#honestly i dont like this but some of the contextual stuff is necessary

[page-doctor-bekker]

Rooftop - Part 1 (transfemme!sarah)

(A/N) hey! i have a long ass one-shot and i kinda of want to make it lead off a lil bit of a cliffhanger so i've got part one here for you. this takes place a few days after this oneshot

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Sarah grabs her white coat from her desk chair, and stares at the embroidery.

Sarah Reese, MD

Dept. of Psychiatry

She sighed, before retreating to the bathroom to tuck and dress. Even after her orchiectomy, tucking was still mildly uncomfortable. At least she had graduated from using tape to using a gaff, which was much more comfortable and easy to take off at the end of the day.

Once she was dressed, clad in a pair of relaxed, navy blue dress pants and a pale pink button-down shirt speckled with cartoonish images of various types of fruit, she grabbed her lab coat, and shrugged it on.

There was a mirror on her closet door, and she caught a glimpse of herself in it. She gulped, and stood in front of it, staring herself down.

She pressed the pad of her thumb against her jawline, and dragged her skin around in a feeble attempt to soften it. Her jawline led her to her chin, the cleft in it causing a pang of dysphoria in her stomach. She puckered her lips, trying to make them look fuller, but that only exacerbated her chin. She sighed, and gave up. It is what it is.

She let her hand fall to her side, and fiddled with her coat. After a moment, she scowled at herself.

“Move on, Sarah, just move on,” She mumbled to herself, taking a hair tie from her wrist and putting her hair up into an unintentionally neat bun. No matter how hard she tried, she could never succeed in creating a messy one. That required more finesse than she had.

She smiled at herself, although her smile didn’t quite reach her eyes.

“I am a good doctor,” She affirmed, “A good doctor who made a mistake,” She quoted Dr. Charles, the thought of him filling her with calm.

“And Ava,” She gave herself a confident look, “Is not worth my time. I don’t even like her anyways.”

She paused for a moment.

“Because I don’t like women,” She shrugged, “And someday I will meet a man who loves me for me.”

“Don’t give me that look,” She snapped at herself, “Just because I’m not cis doesn’t mean I can’t be straight.”

“And I deserve better than Ava anyways,” She opened her mouth, then closed it, like a fish. She opened it again, “Someone better who is a man. I will find the man for me. The only reason I think I like Ava is because I haven’t found the man for me. That’s okay. I’m only 26. Some people don’t get married until after 30.”

“I am a confident woman,” She declared, “A confident straight woman.”

She started to walk away, but she looked back.

“And i’m a good doctor,” She said, sharply.

She saw Dr. Charles outside the hospital, and he waved her over. She ran to catch up with him, out of breath by the time she arrived, “Hello Dr. Charles,” She tried to catch her breath, thinking about how insane she must look right now.

“Dr. Reese,” He greeted with a nod, “How was your break?”

“It was very good,” She announced, “I feel like I am making progress with myself. I am a good doctor! What happened was a mistake, and it doesn’t define my clinical skills.”

He looked at her skeptically, “Good.. Good,” He gave a smile, “In my experience, all you really need after a mistake is to treat a few patients successfully, so I’ve volunteered you to be in the ED this morning.”

Her heart sank.

“And then, when Maggie dismisses you for lunch, come see me in my office and we can chat about what you did differently today,”

Sarah nodded, stuffing her hands in her pockets so she could fidget discreetly. If he knew I’m anxious, he might send me home again.

He gave her a pat on the back, “Holler if you need me. I’m just a page away.”

He left her at the doors to the ED and she took a deep breath, and smiled at the big red letters.

“Help! I need help!”

Go time.

She ran towards the direction of the voice, a large man in his mid-40s who was carrying a young girl, maybe 5 years old, in a bridal-style position.

“Hi, I’m Dr. Reese, I’m going to help you, tell me about your daughter,” She prompted, pressing two fingers onto the girl’s neck while awkwardly walking with the man.

“Ah, she’s my niece, Miranda Maxwell,” He corrected, “Uh, she’s almost six, she’s got a.. uh… Heart condition? She was born with it. Her mom said she sees a doctor here uh… Dr… Dr… Beaker? Brekker?”

“Dr. Bekker?” The name made Sarah’s heart flutter.

“Yes, that’s the one. Anyways, she collapsed today, and says her chest hurts, and she’s a bit blue around her lips and nails.”

Dr. Reese took Miranda from the man, and took a light jog into the emergency department. The man took off after her. Upon entering the ED, she called to Maggie, “Five years old with a congenital heart condition, chest pain, trouble breathing, rapid pulse, blue lips and nails, where do you want me?”

“Treatment five.”

Dr. Reese set the girl down on the bed and Monique rushed to start an IV, “Let’s get her on the monitors, and get her changed into a gown,” Sarah instructed, “And Maggie?”

Maggie looked up from where she was conversing with the girl’s uncle.

“Page Dr. Bekker, Miranda is a patient of her’s, and get Miranda’s parents here as soon as possible,” She looked back towards the girl, “Miranda? My name is Dr. Reese, I’m going to help you feel better.”

“It hurts,” She cried, clutching at her chest.

“I know, I know, we’re going to figure out why,” Dr. Reese cooed softly, before taking on a more serious tone with Monique, “Get a CBC, BMP, urinalysis, 12-lead EKG, and get her on oxygen until Dr. Bekk-”

“Talking about me?” Dr. Bekker startled Dr. Reese, “My ears were itching. Miranda, did you miss me? Is that why you’re back so soon?”

Miranda giggled through the pain at that, and Dr. Bekker smiled. Dr. Reese almost allowed herself to feel endeared by the rare display of kindness, but quickly regained composure.

“Maggie, where are we with her parents?”

“They’re on their way, but they said to do whatever it takes to help Miranda,” Maggie called back, and Dr. Bekker nodded.

“What seems to be the problem, Mindy?” Dr. Bekker pulled her stethoscope off of her neck, and pressed the drum to Miranda’s chest, and listened thoughtfully.

“I felt weird and then fell down. My chest hurts real bad,” She complained, “I can’t breathe.”

“Let’s get an echocardiogram,” Dr. Bekker noted to Monique, who nodded, and started to set up the ultrasound machine, “Does it hurt more when you breathe?”

Miranda shook her head.

She’s so gentle with her.

Sarah smiled.

“Okay, I’m going to look at your heart with this special tool, you’ve done this before,” Dr. Bekker assured, before squeezing the gel onto the girl’s chest and pressing the ultrasound wand down.

She can be gentle. And kind.

“Psych residents, I swear. God, isn’t anyone in this hospital competent?”

Sarah was shocked back to reality by Ava, who was snapping her fingers at her, “Dr. Reese? What tests did you order?”

“Uh… CBC, BMP, urinalysis, and a 12-lead-EKG?” She trembled, her voice seeming more questioning than answering.

“Okay,” She said quietly, focused on the ultrasound.

A few minutes of quiet later, Dr. Bekker put the wand away, “Clean her up, and,” Dr. Bekker looked back at Miranda, “And if I remember correctly, your popsicle of choice is cherry?” She winked at Miranda, removed her gloves, and helped herself to hand sanitizer off the wall. Dr. Reese nodded at Monique, who was wiping the girl off, and left as well.

“Um…” Dr. Reese started, “What do you think?”

“Transfer her up to the PICU and let me know when her parents get here,” Dr. Bekker told Maggie, before turning to Dr. Reese, “I think she’s in congestive heart failure,” She shrugged, “Did you see the ultrasound? She has a complete atrioventricular septal defect, she’s been my patient for the past year, we knew this was coming.”

“Why didn’t you operate earlier?”

“Her parents wanted to wait,” Ava shrugged and rolled her eyes, “Nobody wants to put their four year old daughter through open heart surgery. But now,” She gestured back towards the room, “Their five year old daughter is going to go through open heart surgery today.”

“Well is she going to be okay?”

“If I can get her in for- I’m sorry,” She interrupted herself, “Why do you care?”

“She’s…” Sarah balled part of her coat up in her hand, “She’s my patient, I just-”

“Not anymore she’s not,” Ava huffed, “Thanks for not killing her. Wish I could say the same for Mr. Nearling.”

Ava flounced off.

Sarah watched her leave, and turned to Maggie, who pointed at treatment 1.

“Ear infection.”

Dr. Reese nodded, grabbing the tablet the charge nurse was holding out, and heading to treatment 1.

By lunch, she had treated three ear infections, a gunshot wound, a miscarriage, and sent a psychosis patient up to the psych ward. By the time Maggie sent her off for her lunch break, she had practically forgotten about Ava.

Dr. Charles was waiting for her when she opened the door to see him, and he gave her a tight-lipped smile, “How was it?”

“Uh, good,” She sat across from him, and he pulled out his own lunch while she unpacked hers, “I saw Dr. Bekker.”

“Oh? How was that?”

Sarah tapped her foot, “One of her CHD patients came in, um…” She took a bite of her sandwich, “I ordered some tests for her. She was snarky about it when I talked to her afterwards though.”

Dr. Charles shrugged, “Well, Ava will always be Ava, regardless of-”

“She said, um… She thanked me for not killing the patient and said she wished she could say the same for Mr. Nearling.”

He sighed, and nodded, “Well, it’s only been a few days. She’ll get over it. You guys were good friends before, you’ll be good friends after a while..”

“Good friends?” She questioned, “What makes you say that?”

“Well, y’know,” He motioned back and forth with his hands, “You’d chat, you seemed to be happy when you saw her, she teased you a bit. All of Ava’s telltale friendship signs.”

Sarah was quiet, instead choosing to take a bite of her sandwich and chew thoughtfully.

“Tell me, Sarah, do you like Ava?”

“What do you mean?” Sarah asked, carefully.

“Like… You know, are you interested in her? Romantically?”

Sarah choked on her sandwich, coughing a few times.

“Remember to chew, Dr. Reese,” Dr. Charles reprimanded.

“I don’t like her,” Sarah defended, “I don’t care about her. I deserve better. If I still liked her after she talked to me like that, even if I liked her in the first place, I’d be crazy.”

Dr. Charles shrugged, taking a bite of his salad.

“What’s that supposed to mean?”

“What?”

“The shrug.”

“What do you think it means?”

“Did you do Yolanda’s intake?”

“Who?”

Sarah nodded, stuffing her half-eaten lunch back into the bag and tossing it in the trash.

“Sarah, you haven’t finished your lunch-”

“Not hungry, I’ll see you around,” Sarah started to leave, but Dr. Charles stopped her.

“I’m supposed to pass a note on for you.”

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(A/N) come back tomorrow for pt 2 lol