The kids:1. Bailey Karev – Alex & Jo – Pediatric Surgeon – Compassionate, feisty, mentor-in-training.

Nico Shepherd – Amelia’s adopted child – Neurosurgeon – Chaotic genius, adventurous, bold.
Sierra Torres-Robbins – Callie & Arizona – Orthopedic Surgeon – Assertive, empathetic, patient advocate.
Ellis Grey II – Meredith’s daughter (adopted or twist) – Trauma Surgeon – Brilliant, ambitious, emotionally complex.
Lila Avery – Jackson & unknown – Plastic Surgery – Charming, detail-oriented, competitive.
Clara Kepner – April & Jackson – ER / Trauma – Optimistic, moral compass, sensitive.
Harper Bailey – Miranda Bailey & husband – General Surgery – Driven, supportive, logical.
Ruby Shepherd – Amelia’s second child – Neurosurgery – Calm, brilliant, caring.
Zola Grey Shepherd – Meredith & Derek – General Surgery / Trauma – Confident, compassionate, ambitious, loyal.
Leo Owen – Owen Hunt & Teddy Altman – Cardiothoracic Surgeon – Calm, analytical, high-pressure expert.
Eli Kepner – Jackson Avery & April Kepner – Trauma / ER Specialist – Optimistic, moral compass, empathetic.
Finn Shepherd – Derek & Amelia (adopted twist) – Neurosurgeon – Genius, unpredictable, intense.
Max Karev – Alex & Jo – Pediatric Surgeon – Feisty, determined, protective of patients.
Nolan Torres – Callie & Arizona – Orthopedic Surgeon – Warm, assertive, excellent with patient care.
Theo Grey – Meredith & twist/adopted – General Surgery – Ambitious, smart, struggles with legacy pressure.
Julian Avery – Jackson Avery & unknown – Plastic Surgeon – Charming, perfectionist, competitive.
Owen Shepherd Jr. – Amelia’s past love child – Neurosurgeon – Calm, steady, like Owen.
Asher Bailey – Miranda Bailey & husband – General Surgery – Logical, hardworking, dependable.
Rhett Webber – Richard & spouse – Cardiology – Wise, mentoring, analytical.
Micah Hunt – Owen & Teddy (second child) – Trauma Surgeon – Brave, loyal, intense.
Jonah Karev – Alex & Jo (second son) – Pediatric Surgery – Curious, ambitious, playful.
Carter Torres – Callie & Arizona (second son) – Orthopedics – Confident, warm, patient-focused.
Evan Grey – Meredith & twist/adopted – General Surgery – Intellectual, observant, analytical.
Jayden Shepherd-Grey – Lexie & Mark’s son, adopted by Meredith & Derek – Trauma / ER Specialist – Has been through a lot, emotionally guarded, resilient.

The fluorescent lights of Grey Sloan’s Trauma Wing flickered slightly, as if protesting the sheer amount of energy being burned in the room. The hum of ventilators, beeping monitors, and hurried footsteps filled the air.

Jayden Shepherd-Grey stumbled slightly as he carried a tray of instruments into the OR. His eyes were bloodshot, his hands shaking, and he hadn’t eaten, slept, or even sipped water in nearly 48 hours. He didn’t notice Dr. Zola Grey Shepherd rushing past, a stack of patient charts tucked under her arm.

Zola: “Jayden! You need to step back. Serious ja you look like you’re going to collapse.”

Jayden (forcing a grin): “I’m fine. Just… another case, right?” His voice cracked slightly, betraying exhaustion.

Nearby, Leo Owen and Eli Kepner were prepping for a multi-trauma patient arriving from a car accident. Instruments clanged, and monitors were already screaming before the patient even hit the OR table.

Micah Hunt called over, “Jayden, grab some water at least. You’re no use to anyone passed out on the floor.”

Jayden shook his head, gripping the edge of the OR table. Sweat slicked his hair to his forehead. This was the life he chose, the life he had to prove himself in, even if his body was screaming for mercy.

Zola, stepping closer, voice firm but worried: “No. You’re stepping out. I don’t care if the patient is bleeding, you’re not a robot. Eat, drink, breathe… then come back.”

The room seemed to pause for a fraction of a second, the tension thick. The next-gen doctors had all seen exhaustion, but Jayden pushing this far… it was extreme, even for him.