remember that old GA AU?
In honour of the new season of Grey’s (season 14, seriously?), I thought I’d dust it off and continue the ‘episode’ (posted here).
Like before, surgicalintern!Annabeth, surfer/patient!Percy, and douchebag-attending!Luke--now with a side of intern!Piper, Sally, and cameos from Hazel, Frank, and Will. The total rip-off of the pilot episode of Grey’s Anatomy continues ... (Also, please don’t squint too hard at the medical stuff. I have zero medical training. Everything comes from the show and my adaptations are probably crap.)
(Still rated T for swearing.)
She watches Percy Jackson's surgery from the gallery.
It's a twelve-hour surgery and she has to keep popping in and out because she's on labs today, but she catches enough of it to see that the nerve repair is going well (of course—smug bastard though he is, Dr Castellan is good at what he does) and the prognosis for Percy is good.
Annabeth gets to be the one to tell his family when it's over. She picks out Sally Jackson right away—a brown-haired woman with tired lines and a worried expression on her face, whose tense, unsettled position on the edge of the hospital chair instantly gives her away as a woman whose loved one is under the knife.
Annabeth is willing to bet she spent the night in that chair, worrying over her son.
She recognises the sweet-looking girl with caramel-coloured curls as the third passenger in the car crash, the one who's ostensibly Percy's friend's girl. She has a vague recollection of Piper leading her out of the ER while they treated Percy and Sally … or maybe it was Frank. There's nothing outwardly objectionable about Callie's rosy cheeks, or her pouty mouth, or her button nose that wrinkles in a way that can only be described as cute.
Annabeth dislikes her anyway.
She tells herself it's because girls like that have always been the bane of her existence—all sugary sweet and bursting with the security of being unconditionally and unmistakably loved. She thinks her dad has two new daughters like that (not that Annabeth's bothered to keep in touch with him or the new family he made after he walked out on her and Mom).
But personal feelings have no place in the practice of medicine.
Still, she addresses herself exclusively to Sally Jackson when she explains the surgery and how it went. The woman is Percy's actual relative, after all. (Best-friend's-girlfriend doesn't legally count, whatever crush Percy might nurture for the girl.)
Oh god, is she seriously jealous of Callie? This has to end now.
'He's okay?' Sally looks ready to cry. 'He'll be fine?'
'Yes, ma'am, he's—'
Her pager goes off right then. Percy Jackson, 911.
Oh crap.
She turns and runs without giving Sally or Callie an explanation. She doesn't even bother to wait for the elevators, instead taking the three floors to post-op at a sprint that would make Dr Ramírez-Arellano proud (rule number two, you answer every page at a run!) When she bursts into Percy's room, he's seizing violently, even worse than the one he had when he first came in, a grand mal to end all grand mals. The nurses are struggling to hold him down.
Annabeth freezes—actually freezes, what's wrong with her—at the sight of him flopping around like a dying fish on the bed.
'How do you want to proceed, Dr Chase? Dr Chase?'
'Dr Chase, are you listening to me?'
The nurse that waves her hand in front of Annabeth's face is short and buxom, with a wild Afro. For some reason, Annabeth's eyes sharpen on her nametag—HAZEL LEVESQUE—and it brings her back to her senses.
'Diazepam,' she says, grabbing the chart. 'Give him diazepam.'
Hazel loads him up, but there's no change.
'Try two milligrams Lorazepam. And page Dr Ramírez-Arellano and Dr Castellan!'
'Already have, Dr Chase.'
The machines are all beeping in earnest now. Think, Chase, concentrate!
'Full on Lorazepam, Dr Chase.'
'Phenobarbital,' she says desperately. 'Load him with phenobarbital.'
'Pheno's in.'
'No change.'
Why is she the only doctor in the room? It's only her second day, for crying out loud!
'You paged Dr Ramírez-Arellano and Dr Castellan?'
'I just told you—'
'Well, page them again, stat!'
Percy goes into flatline then and Annabeth's own heart may have just stopped.
'Code blue!' Hazel yells. 'Code blue! Get the crash cart.'
Everything is a blur of voices and swarming green scrubs as the nurses get the crash cart in. Annabeth grabs the paddle, operating on autopilot now. Her mind is screaming as loud as the flatline tone on the heart monitor, but somehow her hands know what to do.
'Clear!'
She presses the paddles to Percy's chest.
'Still v-fib.'
'Charge to 300.'
Someone's counting the seconds since he crashed. Nineteen. Twenty-seven.
'Anything?'
There's still no rhythm.
'Come on, Percy,' Annabeth pleads. She's only got a minute to get a response. 'Charge to 360!'
Still nothing. No, dammit, this can't be it.
'Sixty seconds!'
'Charge again!'
'At sixty seconds you're supposed to—'
'Charge again!'
At the third shock, the deadly dial tone jumps into a beat again.
'Sinus rhythm,' Hazel confirms.
'Blood pressure's coming up,' says another nurse. 'He's back.'
Dr Castellan chooses that moment to show up. 'What the hell happened?'
'He had a seizure and his heart stopped,' Annabeth gasps. 'What did you do to him in surgery? I thought you fixed him?'
'I did! I—' Dr Castellan stops and stares at her. 'Get a hold of yourself, Dr Chase. What the hell's wrong with you?'
The world is sliding in and out of focus—Luke's face, Percy's, the nurses swarming his bed. Annabeth can feel the gorge rising in her throat. She turns and leaves the room, her ears ringing with the beeping of the heart monitor and the sound of the flatline and What the hell's wrong with you? She barely notices Dr Ramírez-Arellano striding up the hallway, yelling, 'You get a 911, you page me immediately!'
It's all she can do not to break into a run. She doesn't stop until she's left the hospital building, walked right out to the carpark, and that's where she lets go, puking her breakfast out into a clump of bushes.
When she finally turns around, Piper McLean is staring at her. She hands Annabeth a tissue.
'If you tell anyone, ever,' Annabeth threatens, though she doesn't know how she's going to follow that up.
She wipes her mouth with Piper's tissue and, not looking at her fellow intern, heads back into the hospital.
OoOoO
'What was that?' Dr Castellan asks her when she reappears on the post-op floor.
'Nothing.'
He grabs her shoulders. 'You were completely overwrought.'
Annabeth shakes herself free. 'It was my first code. And I just told his mom he was fine.'
His eyes narrow at her.
'Look, I'm sorry. I just panicked. I didn't mean to—sorry.'
Dr Castellan crosses his arms. She can tell he doesn't believe her completely, and can she blame him? She's not even being altogether truthful to herself.
There's just something about Percy Jackson that makes her feel a little crazy.
She picks up the chart. 'It won't happen again.'
'Fine,' Dr Castellan says. 'And the surgery was perfect. He's awake and responsive now—and his eyes are fixed.'
'Sorry,' she mutters. 'I didn't mean to suggest you screwed up.'
'I'll let it go this time. Although if it were any other intern …'
'Don't,' she tells him. 'Don't do me any favours.' The last thing she needs is to be accused of sucking up. She flips the chart. Percy's post-op scans are on the second page, and they're clean. In fact, they're hardly different from what the pre-op CT showed, besides the now-fixed optic nerve impingement. 'The seizure wasn't from the accident?'
'Seems like it.'
'Do you think it … caused the accident?'
Dr Castellan shrugs. 'Could be.'
'So what's causing the seizures?'
Dr Castellan sighs. 'I don't know.'
OoOoO
Evidently, the mystery of Percy Jackson's seizures is something Dr Castellan can't figure out, because he calls a meeting that afternoon.
Annabeth sinks into a seat between Piper and Will Solace, who's practically inhaling the coffee cup in his hands.
Silena Beauregard leans over from the row behind them. 'Anyone know why we're here?'
Frank Zhang opens his mouth, but Dr Castellan addresses them before he can offer his speculation.
'Good afternoon.'
There are mutters of 'afternoon' in return. Dr Castellan surveys the room. His eyes linger a bit too long on Annabeth for her comfort. (She sinks lower in her seat, hoping no one's noticed.)
'I'm gonna do something rare for a surgeon,' he says at last. 'I'm gonna ask interns for help.'
He lays out the bare facts of Percy Jackson's case—car accident, head trauma, the optic nerve impingement that he fixed, and the seizures that don't appear to be due to the accident like they assumed. 'He's not responding to meds. Labs are clean, scans are pure, but he keeps having seizures—grand mal seizures with no visible cause. If it goes on like this, he's gonna die.'
He doesn't mention the calloused warmth of Percy's hand, or the light shade of green of his eyes that puts you in mind of waves crashing on a Mediterranean beach. Or the gentle smile with the dimple in one cheek that he bestows when you agree to stay a while. Or the funny story he tells about the time he tried to jump over a dolphin on his surfboard, only to have the dolphin leap at the same time and—'Well, I don't have to tell the rest, do I?’
Of course not. These are things only Annabeth's noticed, and they aren't medically important. She shouldn't even be thinking about them. He's a patient. A case. A number in a file.
'I need you all to play detective, find out why Jackson's having seizures,' Dr Castellan says. He holds up a hand to stop the grumbling before it starts. 'I get it—you're tired, you're busy, you got more work than you can possibly handle. So I'm gonna give you an incentive. Whoever finds the answer rides with me. You solve this, you scrub in on the surgery, on an advanced procedure no intern ever gets the chance to see.'
She can almost feel the excitement as the entire room straightens as one, all weariness forgotten now. Except for her. The tiredness weighs down on her shoulders and the fear drags her lower still.
She desperately wants to solve the case, too, but it's not a surgery with Dr Castellan she's angling for.
Solve the case, Percy survives.
How the hell has a guy she's known for barely two days become this important to her?
OoOoO
Piper finds her in the hospital library, scouring through case files and histories.
'Hey,' she says. 'You wanna work together on the Percy Jackson case? If we find the answer we have a fifty-fifty chance at scrubbing in.'
Annabeth peers at her over the top of the New England Journal of Neurosurgery. Two heads are better than one, she figures. 'I'll work with you,' she says, 'but I don't want in on the surgery.'
Piper's jaw drops. 'Are you kidding? It's the biggest opportunity we'll ever get!'
'It's Castellan's surgery,' Annabeth says crisply. 'I'd rather avoid scrubbing in with him.'
Piper's eyebrows shoot up so high, they nearly disappear under her roughly-cut brown bangs. 'What do you have against Castellan?'
Annabeth winces. It may have been better if she hadn't said anything. 'Look, if we find the answer, the surgery's yours. Do you wanna work together or not?'
Piper whistles through her teeth and begins to pull books off the shelf at random. 'Deal.'
Five hours, nine espressos, and eighty-six case studies later, they're sitting on the floor of the library, leaning against the shelves. Annabeth's eyes are watering from all the text she's read—no mean feat for a girl who grew up dyslexic—and they still haven't found the answer. She could hope that one of the other interns have, but somehow she knows it's still a mystery.
Piper groans and closes another book. 'I can't read any more of this.' She rubs a hand over her face. 'You seriously aren't gonna tell me why you won't work with Castellan?'
'No.' Annabeth traces the spine of the American Journal of Infectious Diseases. 'Infection, maybe?'
'No white count,' Piper reminds her. 'Just tell me.'
Annabeth ignores her and grinds the heels of her palms against her eyes. 'No CT lesions, no fevers, nothing in the spinal tap.'
'Come on,' Piper wheedles. 'I'll just make something up otherwise. It can't be worse than what my imagination can come up with.'
'Wanna bet?' Annabeth mutters.
'I won't tell anyone.'
Annabeth sighs. 'He was my mom's protegé.'
From the way Piper takes this as a matter of course, Annabeth knows the stories about Dr Athena Chase's daughter have already made their rounds. So much for keeping a low profile.
'That doesn't sound so bad.'
'We just—we have a history, okay?'
'Ooh, a history. What, like a you-were-sworn-enemies history, or a you-slept-with-each-other history … oh my god.'
Annabeth buries her face in her knees.
'You slept with him.'
'Say that a bit louder, would you?' she hisses.
Piper opens and closes her mouth a few times, and finally comes up with, 'I guess he is kinda cute. I dig the blond, superman look.' She considers a moment. 'Is he good? I mean, he looks like he'd be good.'
'Kill me now,' Annabeth mutters.
'Oh, come on, so you slept with the guy before, it's not like—oh geez. You haven't stopped, have you?'
'I'm not gonna answer that.'
Piper thinks a moment, then goes back to their earlier conversation. 'What about an aneurysm?'
'No blood on the CT, no headaches,' Annabeth says automatically. She thinks they've covered this already. They're going round in circles—how are they ever going to find an answer? 'What if no one comes up with anything?'
'You mean, if he dies?' Piper kneads her forehead miserably. 'I guess no one gets a surgery.'
'He'll never win the nationals,' Annabeth says, thinking about all the dreams Percy shared with her last night.
'The what?'
'Surf Nationals,' Annabeth explains. 'He's a surfer. He was driving back from the regionals when he—' She freezes as something clicks in her head.
'What? Annabeth, what is it?'
'Get up.' She hauls to her feet. 'Come on.'
OoOoO
Percy's awake when they get to his room, chatting with his mom. Callie is nowhere to be seen at the moment, but Annabeth is, for once, not concerned about the cutesy not-girlfriend.
'Dr Chase!' Percy says when she and Piper burst in. 'And a pretty colleague. Wow, the doctors here sure are hot!'
'You didn't tell me he's such a flirt,' Piper says.
Annabeth ignores both of them. 'At the regionals,' she says to him, 'did you do anything out of the ordinary? Like a bad fall, or taking a hit, or—'
'He crashed into another surfer's board,' Sally Jackson says.
'Mom!' Percy looks mortified. 'I swear I'm not usually such a klutz.'
If Annabeth weren't so thrilled that he's basically confirming her theory, she might appreciate how cute he looks when he's blushing and obviously not wanting her to think he's a crappy surfer.
'Is that what caused this? The other doctor said it was something besides the car crash—'
'We don't know,' she tells Sally. 'But we're gonna find out. Sit tight.'
'You've solved it, haven't you?' Piper asks as they shut the door behind them.
Annabeth nods. 'But you're gonna have to tell Castellan.'
OoOoO
Piper insists on dragging Annabeth along, even when she promises to present their diagnosis. Well, Annabeth's diagnosis, but much as she wants to claim credit, she's not going to this time.
The moment Piper opens with, 'Percy's a surfer,' Annabeth knows she's going to have to step in after all. Luke shares her mom's view on competitive sport—which is to say, it's a waste of time and lands too many idiots in the hospital, wasting doctors' time. (No wonder neither of them went into ortho. Annabeth allows herself a moment to consider the possibility—it'd seriously piss her mom off, which makes it equal parts attractive and terrifying.)
Dr Castellan raises an eyebrow. 'That's a shame, but we have to save his life anyway.'
'Well,' Piper says, looking nonplussed, 'he could have burst an aneurysm.'
'There's no indications,' Dr Castellan says, and Annabeth can tell from his face that he's about to brush them off.
'I know,' Piper says quickly—she's persistent, Annabeth has to give her credit for that, 'but what if he has an aneurysm anyway?'
'You're suspecting an aneurysm on the basis of no medical proof.' Dr Castellan is at his most derisive. Annabeth's always hated this side of him. She wonders why she put up with it for so long.
(Probably because it never seems to show when he's charming the pants off her.)
'He fell,' she says sharply, cutting across Piper's babbled explanations about a botched surf wave. 'Crashed into another surfer. It was minor, he didn't even hit his head, but he did fall.'
Dr Castellan frowns at her. 'You know the chances that a fall could burst an aneurysm? One in a million. Literally.'
She crosses her arms and stares him down.
Dr Castellan sighs. 'Order the repeat CT and an MRI. Let's see if Jackson's one in a million.'
OoOoO
'I'll be damned.'
They're peering at the scans, which clearly show a tiny line of blood leading out into the left ventricle. 'There it is. Minute, but it's there.'
'He's bleeding into his brain,' Piper whispers.
Dr Castellan nods. 'He could have gone his entire life without it ever being a problem. One tap in the right spot—'
'Ka-boom,' Piper finishes.
'That's what comes of competitive sport,' Dr Castellan sneers.
'He could have burst it tripping down the stairs,' Annabeth points out.
Dr Castellan rolls his eyes. 'Well, either way, I have to fix it.' He guides them out of the viewing room. 'I'd better go schedule the surgery. Good job, both of you.'
'Um, Dr Castellan, you said you'd pick someone to scrub in if we helped,' Piper says.
'Oh yes. Right.' He looks at Annabeth. 'Sorry I can't take you both. It'll be a full house. Annabeth, I'll see you in the OR.'
Annabeth s too stunned to even protest. It's not until Piper turns on her heel and stomps away that she realises what just happened.
'Piper—'
Fucking hell.
OoOoO
'So let me get this straight,' says Percy as she runs the razor over his head. 'You're saying that I made it out of the car crash okay, but because I wiped out bad I might die?'
'First of all, I wouldn't call coming out of a car crash practically blind okay, and B, you're not gonna die, because we're fixing your aneurysm.'
He waves his hand in the air, like details. Annabeth buzzes off another chunk of his hair and he makes a face. 'And you have to shave my head for this?'
'Your hair is a bit of an impediment to surgery.'
'Bummer. Although I never tried the skinhead look. Maybe it'll be cool. Can you make it a mohawk? Or will that be an impediment as well?'
She laughs. 'I promise you'll still look cool.'
'Still, huh?' He gives her that saucy smile with the single dimple and she tries to ignore the way her heart is hammering against her chest.
It's because she had to tell Dr Castellan she's opting out of surgery. That's all.
'So, you gonna be in my surgery this time?'
'Uh, well, actually …'
'Ah, don't tell me. They don't let you interns get to cut? How do you guys ever learn? I mean, I'd never have nailed an aerial if I hadn't got out there and tried it.'
'Well, if you screw up, no harm done. If we screw up, people die.'
'Fair point. Not dying sounds good. So the guy operating on me—I think I've met him like a total of once, and I'm not even sure I was lucid at the time. He's good?'
Her hands pause over his head. Percy frowns. 'Should I be worried?'
'No, no, I don't mean to—sorry, just spaced out for a moment. He's good. He's one of the best.'
'Huh.' Percy scratches at his chin. 'You don't like him, though?'
'Where did you get that idea?'
'You sound like I just spat in your coffee.'
'It's—I'm not—' She sighs and puts down the razor. 'I just have to tell him something and I'm not looking forward to it.'
'What's that?'
'That I can't be in a surgery.'
It's Percy's turn to go quiet. Annabeth picks up the razor and continues her work while he tries to work this out.
'But you said you weren't allowed—huh. Huh.'
'What?' Her voice comes out slightly defensive.
'Nothing.'
She doesn't believe for a second that it's nothing, but she really shouldn't continue down this conversational path. She shouldn't even have let it take this direction in the first place.
Dr Castellan shows up at the door just as she's finishing up.
'Hey, doc,' Percy says. 'How's it going?'
Dr Castellan doesn't answer. He just beckons Annabeth to the door.
'Wow, he is a douche,' Percy says softly. 'Hope his operating skills are better than his bedside manner.'
Annabeth gives hi a tight smile and goes to the door.
'We're in OR two,' he says. 'Patient prepped and ready?'
'I'm not scrubbing in,' she says, before she can lose her nerve. 'You should ask Piper. She won the competition, too.'
Dr Castellan looks at her long and hard. Annabeth meets his eyes for only two seconds before she has to stare at her feet.
'This is because of last night, isn't it?' he says.
'Last night, and two nights ago, and—' She grits her teeth. 'The point is, I don't want to get picked for surgery because—because I slept with the boss.'
Dr Castellan holds up his hands. 'Okay, stop there. That's not the reason I picked you, and you know it. I know you, Annabeth. This was your solution, not McLean's.'
She lifts her chin. 'So what if it was?'
'So—' He grits his teeth. 'You know what, I can't deal with your insecurities right now, Annabeth. You're a good doctor, and you know it. Scrub in, don't scrub in—you decide whether you want to be a surgeon or not, okay?' He gives her a little shove back towards the bed. 'Finish prepping him. If you want to give away your shot for some lame reason, you go find McLean and tell her. If not, I'll see you in the OR.'
Percy arches his neck so that he's looking at her upside down. 'The guy's a douche, but he's right. You're a good doctor.'
Annabeth feels her face heat up. 'You heard us?'
'Well, yeah.' Percy drops his head back to a comfortable position. 'And you should scrub in.'
'You know, most people wouldn't want the newbie cutting into their heads.'
'I trust you.'
'You've known me two days!'
Percy shrugs. 'I'm a good judge of character.'
'Well, as long as it's an accurate reflection of my surgical skills …' She sighs. 'It's not about whether I'm good or not. It's—'
'I get it. You don't want to be picked for surgery because you slept with your boss.' He winces as if the thought of it pains him. 'But you were here from the start. I'm your patient. And from what he said, you were the one who solved my case, not the big shot douchebag doctor. You should get the chance to stick with me if you want it.' Percy's face reddens. 'Um, I didn't mean stick with me as in stick with me, I meant—uh, never mind.'
Annabeth smiles. 'I know what you mean.'
'Good. 'Cause you shouldn't let the fact that you had sex with the guy get in the way of you taking your shot.'
'I … didn't think of it that way.'
'And if you're worried about getting picked for the wrong reasons, maybe—' He bites down on his lip so hard, Annabeth can see a tiny drop of blood form.
'What?'
'It's … not really my place. Sorry.'
'No, tell me, what?'
His brow furrows, and she get the irresistible urge to put her fingers on it and smoothen it out. The words spill out of him quickly, almost tripping over one another. 'Maybe sleeping with Dr Douchebag isn't the best idea? Not that I'm judging or anything, and obviously you have your reasons, and you're really great, and … crap, I need to shut up, don't I?'
Annabeth's breath leaves her in a little puff that might be laughter. She can't tell—Percy's honest, bumbling advice is both endearing and a stab in the gut. 'No, you're right. Nothing ever good came of sleeping with your boss.'
'That's not the only reason I'm saying it.'
'It's not?'
He shakes his head. 'It's because you deserve someone better than him.'
The nurses must have been sleeping on the job when they cleaned this room, because the dust is besieging her eyes. And her throat. Goddamnit, she can't even swallow properly because of it.
'Let's get you prepped,' she says.
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