50, she/her, bi-sexual, multi-fandom, currently going thru a divorce from an ass hat so I'm on my horny bullshit again. If you follow me and theres no age in the bio I will block your ass.
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would a few of my Yes, Chef/Grant Reilly people be willing to read what I have of Off Menu so far?
Iβm mostly looking for feedback on Grantβs voice and characterization β whether he feels like Grant, especially his dry humor, restraint, awkwardness when heβs flustered, and the way he carries himself in the kitchen.
Iβm still drafting, so Iβm not really looking for line edits or grammar notes yet. I mostly want to know: does this feel like him?
If youβve listened to Yes, Chef and want to take a peek, comment/message me and Iβll send it over π€
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Summary: Night shift at PTMC has its own rhythm: too much caffeine, too many patients, and a group of doctors who have long since decided professionalism does not prohibit terrorizing their senior attending. You know where you fit in that rhythm. You know how to handle your patients. You know how to survive the Night Crawlers. And you know how to work with Jack Abbotβsometimes well enough that neither of you needs to finish a thought before the other understands it. Itβs easy. Professional. Familiar. At least, thatβs what you tell yourself when one joke lands a little differently than the hundred that came before it. And when a fresh coffee appears at the end of your shift with your exact order written on the side? Well. Thereβs absolutely no reason to assume it was him.
Warnings: medical situations, emergency room setting, blood/injury, brief trauma resuscitation, anxiety/panic attack, hospital language, attending/resident professional dynamic, eventual age gap, eventual romance
Author's Note: Welcome back to Pulse Point. This was the very first Jack Abbot fic I ever wrote, and the story that started all of this for me. Iβve grown so much as a writer since I originally posted it, and I finally decided I wanted to come back to itβnot to change the heart of the story, but to tell it again in the voice I have now. So this is Pulse Point: rewritten. Iβll be working through the story chapter by chapter, reworking, expanding, tightening, and giving these characters a little more room to become who I always wanted them to be. And weβre starting exactly where we should: At baseline. If youβd like to be added to the Pulse Point rewrite tag list, leave a comment or send me an ask!
Xoxo, Del
Night shift starts loud.
Not dramatically loud. Not cinematically loud.
Real loud.
The kind that gets under your skin before youβve even clocked in and settles somewhere behind your eyes for the next twelve hours.
Phones ring before anyone has fully claimed a workstation. Monitors chirp from half-open rooms in competing rhythms. Wheels rattle over tile. Secure-message alerts ping from computers across the central station. The massive electronic tracking board mounted above it all keeps refreshing as patients move from waiting to triage to rooms, colored icons shifting faster than anyone can follow.
Someone in triage is asking for a blanket while already wearing one.
Someone else wants to know whether hospital policy technically prohibits smoking near the ambulance bay or only inside it.
The board is already half full.
It isnβt even seven.
And somehow, morale remains offensively high.
That is the thing about nights.
Day shift has administrators. Visitors. Meetings that somehow could not have been emails despite PTMCβs best efforts to eliminate nearly every piece of paper from the building.
Nights have caffeine, questionable coping mechanisms, and a department-wide agreement that anything said after two in the morning cannot legally be held against you.
Half feral.
Half functional.
Loyal enough to compensate for both.
The best shift in the hospital, according to everyone currently working it and several people who should probably know better.
You stand at one of the workstations at the central station and perform the same ritual you do at the beginning of every shift.
Badge tapped against the reader.
Patient list loaded. Secure chat opened.
Then the pockets.
Penlight. Trauma shears. Hemostats. Three pens, because apparently the digital revolution has yet to eliminate the need for people to steal yours.
Hair tie. Granola bar. Phone charger. Another phone charger with the wrong connector for your own phone.
Across the station, Lena watches you pat down your scrub pockets one by one.
βOne day, Iβm going to search you at the beginning of shift,β Lena says as she scrolls through assignments on the tablet in her hand, βand find an entire urgent care clinic.β
You tuck another pen beside your penlight. βOnly if you get a warrant.β
Lena snorts softly and keeps scrolling.
From Lena, that counts as open affection.
Beside you, Ellis swivels slightly in her chair while waiting for her patient list to populate.
βYou know supplies are available inside the hospital,β Ellis says.
You glance toward her. βThatβs propaganda.β
Ellis gestures toward the supply room across the department. βThere is an entire room.β
You point toward the badge-controlled door. βA locked room.β
Ellis gestures toward the badge reader. βYou have access.β
You give her a look. βUntil my badge decides I donβt.β
Ellis considers that for a moment before nodding. βFair.β
Lena looks between the two of you. βDo not encourage her.β
Ellis turns back toward her monitor. βIβm not encouraging anything. Iβm documenting pathology.β
You settle your stethoscope around your neck. βAnd yet, when your phone hits four percent at three in the morning, who do you come crawling to?β
Ellis looks over her shoulder at you. βYou.β
You spread your hands. βExactly.β
Ellis narrows her eyes. βThat does not make this healthy.β
βIt makes me useful,β you reply.
The answer comes easily.
It usually does.
You donβt spend much time considering why you like it so much.
The ambulance bay doors hiss open before anyone can respond.
Shen walks through, carrying a cardboard drink tray in both hands, with the solemn expression of a man transporting an organ for transplant.
βI bring offerings,β Shen announces.
A cheer rises around the central station.
Crus immediately abandons the workstation he has been pretending to log into and intercepts him.
βThatβs my attending,β Crus says, reaching toward the tray.
Shen shifts it out of his reach. βYouβre not my resident.β
Crus follows the coffee with his eyes. βLabels are divisive.β
Shen hands him a cup anyway. βThey are literally how residency works.β
Crus accepts it reverently. βI knew you loved me.β
βAt best, I tolerate you consistently,β Shen replies.
Crus lifts the coffee toward him in salute. βThatβs basically love on nights.β
Ellis raises one hand from behind her monitor. βCan someone emotionally intubate room six for me?β
Without looking up from the tablet, Lena answers, βNo, but you can medically discharge him.β
Ellis lets her hand drop. βHe wants another CT.β
Lena finally looks at her. βHe had one.β
βHe would like a different result,β Ellis explains.
A laugh escapes you before you can stop it.
It comes easier here.
That might be part of why you stay.
Shen steps around Crus and holds out the last drink toward you.
Iced shaken espresso. Brown sugar. Oat milk. Perfect.
You take it from him, condensation already gathering against your fingers.
βYou remembered,β you say.
Shen gives you a tired look. βI remember everything. Itβs exhausting.β
βThatβs why youβre my favorite,β you tell him as you take your first sip.
Crus presses one hand dramatically against his chest. βUnbelievable.β
βYouβve had the title revoked twice this week,β you remind him.
Crus points toward you with his coffee. βFor political reasons.β
You point back at him. βFor stealing my trauma shears.β
βI returned them,β Crus argues.
You stare at him. βAfter three days.β
Crus lowers his cup slightly. βStill returned.β
From her workstation, Ellis lifts one finger. βCharacter growth.β
The ambulance bay doors open again.
Jack Abbot walks through them in black scrubs, his dark jacket still on and a travel mug in one hand.
His eyes lift toward the central station.
Then stop.
Four people are standing around a tray of contraband coffee.
Crus looks entirely too pleased with himself.
Ellis has turned sideways in her chair despite the unfinished note glowing on her monitor.
Shen is distributing caffeine like a street pharmacist.
You are drinking something that definitely did not come from the physician lounge.
Jack slows.
βNo,β Jack says.
Nobody has actually asked him anything.
That makes you smile.
Shen looks over. βGood evening to you too.β
Jack stops beside the station. βWhatever this is, the answer is no.β
Crus glances around theatrically. βThatβs a pretty hostile way to enter your workplace.β
βYouβre usually the reason I have to enter it that way,β Jack replies.
Ellis turns fully around in her chair. βThat feels like favoritism.β
Jack looks at her. βYou want equal blame?β
Ellis smiles. βI want equal opportunity.β
Jackβs eyes narrow. βYouβve had plenty.β
Shen takes a leisurely sip of his coffee. βYou know, most attendings appreciate strong team morale.β
Jack gives him a flat look. βMost attendings donβt supervise this.β
You lower your espresso. βWe prefer βdynamic interdisciplinary environment.ββ
Jackβs eyes move to you.
There is a beat.
Not a charged one.
Just the familiar moment when Jack realizes you have decided to join whatever nonsense is happening instead of helping him stop it.
βYouβre a resident,β Jack reminds you.
You nod solemnly. βThank you. I was wondering why they kept scheduling me.β
Ellis makes a choking sound behind you. Crus turns away and coughs into his fist. Shen stares determinedly into his coffee.
Jack closes his eyes for one long second.
Lena watches the entire exchange with the profound serenity of someone who has accepted that intervention would only prolong it.
When Jack opens his eyes again, his attention settles on you.
βAnything else?β he asks.
You consider him. βNot at this time.β
Jack nods once. βGood.β
He starts to move past the station.
Crus waits approximately half a second.
βAbbot,β Crus calls after him.
Jack stops but does not turn around.
Crus grins into his coffee. βWe missed you too.β
Jack remains still for another beat. Then he lifts one hand over his shoulder and keeps walking.
Ellis watches him go. βI think that means he loves us.β
Shen sits down at an open workstation. βDeeply.β
βIt looked threatening,β you point out.
Crus takes another drink. βThatβs his love language.β
From ten feet away, Jack calls, βI can still hear you.β
You turn toward him. βThat sounds like a design flaw.β
Jack looks back.
This time, you see it.
Barely.
The corner of his mouth moves.
Then Lena claps her hands once.
βAlright,β Lena says, raising her voice over the department. βBefore the four of you get yourselves reassigned to separate hospitals.β
You turn toward her along with everyone else.
Jack returns to the central station and taps his badge against the nearest workstation to pull up the department board.
The change in everyone is immediate.
The joking doesnβt disappear because Jack demands it.
It disappears because shift is starting.
Because this is the other thing about nights.
You can make Jack contemplate murder at seven twenty-eight and trust him with somebodyβs life at seven twenty-nine.
Jack scans the electronic board once.
βAlright, night crew,β he says.
Around the station, chairs turn. Conversations stop. Mateo leans in from triage. Bridget appears from one of the medication rooms. Ellis abandons her unfinished note long enough to stand.
Everyone crowds toward the central station.
You end up between Shen and Crus, espresso held safely above shoulder height.
Jack surveys the group.
His expression is already threatening to betray him.
βWe are the Night Crawlers,β Jack begins, lifting his voice just enough to carry. βWe deal with the weirdest and the wildest becauseββ
The rest of the department answers him in one voice.
βWe are the weirdest and wildest of them all!β everyone shouts.
A visitor near the elevators visibly startles.
Jack doesnβt miss a beat.
βThatβs right,β Jack says. βNow go get some.β
The Night Crawlers answer with a collective, βHOOHAH!β
The shout bounces off tile, glass, and every remaining shred of professional dignity in the department.
Then everyone scatters.
Phones ring. Secure messages begin arriving. Patient assignments populate across screens. The electronic board refreshes again. A red icon appears beside a new triage patient.
Crus accidentally picks up Shenβs coffee.
Shen takes it directly back out of his hand without breaking stride.
Within thirty seconds, the Night Crawlers are no longer a ridiculous collection of overcaffeinated healthcare workers tormenting their senior attending at the nursesβ station.
Theyβre working.
And Jack, for all his complaints, is right there in the middle of them.
You take one last drink of your espresso and pull up your first patientβs chart.
You hadnβt expected residency to give you this.
Not this department. Not these people. Not a place where someone knows your coffee order, someone else knows when you havenβt eaten, and four separate people will insult you while helping before you ever manage to ask.
Family feels dramatic.
So does belonging.
Youβve never been particularly good at trusting either one.
But when Lena calls your name from across the station, youβre already locking the computer and moving before she finishes the sentence.
Useful first.
By 8:14 p.m., you have already loaned out two phone chargers.
One belongs to Mateo, who promises that, for the third consecutive shift, he will remember to bring his own tomorrow.
You donβt believe him.
The other belongs to the mother of a college freshman in South Eight, whose phone is hovering at two percent while she tries to coordinate with her husband three states away.
You hand it over before she finishes asking.
βKeep it until discharge,β you tell her as you plug the cord into the outlet beside the bed. βI have another one.β
The woman looks from the charger to you. βYou carry extras?β
You straighten from the outlet. βI have a problem.β
Her son lowers the gauze pressed against the laceration above his eyebrow and looks pointedly toward your scrub pockets.
βDo you have snacks in there too?β he asks.
You glance at him. βI do. But Iβm not rewarding you until I know whether I need to put your eyebrow back together.β
His eyes widen slightly. βThat sounds worse when you say it like that.β
You smile. βThen stop moving so I can tell you it isnβt.β
His mother laughs.
The kid grins despite himself.
Good.
He had been trying much too hard not to look scared when you walked in.
You examine the laceration again, gently tilting his chin toward the overhead light.
His mother watches your face. βWhat do you think?β
You study the wound. βI think his modeling career may have to wait approximately seven to ten days.β
His eyes widen. βWait. Am I going to scar?β
You glance at him. βYou were actually worried about the modeling thing?β
He gives you a bewildered look. βI have a face people like.β
His mother closes her eyes.
You bite the inside of your cheek.
βLetβs focus on keeping it that way,β you tell him.
By the time you leave the room, he is considerably less nervous, and his mother is smiling.
You count that as progress.
Your pager vibrates against your waistband before you make it three steps down the hall.
You pull it free and glance at the display.
North Four.
You clip it back into place and change direction.
Mrs. Keating is sitting upright in the chair beside the bed when you enter. Her husband is propped against the pillows with EKG leads already attached across his chest and an expression suggesting the entire emergency department has personally inconvenienced him.
βI told her this was ridiculous,β Mr. Keating says as you approach the bed.
Mrs. Keating turns toward him. βYou said you were having chest pain.β
Mr. Keating shakes his head. βPressure.β
βYou were holding your chest,β his wife reminds him.
He gestures vaguely toward his shirt. βI was adjusting this.β
Mrs. Keating looks at you.
You look at her.
Some conversations do not require words.
You pull the rolling stool closer to the bed.
βMr. Keating, I need you to help me with something,β you say as you sit.
His expression turns suspicious. βWhat?β
βI need you to start from the beginning,β you say. βTell me exactly what happened, even if you think it was nothing.β
His arms loosen slightly.
Behind him, Mrs. Keating nods approvingly.
Mr. Keating catches her.
βDonβt encourage her,β he mutters.
Mrs. Keating folds her hands over her purse. βSomeone has to.β
You turn toward the wall-mounted computer and tap your badge against the reader to unlock his chart.
He does.
Eventually.
Pressure after carrying groceries upstairs. Shortness of breath. Six minutes. Better with rest.
Your attention sharpens.
The joking falls away.
You work through the rest of his history while entering it directly into the chart.
Radiation. Nausea. Diaphoresis. Cardiac history. Medications. Family history.
You donβt love the story.
Not enough to panic.
Enough that the prickle at the back of your brain refuses to settle.
The technician finishes the EKG and sends the tracing electronically into his chart.
You pull it onto the screen.
Mr. Keating studies your face. βSo am I dying?β
Mrs. Keating immediately smacks his arm.
You keep your attention on the tracing. βYou are currently complaining, which I consider reassuring.β
His mouth twitches.
You enlarge the lateral leads.
βBut chest pressure with exertion buys you the full workup whether you enjoy being here or not,β you add.
Mr. Keating sighs. βI donβt.β
βI had gathered that,β you tell him.
Mrs. Keating points toward you. βI like her.β
Mr. Keating looks at his wife. βOf course you do.β
You order the first round of labs, repeat vitals, continuous monitoring, and another EKG.
Then you look at the tracing again.
Something bothers you.
You just havenβt decided how much yet.
βSomeone will be back in a few minutes,β you tell them as you stand.
Back at the central station, you tap your badge against an open workstation and pull his EKG up again.
You stare at it.
Then lean closer.
Ellis rolls past behind you on a stool.
βYouβre making the face,β Ellis says as she catches sight of you.
You keep studying the tracing. βWhat face?β
Ellis hooks one foot against the floor and rolls herself backward until she is beside you.
βThe one where youβre arguing with an EKG,β she explains.
βIβm not arguing with it,β you tell her.
Ellis studies your expression. βYouβre squinting at it like it insulted your mother.β
You point toward the tracing. βTell me Iβm overthinking this.β
Ellis leans toward the monitor.
Her teasing expression disappears.
After several seconds, she tilts her head.
βMaybe,β Ellis says slowly. βBut Iβd show Abbot.β
You exhale quietly. βYeah. I thought so.β
You already knew that.
Confidence matters in residency.
Knowing where your confidence ends matters more.
You glance across the department.
Jack is nowhere near the central station.
Of course he isnβt.
You unclip your pager, type in the callback number for the central station, and send the page.
Then you turn back toward the EKG.
Less than a minute later, Jack appears from the direction of trauma.
βYou paged?β Jack asks as he stops beside you.
You turn the monitor slightly toward him. βNorth Four. Sixty-three-year-old male. Exertional chest pressure relieved by rest.β
Jack looks at the tracing rather than at you. βWhat donβt you like?β
You point toward the lateral leads. βThat.β
Jack folds one arm across his chest.
βThatβs very specific,β he says dryly.
You glance toward him. βI was building suspense.β
Jack turns his head and looks at you.
You keep your expression neutral.
He gestures toward the monitor. βTry again.β
You point more precisely toward the tracing and walk him through what youβre seeing.
Jack listens.
He doesnβt interrupt. He doesnβt finish the thought for you. He lets you explain your reasoning from beginning to end before reaching for the mouse.
Jack pulls up an older EKG from six months earlier and tiles the two tracings side by side.
You lean toward the monitor.
There it is.
Subtle.
But different.
βOkay,β you murmur as you compare the two.
Jack glances toward you. βOkay, what?β
You point toward the change. βOkay, I like it even less now.β
Jack nods once. βBetter.β
You glance at him. βBetter that I hate it?β
Jack keeps his attention on the screen. βBetter answer.β
You exhale through your nose.
He clicks back into the current encounter and reviews the orders you already placed.
βRepeat EKG in fifteen,β Jack says. βKeep him monitored. If thereβs progression or the first troponin gives us a reason, we call cardiology.β
You nod toward the orders already visible on the screen. βAlready done.β
Jack scans them once more. βGood.β
You lean back slightly. βCareful.β
Jack pauses. βWhat?β
You lift your eyebrows. βYou keep complimenting me like that, Iβm going to get confident.β
βReally supportive educational environment,β you mutter.
Jack starts walking away. βPut it in my evaluation.β
You turn back toward the monitor, fighting a smile.
Ellis rolls back into your line of sight from the opposite side of the station.
βYou make it too easy for him,β she says.
You turn back toward the monitor. βHeβd be unbearable either way.β
Ellis considers that. βFair.β
Your pager vibrates against your waistband again.
You glance down at the number, lock the workstation, and stand.
The night keeps moving.
Everything else later.
By a little after nine, the board has filled enough that open beds have become a theoretical concept.
North is full.
Central is close.
South has one room turning over and three patients waiting for it.
Trauma is quiet, which everyone knows better than to comment on out loud.
Youβre standing at the central workstation reviewing repeat labs when Mateo appears at your elbow with the expression of someone bringing you a problem he has already decided belongs to somebody else.
Mateo holds out a tablet. βNorth Six says his abdominal pain is from a curse.β
You look up from the monitor. βA curse.β
Mateo nods. βHis exact word.β
Ellis turns slightly in her chair. βDid we establish who cursed him?β
Mateo glances toward her. βHis ex-husband.β
Crus looks up from the workstation across from you. βHonestly, that increases the likelihood.β
Lena walks past without slowing. βCrus, stop contributing to the differential.β
βYouβre considering unemployment,β Lena replies.
You push back from the workstation.
Mateo offers you the tablet again. βYou want him?β
You take it from him. βObviously.β
Ellis points toward you as you start away. βAsk about the curse.β
You glance over your shoulder. βClinically relevant questions only.β
Ellis settles back toward her computer. βCoward.β
Youβre halfway to North when footsteps fall into pace beside you.
Jack glances at the patient information displayed on the tablet in your hand. βWhat do we have?β
You scroll through the triage note. βForty-eight-year-old male. Acute upper abdominal pain. Sudden onset about an hour after dinner. Nausea, no vomiting. Vitals are stable.β
Jack keeps walking beside you. βDinner?β
You scroll a little farther.
Then stop.
Jack notices.
βWhat?β he asks.
You look at the screen again to make sure you read it correctly. βHot wings.β
Jack waits.
You scroll once more.
βThirty of them,β you add.
Jackβs face doesnβt change. βGood start.β
You glance toward him. βFor the differential or the poor life choices?β
Jack reaches the doorway to North Six and pulls the curtain aside. βYes.β
You bite back a smile as you follow him in.
The patient is curled on his side with one arm wrapped around his abdomen. A man sitting in the chair beside the bed looks considerably more embarrassed than the person actually wearing the hospital gown.
You sanitize your hands while Jack steps toward the bedside.
βMr. Dalton, Iβm Dr. Abbot,β Jack says. He gestures briefly toward you. βThis is one of our residents. Sheβs working with me tonight. Tell us whatβs going on.β
The patient exhales dramatically. βMy ex-husband cursed me.β
Beside him, his boyfriend closes his eyes.
You glance at Jack.
Jack does not glance back.
You know better than to interpret that as proof he isnβt amused.
Jack pulls the rolling stool closer to the bed. βWhen did the pain start?β
βAbout eight,β Mr. Dalton answers.
You move toward the wall-mounted computer and open his chart. βAnd youβd already eaten by then?β
Mr. Dalton nods. βYeah.β
His boyfriend leans forward in the chair. βHe ate thirty wings.β
Mr. Dalton turns his head. βYou donβt have to keep saying the number.β
His boyfriend lifts both hands. βI think the number is medically important.β
You keep your eyes on the screen. βIβm inclined to agree with him.β
Mr. Dalton gives you a wounded look. βThere was a special.β
Jack reaches for the stethoscope around his neck. βThat makes it better.β
Mr. Dalton studies his expression. βAre you making fun of me?β
Jack places the stethoscope against his abdomen. βNot while Iβm examining you.β
You glance down quickly.
The boyfriend coughs into his fist.
Mr. Dalton looks between the three of you. βThis hospital is hostile.β
βYou havenβt met billing yet,β you tell him.
Jack looks up at you.
You raise your eyebrows.
His mouth twitches once before he turns his attention back to the exam.
There.
That is usually about as close as anyone gets to making Jack Abbot laugh when he is trying not to.
Jack palpates the right upper quadrant.
Mr. Dalton immediately sucks in a sharp breath.
The humor leaves the room.
Jack repeats the pressure more carefully. βRight there?β
Mr. Dalton nods tightly. βYeah.β
You move closer to the bed.
βAny pain in your back or shoulder?β you ask.
Mr. Dalton considers it. βA little in my back.β
Jack looks toward you.
You are already thinking the same thing.
You ask the next question before he can. βAny fever or chills?β
Mr. Dalton shakes his head. βNo.β
You glance toward the monitor, then back at the chart.
Stable.
Uncomfortable, but stable.
Jack straightens. βWhat are you thinking?β
You fold your arms loosely and work through it aloud.
βBiliary disease is high on the list,β you say. βCould still be gastritis, pancreatitis, ulcer disease. Less likely cardiac, but Iβd rather not ignore atypical presentation completely.β
Jack nods once. βWhat gets you closer?β
You glance toward Mr. Dalton before answering. βCBC, CMP, lipase. Right upper quadrant ultrasound. EKG if anything in the history shifts us that direction.β
Jack watches you for another second. βGood.β
Mr. Dalton looks between you. βSo it isnβt a curse?β
You turn toward him. βThe labs wonβt test for that.β
His boyfriend snorts.
Jack picks up the tablet from the counter. βWeβll start with the gallbladder.β
Mr. Dalton sighs. βMy ex is going to be so disappointed.β
You step toward the door. βYou donβt have to tell him.β
Mr. Dalton points toward you. βSee? She gets it.β
Jack follows you into the hallway.
The curtain falls closed behind him.
You barely make it three steps before Jack glances toward you.
βAnything else?β he asks.
You slow.
You automatically run back through your differential.
Gallbladder.
Pancreas.
Ulcer.
Cardiac.
Then it hits you.
You stop walking. βPerforation.β
Jack keeps moving. βThere you go.β
You stare after him.
βThat was cruel,β you say as you catch up.
Jack glances toward you. βYou got there.β
You sigh. βAfter you made me suffer.β
Jack gives you a look. βI asked one question.β
You match his pace. βYou knew exactly what you were doing.β
Jackβs expression remains calm. βThatβs generally the goal.β
You give him a look.
Jack looks ahead.
You can tell he knows exactly what expression youβre making.
That might be the annoying part.
Or maybe itβs that you know heβs right.
You reach the central station together.
Jack taps into an open workstation while you take the one beside him.
You begin entering the orders.
βUltrasound first?β you ask.
Jack pulls up another chart. βYes.β
You click through the order set. βPain control?β
Jack glances at Mr. Daltonβs medication list on your screen. βStart conservative. Reassess after.β
You nod and finish the orders.
For a few seconds, neither of you says anything.
You donβt need to.
You know what Jack expects next.
He knows you know.
That is one of the easier parts of working with him.
There are attendings who make you feel as though every answer is an exam.
Jack makes you think.
There is a difference.
Your pager vibrates against your hip.
You check the display.
South.
Of course.
You stand and lock the workstation.
Jack glances toward you. βWhere?β
You clip the pager back into place. βSouth Three.β
Jack nods toward the hallway. βGo.β
You take two steps, then glance back.
βTry not to diagnose the curse without me,β you say.
Jack looks at you over the top of the monitor.
βIβll do my best,β he replies.
You grin and head toward South.
The next two hours disappear.
Not pass.
Disappear.
South Three needs a lac repair. Central Five needs a repeat abdominal exam. A six-year-old in North Two decides you are the only acceptable person in the emergency department because you let her put the pulse oximeter on your finger first.
Her father looks apologetic as she refuses to return it.
βShe does this,β he says.
You look down at the glowing red light clipped to your finger. βHonestly, Iβve had worse consultations.β
The little girl giggles.
Her father relaxes.
You eventually trade the pulse oximeter for a grape popsicle and escape before she can negotiate further.
At 10:06, Mr. Keatingβs first troponin comes back reassuring.
At 10:18, his repeat EKG remains unchanged.
You update him and his wife, which earns you a deeply suspicious look from Mr. Keating and a triumphant one from Mrs. Keating.
At 10:37, Mr. Daltonβs ultrasound confirms what you and Jack already suspected.
Gallstones.
No curse.
Youβre at the central workstation reviewing the report when Crus appears beside you with a protein bar in one hand.
He drops it onto the desk next to your keyboard.
You look at it.
Then at him.
Crus points toward the wrapper. βEat.β
You turn back toward the ultrasound report. βIβm working.β
Crus folds his arms. βThat wasnβt the question.β
You glance at him. βThere wasnβt a question.β
βExactly,β Crus says.
You push the protein bar a few inches away. βI ate before shift.β
Crus immediately pushes it back. βAnd yet, you need a snack.β
You narrow your eyes at him. βHow do you know that?β
Crus shrugs. βBecause you get mean when youβre hungry.β
You stare at him.
Crus points toward your face. βThat. That right there.β
From the workstation across from you, Ellis looks up from her chart.
βHeβs right,β Ellis says.
You turn toward her. βNobody asked you.β
Ellis goes back to typing. βSee?β
You pick up the protein bar.
Crus nods approvingly. βGood talk.β
βYouβre insufferable,β you tell him as you tear open the wrapper.
Crus starts backing away toward Central. βAnd yet I saved your life.β
You take a bite. βThat feels medically inaccurate.β
Crus points toward you as he walks away. βYouβre welcome.β
You shake your head and turn back toward the screen.
Shen passes behind you a few seconds later.
He slows just enough to look at the protein bar in your hand.
βCrus got to you?β Shen asks.
You chew before answering. βApparently Iβm being supervised.β
Shen nods once. βGood.β
You stare after him as he keeps walking.
βYouβre all deeply controlling,β you call.
Without turning around, Shen lifts one hand. βWe love you too.β
The words land lightly.
Too lightly for how much they mean.
You look down at the protein bar.
Then take another bite.
The electronic board refreshes overhead.
Two new patients populate in North. One in South. Behavioral has been full for most of the night.
Trauma remains empty.
Nobody says anything about it.
You finish half the protein bar before setting the rest beside the keyboard and opening your next chart.
A shadow falls across the workstation.
Jack stops beside you.
His eyes drop toward the wrapper.
You follow his gaze.
βDonβt,β you warn.
Jack looks at you. βI didnβt say anything.β
You narrow your eyes. βYou were about to.β
Jack glances back toward the screen. βWasnβt.β
You study him.
Jack keeps his expression neutral.
βYouβre a terrible liar,β you tell him.
Jack reaches past you for the mouse at the neighboring workstation. βEat your protein bar.β
You lean back in your chair. βUnbelievable.β
Jack taps his badge against the reader. βApparently Iβm not the first person to mention it.β
You shake your head. βYou people need hobbies.β
Jack pulls up a chart. βThis is my hobby.β
You look toward him. βBossing around residents?β
Jack scrolls through the chart. βVery fulfilling.β
You shake your head again.
He doesnβt look over, but you catch the faintest movement at the corner of his mouth.
Then Lenaβs voice cuts across the department.
βTrauma incoming,β she calls from the central station.
Everything changes.
Jack is already turning toward the board.
You set the protein bar down.
Lena scans the information coming through on the screen.
βSingle-vehicle rollover,β she says. βHypotensive. Decreasing responsiveness. Five minutes out.β
The joking disappears.
Jack looks toward the team.
βTrauma One,β he says.
Youβre already moving.
Trauma One comes alive around you.
Bridget pulls open drawers and lays out supplies. Ellis wheels the ultrasound into position. Crus moves toward the foot of the bed while Shen clears the doorway.
Jack steps up beside you as you pull on a gown and gloves.
βWhat do we know?β he asks.
Lena keeps her attention on the incoming report. βSingle-vehicle rollover. Driver. Thirty-six. Prolonged extrication. Hypotensive and increasingly altered. Two minutes out.β
Jack looks toward you. βAirway.β
You move toward the head of the bed. βGot it.β
That is all either of you needs.
The ambulance bay doors open less than a minute later.
EMS pushes the stretcher through at speed, the paramedicβs report coming fast over the movement.
βHigh-speed rollover,β the paramedic says. βPressure seventy-eight over forty-six. Heart rate one-thirty-two. GCS dropped from thirteen to nine en route.β
Jack takes his position beside the bed.
βOn three,β he directs. βOne, two, three.β
The team transfers the patient.
Everything narrows.
Blood in the mouth.
Falling oxygen.
Dropping pressure.
You suction the airway while Jack examines the chest and abdomen.
βIβve got blood in the airway,β you tell him.
Jack looks toward the monitor. βBreath sounds?β
You listen quickly. βDecreased on the left.β
The patient groans and tries weakly to turn his head.
You stabilize him.
βSir, stay with me,β you say. βCan you tell me your name?β
Nothing coherent comes back.
You look toward Jack.
βHeβs losing the airway,β you tell him.
Jack meets your eyes for half a second.
βIntubate,β he says.
You reach for the equipment Bridget has already placed beside you.
From there, the room becomes rhythm.
Medication.
Suction.
Tube.
Blood.
Commands passed and answered before anyone has time to repeat them.
You secure the airway while Jack moves to the chest.
Shen finds free fluid on the FAST.
Ellis calls surgery.
Crus reports another falling pressure.
You barely need to look at Jack to know where he is going next.
He barely needs to ask for what you have already handed him.
At one point, you both reach for the same gauze.
Jack shifts first.
You take it.
A few seconds later, you pass him suction before he asks.
It is not remarkable anymore.
That may be the most remarkable part.
The patient crashes once.
The entire room tightens around him.
Then, slowly, the numbers begin moving in the right direction.
Not good.
Stable enough.
Surgery arrives.
The stretcher disappears toward the OR.
And just like that, Trauma One is quiet again.
Not truly quiet.
Someone is stripping bloody sheets from the bed. The monitor is still running. Somewhere outside the bay, another call bell starts ringing.
But the emergency is gone.
Your hands were steady while the patient needed them to be.
Now, standing over the sink, you can feel the adrenaline beginning to hum through your fingers.
You wash your hands.
At the sink beside you, Jack does the same.
For a few seconds, neither of you speaks.
Then Jack reaches for a paper towel.
βNice airway,β he says.
You glance toward him.
Praise from Jack is rarely elaborate.
That is probably why it carries weight.
βNice chest,β you reply.
Jack pauses.
His eyes drop briefly to his chest, then back to you.
You realize what you said approximately one second too late.
βThe decompression,β you clarify.
Jack looks back up at you.
βI know what you meant,β he says.
You narrow your eyes. βYouβre enjoying this.β
The corner of his mouth shifts. βA little.β
You shake your head. βYouβre awful.β
βSo Iβve been told,β Jack replies as he tosses the paper towel into the bin.
Your pager vibrates against your hip before you can answer.
You pull it free and glance at the display.
North.
Jack notices and holds the door open for you.
βGo,β he says.
You clip the pager back onto your waistband. βAlready going.β
You pass him into the hallway.
Trauma One resets behind you.
The department keeps moving.
So do you.
Someone comes around the corner too fast.
You barely have time to register a set of navy scrubs before a shoulder clips yours.
Your balance shifts.
A hand lands against the middle of your back.
Steady.
Warm.
Gone almost as quickly as it arrived.
βSorry,β Mateo calls as he keeps moving. βTrauma supplies.β
βYouβre good,β you call after him.
You straighten.
Jack is standing beside you.
Of course he is.
His hand has already dropped back to his side.
βYou alright?β Jack asks.
You glance toward him. βI survived.β
Jack looks in the direction Mateo disappeared. βIt was close.β
You give him a look. βI was fine.β
Jack starts toward the central station. βYou almost went down.β
You fall into step beside him. βThat is a dramatic retelling.β
Jack taps his badge against an open workstation. βI do what I can.β
You stop beside the neighboring computer.
βShould I tell everyone you saved me?β you ask.
Jack looks toward you.
For just a beat, his expression changes.
βDepends,β he says.
You rest one hand against the edge of the workstation. βOn?β
Jackβs eyes stay on yours.
βHow grateful are you planning to be?β he asks.
You blink.
Jack turns back toward his monitor and opens a chart.
Your brain takes one very unhelpful second to catch up.
You stare at the side of his face.
Did heβ
No.
You narrow your eyes. βWas that supposed to sound like that?β
Jack keeps scrolling. βLike what?β
You watch him.
He looks completely innocent.
Which is suspicious all by itself.
βYou know what,β you say. βNever mind.β
Jack glances over. βProbably for the best.β
You turn toward your own workstation.
Your badge misses the reader the first time.
You try again.
Jack says nothing.
You can feel him not saying anything.
You finally get the computer unlocked and pull up your next chart.
It was a joke.
Obviously.
Jack jokes with you all the time.
That one just happened to come out a littleβ
You stop the thought there.
Absolutely not.
You start typing.
Three minutes later, your pager vibrates against your waistband.
Good.
You could use the interruption.
You pull it free and glance at the display.
Central Seven.
You save your note, lock the workstation, and stand before your brain can revisit anything Jack said.
Bridget catches you halfway across Central.
She has a tablet tucked against her chest and the particular expression she gets when something isnβt necessarily emergent but needs the right person.
βSeventeen-year-old female,β Bridget says as she falls into step beside you. βShortness of breath, chest tightness, tingling in both hands. Tachy in triage, but everything else looks okay.β
You glance toward her. βHow tachy?β
Bridget checks the vitals on the tablet. βOne-twenty-eight initially. Sheβs down around one-fifteen now.β
You nod. βAny history?β
βNothing significant in the chart,β Bridget replies. βMomβs with her.β
Something in Bridgetβs tone makes you look over.
She lowers her voice. βSheβs really scared.β
βOkay,β you say as you reach the curtain.
The girl is sitting upright on the stretcher when you enter.
Her shoulders are pulled nearly to her ears. Both hands are knotted into the blanket across her lap, and every breath comes too quickly to finish properly before the next one starts.
Her mother stands beside the bed, rubbing a hand between her shoulder blades.
βI keep telling her she has to slow down,β her mother says as soon as she sees you. βShe just canβt.β
The girlβs eyes squeeze shut.
Her breathing gets faster.
You pull the rolling stool toward the bed and sit instead of standing over her.
βHey,β you say softly.
The girl opens her eyes.
You keep your hands loose in your lap.
βIβm one of the doctors working tonight,β you tell her. βCan you tell me your name?β
She manages it between breaths.
You nod. βOkay. Iβm going to ask you a few questions. You donβt have to rush your answers.β
The girl swallows hard and gives you a small nod.
Her mother starts rubbing her back again.
The girlβs shoulders tense beneath her hand.
You look toward her mother.
βCan we give her a little space for a minute?β you ask gently. βYou can stay right here. I just want to give her one thing to focus on.β
Her mother immediately pulls her hand away. βOf course.β
You turn back toward the girl.
βLook at me,β you say.
Her eyes find yours.
βYou donβt have to force yourself to breathe normally right now,β you tell her. βJust stay with me.β
The girlβs fingers tighten around the blanket.
βI canβt breathe,β she whispers.
βI know it feels that way,β you say. βBut you are getting air in. Your oxygen level looks good, and Iβm going to make sure there isnβt anything dangerous causing this.β
Her eyes flick toward the monitor.
You lean forward slightly.
βYou donβt have to fix anything,β you add. βThatβs my job.β
Something shifts in her face.
Barely.
But enough.
You start with the basics.
When did it begin? Any chest pain? Any medical conditions? Medications? Recent illness? Anything she took tonight? Anything happen immediately before it started?
Her answers come slowly at first.
Then in fuller sentences.
By the time you reach the end of the history, her hands have loosened slightly in the blanket.
The curtain moves behind you.
Jack steps inside.
His gaze goes first to the monitor, then to the girl, then to you.
He doesnβt interrupt.
He stays near the foot of the bed while you finish your question.
You turn toward him when youβre done.
βSeventeen,β you tell him. βAcute dyspnea, chest tightness, bilateral hand tingling. No syncope. No significant cardiac history. Vitals are improving, but sheβs still tachy.β
Jack looks toward the girl. βAny chest pain now?β
The girl shakes her head. βNo.β
Jack nods once. βOkay.β
He looks back toward you. βWhat do you want to do?β
You glance toward the monitor. βEKG and basic labs. I want to rule out the things Iβd regret missing.β
Jackβs expression doesnβt change much.
It rarely does.
But he nods.
βAgreed,β he says.
Then he steps back out.
That is it.
No takeover.
No second-guessing.
Just trust.
By the time the reassuring workup comes back, the girlβs breathing has slowed.
Her hands are no longer shaking.
Her motherβs still are.
You finish going over follow-up instructions while the girl changes behind the curtain.
Her mother twists the strap of her purse between both hands.
βIβm sorry,β she says quietly. βI feel like we made such a scene.β
You shake your head. βYou didnβt.β
The woman looks toward the curtain.
βShe was scared,β you say. βYou were scared too. You didnβt do anything wrong.β
Her mouth trembles slightly.
She looks down at her purse.
βThank you for not making her feel stupid,β she says.
Something catches unexpectedly in your throat.
You swallow.
βShe isnβt,β you reply.
The woman nods.
You give her a moment before stepping into the hallway.
Jack is at the central workstation outside the room, finishing something in the chart.
You take the computer beside him and tap your badge against the reader.
βHow is she?β Jack asks.
You wait for the chart to load. βBetter.β
Jack nods toward the room. βGood.β
For a few seconds, the only sound between you is the tapping of keys.
Then Jack glances toward you.
βYou handled that well,β he says.
Your fingers pause.
You look over. βThe medicine or the mother?β
Jack considers you for half a second. βBoth.β
You look back toward your screen.
A little warmth settles somewhere beneath your ribs.
Not because it is Jack.
Not exactly.
Because he noticed.
Because his opinion matters.
You clear your throat and open the discharge instructions.
βCareful,β you say. βYou keep that up, people are going to think you like your residents.β
Jack turns back toward his own chart. βLetβs not start rumors.β
You smile. βGood save.β
Jack scrolls down the screen. βI thought so.β
Your pager vibrates again.
You glance down at the display.
South.
You sigh and push away from the workstation.
βDuty calls,β you say as you stand.
Jack turns back toward his chart. βApparently.β
You head toward South.
By 7:12 a.m., the department finally starts to loosen its grip.
Not empty.
Never empty.
Just quieter.
The waiting room has thinned. North has two open rooms. Central is almost caught up. South still has three patients waiting on disposition, but nobody is actively trying to die, which feels like a luxury after the night youβve had.
You finish your last note at the central workstation while day shift begins filtering in around you.
Fresh scrubs.
Fresh coffee.
Fresh faces that have no idea what happened in Trauma One six hours ago or why Mateo is still carrying one of your chargers.
You sign the note and lock the chart.
Done.
For approximately twelve seconds.
Shen appears beside you already wearing his jacket.
βYou look terrible,β he says.
You glance toward him. βGood morning to you too.β
Shen takes a long sip from whatever remains in his cup. βIβm being supportive.β
You sigh. βYou should work on your technique.β
Shen studies you for a moment. βYouβre still upright.β
You nod. βBarely.β
He considers that. βProud of you.β
You look at him.
Shenβs expression stays completely straight.
You narrow your eyes. βWas that sincere?β
He starts walking backward toward the exit. βDonβt ruin it.β
You smile despite yourself.
βGet home safe,β you call after him.
Shen lifts one hand over his shoulder. βYou too.β
Across the station, Ellis gathers her things while Crus argues with Mateo over whose charger is plugged into the wall.
Lena is already giving handoff to day shift.
Jack stands at the far workstation with one hand braced against the desk, talking through a patient with Robby.
You catch yourself looking over.
Not for any particular reason.
Just habit.
Jack listens, nods once, adds something you canβt hear, then glances across the department.
His eyes find yours.
You hold his gaze for a second.
Then two.
Nothing strange about that.
You worked together all night.
Still, the earlier exchange flashes through your mind before you can stop it.
How grateful are you planning to be?
You look away first.
Ridiculous.
You reach for the Dunkin cup Shen brought at the beginning of shift.
It isnβt there.
In its place sits a fresh brown sugar oat milk iced espresso, condensation still gathering along the plastic.
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