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vanilleandclove · 2 months ago

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how to disappear; jack abbot x f!trauma surgeon!reader

pittsburgh is roughly 58 square miles, large hospitals in metropolitans are usually 1.2 million square feet. only making ptmc extremely confining with a certain trauma surgeon and senior attending physician in the emergency room especially during hostility.

warnings: emotionally constipated adults, language, talks of children and marriage, semi-medical accuracies (i have several immediate family members in the medical field, this is basically in my regular lexicon), gore adjacent, mentions of past sex, age gap: reader is 30-33, jack is 47-49. word count: 4.1k notes: mdni. call me disorganized, my oc fic is on HOLD, until further notice :3. this is part one of two (?) ask/requests are open!

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“I thought you were working day shift?” Parker asked, your eyes blinked roughly as they adjusted to the bright light of the patient’s board, “What’re you doing stuck down here?”.

“They requested for me to have a change of schedule to be on-call, couldn’t say no to the generous pay raise” you responded, cocking your head slightly to meet eyes with Parker, “Plus night shift always gets the most carnage”.

“You’re sick, you know that?” Parker chuckled, fist meeting your shoulder playfully before she walked off.

Clipping on your hospital ID was muscle memory, both Heather and Robby referred to as “overworker’s disease”, you saw it as being stuck in the place for several years at a time.

You needed a vacation, sweaty hot sex, vodka, or weed; or maybe just all of those in that order. Your eyes were glossed over from the eyedrops you have administered before leaving Jack’s house, they did good to conceal the hours of crying and bloodshot eyes.

But Bridget saw through that puffiness and reoccurring sniffle that matched the pout of your lips, she knew you well like you were her own daughter. She knew your breathing patterns were shallow and uneven, the eyebags that became a more pigmented purple, the constant fiddling of your rings.

She knew you needed a break, a break in bed where you could cry it out and come back renewed with extra hours of sleep and extra takeout.

“Honey, are you okay?” Bridget inquired, taking off her glasses and tucking them in her scrub undershirt, “You seem out of it”.

Your eyes darted towards her and all you could give her was a nod as you became tight lipped, worried that if you unclench your jaw for a second you’d break. Nevertheless, Bridget smiled and rested her hand on yours, knowing all too well what happened to you.

What Bridget saw was your hair blown out but tucked up a tortoiseshell claw clip for it to be out of your way. She saw manicured short french tip nails, residue of black eyeliner in your waterline, hints of matte red lipstick that must have been taken off in a rush as it made your lips look as if they were bleeding. She saw gold bracelets of all different textures and patterns, rings stacked beautifully and meticulously, necklaces that would accentuate cleavage with the right dress, diamond earrings that twinkled when moving under the LED lights.

She saw a woman who had just got stood up.

“Good evening everybody”.

And she just stumbled upon the reason.

You closed your eyes and sighed under your breath.

Luckily being a different specialty department, you weren’t required to be given the gist of speeches by the physicians and nurses. Some may say it due to surgeons being “above”, you say it’s because of different structures in departments- you can learn just as much during rounds in the emergency room as you would post-op, if not, you’ll learn more. Therefore you were able to walk off into the bathroom.

You enjoyed your job, you were grateful for your job that led you to places you never thought you would be. You were grateful for the smiles, the laughter, the songs the patient requested to be played during surgery, the parents or loved ones that would hug you tight, and yes, the gore and carnage.

You were also grateful that it led you to Abbot. 23, you were fresh out of an internship in Massachusetts, then you wanted a change of scenery. By 26, frequent hookups at your respective places were a casual way to start, end, and continue a week; just in time for your residency to finish and your fellowship to be fast-tracked due your rotations in the emergency department and competency exams. Hookups turned to dating by your 27th birthday, months later, Jack’s house was basically yours too. Now, you’re the attending who’s trying her hardest to hold it all in because a man decided no more to the most constant thing in your chaotic life- in a chaotic profession.

You had put on a silk dress that flowed perfectly enough to accentuate your curves, you wore lingerie, black heels, and smelt fucking amazing. You shaved, you wore your expensive lotion you could only justify using on special occasions, you wore jewelry you’ve collected over the years and that Jack had given you. You went the whole 9 yards and more.

“Okay so what is it?” you asked, sighing in defeat and barefooted in the living room, “You don’t want to go out, don’t want to talk about something you know I care about. Fuck Jack, you don’t even look at me when you know this is important”.

“Sorry I didn’t know dinner reservations were imperative to having a conversation with you” Jack scoffed, stressed and unnerved, his fingers pinching the bridge of his nose.

“Jesus christ just forget about dinner!” you raised your voice, your throat began to slowly burn, “I don’t care about dinner Jack. I care about being appreciated from my boyfriend when I put on a fucking dress and heels. I care about you walking into that door every morning and kissing me. I care about having sex and ordering fucking pizza” you ranted, your time was almost up as it crept closer to your shift.

“Do you want kids?” he blurted.

“What?”.

“Do. you. want kids?”.

You blinked in confusion, swallowing whatever you had planned to say and again to collect what he had just proposed. “I would like to have kids but with my job and yours, that seems unlikely. I don’t mind not having them”.

“There was a positive test in the trash two weeks ago that you didn’t think to tell me about” he cleared his throat.

Your brows furrowed, “It was a false positive, Heather did a work up with full labs for me” you looked to the ground not noting that it would’ve also been nice for him to know both of those things. “If a pregnancy test is sending you to avoid me like the plague; we have a bigger issue here Jack”.

“It would’ve been nice to know that you were afraid you were pregnant that you told Collins before me”.

“Do you think I’m punishing you for withholding information that was irrelevant to me after a day?” you were shocked almost, still confused at the hostility, “I wasn’t afraid of being pregnant, I was afraid of false hope”.

“I don’t want kids, that’s just not something I see in my future”.

“Our future” your voice began to crack more and more. Kids weren’t a dealbreaker by any means, the way Jack worded it to be something exclusionary in regards to you is what broke you. “I need you to tell me if this is what’s causing you fucking hurt me”.

“It’s not- I just think we have a misconstrued view on the future of this” he pointed to both of you back and forth.

“Jack forget about the sheer possibility of kids, why are you being distant?” you took a step closer as he took a step back, the action only shattering your heart more, the tears began to flow as you straightened your back, “What about marriage?”.

“Same as kids”.

You nodded, looking away from him, “I’m not going to change your opinions about either of those, I’m not going to try”. You inhaled before a sob erupted from your throat, “I have to be able to want those things without feeling like you’re going to walk away. God, you never once spoke about this before so why now? Why all of the sudden vows and kids are a dealbreaker when- if I remember this correctly- the past year you’ve been asking for baby names and what rings I would like? Was it just for show? Was I just for show?”.

“Of course you weren't,” he sighed yet again, his eyes piercing yours, “You’re you, I guarantee you’ll find someone else who wants both of those”.

“I don’t want someone else Jack” you whispered, one tone louder and you’ll be a wreck in front of him.

Silence creeped over the room and nothing but the shudder of your breath filled the room, “I guess this isn’t working” his own voice cracked as if his mind betrayed his actions. With that, years of your heart shattered.

“I guess not”.

Jack was the same guy who held your legs as they rested on his during football games. The guy who tied the strings of dresses and kissed your shoulder, who stared in awe while you did your makeup, baked and cooked with you, danced to his best effort with you. Watched ‘Game of Thrones’ and ‘House of the Dragon’ with you every sunday without fail, not shy of commentary.

He would fix your hair after sex, clean you up in the en-suite with warm water, would make your toes curl around his waist as an orgasm washed over you, would coax another orgasm out of you. He would massage your clit, knew exactly where your g-spot sat, made your breath hitch and your eyes roll back. He never pressured, only asked a near sixty times if you were okay and comfortable. He would never degrade you even if asked, the most he’d do would be spitting in your mouth and lightly choking you. Wasn’t shy about having his dog tags pulled or you wearing them, loved the twinkle in your eye every time his cock grazed the right spot. The man was a dog. If you forgot an undershirt under your scrubs, his cock would strain from the veins coating your breasts, the slightest graze would send him on a frenzy when you’d get home if both of you were up for it, loved the lingerie just as much as he loved you in pajamas and a worn out shirt from college.

The same guy that would squeeze the back of your neck to relieve your worries, text you mid-shift about your wedgie and would fix said wedgie in passing, would wash your hair and body. Would watch every movie and TV show with a thousand questions, stare idly at you during every get-together as you mingled on your own with Heather. Every Fourth of July he spent with you, he was at ease, not jumpy or had his heart racing- you thanked therapy, he thanked you.

He’d stand in front of you and be the same guy during company basketball and baseball games that coached you on the sidelines, guided your arm, gave you water. You wanted to marry him, your parents always said when you do get married, it should be with someone like him if not him. You wanted rings, his and her matching towels, garter tosses and to take off his suit in the same night. He knew that, hell the whole emergency department was well aware of your dream wedding that changed every now and then.

Now you stand there beneath yourself because that is all gone on a random Wednesday. Didn’t wait for the weekend for it to settle, for hell to freeze over. While you went crazy thinking the worst, you had a job to do, and it was barely August.

Luckily, new staff and medical students were reserved for day shift, meaning you were secretly praying for both Robby and Collins sake.

“We have a male MVC victim, 10 minutes out, Abbot wanted you on standby” Parker opened the bathroom door only to be greeted with your meltdown, “You okay? Want water or coffee?”.

You shook your head only for her to fully allow herself in, “You and I both know the way you’re crying is going to lead you to dehydrate” she continued, “What happened?”.

“We broke up” you responded, curt and without remorse, “I don’t want to talk about it”.

“Okay, but just know you can always go home”.

“He’s home”.

You spent two minutes in there trying to gain your composure, worried that the MVC wouldn’t get the most accurate and resourceful amount of care with you like this. Splashing water against your face before exiting and being greeted with the beaming emergency department lights.

You checked up on three different patients, smiling and asking if they were comfortable and okay with waiting just in case the MVC took up more time than usual. As you left the last, the MVC arrived and both you and Abbot occupied opposite sides of the gurney.

The EMTs were able to stabilize him as much as they could, “Breath sounds are good so far a little too crackly but acceptable, there’s rigidity in his abdomen I need an chest scan to confirm bruising- I’ll call they always fast track me” you told Jack as you approached the trauma room, grabbing the phone as he took over, “Hey it’s Doctor L/n, I need a chest CT for a MVC victim, his abdomen is rigid and slightly distended with crackly breathing. No- I need you to take me up now, we’re already in a trauma room- okay, thank you see you there”.

Turning back to Jack, evening out the creases in your navy scrubs, “They’ll take him now, I’ll take him up” you whispered, grabbing a hold of the gurney from the bottom, “Can you open the doors?” you asked, “Get Walsh for me too, if it’s something with his abdomen I shouldn’t do exploratory”.

“You don’t only do exploratory surgery Y/n” Jack posed the statement as if you were undermining yourself for Walsh to be the scalpel junkie this shift.

“I know, Walsh is still learning the ways of being an attending, if anything I’m making sure she’s equipped to be in my stead when I’m not here” you argued back only for the MVC victim to regain his consciousness, “I know what I’m doing Doctor Abbot”.

“This morning it was babe, by the afternoon it was Jack, now it’s Doctor Abbot?” he queried, as if the whole ‘I guess this isn’t working’ bit was a skit.

“Last time I checked this wasn’t-“ you looked down to the gurney to see a conscious man with a smile on his face, “Good evening sir, I’m Doctor L/n, you’re at Pittsburgh Trauma Medical Center, I will be taking you up to CT now” you feigned a smile and eyed Jack, he knew that look.

The ‘we’ll talk about it later’ look.

“You’re in good hands sir” Jack waved off.

The elevator ride was calming, the tension in the trauma was thick enough to cut with a knife. You learned his name was Raymond Orser, he had a wife and a daughter, served a couple tours in the military, his sister lived in Pittsburgh while he lived in Philly.

“So, what was the deal between you and salt and pepper?” Raymond asked, his breathing less labored as you both exited out of the elevator.

“Salt and pepper? Doctor Abbot?”.

“Or babe whichever you prefer” Raymomd joked, “Must’ve been a tough fight, my wife and I were the poster board for marital arguments about silly things- one time after my daughter was born we argued about the way the cereal box closed”.

“He’s not my husband Mr. Orser, technically he’s just a colleague” you told him. Eyeing around you to see who was there, “We dated for 6 years today, it’s our anniversary, was supposed to wine and dine him before our shift but…”.

“Ah. You know, I’m only 39. I’ve spent a great deal of it loving my wife before I had even met her." You made a face that exuded confusion, “I know you’re looking at me crazy, but you just know. When’d you meet Doctor Abbot?”.

“When I was 23, about to be 24, he was also relatively new; he beat me by 3 years. Didn’t start dating until I was 27 and he was 41” you confessed, “What about you huh? How old is your daughter?”.

“She’s seven, had her after I got discharged. My wife and I had a shotgun wedding, very intimate”.

“Okay, we are just about to go into CT, I’ll be on the imaging side, you’re going to feel a little fluid in your IV, it’s to highlight and pinpoint what’s going on internally. I need to know if there’s any metal on you like jewelry below or above the waistline”.

“No, just my wedding ring”.

“That’s fine, this arm is going to stay up away from the imaging zone for the ‘highlighting fluid’, you’re going to feel a bit warm throughout your body, completely normal. If you feel nauseated it’s also pretty normal, we keep a wastebasket on standby so no worries” you clarified, giving him a smile before handing him off to the nurses.

Going into the radiology room, both the radiologist and technician glanced over to you, “Good evening” you greeted, “His abdomen was rigid and slightly distended, did Foreman tell either of you?”.

They both nodded, putting on their glasses and administering the contrast fluid. “Any plans for the morning L/n? You and Abbot are celebrating your anniversary today, no?” Jackie the radiologist asked, her hand not leaving the mouse and her eyes leaving the desktop.

You shuddered under your breath, inhaling deeply, “Yeah, might just stay in today”.

As the scans progressed one thing became clearer, there was a bleed in Raymond’s organs, non-septic, but still worrisome. You immediately grabbed the intercom mic, “Okay Ray, the nurses are going to get you settled back downstairs for a work up, I’ll go over your scans with Doctor Abbot”.

Turning to the left you grabbed the phone on the desk and dialed for the emergency department, “Hi Bridget, I’m sending Orser down, the MVC victim. He has a rib fracture that's causing internal bleeding, a tension pneumo but his breathing sounds were clear- lightly shallow” you cleared your throat, “Tell Abbot to do a finger thoracostomy, I’ll meet him down there”.

Afterwards you phoned the surgical wing, “Good evening, I need an OR available on standby, I have a MVC victim with a tension pneumothorax and internal bleeding”.

Some days cardio and general hogged the ORs, trauma and the emergency department always had an OR prepped in the morning shifts. Gloria liked to boast about her surgical teams, how each specialty had their own set OR.

Heading down to the emergency room, it was less chaotic on the surface- the waiting room said otherwise. Every room was filled minus the trauma rooms, the hallway had spillover, and curtains were drawn. You decided to take your leave to peds, being greeted with a little girl with a rattling cough.

“Good evening, I’m Doctor L/n, who is this princess?” you greeted, snapping on your gloves.

“Your scrubs are different” the girl mentioned mid cough.

“Sorry, this is Amanda, she’s been having this ugly cough for two weeks, she woke up choking on phlegm” a woman spoke up, “I’m her aunt, her mom’s on her way”.

“Ah okay, well, Amanda, my scrubs are different because I’m a surgeon here. Don’t worry, you’re not a surgical case, I just help down here” you clarified, putting your stethoscope on her chest, “Did she cough up phlegm, if so what color?”.

“It was brown, though in the car she had a cough attack and I swear I saw red”.

“Any history of asthma? Was she around any strong fumes?” you asked, “Amanda can you give me two big inhales and exhales?” you requested, putting your stethoscope on the girl’s back. As she inhaled and exhaled, all you heard was rattling.

“My sister- her mom has asthma, nothing too serious, she self carries though. Mandy got sick last week, her fever was moderate but she sweated a lot of it off during her sleep”.

You nodded, putting your stethoscope back around your neck, “I’m going to order a chest x-ray, from the sounds of it, Mandy here has acute bronchitis, probably from a viral infection that went unnoticed” you smiled to them both, “Is she allergic to paracetamol or ibuprofen?”.

“No, just soy”.

“Perfect, due to her age, I’ll prescribe extra strength Tylenol and an albuterol inhaler, two puffs about 5 seconds apart when needed to stabilize your lungs sweetie” you told her aunt, walking out to tell Bridget for an x-ray on Amanda.

“Abbot’s asking for you in south 14” Bridget said as you walked off, all you gave was a nod.

Opening the door and being met with a scene you would not have guessed to stumble upon out of the confines of your home. “Bridget said you wanted to see me?”.

“I’m not a prideful man” he sighed, you moved closer to the hospital bed he sat on, his prosthetic beside him, he was rubbing a cream on his stump- it smelt like eucalyptus. Jack never complained of phantom limb pain, though his hip would hurt every now and then. “But I do know that I am self-conscious”.

You remained silent, allowing Jack to speak. You did most of the talking earlier, now, it’s his turn. “I don’t know if I’ll be a good dad, weddings require some level of dancing that I just can’t put aside that difference to give to you- and I want to, I can’t shake that feeling” he sucked in a deep breath, “There are days where I have coax myself off the ledge, today being one of them”.

“Jack I-” you sighed in disbelief, “I don’t care about those things- ever- you’re not taking away anything by us not having kids or not getting married-”.

“You want those things”.

“There was a point in my life where I wanted you, one thing I know for certain, I never regretted it. Though I would’ve regretted not doing anything, you gave me the best sex of my life” you joked lightly, “If loving you and being with you means I don’t get a wedding or kids, then I’m okay with that. Though, you would be one hell of dilf”.

He chuckled at the comment, “Shit, I’d be in my 60s by the time the kid was in high school”.

“Still my sexy man” you commented, “I love you okay? But we have a job to get to and a vet who is keen on you”.

“Orser?” Jack questioned as he stood up with your assistance, popping his prosthetic back into place. You nodded, giving him a longing look, “I can’t kiss you- wouldn’t be able to stop”.

“Yeah yeah, happy anniversary cowboy” you smiled, feeling your phone vibrate with a page to the OR, “Shit, emergency surgery”.

“I love you cowgirl” Jack spoke up as you ran off. It was already 4:30 in the morning, the heat kept piling up.

The surgery was needed for a thoracotomy on a 67 year old who took a fall down her stairs which caused a cardiac tamponade, it took 2 hours and 40 minutes to repair, drain and control her hemorrhage. Caught early, it took less time than usual. You reeked of pungent acid with a hint of metal from the blood, afraid it was stuck in your hair.

Luckily your shift was over 10 minutes ago, you gathered your things and looked around for Jack, being greeted with Heather and Frank.

“Dana, have you seen Jack? Good morning to you all” you stretched, looking around to see no sight of Jack or Robby.

“Up on the roof with Robby”.

“Jesus, the midlife crisis twins” Frank joked under his breath, only to be met with the dirty looks of you and Heather.

“When he comes down tell him I’m in the truck” you sighed, tapping on the desk before letting your hair down from the clip that has held up your hair through blood and way too many body fluids.

dividers by @cafekitsune

#jack abbot #jack abbot x reader #jack abbot smut #jack abbot angst #the pitt #michael robinavitch #the pitt x reader #x reader #shawn hatosy #vanilleandclove

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