#sienna trinh

[jerzwriter]

I've decided that my 30-day challenge will likely take 60-70 days, but I'm OK with that as long as I'm still writing. 😊 Day 8's prompt from @creativepromptsforwriting's 30-Day Writing Challenge is - Write about finding a new hobby. @snoopdogcone sent a request asking me to do this for Tobias and Casey. Thanks, Mari, I had SO much fun with this!

Book: Open Heart (Post-series) Pairing: Tobias x Casey Carrick (F!MC) Featuring: Bryce Lahela, Jackie Varma, Sienna Trinh, Ethan Ramsey Rating: Teen Words: ~1,750 Summary: A dinner out with friends leads Tobias & Casey to realize they don't have any hobbies that can be discussed publicly, and they are determined to do something to change that.

30-Day Challenge Masterlist | Full Masterlist

It began innocently enough – dinner out with old friends. Casey had planned on meeting Bryce, Jackie, and Sienna at a trendy new waterfront spot, but when Tobias and Ethan decided to join in, it officially became a party!

The restaurant would have been wise to film this crew – seven smart, sassy, and attractive people laughing over drinks and shared appetizers, with no shortage of playful flirtation to boot. You can’t pay for advertising like that!

Just before the coffee arrived, they were discussing stress management when Bryce aired a grievance.

“I swear,” he said with dramatic flair, “if one more person tells me I need to relax and find a hobby, I might take up martial arts just to learn how to toss them over my shoulder.”

“You?” Jackie snorted. “Please. You’d be too busy staring at your reflection in the mirror to learn anything. And even if you managed to learn something, I’d still be able to kick your ass when you were done.”

Ethan's stony face cracked enough to almost produce a smile, “I’d pay good money to see that, Jackie.”

“Not happening,” Bryce smirked. “But, seriously. What’s the big deal about hobbies? Besides, I have hobbies. I surf...when I can. I rock climb. I mix cocktails. I...”

“Sleep with your therapist,” Jackie cut in.

“She’s not my therapist! She’s a psych masters candidate who enjoys psychoanalyzing me post-coitus.”

“Exactly,” Jackie proclaimed as laughter rippled around the table.

Trying to shift focus away from poor Bryce, Sienna chimed in. “Well, hobbies are good for you. Especially when you have high-stress careers like we do. I’d be lost if I didn't have my baking."

"Yeah," Tobias chuckled, patting his stomach. "So would we! And thanks to your hobby, I have one, too. Hitting the gym!"

"All right, but seriously," Sienna asked, turning her attention to Tobias and Casey. “You’re both so busy with work and Sammy – do you even have time for any hobbies?”

“Sure,” Casey shrugged. “We do lots of fun things together.”

“Yeah,” Tobias added, wrapping his arm around his wife. “Tons of things.”

“Really?” Bryce asked with an arched brow. “Name one that doesn’t involve sex.”

The table went silent. Casey wanted to retort - opening her mouth, then quickly closing it. Tobias didn’t even bother.

“Well?” Jackie snickered. “We’re waiting.”

It was embarrassing. It wasn’t that they didn’t do things together - they did. They took long walks and had their favorite shows. But actual hobbies?

Honestly, what they did in the bedroom—and the kitchen, the shower, the laundry room, on occasion, on the rooftop deck—essentially, anyplace in their home—yeah, that definitely took center stage.

By the time dessert arrived, the couple had been thoroughly roasted, and Casey was determined to change things. They barely made it through their front door before she kicked off her shoes and flopped onto the couch. “God, are we really that bad?”

Tobias slipped off his coat, a proud grin on his lips. “I wouldn’t say it’s bad. I’d just say we’re… efficient.”

“Efficient?” she echoed.

“Yeah. We optimize our limited free time for maximum mutual gratification.”

“Tobias,” she laughed. “You’re literally describing sex.”

“Exactly,” he said. “But I don’t see a problem here.”

Casey tugged him onto the coach. “It’s not a problem, Mr. Efficiency. But we should find a real hobby. You know, one we could discuss at public gatherings. One that doesn’t end in orgasms.”

“If you insist,” he said, pulling her close. “But just to be clear… we’re not banning orgasmic hobbies, correct?”

“God forbid!” She laughed. “But let’s come up with three things we’d like to try; something that can hold our attention while keeping our clothes on. Next time we see our friends, we can tell them we do have that in us.”

~~~~~

The first attempt came on Sunday morning. Casey had rearranged the furniture in the family room and turned on some soothing music. Tobias laid matching yoga mats out on the floor.

“Yoga was a great choice,” Casey stated. “It’s great for stress reduction and relaxation.”

Tobias plopped down on his mat, gazing suggestively at his wife. She took one look at him in his tight black T-shirt and grey sweatpants that left little to the imagination, and she forgot what they were supposed to be doing.

“It also helps increase flexibility,” he teased. “And you know how important that is to me.”

“Tobias! Focus!”

“All right! All right!” He laughed, promising to take things seriously.

And he did - for a while. There was deep breathing and bursts of laughter as they moved through different poses. But somewhere between the downward dog and the pigeon pose, Tobias let out a low, salacious groan - but it wasn't due to pain, but because Casey’s backside was aimed squarely in his line of sight.

“Baby,” he muttered, his voice dangerously low. “You’re right, yoga’s incredible. In fact, I think I’m having a spiritual awakening right now.”

Casey leaned lower, peeking at him through her legs. “Is your chakra talking dirty again?”

“Yep. It’s saying you look fucking hot in those leggings, and I should do something about it.”

“Tobias!” She laughed. “Focus!”

But even as she said it, she knew the battle was already lost. One playful swat on her backside, a shared giggle, and that was it. The mats were abandoned as they made a beeline for their bedroom, where all that newfound flexibility was pleasantly put to the test.  

~~~~~

A few nights later, they decided to try something else.

“This is perfect,” Tobias said, tying his Kiss the Cook apron behind his back. “We enjoy cooking together. We’re foodies. So, let’s take it to the next level. You’ll see. We’ll be leaving medicine behind to start our own restaurant within no time.”

Casey looked up from sifting flour with a grin. “Considering how the yoga experiment turned out, maybe hold off a bit before making such grand declarations.”

“What?” He grinned. “We can do anything we set our minds to, baby.”

“Yeah,” she signed. “But we usually end up doing each other.”

“Well, not tonight,” he laughed. “Come on. We’ve got this.”

They had picked a recipe together - dark chocolate molten lava cake with a ganache center and a berry compote. Tobias had even laid out the ingredients ahead of time, determined to keep them on task. At first, everything was going perfectly: measuring, stirring, folding… licking batter off each other’s fingers... that’s when things started to go south.

Tobias accidentally smeared melted chocolate on Casey’s cheek - and insisted on wiping it off… with his tongue. She retaliated by flicking cocoa powder at his shirt, which led to him dramatically peeling it off - inch by tantalizing inch. Things escalated quickly.

Before they had a chance to put the cake in the oven, Casey was sprawled across the counter, Tobias approaching with a wicked grin and a spatula loaded with icing in his hand.

“Oh, look at that,” he teased, dragging the spatula slowly down her leg. “Seems I got icing on your thigh.”

“You sure did,” she replied, breathless. “I’m going to have to insist you clean that up... sir.”

By the time they were finished, they did have a craving for something sweet—but that required delivery. Because despite all the heat in their kitchen tonight, there was no cake to show for it.

~~~~~

Their final attempt at finding a respectable hobby was Tobias’s idea. He’d always loved boating—it was calm, rhythmic, and meditative—but he hadn’t taken the boat out for a long time, and he missed it. Casey loved the idea; as anticipation built, she even bought them adorable nautical outfits for the occasion.

The weather cooperated —it was a perfect day. They spent the afternoon gliding across the harbor while Tobias taught Casey how to steer and read the depth finder. She picked it up faster than either of them expected. Everything was going great.

“We’re actually doing it,” she squealed. “Look at us! Enjoying a real, sex-free hobby.”

Tobias grinned at the wheel. “It only took three attempts and a ruined cake.”

“Hey, what happened after was well worth the loss of those ingredients,” she laughed.

They cruised peacefully for a little longer, the sun sparkling off the gentle waves, a light breeze brushing through Casey’s hair. Everything was going smoothly. Too smoothly.

Ten minutes later, Tobias was helping Casey navigate a narrow turn. He stood right behind her, his hand over hers on the throttle, his other hand resting gently on her hip.

“You’re a natural,” he murmured, his lips brushing her ear. “I’ve gotta admit... it’s kind of a turn-on.”

He didn’t need to say it – she could feel it pressed against her lower back. She swallowed hard.

“We said sex-free,” she reminded him, though her voice lacked conviction.

“We did,” he agreed, kissing her neck. “But it's not a law or anything. Come on,” he said enticingly. “We went most of the day without doing anything... that counts, right?”

A few more kisses and one lingering look were all that it took. The wheel was abandoned, and the boat anchored in a flash. They couldn’t stop laughing as they stumbled below deck – their nautical outfits tossed onto the floor, and sighs of pleasure filled the air as they gave in.

Afterward, they attempted to catch their breath. Glowing and with a gentle giggle, Casey curled into her husband. Her head rested on his chest. “Baby, we suck at this.”

“What?” He gasped. “We’re amazing at this.”

“Not at sex,” she chuckled. “Of course we’re great at that! But we were supposed to find a non-sexual hobby, and we failed miserably.”

“Oh, I’m going to have to disagree with you there, princess,” he smiled. “Hon, we did yoga. We cooked. We went boating, and I dare say we were damn good at all three.”

Casey lifted her head to look at him. “And yet, every single time…”

Tobias shrugged. “So we have a very enthusiastic way of expressing ourselves. We know how to celebrate. There’s no shame in that.”

Casey’s smile softened. “You’re insane.”

“Nope,” he said, kissing her forehead. “I’m right.”

She sighed happily, her limbs tangled with his. “Maybe we don’t need a separate hobby. Maybe the whole point is we just love doing things together.”

“Exactly. And if one thing leads to another…”

“...and one thing always leads to another...”

“Then we’re just following our natural God-given gifts, babe.”

“Oh, yes,” Casey laughed. “And we are very gifted.”

“The most gifted,” he agreed. “Let people talk shit if they want. Honestly, I think they’re just jealous.”

“You know what,” she said as her lips met his again. “You’re absolutely right.”

His hands found her hips beneath the sheets, and she let out a breathy laugh as he rolled on top of her again. It wasn’t long before round two was well underway… and all that talk of hobbies? Yeah. They never brought that conversation up again.

@choicesficwriterscreations @openheartfanfics @choicesapril2025

[liaromancewriter]

Tiny Little Moves

Premise: Sienna thought she knew Max well, but he can still surprise her.

Fandom: Open Heart Pairing: Sienna Trinh x M!OC (Max Valentine) Rating/Category: Teen. Fluff. Words: 1,045

A/N: This is a follow-up to Inevitably Inevitable. As to what happens later that night... that's Unforgettable. lol

Submission to @choicesmonthlychallenge March - prompt "a new chapter"

After four years of friendship and intense moments of deep intimacy, Sienna Trinh figured she knew everything there was to know about Max Valentine.

But then he launched into a choreographed dance at his sister’s wedding. Her jaw dropped in awe, and she realized that she didn’t know him as well as she thought she had.

She had the presence of mind to hit record on her phone, capturing every second of the performance. She’d be feasting on this moment for years to come.

Sienna rushed over to where Max stood at the edge of the ballroom, chatting with Cassie and Ethan.

“Will I ever live this down?” Ethan was saying as he pulled Cassie close—a rare soft moment from a man she’d always viewed as serious.

“Oh, absolutely not,” Sienna laughed, waving her phone in the air. She winked mischievously at Max, her heart lifting at the sight of that lopsided grin she’d always found endearing. “This is already my new favorite video.”

“Looks like I’m the one who’ll never live this down,” Max groaned, though his teasing smile made it clear he didn’t mind one bit.

For a moment, they forgot where they were, that the status of their relationship was still unresolved. And a secret from their loved ones.

Max draped an arm over Sienna’s shoulder, and she nestled against him. She tilted her head, smiling wide as she stared into his laughing green eyes, her heart pounding in time with his.

“Why didn’t I know you could dance like that?” she asked, breathless from being so close.

“Nice to know I can still surprise you,” he murmured, his lips hovering just above hers.

“Get a room,” Cassie whispered, rolling her eyes at her twin brother and best friend—two people clearly taking forever to accept they were perfect for each other.

The music shifted to a slow, jazzy rhythm, classic and smooth with just enough swing to make it fun. Cassie dragged Ethan onto the dance floor, forgetting all about her besties as she lost herself in the arms of the man she loved.

As if remembering where they were, Max stepped back from Sienna with a rueful smile at the couples swaying around them to the soft music.

“You know…” he began, “you’ve danced with everyone but me. Bryce, Tony—even Mike. I’m starting to get jealous.”

“You didn’t ask,” she said, arching a brow.

“Girls can ask guys to dance too, you know,” he shot back.

Eyes beaming with laughter, Sienna held out her hand. “Can I have this dance?”

Max grinned, slipping his hand into hers with hesitation. Their fingers curled together as if they’d done this a hundred times before. With a dramatic twirl that made her skirt flare, he pulled her onto the dance floor. His palm settled lightly at her waist, her other hand resting on his shoulder.

They began to sway, lost in the moment; tiny little moves that brought them ever closer together. Sienna’s dress fluttered with each turnas Max twirled her in his arms, then gently reeled her back in.

Her arms looped loosely around his neck, pulling him just close enough to feel the warmth of his breath as they moved in time with the music. His hands settled at her waist, like they’d always belonged there.

“I still can’t get over that performance,” she said, breathless from the butterflies fluttering in her stomach. “When did you have time to organize it between your travels and Best Man duties?”

“When it comes to my sister, I’ll always make the time.” He shrugged. “It was actually Mike’s idea. A couple of weekends, some YouTube videos, and we were all set. The hardest part was keeping Tony from blabbing to Cassie and ruining the surprise.”

Max spun her out with a flourish, and Sienna let out a surprised laugh, stumbling just a little before he caught her effortlessly, drawing her back in with a satisfied grin.

“Did you practice this too?” she said under her breath.

He leaned in, his voice a low murmur, dark and sure. “I don’t need practice when it comes to you.”

Unbeknownst to Max and Sienna, their dance and subtle flirtations didn’t go unnoticed.

From a few feet away, Olivia Valentine watched her son and Sienna dancing in their own little bubble — one where no one else existed but them. Her face lit up with pure joy and the quiet satisfaction of being right.

She nudged her husband. “Look at them. Didn’t I tell you it was just a matter of time?”

“That was almost two years ago,” Robert said, matter-of-fact, turning his wife around to give his son some privacy.

“Oh, hush,” Olivia replied in amused exasperation, her mind already busy planning the next wedding.

On the other side of the room, Jackie blinked in surprise, a wine glass halfway to her lips. She turned to Aurora and Elijah, who were scrolling through photos from the ceremony on his phone.

“Wait a second,” she muttered, nodding at the couple on the dance floor. “How long has this been a thing? I thought that kiss last year was a one-off.”

Elijah grinned at Jackie’s shocked expression. “Clearly, it wasn’t.”

“What wasn’t?” Bryce asked, sauntering over with two glasses of champagne. He handed one to Aurora.

He followed everyone’s gaze to the dance floor.

“Huh,” he said, momentarily perplexed, then broke into a grin and raised his flute in a salute. “Go, Double Oh Tiny!”

On the dance floor, Max dipped Sienna low—not too dramatic, but enough to earn a soft gasp—then pulled her back up, their faces closer now, breath mingling, eyes locked.

“You’re enjoying this way too much,” she murmured, but she didn’t let go.

“You’re not exactly running off the floor,” he shot back, grinning in that irresistible way of his. “Besides, remember our deal?”

He spun her again, slower this time, his hand trailing down her arm until their fingers found each other once more. “As soon as this wedding is over, it’s Decision Time.”

This wasn’t just a dance anymore. It was the beginning of something they hadn’t said out loud but knew in their hearts was inevitable. And everyone else was starting to see it too.

-------------

All Fics & Edits: @bluebelle08 @coffeeheartaddict2 @jerzwriter @kyra75 @lady-calypso @loreofyore @peonierose @potionsprefect @quixoticdreamer16 @snoopdogcone @tessa-liam @trappedinfanfiction

Submissions: @choicesficwriterscreations @openheartfanfics

Max & Sienna only: @storyofmychoices

[siennatrinhappreciationweek]

Welcome to Sienna Trinh Appreciation Week!

This event runs from August 25 to 31, 2024, and any content is welcome as long as it shows an appreciation for Open Heart's Dr. Sienna Trinh! 🐬

Submissions can be fanfics, fanart, edits, mood boards, playlists, headcanons, and interactive media—even simple appreciation posts and screenshots of favorite scenes. We'll also accept WIPs and throwback pieces—reblog them and tag us. All we ask is that you make Sienna the star of your fanwork!

Prompts

Day 1: Life and Work: Who is Sienna Trinh?

Day 2: Baking and Hobbies: How does Sienna spend her free time?

Day 3: AUs: If Sienna wasn't a doctor, who would she be?

Day 4: Family, Friendships and Romance: Tell us about her relationships

Day 5: Life After Residency: What happens to Sienna in the future?

Day 6: Character Appreciation: What do you love about Sienna?

Day 7: Free Day -- make your own prompt

Guidelines are below the cut...

Guidelines

Tag @siennatrinhappreciationweek on new posts and reblogs of previously posted content.

Please specify the day or prompt in the header or reblog.

If your work has mature or NSFW content, please label it as such and use appropriate warnings.

Please add a ‘read more’ page break to avoid long posts and hide sensitive content below the line. This prevents exposing other fans to triggering/disturbing or mature content.

Participate as often as you like and on any day of the event week. There's no limit on multiple submissions for the same day or prompt

Use the prompts whenever and however you like. It’s not about a specific word or day but rather the creativity it inspires.

Late submissions accepted until September 2nd. Event masterlist will be posted by September 5th.

Tumblr tags can be finicky. If your work isn't reblogged within 48 hours, send @liaromancewriter a DM or submit an ask with the link to the post.

Remember to also tag the below fandom blogs:

@choicesficwriterscreations (new works, WIPs and throwbacks accepted - submission guidelines

@choicesaugustchallenge (new works only) - prompts here

@openheartfanfics (new fanfics and edits only)

@openheartfanart (new fanart only)

Signal Boosts Appreciated!

[choicesficwriterscreations]

Open Heart F/AtoW: March 23 - 29, 2025

✒️= Fanfic | 📱= Text Fics/Edits | 🎨 = Fanart Ⓜ️ = Mature Content 18+ | 🔥 = Explicit/NSFW 18+ 🏳️‍🌈 = LGBTQIA+

BRYCE LAHELA

The Wedding Day ✒️ | Bryce Lahela x F!MC - @eadanga

ETHAN RAMSEY

The Dilemma ✒️ | Ethan Ramsey & Tobias Carrick - @loreofyore

Ode to a Nightingale ✒️ | Ethan Ramsey x F!MC - @jamespotterthefirst

Under The Stars ✒️ | Ethan Ramsey x F!OC, Ethan Ramsey & Tobias Carrick - @jerzwriter

Worth the Gamble? ✒️🔥 | Ethan Ramsey x F!MC, Declan Nash x F!MC - @coffeeheartaddict2

RAFAEL AVEIRO

Love In Every Heartbeat - Continued (Series) ✒️ | Rafael Aveiro x F!MC - @rafasgirl23415 Chapter 52: Fears Unveiled : Confronting The Unknown Chapter 53: Facing The Storm – Pippa Takes On Her Challenges Chapter 54: Beyond Edenbrooke – A Search For Hope Chapter 55: A Fragile Future – Embracing Hope Whilst Facing Adversity Chapter 56: The Fragile Promise – Binding Ties Between Two Cities Chapter 57: New Beginnings And Healing Hearts

SIENNA TRINH

Tiny Little Moves ✒️ | Sienna Trinh x M!OC - @liaromancewriter

TOBIAS CARRICK

The Dilemma ✒️ | Tobias Carrick x F!MC, Ethan Ramsey - @loreofyore

In the Orbit ✒️ | Tobias Carrick, Ethan Ramsey, F!OC - @jerzwriter

Main F/AtoW List: March 23 - 29, 2025

[gambit-blogs]

Ethan Ramsey x mc with child

[sazanes]

Day 7 - Free Day - Sienna and Pikachu ❤

my little contribution to @siennatrinhappreciationweek Sienna will always be my favorite best friend, she is positive, strong, kind, brave, funny, dedicated, loyal, kind and a great cook and is always ready to help those in need and prepared to save lives 🥰🥰🥰

[storyofmychoices]

Sienna Trinh Open Heart Shape Count: 253 / 229

@siennatrinhappreciationweek

[Geometric Art Masterlist]

[openheartfanfics]

Newly Added Fics

March 15 - 28, 2025

🎭 Angst  |  🦚 Angsty Fluff  |  🛸 AU  |  ☁ Fluff  |  ♥ NSFW  |  📚 Series  |  📷 Edit  |  📱 TextFic  |  Ⓜ Mature

Bryce x F!MC

The Wedding Day - @eadanga ☁️

It's Casey and Bryce's wedding day.

Ethan x F!MC

Inevitably Inevitable - @liaromancewriter ☁️

Ethan and Cassie receive a surprise performance during their wedding reception. [Domestic; Wedding]

1800s AU Continuation - @jamespotterthefirst 📚🛸

[mini: wip] The surly and reserved Dr. Ethan Ramsey is engaged to the spirited and determined Miss Lilac Allende. However, as they celebrate their love, unresolved ghosts from the past emerge, threatening to unravel their newfound happiness.

Part 2: Ode to a Nightingale

Worth the Gamble? - @coffeeheartaddict2 ♥

During a conference to Miami, Casey takes the advice of her Mentor, which leads to a realization of true feelings and what to do about it. Feat. Declan Nash

Ethan x Tobias

In the Orbit - @jerzwriter 🎭

Tobias is alone in his apartment as reality settles in - his best friend is now with the woman he loves - the woman they both love. Now he needs to decide - what is he going to do? Feat. Ethan Ramsey x F!OC [Platonic; Young Ethan]

Under The Stars - @jerzwriter ☁️

A late night of studying and a sky full of stars may be all it takes for these future doctors to see the light. But, what will the outcome be? Feat. Ethan Ramsey x F!OC [Platonic; Young Ethan]

Rafael x F!MC

First steps into a bright future - @rafasgirl23415 📷

Casey & Raf are emotional as Mia has her first day in first grade.

Love In Every Heartbeat - Continued - @rafasgirl23415 📚

[extended: wip] A significant time jump where Mia is older but Casey & Raf are struggling to give her a sibling. TW: mention of cancer and chemotherapy, mature themes

CH 46: Awaiting The Answer

CH 47: Theatre Of Fear

CH 48: Fighting For Hope

CH 49: Against The Odds

CH 50: Hope’s Fragile Hold

CH 51: Facing Tomorrow: Strength In Vulnerability

CH 52: Fears Unveiled : Confronting The Unknown

CH 53: Facing The Storm – Pippa Takes On Her Challenges

CH 54: Beyond Edenbrooke – A Search For Hope

CH 55: A Fragile Future – Embracing Hope Whilst Facing Adversity

CH 56: The Fragile Promise – Binding Ties Between Two Cities

CH 57: New Beginnings And Healing Hearts

Sienna x M!OC

Tiny Little Moves - @liaromancewriter ☁️

Sienna thought she knew Max well, but he can still surprise her.

Tobias x F!MC

Ten Little Fingers and Toes - @rafasgirl23415 📷

Tobias & his ( soon to be ) fiancée April announce they are expecting their first child.

The Dilemma - @loreofyore ☁️

Tobias has a dilemma. Ethan unwittingly finds himself in the middle of it. Feat. Ethan Ramsey

_

SUBMIT OPEN HEART FICS & WRITERS HERE

[playchoicesconfessions]

Sent by anonymous

‘I love the inevitable friendship of Ethan and Sienna if you romance Ethan in Open Heart ☺️. I love imagining them baking together for mc. And Ethan grumbling when getting something from the cupboards in the roomies apartment, because Sienna has stored everything low down.’

POST/CONFESSIONS DO NOT REFLECT THE MOD’S PERSONAL OPINIONS!

[jerzwriter]

How is Pietro celebrating? Or rather, how is he making his humans celebrate him? 🤭

Well, in another better late-than-never entry - I'm finally getting to this, Mal! lol I put together a short Instagram series about how the Carricks celebrated their precious Pietro - in the most Carrick-like way! lol

Thanks so much for sending this!

King of the Casa | Open Heart | Tobias x Casey, other characters, staring Pietro, OC (original cat) | Rating: Teen

More below...

[liaromancewriter]

Meme Expressions

Premise: Following the Gwyneth case, Cassie has a tough few days at work and her friends are there to commiserate.

Book: Open Heart Characters: Cassie Valentine (F!MC), OPH Gang, Sienna Trinh Pairing: Ethan Ramsey x F!MC (mentioned) Rating/Category: Teen. Angsty Fluff Format: Text and Pic Fic

A/N: It's always been part of my hc that their disagreement on the Gwyneth case in book 2 caused tension in their secret relationship. Just had a thought about how to show that.

Submission to @choicesmonthlychallengenov2024 prompt "friendship"

All Fics & Edits: @bluebelle08 @coffeeheartaddict2 @crazy-loca-blog @jerzwriter @justyourusualash

@lady-calypso @kyra75 @mainstreetreader @peonierose @potionsprefect

@queencarb @quixoticdreamer16 @snoopdogcone @tessa-liam @trappedinfanfiction

@thosehallowedhalls

Submissions: @choicesficwriterscreations @openheartfanfics

Ethan & Cassie only: @cariantha @custaroonie @youlookappropriate

[siennatrinhappreciationweek]

Event info coming soon.

[choicesficwriterscreations]

Open Heart F/AtoW: Oct 27 - Nov 2, 2024

✒️ = Fanfic | 📱 = Text Fics/Edits | 🎨 = Fanart Ⓜ️ = Mature Content 18+ | 🔥 = Explicit/NSFW 18+ 🏳️‍🌈 = LGBTQIA+

BRYCE LAHELA

Blue Lagoon 📱 | Bryce Lahela x F!OC - @peonierose

Operation with Drs. Lahelas 🎨 | Bryce Lahela x F!MC - @robboyu C: @storyofmychoices

ETHAN RAMSEY

Halloween Lights ✒️Ⓜ️ | Ethan Ramsey x F!MC - @jamespotterthefirst

Mad About Matching ✒️ | Ethan Ramsey x F!MC - @cariantha

New Rooms ✒️ | Ethan Ramsey x F!MC - @potionsprefect

The Proposition ✒️ | Ethan Ramsey, Tobias Carrick - @jerzwriter

Trick or Treat ✒️ | Ethan Ramsey x F!MC - @liaromancewriter

RAFAEL AVEIRO

Home is Where You Are ✒️🏳‍🌈 | Rafael Aveiro x M!MC - @silver-rings-and-rabbits

Love In Every Heartbeat (Series) ✒️ | Rafael Aveiro x F!MC - @rafasgirl23415 Chapter 1: Fancy Seeing You Here  Chapter 2: First Date Butterflies 

Our Miracle Baby (Series) ✒️ | Rafael Aveiro x F!MC - @rafasgirl23415 Part 20 Part 21

SIENNA TRINH

Counter Proposal 📱 | Sienna Trinh x M!OC - @liaromancewriter

TOBIAS CARRICK

A Little Obsessed ✒️ | Tobias Carrick x F!MC - @jerzwriter

Peter, Peter 🎨✒️ | Tobias Carrick x F!MC - @callmebeem C: @jerzwriter

The Proposition ✒️ | Ethan Ramsey, Tobias Carrick - @jerzwriter

Treat for Two ✒️ | Tobias Carrick x F!MC - @alj4890

Main F/AtoW List: Oct 27 - Nov 2, 2024

[coffeeheartaddict2]

When life has other plans (3/16)

Enemy Within

Book: Open Heart (AU)

Pairing: Ethan Ramsey x F!MC Casey Valentine

Warnings: language, sexual references

Word count: 4209

Category: Angst

Rating: PG

Summary: the competition is still going and despite sabotage Casey is still maintaining top spot. A study session leads to an idea to hopefully cure a long term patient and the fall out.

Disclaimer: Characters belong to Pixelberry.

Authors note: next few chapters will be angsty fun.

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Casey was back from Miami, spurred on by the knowledge she had acquired there. She was finding it odd that she was having a quiet morning until another resident wanted to know why she was not answering her pages. She looked at her pager and thought it odd, it was on but had not received any pages. Just then Sienna walked by and Casey told her what had been happening. They look at the system and Sienna stated that her pager was marked as off. Casey looked confused . There is a function where you can have it switch on automatically after being off. I utilized this and it was meant to switch back on automatically this morning 2 hours before my shift.

“Well that did not happen.” Stated Sienna as she switched Casey’s pager back on.

“That is odd, there must have been an update. That could have been bad.” Sienna nodded in agreement. The week went on and there was some bizarre instances of charts going missing, a change in medication that was caught before it could have been dangerous for the patient. Despite this Casey was keeping on top of the rankings. Landry was fuming. In his head, there is no way that she should have maintained top spot with files going missing and changes that were made. He knew that she was been favoured, there was no other explanation. He had asked other attendings and residents about his rating and he disbelieved the feedback he had been given. Was Dr Ramsey blackmailing them? Was nepotism that rife that only favourites and family members of the chief no less were being favoured and thus making the competition unfair. He vented his frustration with Jackie. She did not think that Casey was being favoured. She said that Casey gives a damn about her patients,not just the outcome that is why she is on top.

Casey and Ethan continued with their treatment of Naveen and their arrangement. Late nights at work were the hardest. One thing that turned Casey on the most was the breadth of his compassion and knowledge. Ethan had to admit that she was attractive when she was earnestly studying. Naveen knew something was up. Ever since Miami he noted that Ethan had seemed less stressed and much more rested. He presumed it had something to do with Dr Valentine. He had seen a few looks but with how unwell he was, he put it down to that but he asked one day.

“Ethan, my boy. I can’t help but notice how much less stressed you have been…”

Ethan stopped what he was doing.

“I have been a little less stressed…” said Ethan.

“And has young Dr Valentine been the cause of the less stress?” Said Naveen, with a mischievous glint in his eye.

Ethan groans and pinches the bridge of his nose. “Is there any hiding anything from you, Naveen?”

“Well I did think some of the looks I saw were a figment of my imagination but I am glad they were not.”

“Well it is moments like these Naveen that I am glad you are not in the main hospital.”

Naveen chuckles before he starts coughing.

“I better let you go and rest” says Ethan.

Naveen nods and settles back down into the bed. He was lonely here but he knew what he asked. Treatment in secret, he was thankful in a way though, most of all though, he was glad that his mentee had appeared to have found some happiness, albeit with the intern who was leading the competition, what he did know though is that Casey was a very capable doctor, she worked well with Ethan so he knew that she earnt the spot.

A few weeks later Casey once again found her having a lovely chat with Mrs Martinez and being told about all the adventures she wish she could have if it were not for her diagnosis. She really hoped that there was something that could be done. It seemed almost too cruel being stuck in the hospital. Back at the apartment she started researching and got the gang involved. Even though none of them were her doctor’s, they too wanted to see Mrs Martinez happy. The only one who was reluctant was Landry. He stated that she was alive and that she should be happy.

“She is alive, that is true but she resents being stuck in the hospital for her treatment. Surely there is better.?”

Landry was dumbfounded. Surely being alive would be better than being dead. He did agree to help research as it was a puzzle but all the while he was formulating a plan to bring Casey down. Jackie sat next to Landry, she whispered, “again, this is why Casey is on top, she wants the best outcome.”

“How is being alive not a good outcome?” He whispered back.

Jackie shook her head in annoyance, she wondered how Landry could be so dense when it came to not only the physical well being but also the mental well being. Knowledge was good but at the same time people were more than numbers and there was no getting that point across to Landry.

After a couple of hours Bryce came and joined in the session. He had gotten to know Mrs M a little bit too and he wanted to help. As the night went on, the gang started to fall asleep until it was just Casey and Bryce and all of a sudden got excited. He had stumbled onto a forum for disgruntled former Research and Development employees. There was a person on there who used to work for Panacea. Stating that a treatment they had been working on had the potential to cure Rhodes but the funding for it was cut. Casey and researched the data that was given and Casey formulated a plan to get the drug.

Bryce hugged her in celebration then attempted to kiss her, but Casey stopped him.

“I do not see you like that Bryce, I am sorry.” Bryce was understanding for which Casey was thankful. He took his leave and Casey went about presenting her case to Mrs M.

She made her way in and stopped by to see Naveen. He was asleep so Casey let him rest. She was making her way back to the main hospital and she came upon a stressed Ethan.

“I can not get the hospital out of the deal with Panacea.” Said Ethan, “I have sold all that the team stood for out…”

Casey guides Ethan to a deserted closet and kisses him.

“Ethan, you did not sell out, you did whatever it took for your patient.”

“Yes, but at what cost.”

The thoughts of what she read last night come to her mind but she did not tell him. She knew there was a chance that Mrs M could die if what she was planning came to fruition and she did not need Ethan embroiled in it. He kissed her again, hungrily. Both had agreed early on that the hospital was off limits to partake in any physical activity but desperate times called for a bending of that rule. It was quick and intense but it was what was needed. Casey straightened herself up as best she could and made her way out to the hospital. She made her way to a nurses station to get her files for her patients. Landry saw her. He did wonder if she was up to something. For someone who was on top and whom was frustrated with the sabotage she sure seemed relaxed. Maybe if the nursing staff don’t do anything for her he thought to himself. While he was thinking about how to get the nursing staff against her, Casey was having a chat to Mrs M. She told her about the information that she found and the chances of success and failure. Casey had figured that there was a forty percent chance it would fail given the information that was available but Mrs M said you could have told me it had a ninety-nine percent chance of killing me and I would still say yes. Casey went about constructing the email and request for the medication and hoped that it worked.

A few days later, Casey was frustrated. She thought that she got along well enough with the nursing staff but today none of them spoke to her, were rude when she asked for some assistance. Aurora saw what was happening and took pity on her. She knew that Casey had earned her spot, anyone that could beat nepotism deserved to be there. She had heard the malicious gossip that she was sleeping with Dr Ramsey but she knew of Dr Ramsey from her aunt and she knew that no favour would be granted if that gossip was true. She went up to Casey.

“I do not know what has happened but the nurses would not let their issues with you get in the way of patient care.”

“Thank you Aurora, I swear someone has been out to get me since getting back from Miami.”

“I am surprised that I was not targeted when I was on top but then again if my aunt found out…”

“I suppose that they would be expelled.”

“For the record I do not believe the gossip about you and Dr Ramsey but does he know about the sabotage?”

“No,” said Casey, “I have not told him because we know he would get to the bottom and I do not want to give those any more ammo.”

Aurora nods, “I understand the reasoning but if it gets any more serious, you must tell someone.”

Casey thanked Aurora and went on her way.

Meanwhile Ethan was frustrated. The meeting with Panacea was slated for a few days' time. He had hoped that he would get out of not only the meeting but get the hospital out of the deal but he could not. He did not want to betray the confidence of Naveen so he did not state it was illness that was the reason for the deal being made in the first place. What was making him regret the deal more was that he was still no closer to figuring out what was wrong with Naveen.

Casey received the outcome of her request for Mrs M. It was denied. She was disheartened. She presumed because it was a trial technically but then remembered what Bryce said, why market a cure for a disease when the treatment lasts a lifetime?

Casey was then angry, the mental well being of not just Mrs M but other Rhodes Disease sufferers elsewhere was being disregarded for the sheer amount of profit was frustrating. She was aware of the meeting with the hospital brass with Declan and she decided that she would make her own path. She met with the gang at Donahue’s. Casey told them of the predicament and the plan. Landry did not want to be a part of it. Casey said it was his decision. Landry however stayed. He was not going to alert Dr Emery to the plan but he sure as hell was going to tell the family if it all went pear shaped.

Meeting and heist day came. Casey stayed at Ethan’s the night before. The sex as always was fantastic and it did help each other take their minds off their respective problems for just one night but morning came and the what if’s again came to the fore for both. The only difference being is that Ethan had no idea why Casey was troubled. Time came for the heist and each member played their part well. They got the drug and Casey went and gave the dosage to Mrs M. Ethan however did see a briefcase swap and he found it odd. He quickly asked Casey but she said what he does not know will not hurt him. He disagreed, however he had to go and suffer the consequences for the deal with the devil and what he saw would have to wait.

Over the coming days Mrs M condition started to improve. It surprised all of the doctors in the hospital. Casey was relieved that Mrs M appeared to be on the sixty percent working side, she had figured that if it was not going to work it would have done so right away. Meanwhile Landry was fuming. He wanted to see Casey fail and he knew that murdering a patient would get her booted not only from the competition but also the program. Also the loss of license. The thought of that made him excited but it was not happening. He was also annoyed as he was dropping further down the rankings also. She had to be influencing Dr Ramsey somehow and this made him more annoyed as the competition was now even more unfair.

After a week of Mrs M improving and not needing her regular medication she was discharged and ready to start on her travels. The hospital threw her a surprised party with many staff sad to see her go but also happy. Casey was happy most of all because she finally got to do what she wanted to do. She saw her off into the cab. A few days later Casey, among many other staff members received an email and attached was a photo of her standing out the front of Sacre Du Couer. Casey was excited to see it and she was glad that she was able to do what she always wanted. This gave Casey another shot of confidence which again only irked Landry more. All was going well until the news spread about Mrs M. She had passed away in Argentina. Casey was shook. She thought if the treatment was going to fail it would have done so right away. Her friends understood her frustration but they like her were happy that Mrs M got to go out doing something she wanted to do. Landry feigned being sorry for her but on the inside he was ecstatic. His chance to topple Casey had fallen right into his lap. He set up an anonymous email and sent the following.

“To the family of Mrs Martinez,

I am sorry for the loss of your mother but this needless death could have been prevented. An intern named Casey Valentine befriended your mother and took it upon herself to seek alternative treatments. Her research was successful and your mother wished to proceed with the treatment. It was rightfully denied through proper channels but this did not perturb her, illegally gaining the drug and administering it. I do not know if she was aware of the risks, I am aware consent was given but I can not be sure if any undue pressure was put on your mother. When you get the body back into the United States I urge you to get a full autopsy as I am certain this unauthorised treatment was the cause of your mother’s death.

Regards

A concerned physician”

“Fucking Dr Ramsey is not going to save you now, you bitch” Landry said under his breath as he hit send.

Meanwhile, Casey was struggling. The death of Mrs Martinez. She kept second guessing herself and felt guilty for what had happened. She headed to the cafeteria where she happened upon Ethan, who was engrossed in an article. Unable to hold everything in she told Ethan about the study session, the buried test results, telling Mrs M, how she willingly agreed, the refusal through official channels and the heist on the day of the meeting. Ethan listened. He always admired how she put the mental well being of her patients at the forefront of their care. He stated that she did Mrs M a kindness but wish she thought about the implications of her career. Ethan then had a thought as it was becoming clear that he was not going to get Naveen’s results tonight. He takes Casey to the opera. Casey is overwhelmed by the fact that Ethan has a box, he states that he does not use it as much as he would like. The opera tonight is a tragic love story which Ethan narrates for her as it is in Italian. While he is narrating his hand moves up her thigh and to her core. He plays with her clit before slipping one and eventually two fingers inside. Casey bites her own hand as she comes all over his hand. The opera ends and he kisses her. They head back to his apartment. The session is intense, exactly what Casey needed to take her mind off what had happened to Mrs M. It also helped Ethan take his mind off Naveen. The sepsis treatment had appeared to work but now it was not and he was not looking forward to receiving the results back. They have a brief nap before Ethan drops Casey home. They kiss each other goodbye in the car. They were so engrossed that they did not see Dr Olsen walk pass. He did a double take. Ethan Ramsey’s car was not what he was expecting to see but the sight he saw did not surprise him. Them in the front seat, kissing. In that moment the rumours he first heard were true and he knew that the competition was now rigged.

After dropping Casey off, Ethan made his way to the hospital and collected the lab results. He sat in his private office and read the results. He knew they would be bad but what he read was daunting. Naveen had only a month to live. It was a puzzle he had failed to solve. He was sad, angry, helpless. A combination he had not felt since he was eleven years old.

Casey arrived to the hospital and she was greeted with the news that there would be an investigation into the death of Mrs Martinez. She needed Ethan’s guidance as a mentor, not her lover but he could not be there for her, slamming the door on her. He felt bad of course. He read that there would be an investigation but he felt like everything he touched was turning to shit and he did not want to be a hindrance to her. Casey tried her best to carry on but her thoughts were all over the place. WHO had betrayed her? What was now wrong with Naveen? How much longer would she have a job? Casey kept on keeping on, despite being on tenterhooks and now being babysat by Aurora Emery.

The next day came and Ethan was still in a daze of failure. He saw Casey and apologized for his behaviour the day before. He stated that he had some results for Naveen and they were bad and it has thrown him. He asked her to come with him to break the news. Casey agreed. She too was disheartened. She knew how much Ethan had put into it, compromising the team in the process and she knows that she had put in the effort too. They arrived to where Naveen was staying in secret. He saw them holding hands and then he saw the looks on their faces.

“How long have I got?” Asked Naveen.

“I am so sorry Naveen. I, no we thought we could cure you but we can not. From the test results it appears that you have a month at most.”

Naveen was quiet and then said.

“You have not failed me, there are medical mysteries that can not be solved, and I am one of them. I know you put your all into solving this. And Dr Valentine, it has been a pleasure.”

Ethan and Casey leave the room to give Naveen some privacy while he dressed. Casey gave Ethan a hug and he gently kissed the top of her head. They walk out with Naveen through the Atrium, many people shocked to see him and looking so frail. They accompanied Naveen to the bus stop where he said his final farewells. He told Ethan that he had not failed him and told Casey to persist with him, he has never seen Ethan so happy and he did not want to see Ethan get in the way of his own happiness. A bus pulled up and it was the one Naveen needed. They walked back towards the hospital. They stopped and he hugged her before kissing her, gently but deep. Casey was taken aback by such an overt display of affection so close to the hospital, especially given the rumours about her and Ethan. He ends the kiss and they enter the hospital. They are greeted by Harper who asked if it was true that Naveen was here.

“He was but now he has gone,” whilst ripping off his badge, “ and so am I. I quit.” He threw the badge at Harper and stormed away, Casey followed, he looked at her torn, “I am not the doctor you thought I was, what good am I if I can not save the people I give a damn about.” He said clearly emotional. Casey was dumbstruck but he had left before she could get a word out. She then proceeded with her day.

Casey was troubled for the rest of the day and Ethan eventually called her apologising for his conduct. He needed a few days to get his bearings and would be in touch when he was ready. Casey understood and bid him good night.

The next day came, the vibe in the hospital was weird with no Ethan Ramsey yelling at people and also no clue as to what was happening with the competition. Casey also had a very frustrating case that she was working with Aurora. They had ruled out all the external sources and they were baffled. Then Casey had a thought, what if it was something already there, especially since the patient had been on antibiotics. They ran a test and found that the antibiotics had damaged some of the good bacteria and it had turned toxic. There was not much in the way of treatment but to ride it out and a course of probiotics. Aurora was impressed, she congratulated Casey on the solve. She thanked Aurora and also thanked her for not ratting her out to her aunt. Casey made her way to the locker room. The person she was expecting to soo was there.

“It was you, wasn’t it?”

“Of course it was, you killed someone, willingly.”

“She knew the risks, she was willing to take them, even if she had a one in one thousand chance of survival.”

“What, no coercion? You expect me to believe that?”

“Believe what you will but many of the staff who knew her well would agree. She resented being stuck in the hospital.”

“But she was alive, you have deprived a family of their mother.”

“There has to be more to this Landry?”

“Yeah there is, despite everything you are still on top, has spreading your legs for Ethan Ramsey being that advantageous to you?”

Just then Jackie and Sienna walk in, shocked at what they heard.

“There was no advantage in the competition.”

“But you are not denying you have been fucking him.”

“Ok, what the hell is going on?” Asks Jackie.

“It was Landry that ratted me out to the family.”

“Landry, no!” Exclaims Sienna.

Landry was shocked. She knew the group was on board with the heist and the study session but fucking the head of the team they were all competing to be on, where was the line?

“So you are on the side of his harlot?”

“Casey is no Harlot, as I said to you in that study session, Casey cares about her patients, relies on more than just a test result, that is why she is top.”

“But she had files go missing, wrong medications, bad mouthed the nurses…”

“That was you? You son of a…”

“How was not fucking Ramsey being an advantage to you. Despite all of those mistakes you were still on top.”

Just then Aurora walks in.

“If anyone had an unfair advantage it was me, just because of who my aunt is. I knew anyone who could overcome that deserved to be there.”

“No she does not!” Exclaims Landry, “Nepotism and a voracious sexual appetite are what gets you ahead in this competition. How the fuck is that fair?”

“I was working with Casey, when she was not on her game and she still solved a complex case, yes she does, I have heard of some of your failings Dr Olsen, instead of blaming others, why don’t you look at yourself more closely.”

Landry was dumbfounded. Sure he had some things go wrong but it was not his fault surely. What he did know is that he was on the outer permanently.

“I will find somewhere else to stay.” He said before scurrying off. He ran past Elijah who then entered the room. Jackie filled him in on what had just happened. Elijah was shocked. Just then they all received a page. An all hands on deck emergency. The fallout from that confrontation had to wait.

——

Authors note: well she got a little long but I wanted the showdown to be in this chapter and the lead in. Landry is a rat in any universe but you can see some of the digressions from canon, especially with Aurora, I can see her being happy she was not on top as she always thought she was only there because of her aunt and let’s face it, we all know Naveen knew something was up with Ethan and Casey.

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