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it was the middle of the night and both lydia and emily were sleeping when lydia's pager went off resulting in both emily and lydia waking up. emily started crying and lydia got up to look at her pager. the woman got up and took care of her baby before taking care of herself.

lydia met arizona and callie in the living room and they all walked out to the car together. lydia put emily in her car seat and arizona drove them to the hospital. once they got there, lydia got out first and immediately took emily to day care and met arizona and callie downstairs with owen.

"robbins squared, karev's with your patient in trauma two." owen said and with that arizona and lydia made their way there.

lydia went on the other side of alex and started the ultrasound.

"car accident. head c.t. showed a subdural. shepherd's coming in. baby's in distress. o.b.'s on its way." alex said to them.

"oh, it hurts. it really hurts." the patient moaned.

"ok, wait. hold on. stop. move the wand up." arizona said and moved lydia's hand up.

"what?" lydia asked.

"okay, baby's brain is hemorrhaging. she needs a crash 'c' while shepherd handles the bleed. get ready to grab a rail and start running." arizona told the residents.

alex, arizona, and lydia, started pushing the patient to the o.r. when they almost ran into callie and her patient.

"...meet me in the o.r." lydia heard callie say.

"oh, whoa, whoa, whoa. we need the o.r." arizona told callie, pulling the bed right up next to callie's.

"well, we need it, too. we're already on our way." callie said.

"there's only one o.r. prepped this time of night." lydia explained.

"which is why we need it." callie said, still pushing her bed.

"mines got a subdural." arizona bargained.

"fifty broken bones." callie countered.

lydia internally cringed.

"stroke in the womb!" lydia shouted.

"oh!" callie gasped because a door suddenly opened and a nurse popped out.

arizona pushes faster and overtook callie and owen and made it to the o.r. the patient screamed and moaned.

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the surgery started and derek shepherd opened the door and came into the o.r.

"what's her status?" he asked.

"mom's heart rate and, uh, b.p. has been fluctuating, but she's ready for you." lydia told derek while she was working on the baby.

"all right, let's prep her for a craniotomy." derek said.

"apgar's only 4. we need to get to the nicu now." arizona said.

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the three surgeons made it to the nicu in time. alex was checking out the baby and arizona had just put a drain in.

"all right, drain's in a good position." arizona said.

"yeah, she's breathing over the vent." said alex.

"maybe we should consider extubating her?"

"yeah, but watch for apneic episodes, and keep an eye out for her c.b.c. there's still too much blood draining from her head." arizona said. "what time is it, karev?"

"uh, half past 8:00." he answered looking at his watch.

"half past 8:00. i've already been awake for 5 hours, and my day hasn't even started." arizona said, sighing.

"same, rough way to start your morning." lydia said.

"a stroke before you're even born-rough way to start a life." alex said.

"yeah."

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"hey i brought you some coffee." callie said rounding the corner to meet arizona and lydia. she noticed both the robbins sisters already had a coffee in their hands. "oh, you already have one."

"oh, no. i want your coffee. i need your coffee." arizona said reaching out for callie's extra coffee.

owen walked up to the girls and started talking about cristina. "okay, when you see cristina, she is gonna be mad. she's gonna be mad at me for not paging her in here last night, possibly mad at you for not waking her up either. now i am handling this. do not engage her. do not provoke her. simply ignore, her all right?"

"oh, that's your plan-ignore the scalpel-hungry animal?" callie asked him.

"yep, until i come up with something better." he said.

the residents all filed onto the peds floor as they waited for arizona to start talking. lydia and her sister both threw out their finished coffee's and lydia went to stand next to cristina.

"okay, i know this is the first time on a peds rotation with me for for some of you. not for others. but i wanted you to understand that i run my peds unit a little differently than you may be used to. this is not general surgery in miniature. these are the tiny humans. these are children. they believe in magic. they play pretend. there is fairy dust in their i.v. bags. they hope and they cross their fingers and they make wishes and that makes them more resilient than adults. they recover faster, survive worse. they believe. in peds we have miracles and magic. in peds, anything is possible." arizona gave her big peds speech and lydia gave a wide smile.

lydia always loved hearing her sister talk about the tiny humans, she was so passionate about them. lydia was very passionate about them as well, that's why she wanted to go into peds.

they all walk through the door and waited for arizona to give them their instructions.

"morning, dr. robbins." a young boy greeted his doctor.

"good morning, dr. wallace." arizona said back. "i see that you've already introduced yourself to mr. and mrs. boyd."

"yes. reminds me of hillary at that age. such an overachiever." mrs. boyd told arizona.

"dr. yang, why don't you present?" callie offered.

"excuse me, little...doctor boy. uh, hillary boyd, 15 years old, fell off the roof of her house. fifty-two acute fractures were diagnosed when she was admitted last night. an intricate and extremely challenging o.r.i.f. surgery was performed by dr. torres and dr. hunt this morning before rounds." cristina presented.

"thank you, dr. yang."

"if she fares well enough today, i'd like to go in tomorrow to repair her subtrochanteric fracture next." callie said.

"mm. can anyone tell me the proper dosage of ceftriaxone for a pediatric patient?" arizona asked.

"fifty milligrams per kilogram per day." jackson answered.

"mm-hmm. and dr. wallace, can you tell me the proper dose for this patient if she were forty-two kilograms?" arizona asked the young boy.

the young boy did a little bit of math on his clip board and answered, "2.1 grams per day...if you carry the decimal."

they finished in hillary's room and wallace led the group to his own hospital room. the young boy climbed into his bed and lydia stood next to his bed.

"okay, who's presenting?" arizona asked the group.

"i am, dr. robbins." wallace said, sitting up in his bed.

"proceed."

"wallace anderson, ten years old-almost eleven-been here for seven months. in and out over the past two years. suffers from short gut syndrome, which means he can't properly absorb nutrition." the young boy presented.

"exactly, dr. robbins?"

"fifteen intestinal surgeries to date, plus a bowel lengthening procedure, which helped for a while, but recently, he's hat to go back to being fed through t.p.n." lydia continued.

"yum." wallace said, holding his bag.

"how'd he do this morning?" mrs. anderson asked, walking into her son's room.

"we covered some pretty advanced algebraic conversions." arizona told his mother.

"dr. robbins helps me with my math and science homework by letting me go on rounds." wallace explains to the newbies.

lydia smiled. she knew wallace and she's been on his case for a while now.

"fascinating." cristina said under her breath.

"we try to keep his life as normal as we can, even living in a hospital." his father told the residents.

"but I can skip my home on Friday, right, since it's my birthday?" wallace asked hopefully.

"since it's your birthday." his mother agreed.

"what about dr. robbins? it's her birthday, too." wallace asked.

lydia obviously knew about her sisters birthday but she also knew that arizona don't like to make a big fuss about it. lydia loved to spend time with her on her birthday but she was on call.

"i'm afraid I can't skip my homework, wallace, but i can come celebrate with you like i promised." arizona promised the young boy.

everyone turned around, ready to leave the room when wallace's dad spoke up.

"dr. robbins?" lydia and arizona turned around. arizona pats her sister on her shoulder, letting her know that she should leave with the rest of the residents.

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later that morning, callie, arizona, and lydia went back to their apartment to relax for a little while. for once, everyone was home and even mark had come over. callie was making breakfast, arizona was talking and holding baby emily, mark was reading the newspaper, and lydia was pouring coffee.

"i always knew that wallace's parents were wealthy, but not twenty-five million dollars wealthy. i mean, that's 'libraries named after you' kind of money, 'saved babies in africa and has dinner at the white house regularly' type money." arizona explained, feeding her niece.

lydia finished pouring coffee and orange juice for everyone and went to sit down next to mark with her coffee in hand.

"people don't give me that kind of money. you have an unfair advantage. you work with children." mark said.

"oatmeal, side of fruit, wheat toast, hold the butter." callie said, putting a plate of food on the bar.

"thank you." owen said, walking into the room.

"you know what? that money is going to make such a difference for so many patients. It's really amazing." lydia said, smiling at her big sister.

"maybe i should start doing more cleft-palate kids. everyone's a sucker for those." mark said.

"cheese omelet, extra butter, cinnamon toast, crispy bacon." callie said, putting a second plate of food on the bar.

"mine!" cristina called, walking into the room.

"twenty-five million is pretty cool, right?" arizona asked, bouncing emily in her arms.

lydia stood up from her place next to mark and walked towards the kitchen. she grabbed a bowl of chopped fruit from the fridge and took a fork from the drawer. the girl made her way back to mark and sat down, quite closely, next to the man.

"yeah."

"best birthday gift ever." lydia spoke up.

"birthday gift?" callie questioned.

"yeah, well, 'cause the money's a gift. i mean technically it's for the hospital, not arizona, but since your birthday's on friday..." lydia trailed off.

"um, why didn't you tell me about your birthday?" callie asked arizona.

"birthdays are just days like any other days. i don't like them. don't celebrate them. no big deal. twenty-five million? that's a big deal." arizona explained quickly. "crap. i'm gonna be late. i will see you there." she kissed her girlfriend goodbye, set emily in marks arms, and headed out the door.

"okay, she's downplaying it, right? i'm her girlfriend. i have to do something for her birthday, right?"

"yes." owen said at the same time both cristina and lydia said "no."

"of course you do. a surprise party." owen suggested.

"whoa, whoa. bad idea." mark chipped in.

"i agree, like arizona said, she doesn't do big parties. normally we stay in, watch movies, and eat candy all night." lydia told her sister's girlfriend.

"surprise parties are hostile. they're dark. people jump out and scream at you. they never come to any good." mark told callie.

lydia knew callie was gonna do it anyway. at this point she was glad she was on call so she wouldn't be blamed for this.

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7/12/20