.
George reached up and cupped his boyfriend's cheek with one hand. He brought their lips together in a sweet kiss. "What, you mean more than you already are?"
"Shut up," Alex snarked as he reached up and pulled George down into another kiss.
The resident grinned. "If you really want to be pregnant and have our first kid, we're going to be here to support you through the entire thing. I know that this can't be easy for you."
"It's not, but I want to do it. I want to have this baby with you two. I mean, we may not get another chance," he shrugged.
Izzie kissed him softly, "Eventually we'll be able to avoid getting in all these accidents and get better. We'll get a break."
"Maybe this baby is the sign that things are going to get better for us," George beamed. "You know, hope."
"Mm," Alex leaned up and kissed his boyfriend one more time. "Hope is good."
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