"oh, my god. izzie!" madelyn called, walking out of the stall.

"what? what happened? are you okay?" izzie worried, walking out of her stall. izzie took one look at madelyn's face and realized what had happened.

"oh, my god! you're pregnant!" izzie cheered.

"i, i'm pregnant." madelyn repeated in disbelief.

"we have to do further tests." madelyn said, looking up from hers.

"you have to tell alex!"

"no, not yet. we have to see how far along it is and see if this might have been a false positive."

"false positives are super rare."

"i know. i'm not taking that chance."

"what about meredith? you gonna tell her?"

"no. no one has to know, understand?"

izzie nodded, pretending to zip her lips and throw away the key.

"cmon, let's get you to the o.b.!" izzie sang, grabbing madelyn's arm and dragging her off.

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"you are pregnant." the o.b. confirmed.

"look, right there." she pointed to the ultrasound on the screen.

"oh, my god. it's real. how many weeks?" madelyn asked.

"looks to be about, one and a half, two weeks."

"so, in other words, it is alex's." madelyn confirmed.

"i'm so happy for you!" izzie squealed.

"thanks. i don't know if i should keep it, though. what about my career, izzie? i haven't been a intern for that long and i'm busy enough, i don't know if i can handle a baby."

"you should talk to alex about it. maybe he wants to keep it."

"i don't know izzie... maybe it's best to abort it sooner then later."

"miss, if you are considering abortion, maybe you should also think about adoption. there are tons of great families that would adopt your child."

"please madelyn, pro-life."

"izzie, i'm pro-choice."

"then make the right one."

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"derek."

"what's up?" the neurosurgeon replied.

"are you pro-life or pro-choice?"

"that's a tough one. as surgeons, pro-life is the first instinct, but sometime abortion is answer, even if you are killing babies, well, more ending their life before it started. in my opinion, it depends on the situation. why do you ask?"

"no reason. thank you derek."

"any time."

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madelyn was walking past the interns room when she heard cheering and whispering as izzie walked in, followed by george.

madelyn followed, looking around the room, seeing printed pictures of izzie in lingerie taped all over the room.

and in the center of all of it, alex was standing, holding more photos.

"shhh! we have bethany whisper in our locker room." he fake whisper shouted.

"oh, boy. i guess they do airbrush out the tattoo, don't they." he continued.

"that sick son of a bitch." madelyn muttered under her breath as she watched izzie send death glares at alex.

"do you want to see it?" izzie asked. alex let out an awkward laugh.

"you really want to see it? fine." izzie said, throwing down her bag while started to strip down.

"let's look at the tattoo up close and personal, shall we! and what are these? oh, my god! breasts!how does anybody practice medicine hauling these things around?! and what do we got back here? let's see if i remember my anatomy. glutes, right? let's study them, shall we? gather around and check out the booty that put izzie stevens through med school. have you had enough or shall i continue? because i have a few more very interesting tattoos." izzie screamed. alex hung his head in shame, speechless. izzie was stripped down to her underwear at this point.

"you wanna call me doctor model? that's fine. just remember that while you're sitting on 200 grand of student loans, i'm out of debt." izzie spat, getting all up in alex's face.

"i'll take them down." george said as izzie stormed to the washroom.

"don't bother." she said, closing the door behind her.

madelyn looked at george with a shocked look on her face. they both shared a look that said "oh, my god."

madelyn then turned to alex, her shock fading into anger the more she looked at his guilt-ridden face. alex looked up at her, meeting her eyes.

"madelyn,"

madelyn only gave him a disappointed face before she turned around and walked out of the interns locker room.

"madelyn!" he called after her as she strutted out the door.

"hey, slow down! look, i'm sorry, okay? madelyn!" he called after her.

madelyn turned around, mustering up all the courage she could to stay calm, looking alex straight in the eye.

"we are over. i'm not the one you should be apologizing to." was all she said before she turned around and walked away, leaving alex behind in the hallway.

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"hey mer."

"mads, i'm so sorry. i heard what happened in the locker room today."

"it's whatever. i was just wondering if it was okay for me to come home tonight."

"of course, it's your home too, you do part own it."

"i'm sorry for how i've treated you the past few weeks."

"don't worry about it madelyn. i forgive you, i always will. your my sister."

"you are my best friend. what would i do without you?"

"well, for one, you'd be homeless."

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madelyn grabbed her backpack from her locker and headed for the door, she had had a long day and was ready to go home. she stopped walking when she heard her name being called.

"madelyn, please stop!" alex called, running up to her. alex grabbed her forearm, causing her to stop walking and turn around and face him.

"madelyn, we need to talk."

"umm, i don't think we do."

"madelyn, please, i'm begging you."

"stop it, alex."

"please, madelyn. come back to me, i promise i'll do better i swear!"

"alex.."

"please." he begged, looking straight into her eyes. she felt like he was looking into her soul, and then, it slipped.

"i'm pregnant."

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