Paging Doctor Shepherd - Jack Abbot x Derek Shepherd’s Sister/Mark Sloan’s Ex
The people have spoken! Thanks to everyone that answered my poll! I’ve seen some variations of this concept but wanted to do my own version as I love a good crossover fic.
Summary: You receive an unwelcome visit from both your older brother and your ex-boyfriend while working at The Pitt.
Tags: fluff, angst, Reader is a Interventional Neurologist doing her fellowship, Derek and Mark are both menaces, Reader channels her inner Miranda Bailey, Reader is not a pushover when it comes to Derek meddling, medical inaccuracies, Jack is a supportive partner, brief mention of pregnancy, mild swearing, canon divergence.
Word count: 2.2k
A/N: Grey’s lines up with S4 & S5; takes place between S1 and S2 of the Pitt because it makes the most sense in my brain. My inspiration for the past!Mark x Reader relationship was Carly Simon’s “You’re So Vain”. Go HERE to read my outtakes.
Being a Shepherd was bad enough but being Derek Shepherd's youngest sister was the worst. That was why you disappeared from New York after graduating from med school. The Shepherd name had a reputation in Medicine. Nancy was an OB/GYN, Nancy a psychiatrist, Liz in internal medicine, Derek and Amy were neurosurgeons, and then there was you, an interventional neurologist finishing her fellowship at Pittsburgh Trauma Medical Center. What you thought would be an uncomplicated fellowship at The Pitt turned into something else completely complex, and his name was Jack Abbot.
You and Jack had initially met at the start of your fellowship two years prior after you opted to work the night shift (you were never really a morning person and opposite schedules meant that it was harder for your brother and sisters to reach you). After the shift from hell, you and Jack went out for breakfast, it was there that Jack had asked you out on an actual date once you both had the evening free and not in a trauma bay. From there your and Jack’s relationship blossomed. He understood your family dynamics and never pressed for more, and a year and a half into your relationship, Jack proposed. There was no pageantry when he asked you to marry him. It was at home, quiet and memorable after 18 long hours in the ED. Once you were engaged, you had told your mother and sisters, electing to withhold the news from Derek who thought that he should still have a say in your decisions.
It was an unusually quiet Thursday evening, but no doctor or nurse would say that out loud, when the day shift started doing handoffs with the night shift. You had come in early with Jack where you were hauled away immediately for a neuro consult for McKay’s stroke patient in South 3. Leaving the patient room with McKay, you both bumped into Princess who was looking starstruck.
“What’s wrong with you?” McKay questioned with a smirk as she repositioned her stethoscope back around her neck.
Princess spun on her heels facing the two doctors, “have you seen the two hotties that just arrived at the nurses station with Dana and Robby? A couple of doctors visiting from out of state.”
You furrowed your eyebrows as you neared the nurses station seeing exactly who Princess was referring to, “no, no, no!”
McKay looked at you with confusion, “What is it?”
“That’s my older brother and his best friend who I fondly refer to as the ‘Brokeback Mountain boys’. Except instead of being gay for each other, they’re womanizing whores with a surgeon’s god-complex.”
“Ooh, I smell family drama.”
“Not now Princess.”
Sighing in anguish, you angrily made your way over to the group of people conversing starring daggers at Derek and Mark. Little did you know that Jack was silently standing 30 feet away watching you fume.
“What the hell are you two idiots doing here?!”
“Well hello to you too Y/N. Nice to see you aren’t ignoring me like my calls.” Said Derek leaning against the desk casually fixing the sleeve of his dress shirt underneath his white coat.
“There’s a reason for that.”
“Yeah, I heard it from both Amy and Meredith. I was already coming here to do an experimental surgery on one of my patients but I figured I would kill two birds with one stone, and you know, meet your latest boyfriend.”
You looked at Derek with pure annoyance as if he had the right to poke and prod into the life you built away from New York.
Scoffing and narrowing your eyes, placing a hand on your hip, you said in an overtly sarcastic voice, “I’m Doctor McDreamy. I’m tall, and handsome, and I like to show up to my sister’s place of work unannounced, pondering which man she could possibly be sleeping with!”
Derek gaped like fish out of water at your statement. In the background, Robby, Dana, Princess, and Perlah were all on the edge of their imaginary seats like they were watching the build up to a full blown argument in a teen reality show.
Meanwhile, from the corner of your eye, Mark began to laugh at his best friend. “Well, Little Shepherd, you’ve grown up since the last time I saw you.”
“Don’t call me that, Mark.” You said sharply resisting the urge to grind your teeth as you glared at the other doctor.
“What do you want me to call you then Little Shepherd? Mi amor? Isn’t that what I called you when we spent that week in Mexico with you prancing around in that tiny pink bikini back while you were still in med school?”
You felt like melting into a pool of embarrassment right there on the ED floor. You could only hope that Jack was elsewhere in the department (he wasn’t; Jack’s eyes were flickering between the back of your head, Mark, and Robby who could not stop himself from wearing a shit-eating grin in amusement).
“I am one step away from having you sterilized.”
“Don’t worry, baby, I’ve changed.” Mark, who was leaning against the desk next to your brother, raised his hands in his own defence.
“Last time I checked Mark, I didn’t sleep with all of my best friend’s sisters, then had a full-blown affair with his now ex-wife followed by hitting on his best friend’s new wife, and is now currently sleeping with his new half sister-in-law. Did I get that right?”
You watched Derek’s eyes widen as he whipped his head between you and Mark, “I’m sorry, did you just say that he slept with all my sisters? And then try to sleep with Meredith after he destroyed my first marriage?”
“That’s exactly what I’m saying.”
“Hey! Meredith and I were part of the Dirty Mistresses Club, we have camaraderie.” Said Mark, offended by the very true accusation.
Before you could even offer a retort, you were immersed with a sinking feeling when a familiar warm hand was placed on your back.
“Is there a problem here?” Jack questioned.
Your eyes widened before turning towards your fiancé, “No, there’s not. Everything is fine.”
Derek’s eyes flickered between you and Jack piecing together what was going on, “Derek Shepherd, Chief of Neurosurgery, Seattle Grace. And this is my friend and colleague, Mark Sloan, Chief of Plastic Surgery.” he extended his hand to Jack who gave it a firm shake.
“Jack Abbot, attending physician here in the ED.” He replied, glancing at you and your brother.
You watch recognition cross Derek’s face as he realized Jack was the “Jack” you were getting married to soon. “Nice to meet you, Dr. Abbot,” he then turned to Robby, “Dr. Robinavitch, would you mind if I stole my sister away for a moment?”
“Not at all— the break room should be free.” Replied Robby pointing to the room in the corner before crossing his arms, “Alright, the rest of you, back to work, show’s over.”
Before you could protest, you were being dragged along by Derek across the ED dodging patients and doctors alike. As Robby predicted, the break room was barren as Derek shut the door and locked it from the inside.
“That’s the man you’re marrying? He’s so much older than you!”
“He’s 49 not 80!” You fired back at your brother defensively as you sat down in a plastic chair.
“You’re 32!” Derek exclaimed, “he’s older than me!”
“You’re older than Meredith!”
“Don’t bring her into this.” He pointed at you pacing around the room.
“How can I not? There's barely any difference between you and Meredith, and me and Jack! The only difference is that you were separated from Addison, and Jack is widowed.”
“Amy also mentioned that he’s retired from the military. He has a lot of history— are you sure you can handle that?”
Fire burned inside of you at your brother’s question. Standing up, you retorted, “for your information, he was a trauma medic and he was discharged because he was injured and lost part of his right leg.”
Derek ran a hand through his styled hair followed by pinching the bridge of his nose, “I don’t approve of this.”
Putting both hands on your hips and glaring at Derek, you replied, “I’m marrying Jack and I really don’t care if you like it or not.”
“I can get you a job in Seattle, you know. You don’t need to settle down here and—“
“Derek,” you cut him off, “I’m having his baby.”
“What?” Derek stumbled back in shock, “you’re pregnant?”
“Yes, I only found out this morning. No one else knows.” You revealed.
For days you had a sneaking suspicion that something was off after not feeling like yourself for a couple of weeks. It was probably around 4:30am earlier that day during your shift that you sneakily took a few pregnancy tests in the women’s bathroom just outside the ED away from Jack and the residents. The tests were all positive and you had yet to make an official appointment with OB upstairs.
“Oh,” he said now softly, “ well then, congratulations.”
You opened your mouth to reply but then your pager went off. “Fuck. Stroke patient in south 3. I have to go.”
“I’m coming with you.”
“He needs burr holes and a thrombectomy right now.” You said to both Jack and Derek after rushing to the patient room.
Vivi, who was the nurse on the case, hung up the portable phone, “That was surgery; all the ORs are in use right now— scheduling error.” She said looking between you three.
“Fucking perfect.” You groaned in exasperation.
“If we set up the trauma bay, would that work for you?” Jack offered trying to find a solution.
You looked at Derek who nodded in thought, “get it prepped and call surgery and see if they can send a scrub nurse.”
“Okay, whatever you need.” Jack squeezed your shoulder for comfort before beckoning Vivi to start getting prepped.
“You ever done one of these before?” Questioned Derek.
“Not on a patient that had a subsequent massive stroke.”
“Don’t worry, I’ll walk you through it.”
In the trauma bay, you, Derek, and Jack were gowned and gloved up (Mark had offered to help Shen supervise the residents).
“You’ve got this sweetheart. You focus on this and we’ll take care of the rest.” Said Jack reassuringly.
“Ready?” Derek, stood next to you, looked at you questioningly.
“You have to say it. Or else it’s bad luck.”
“Say what?”
“Your stupid saying that you quote before starting a surgery.”
“Okay,” he agreed, “alright everybody, it’s a beautiful night to save lives. Let’s get to work.”
You looked to Jack one more time who nodded, instilling confidence— it was rare that you and Jack would work together on a case like this.
Extending your right arm you said, “drill please.” Feeling the pneumatic drill in your hand, you began to work with the two most important people at your side.
After surgery, you stood in the ambulance bay letting the cool night’s breeze whip across your face. Next to you was Mark who joined you after Derek had followed the patient upstairs and Jack to check in on his other patients.
“Regret not becoming a fully-fledged neurosurgeon now?” Mark asked with a smirk on his lips breaking the peaceful silence.
“Nope, not at all.” You responded.
“I like him by the way.” Mark gave you a gentle nudge with his shoulder. “He suits you… lifts you up not drag you down. Reminds me of Lexi.”
“Thanks, don’t fuck it up with her, I mean it.” You pointed a finger at Mark.
“If there’s anything I’ve learned tonight is that I realized that you have a type.”
“I’m sorry?”
“Older, grey-haired, sexy men. Competent but sometimes emotionally constipated.”
“Now you’re just fishing for compliments.” You laughed at your ex-boyfriend.
“A man can try. If you’re not exhausted tomorrow morning, I’ll take you out for breakfast before our flight in the afternoon. I hear congratulations are in order.”
“Derek has a big fucking mouth.” You grumbled furrowing your eyebrows.
“I’m happy for you Y/N. You’re a far cry from that 22 year old you used to be.”
“Thanks.” Checking your watching, you balk at the time, “I should head back in. Unfortunately, emergencies never stop. I’ll see you around Mark.”
You head back into the ED through the bay door immediately bumping into Jack who had been looking for you.
“You were a rock star tonight.” Jack said, leaning in for a kiss as he held your hips towards his.
“All part of my charm. I’m sorry if my two idiots made you uncomfortable.”
“Nah, they’re surgeons with soft hands. I could take him if I needed to. Also, you're needed for a consult in central 5.”
You grinned, taking his hands in yours, “I know you could. And I happen to have a surprise for you later.”
Jack smirked, his eyes lighting up.
“Not that kind of surprise. Any who, I have a job to do, you know, no rest for the wicked.” You released Jack’s hands before starting to walk away toward the nurses station.
“I love you.” Jack exclaimed watching you leave.
Turning around and winking at him, you replied, “I know.”
