Code: Heartbreak
The ER doesnât stop for grief.
Not for fear. Not for heartbreak. And definitely not for people trying to outrun their pasts.
At thirty-two, student doctor Rosalie Kade enters The Pitt with steady hands, a soft heart, and more scars than anyone can see. In a hospital where exhaustion is worn like armor and compassion is often mistaken for weakness, Rosalie refuses to harden.
Even when the emergency room threatens to break her apart.
Especially when Dr. Robby starts noticing her.
Brilliant. Burned-out. Impossible to read.
He sees too much. And Rosalie has spent her entire life trying not to be seen at all.
But beneath the fluorescent lights and trauma calls, something dangerous begins to grow between themâ
Because some people survive by shutting the world out.
And others survive by loving too much.
@jackles010378 @winchesterwild78 @angelbabyyy99
The fluorescent lights were just a little too bright. They always were at this hour.
Rosalie Kade stood beneath them, shoulders slightly tense, her gaze drifting past the ambulance bay doors to the early morning sky.
Soft orange and pale pink stretched across the horizonâquiet, almost gentle. A stark contrast to everything inside.
Her fingers found the small hummingbird pendant resting against her chest, thumb brushing over the worn metal out of habit more than thought.
Grounding. Always grounding.
Behind her, the night shift filtered out in tired wavesâlow voices, slow steps, the kind of exhaustion that settled deep.
In four weeks as a student doctor, sheâd learned the rhythm of it. Learned the people, too.
âDoctor Kade.â
She turned slightly as Dr. Jack Abbott passed by, already shrugging into his coat. Grey curls, permanently tousled. Gruff voice. Tired eyes that missed very little.
âGood shift,â he said. âYouâve got potential, kid.â
Rosalie smiled softly. âThank you, Dr. Abbott.â
He gave a short nod and kept walking, disappearing with the rest of the night staff.
And just like thatâ
they were gone.
The morning shift began to filter in. Fresh faces. Fresh energy. A reset.
But Rosalie didnât move.
She stayed exactly where she was.
Because going home meant quiet. And quiet meant thinking.
Her fingers tightened slightly around the pendant.
She hated todayâs date.
With a quiet breath, she turned and headed toward the on-call room.
Coffee first. Then sheâd keep moving. Keep working. Keep herself too busy to feel it.
The coffee was terrible.
Watery. Bitter. Barely worth the effort.
Rosalie took another sip anyway as she walked toward the nursesâ station.
An older woman stood there, flipping through a chart.
Mid-fifties, maybe. Fine lines etched into her faceânot harsh, just lived-in. Blonde hair twisted into a worn brown claw clip. Pale blue eyes that had clearly seen too muchâ
âbut her smile came easy.
Warm. Immediate.
âYou new here, kid?â
Rosalie shifted the cup in her hands, smiling.
âWell⌠yes and no. Iâve been here four weeks, but todayâs my first day shift.â
The womanâs expression softened further.
âWelcome, hon. Iâm Dana Evansâcharge nurse.â
Another nurse leaned in beside her, a head wrap neatly tied, a teasing grin already forming.
âAnd a damn good one.â
Dana rolled her eyes lightly. âYeah, yeah.â
Then back to Rosalie.
âAnd you are?â
âRosalie Kade. Itâs nice to meet you.â
She reached out, and Dana took her hand without hesitation. Firm. Grounded.
The other nurse smiled.
âPerlah,â she said. âYou can call me Perlah, kid.â
Rosalie nodded, warmth flickering across her face. âNice to meet you.â
The doors burst open.
âFemale! Severe lower abdominal painâBP dropping!â
Everything shifted.
âTrauma one,â Dana called immediately.
Rosalie was already moving.
Of course she was.
She reached the stretcher as it locked in place, setting her coffee aside without a second thought.
âHi, Iâm Dr. Kade, Iâve got you,â she said gently, hands already working.
Pulse. Fast.
Skinâ cold.
She moved to assess the abdomenâ
and walked straight into something solid.
She stepped back quickly, startled. âOhâsorryââ
She looked up.
And up.
A man stood in front of herâtall, broad-shouldered, presence filling the space before he said a word. Cargo pants. Olive hoodie pushed up at the sleeves.
Not in scrubs.
But unmistakably in charge.
His eyes flicked down to her. Measured. Sharp.
âMaybe look where youâre going next time.â
Heat rushed to her face.
âSorry⌠Doctor?â
Heâd already stepped past her, focus shifting entirely to the patient.
âDr. Michael Robinavitch,â he said, voice steady, clipped.
Thenâ
âRobby.â
The woman curled in on herself, a sharp cry breaking through her teeth.
Rosalie was at her side in seconds.
âHey, heyâitâs okay. Iâve got you,â she murmured, one hand steady on the patientâs arm. âTalk to meâwhen did the pain start?â
âLâŚlast night,â the woman groaned.
The monitor beeps quickened.
Blood pressure low. Heart rate climbing.
Rosalie glanced up.
Dr. Robby was already watching her.
âThoughts, Doctor?â
She hesitatedâjust a second.
Too long.
âInternal bleeding?â
He tilted his head slightly.
âIs that a question?â
She swallowed, refocused, forcing herself to look at the patient again.
âNo visible bruising⌠abdomenâs tender, but not rigidâŚâ she murmured, thinking out loud now. âWe should do a FAST scan.â
A beat.
Then he nodded once.
âYou shouldâve led with that.â
Rosalie grabbed the ultrasound probe, already moving.
âThis might feel cold,â she told the patient gently, squeezing her hand before applying gel.
She pressed the probe to the abdomen. Watched the screen. Adjusted. Focused.
Her eyes narrowed slightly.
âWaitâŚâ
Robby stepped closer, looking over her shoulder.
There it was.
Dark. Pooling where it shouldnât be.
He didnât hesitate.
âCall OR. Possible ruptured ectopic pregnancy.â
The room shifted instantly.
Rosalieâs breath caught. Her eyes flicked back to the screen, then to him.
âWhy?â he asked without looking at her.
She forced herself to answer properly this time.
âNo trauma⌠low BP, tachycardia⌠free fluid on the scanâŚâ she swallowed, steadier now, âlikely internal bleeding from a rupture.â
He nodded once.
âGood.â
Then, sharperâ
âWe donât guess, Doctor Kade. We observe, then we decide.â
Rosalie nodded quickly. âYes, Doctor.â
But her hands?
Shaking a little
They began wheeling the patient toward surgery.
Rosalie didnât let go of her hand right away.
âItâs going to be okay,â she said softly, walking alongside the stretcher for as long as she could. âWeâve got you.â
Her eyes flicked briefly to the womanâs ring.
âIâll call your husband.â
The patient was taken through the doors.
And just like thatâ
she was gone.
Rosalie stood there a second too long.
Then turned, already reaching for her phoneâ
âLet Dana or Perlah handle that.â
She looked up.
Dr. Robby stood just behind her.
âDoctors donât usually make those calls,â he added. âYouâre needed here.â
Rosalie paused, her hand lowering slowly.
âOh⌠Iâokay.â
She folded in on herself slightlyâhating that she did.
He watched her for a second. Not unkind. Just assessing.
âAs a doctor,â he said, tone more measured now, âyou need to be more confident in your role.â
She nodded quickly. âYes, Doctor.â
âRobby,â a voice called from across the floor. âWhitaker needs you in Trauma Three.â
He exhaled, already turning.
âOf course he does.â
And then he was gone.
The noise of the ER rushed back in.
Rosalie stayed where she was for a moment longer, trying to steady herself.
âHey.â
She turned.
Dana stood beside her.
The older womanâs gaze softened almost immediately.
She stepped closer, resting a hand briefly against Rosalieâs arm.
âDonât take that too hard,â she said gently. âYouâre still finding your footing.â
Rosalie swallowed, her voice catching slightly.
âI just⌠I donât want to mess this up.â
Dana gave her a small, reassuring squeeze.
âYou wonât. Youâve got good instincts. Trust them.â
Rosalie nodded, blinking quickly.
âThank you.â
And before she could stop herselfâ
she leaned in and hugged her.
Quick. Tight. Instinctive.
Then immediately pulled back.
âSorryâIâm a hugger.â
Dana let out a soft laugh. âItâs alright, kid.â
Across the roomâ
a dark-haired woman leaned against the counter, eyes tracking Rosalie.
âPrincess.â
Perlah didnât look up from her chart. âThatâs not my name.â
Trinity smirked. âYou answered anyway.â
Perlah sighed, finally glancing at her. âWhat do you want, Dr. Santos?â
Trinity tilted her chin toward Rosalie.
âThe new one.â
A pause.
âAlready messing up, and she hasnât even been here an hour.â
Perlah followed her gaze.
Rosalie stood across the room, quieter now, resetting after the case.
âThatâs not fair,â Perlah said. âShe came off the night shift. Dr. Abbottâs her attending.â
âCruz says sheâs solid. Good hands. Soft with patients.â
Trinityâs eyebrow lifted slightly. âDidnât look like it.â
Perlah shrugged. âI donât know her yet. But maybe sheâll surprise you.â
Trinity watched Rosalie a second longer.
Really watched her this time.
The way she stood. The way she folded in, just slightly, when no one was looking.
A slow shake of her head.
âNo,â she said quietly. âShe wonât.â
Perlah frowned. âDonât do that.â
Trinity glanced at her. âDo what?â
âDecide who someone is before theyâve had a chance to prove you wrong.â
Trinity smiled.
Not kind. Not amused.
Just certain.
âShe already has.â
Perlah went back to her chart. âDonât be mean, Dr. Santos.â
Trinity pushed off the counter.
âMe?â
She started walking.
âNever.â
Rosalie looked up as she approached, offering a small, warm smile.
âHi. Iâm Rosalie Kade,â she said gently. âMost people call me Ros.â
The dark-haired woman didnât return it.
Not even a little.
âIâm Trinity Santos. First year.â
Rosalie brightened slightly. âOhâwow. Thatâs great.â
Trinity let out a quiet laugh.
Not amused. Not kind.
âYou think so?â
Rosalie tilted her head, a little confusedâbut still open. âOf course.â
Trinity stepped closer.
Not aggressive. Just deliberate.
âYou think youâve got what it takes?â she asked, voice low. âTo be here?â
That landed.
Rosalie straightened just a fraction. âExcuse me?â
A small smirk tugged at Trinityâs mouth. âYou heard me.â
Rosalie didnât snap. Didnât shrink either.
âIâm not here to compete,â she said softly.
Trinity leaned in slightly.
âThatâs not how this works.â
A pause.
Thenâ
âPeople like you donât last.â
Rosalieâs fingers curled slightly at her side.
But her voice stayed steady.
âIâm still here.â
Thatâjust thatâwas her answer.
Trinity studied her for a second longer. Reassessing.
Then she stepped back.
âGood luck with that.â
A glance over her shoulder as she turnedâ
âAnd try not to kill anyone today⌠Softie.â
She walked off.
Silence lingered.
Rosalie stood there a moment. Breath slow. Controlled.
Then, quieterâmore to herself than anyone else:
âMy nameâs Rosalie.â
Exhaling softly, Rosalie caught her pendant between her fingers, watching as Trinity Santos disappeared down the hallway.
âI wonder who hurt her so badly,â she murmured quietly.
Mostly to herself.
Turning on her heel, she headed toward the patient board, eyes scanning the overwhelming list of names, room numbers, and flashing updates.
Too many.
Too fast.
And promptly walked straight into someone again.
âOhâs-sorry.â
She looked up.
Of course.
Dr. Robby.
He stared down at her for a moment before speaking.
âDr. Kade.â
He watched her with those dark brown eyes, thatâs seen too much.
âYou might want to start looking where youâre going.â
Rosalie winced slightly.
âI know⌠sorry. Iâm just a little off my game today.â
She glanced up at him through dark lashes, green-blue eyes carrying something he couldnât quite name.
Kindness.
Grief.
Loneliness.
Something.
Robby studied her a second too long before stepping aside.
âGo to triage,â he said. âFind Dr. McKay and help there for a while.â
Rosalie nodded immediately.
No argument. No attitude.
âOkay.â
Then she turned and walked away.
Robbyâs gaze lingered on her longer than it should have.
There was something strangely familiar in the way she carried herself.
Something he couldnât place.
A tired hand dragged over his face.
Around him, the ER continued in constant motion.
Whitaker talking to a patient somewhere down the hall. Santos arguing with a nurse about labs. Monitors beeping. Phones ringing.
Chaos.
Constant, exhausting chaos.
And somehowâ
He already felt tired.
The shift had barely even started.
Every day he walked through those doors swearing it would be his last.
And every dayâ
he came back anyway.
Why?
That was the part he could never answer.
The moment Rosalie stepped through the triage doors, she felt it all at once.
Overwhelmed.
Too many people. Too many voices. Too much pain packed into one place.
Tears burned briefly behind her eyes as she took it in.
Fear. Grief. Panic. Hurt.
Human suffering in every direction.
She swallowed it down quickly.
There wasnât time for feelings here.
Scanning the room, she spotted a woman with messy auburn bangs flipping through a chart.
Rosalie approached carefully.
âDr. McKay?â
The woman looked up.
âYeah?â
Rosalie offered a small smile.
âIâm Dr. Kade. Dr. Robby sent me down to help.â
Dr. McKay nodded once, already moving toward the next bay.
âAlright then, Dr. Kade,â she said. âLetâs see what youâve got.â
And so it began.
A little girl with glue stuck to both hands.
A drunk man with a deep cut above his brow after a fight involving a broken beer bottle.
An elderly woman convinced she was actively dying from heartburn.
Rosalie handled each patient with surprising ease.
Gentle voice. Steady hands. Quiet patience.
Even when people yelled.
Even when they cried.
Minutes blurred together.
And somehowâ
she kept going.
âYouâre going to be one of the good ones,â Dr. McKay said eventually, watching Rosalie finish wrapping a patientâs wrist.
Rosalie let out a soft laugh.
âI just want to help people,â she admitted quietly. âSave them, if I can.â
Dr. McKayâs expression softened slightly.
âI know.â
She smiles sympatheticallyÂ
âBut you canât save all of them. Remember that.â
Later, they stood just outside the ambulance bay doors, stealing a moment of cool morning air between patients.
For the first time all shiftâ
Rosalie breathed.
Then the ambulance pulled in.
Fast.
Too fast.
Rosalie was already moving before the doors fully opened.
And the second they didâ
everything changed.
Her eyes widened.
Hands instinctively lifting slightly.
Defensive.
Careful.
A man in his late forties stumbled out first, blood soaking through his shirt from a gunshot wound to the torso.
And in his shaking handâ
a gun.
Behind him, paramedics pressed desperately against another patient bleeding out on the stretcher.
Terrified eyes met hers.
Silent warning.
The man pointed the gun directly at Rosalie.
âYou,â he barked.
The weapon shook slightly.
âYouâre gonna patch me up. No cops. No funny business.â
Rosalieâs heartbeat slammed against her ribs.
Stillâ
she nodded.
âO-okay,â she managed softly. âIâll help you.â
The man moved closer.
Too close.
Towering over her.
âPleaseâŚâ she whispered carefully, eyes fixed on the gun. âCould you put it down?â
A sharp grunt left him suddenly as pain ripped through him.
Thenâ
without warningâ
he shoved the gun hard into her side.
âWalk.â
Rosalie stumbled forward.
Her hands trembled violently now.
Cold steel dug against her ribs as he forced her through the trauma bay doors.
The second Dr. McKay saw the weaponâ
her face drained of color.
And then she shouted:
âCODE SILVER!â















