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lol-im-done · 17 days ago

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Overactive Empathy

Pairing: Dr. Jack Abbot x Nurse!Reader

Summary: A story of an ex-army doctor still haunted by his past who strives to maintain control of his emotions and a nurse with a sixth sense for the emotions of others that everyone has come to rely on- will a traumatic event force them to confront their true feelings for each other or pull them apart forever?

Tags/Warnings: age gap, yearning, too scared to admit they're in love, empath!reader, angst, panic attacks, comfort, descriptions of blood and pittfest, trauma, happy ending

Word Count: 4.3K & AO3 link

Author’s Note: This may not be everyone’s cup of tea but I could not stop thinking about writing this. I also have absolutely no medical knowledge so enjoy!

The Pitt - Night Shift

The faint beeping of monitors and clicks of the keyboard mesh with the sounds of patients and staff. The fluorescent lights aren’t the only thing landing on your skin, you feel his stare from chairs away. It doesn’t make you uncomfortable, quite the opposite, it sends a warm feeling rushing through you and when you peek up you catch sight of his silver curls twinkling in the light.

Dr. Jack Abbott can’t help it, after two years of working alongside you he doesn’t get tired of tracing the slope of your nose or watching the way you bite your lip in concentration. He stopped trying to be discreet a long time ago even after repeatedly being caught by Dr. Robby or Dr. Ellis. You’re both snapped out of your thoughts by the sirens approaching the ambulance bay. By the time the EMTs enter the Pitt you’re standing next to Jack at the ready.

“Man in his late sixties- disoriented and aggressive. He was distributing patrons outside of a nightclub and eventually someone knocked him down,” the EMT summarized as they wheeled in the man who was strapped down to the gurney. He wasn’t saying anything comprehensible, only letting out grunts as he attempted to free himself.

“Psych eval?” Jack tilts his head.

“Yup, no ID or other identification found with him. Probably homeless and off his meds,” the EMT replied.

“Give me a moment with him,” you step forward, not entirely convinced. Jack’s eyes narrow slightly at the patient who began to twist in his restraints again. Unease grows in his gut but he learned a long time ago not to question you.

“Don’t get too close to him yet, we may need sedation.”

He stands at the door watching the interaction closely, his body taut in preparation to intervene. The soldier inside him never left him, those instincts embedded into his bones.

Slowly you approach the older man, quietly assessing him. Jack watches your hand hover over the patient’s arm for a moment, but what you do is still a mystery to him.

Eventually it becomes clear to you what he needs. “You must be very tired and thirsty. It’s been a long day,” you murmur softly. This made the man go still, eyes widening as he nodded urgently. He was mute, everything he wanted to say stuck inside him at this moment but his emotions were clear.

“We’re here to help you,” you give him a reassuring smile as you back away towards the door. The moment you turn, you’re face to face with Jack. You force yourself to stay concentrated on your task and not on Jack’s handsome features. “He’s not homeless, he feels lost and he misses home. He’s also extremely thirsty, so he’s dehydrated which is why he was disoriented and acting out. He wasn’t able to ask for help because he’s mute,” you explain.

“Not a Psych case then,” he concurs, impressed once more.

“The usual tests will let us know how dehydrated he is and if there’s other underlying causes. This is a case for the night shift social worker to help with, they just need to find out who he is and where he lives. I think he has family,” you reach for the IV kit.

“Thanks Sherlock Holmes.”

There’s no malice or sarcasm in his tone, just his usual dry wit which you’ve come to love. You can see the wheels turning in his head and although he’s never asked questions, you know he keeps trying to figure out how you’re so good at reading patients.

Intuition, your grandmother winked at you one day when you asked if she had what you had. A curse, your mother declared before she had left for good, not able to handle what she was born with. Overactive empathy was what you had come to call it. It had been overwhelming at first, discovering that as you got in close proximity to someone you could identify their emotions and feel them yourself, all of them. It took many years to build up your control to a point where you felt you could be around people. Out of nursing school you spent your first few years in hospice care, holding the hand of those making their way out of this world, watching the hazy colors around them fade into nothing. Soon the time came to try something new and you found yourself standing in the Pittsburgh Trauma Medical Center Emergency Department, hoping to make a difference and make use of your ability in a new way.

It was an open secret, the little trick you had up your sleeve. No one put a specific label on it and on one questioned it. Anytime you interacted with a patient who needed that extra level of support, with a simple glance or press of your hand to their shoulder you seemed to read their emotions to a tee. It had also helped de-escalate potentially dangerous situations, preventing many fights in the halls of the Pitt. In this world, it was all about the patient and being able to read them was an asset. Their feelings and experiences are half of the story when they walk in through the doors.

Grabbing your backpack from your locker you take your time walking back to the nursing station to clock out. It gives you time to admire Jack who stands at the counter, his blue eyes flickering across the screen. Dr. Abbot - the broody, stalwart and incredibly selfless man who captured your heart. Not that you would ever admit it, you were years younger and convinced he could do much better. What catches your attention is his posture, he’s leaning heavily against the counter hoping no one can notice his discomfort.

“Is it bothering you again?” you whisper as you stand next to him. Jack grimaces as he flexes the prosthetic foot under his khakis, internally kicking himself for showing a trace of weakness.

“I have no idea what you’re talking about,” he grits out.

“Liar,” you muse, swiping your badge to clock out for the night.

His face turns stoic as he stares you down, intimidating as hell to others but not to you. You stare right back, waiting until one of you inevitably cracks. His dimples pop out as he lets out a hearty laugh. Several people send you curious looks, an Abbot laugh was rare.

“It's not fair if you use that trick on me,” he pretends to sound mad. Not that you would ever intentionally violate his privacy by delving further than his surface area emotions.

“It’s not like I can read minds.”

“It’s close enough.”

“I don’t have to use anything on you Abbot. It's clear as day.”

He feels that familiar swoop in his stomach at your words, forcing himself to not say anything stupid.

“Will you be here tomorrow?”

“I’ll be here, just in case you pick up another shift,” you tease, finally starting to walk away. He winks at you and you feel like you’re floating on clouds all the way home.

The Pitt - Day Shift

Today was a never ending roller coaster and it was going to give you whiplash. Angry patients, argumentative family members, interpersonal drama, fucking rats. Then Dana had gotten punched, which had rattled all of the nurses. It had brought you to tears seeing her bruised face and bloody nose, your mentor and dear friend. She had shushed you in a motherly fashion, assuring you and everyone else she would live long enough to finish the shift as long as she had another cigarette.

It was also the first day for new residents and medical students, another layer to the never ending day. You took it in stride as always offering helpful advice and keeping an eye on them for Robby making sure they didn’t mess up too badly. Some had already latched onto you, King and Whittaker frequently asking you to join them on patient care.

You could immediately sense that today was an off day for Robby, as you assisted with his difficult cases you could see the strain behind his eyes and his increasing use of the word fuck. He also kept asking you about what the patients were feeling long after they had died. It wasn’t a good sign.

“Is he asking you about dead people again?” Dana hands you a cup of tea. You nod.

“Christ Almighty he’s a morbid one,” she shakes her head with a sad smile. “Wish Collins hadn’t left early, she knows how to get him back on track.”

....

“Do you think he feels anything? Even if he’s brain dead?” Robby asked you as you stood side by side, about to enter to give the parents of the overdose victim the final verdict on their son.

“No...he doesn’t feel anything. There’s nothing,” you replied truthfully.

“What do you think she felt while she drowned?” he asked as they wheeled the young girl's body out of the trauma room. You think back to when you had held onto her tiny cold hand as they worked to bring her back.

“She felt scared and exhausted but she also felt certain. Certain that she had saved her sister.”

Robby finds comfort in your candidness to his morbid questions, you’ve always been honest with him and a shoulder for him to lean on. He knew he was being extra hard on you today and he would apologize with your favorite snack by the end of the shift.

None of this compared to what came next.

“What’s going on?” you can feel the anxiety spike in the room as phones and pagers go off. Gloria is talking to Robby and Dana on the side in a serious manner, their faces pinching with worry. Shooting, Pittfest, mass casualties, are words that fill the air. It seems to suck the oxygen out of the room, a sobering reminder of the world you lived in. Taking a deep breath you steady your nerves as instructions are being shared to the whole team. Suddenly a familiar warmth settles next to you, calloused hands brushing against yours.

“You okay?” Jack asks quietly.

“I’m fine...but all of those people that are going to come in-,” you shudder at the thought.

“You don’t have to, you know, get too close to them if it gets too much,” he finally faces you as people start to rush around you. With his eyes trained on you it feels like you’re both in your own world for a moment.

“I know, but I want to help them. Anyway I can,” you reply, eyes filling with determination. It reminds him why he does this job, why he comes back.

Reality breaks apart your bubble as Dana calls out your name and Robby pulls Jack towards the team of doctors. Everything after that is a whirlwind, a mass casualty event hitting an already understaffed ED like a hurricane. Every ounce of training is in use as you work tirelessly alongside your colleagues to save every life that passed through those doors. It soon becomes clear there's not enough blood, medications or supplies. Only sheer willpower will get you all through this.

“Everyone please use the sedatives and morphine sparingly! More is coming but it's minutes out!” Dana shouted from the nurses station.

Following her announcement, a flurry of movement caught your attention in the Red Zone. The patient was thrashing on the gurney, arms flying around wildly as she shouted in pain, begging them to stop from pressing against her broken legs. Without hesitation you rushed over, hands slipping into the fray until they pressed against the woman’s face. Jack watched as you brought your head closely against hers, eyes scrunching tightly in concentration.

“You feel tired, so tired,” you repeated softly over and over again.

Slowly her shouts became nothing but disgruntled murmurs, her eyes closing and arms falling sluggishly at her side. No one else seemed to notice what you had done, preoccupied with her impending blood loss and shattered bones. Jack could do nothing more than send you a grateful nod before you slipped away once more to assist on the next patient.

Unfortunately she had not been the last patient you had helped calm down, dozens more streamed into the Pitt in various states of emotional distress and you did your best to keep them from overwhelming the rest of the staff. It was starting to wear you down, drain your energy reserves as you still ran from zone to zone, arms full of supplies and bags of blood. Dry blood mixed with your sweat caked your arms, and your lungs burned from the smell of antiseptic and alcohol in the air. Give me strength, you begged the universe.

You had been standing by the ambulance bay doors, replenishing supplies for the Red Zone when another wave of gurneys and patients flooded in once more. You hadn’t even had a chance to set down the IV bags in your hands when a tall man stumbled straight into your body. Blood stained hands clasped onto your shoulders with such force you could feel the bruises start to form. His eyes were wild and he kept repeating someone's name over and over. Time seemed to slow around you as his emotions flowed into your body like a dam had broken- hair raising panic, paralyzing fear, and pain that brought you to your knees. Your vision swam, all you could see now was bodies piled upon each other and hear the cries of those hit by the spray of bullets. A high pitched ringing filled your ears and your throat was suddenly raw.

Your ear splitting screams snapped Jack out of his concentration, his heart lurching at the scene before him. He barely had time to make sure Dr. Mohan had a handle on the patient before he was running full speed towards you, Robby at his side. The man was ripped away from you by Robby and one of the security guards who wrangled him onto a gurney. All you could do was cover your eyes as if that would stop the horrific visions in your head.

“Look at me, you gotta breathe (Y/N),” Jack begged as he stood in front of you, hands hovering over your shoulders not wanting to make it worse. His heart was beating a million miles per minute and he felt as if he was staring in the mirror, the traumatized medic in the throes of a panic attack staring back at him. Except now it was you.

You shook your head, stumbling backwards blindly into the wall. There was only one option he could think of at that moment. Without missing a beat, Jack grabbed you by the waist and hoisted you over his shoulder as you let out another desperate cry. The whole Pitt had frozen, shocked at the turn of events.

“Get back to work dammit!” Jack roared, making everyone flinch as they rushed to return back to the task at hand, averting their eyes.

In a few strides he made it to the end of the wing and into the empty on-call bathroom, slamming the door behind him with his foot. By this point you had gone limp over his shoulder, letting out the occasional whimper. He set you down lightly onto the shower floor, hand reaching up to the shower knob.

“I’m sorry baby but it will help I promise,” Jack couldn’t stop the term of endearment from slipping out.

You seemed to be stuck in some sort of trance, another agonizing scream slipping past your lips as you hunched over. Suddenly ice cold water flowed from the shower head hitting your body in a forceful gush. A high pitched gasp filled the air as your eyes flew open from the shock. Shivering hands immediately reached out to find Jack’s arms, needing something to ground you as the temperature of the water numbed your frayed nerves.

“Jack.”

“You’re safe, you’re in the bathroom now. You’re not there,” he assured you, hand smoothing your drenched hair out of your face. Tears swam in your eyes and you nodded numbly, trying to reorient yourself. His hand settled on your cheek, watching the water pour down your red cheeks. Even now, he thought you were the most beautiful thing he had ever seen. He was only a few short seconds away from climbing into the shower with you when the door squeaked open.

“Dr. Abbot, they need you out there,” Princess frowns as she takes in your state. He gives her his harshest stare, about to protest but you push his arms weakly.

“Go,” you say. “Princess and I will handle it from here,” you look up at her. She gives a nod of affirmation.

“I’ll get her cleaned up, Dr. Abbot,” she promises, reaching for towels.

I need to stay with you and protect you, he wants to say to you. I can’t live another moment without you.

So many unsaid words stuck in his throat. Jack wishes you would just look into him and decipher his emotions so he wouldn’t have to say them out loud. It wasn’t the right time, it never was. He couldn’t stand risking everything you had just to lose you if you didn’t feel the same way. Instead of staying as his heart begged him to, he stands, ignoring the pain in his leg as he walks out without a word feeling like a coward.

Your heart squeezes painfully as you watch Jack go but you can’t stop him. By the time Princess helps you change into clean scrubs it feels like hours have passed. She stays silent the whole time, giving you space as you rebuild the mental blocks in your head. Eventually you walk out onto the floor which is still wet with blood, doctors and nurses running to and fro with urgency. Sirens blare in the distance without stopping. Smoothing your hands over your new scrubs you hoped you looked better than you felt.

“Go home,” Robby’s baritone voice is the first thing you hear.

“I don’t believe you can send me home Dr. Robby,” you glance up at him. He looks absolutely wrecked, likely the same as you.

“Dana-,” he turns to Dana who is by your side next. Dana knows you well, knows you wouldn't be standing here if you couldn’t handle it.

“I can’t force her to leave Robby. Trust that she knows her own limits,” Dana squeezes your hand. You squeeze it back in thanks. “We still have patients to help, let’s go kiddo,” she guides you back into the disaster zone, arm over your shoulder.

It’s when the emergency protocol is finally at an end and the last Pittfest patient is stabilized that you spot Robby again. Robby had been walking on a tight line today, Leah’s death finally pushing him over the edge. You had heard the terrible things Jake had yelled at him moments ago.

“Hard day yeah?”

“For both of us I’d say,” he laughs dryly, tears beginning to leak once again from the corners of his eyes.

“You’ve shouldered the burden of so much today Robby. Let me help you,” you extend your hand to him.

“I can’t do that to you,” he shakes his head, knowing what you’re offering.

“This may be the only time I offer this to you Robby. Trust me,” you say. He shifts uneasily in place before finally making his decision. He takes your hand. The colors around him darken, his frustration, grief, anger and disappointment swirling around him like a storm.

“Go home soon and sleep. It will come easy tonight,” you say. Robby feels a warm sensation run up his arm, filling his chest with a lightness he hadn’t felt in years. The tension in his shoulders visibly eases and he feels like he can properly breathe again. Before he can thank you, you’re gone.

You hand found a quiet space in the supply closet to unwind, taking advantage of the day shift and night shift switching places. Sitting in the dim room you allow the events of the day to wash over you, taking steadying breaths to settle your emotions. Then you would find Jack and hope he didn’t look at you differently like you were something that had been crushed into tiny pieces.

You hadn’t left Jack’s mind since he had left you in the shower, your screams echoing in his mind. Compartmentalizing all of his emotions and stuffing them into the back of his mind was the only thing that kept him sane for the remaining shift. The moment he finally handed off the last patient to Shen and Ellis he was on the lookout for you. Unable to find you yet, Jack makes his way up to the roof as he does after most shifts, muscle memory taking over. He’s not surprised to see Robby staring at the city skyline from the ledge.

“I think I finally understand why I keep coming back now,” Jack calls out to Robby. “It's in our DNA. It's what we do. We can't help it. Not everyone can do it, it takes a special type of person,” he says, thinking of you.

“Maybe you, not me,” Robby shakes his head as he steps back onto the roof.

“What are you talking about?” Jack’s tone is incredulous.

“You know damn well what I'm talking about. I broke. I shut down. At the moment everybody needed me the most, I wasn't there. I couldn't do it. I choked,” Robby hangs his head.

“Don’t say that you broke in there because if that was you breaking apart then that means (Y/N)-,” he stops himself, unable to finish the sentence. “You’re not broken, you’re just human. We all are.”

Robby sighs. “I didn’t mean it like that.”

“You’re stronger than you think. She’s stronger than she thinks. Just because you both got overwhelmed today doesn’t mean you’re broken, not even close,” Jack says. “I used to think there was a weakness in feeling too much. Never allowed myself to cry or grieve even when-,” he pauses thinking back to his time after he came back from the army, what had happened to his ex wife and her untimely death years ago.

“This is starting to sound less like a pep talk and more like you need to go find her,” Robby crosses his arms. Jack remains silent, running his hand through his messy curls as he paces back and forth.

“What are you going to do Jack? It’s been months of you pining after her. We all saw it on that karaoke night-.”

“Don’t even,” Jack scowls at the memory which makes Robby laugh for the first time tonight.

You had been singing alongside Dana and McKay, your smile infectious as you swayed your hips to the beat. Jack had scoffed at the idea of karaoke night with the team but seeing you up there, he was entranced by the lights making your skin shimmer, your smudged lipstick and sweet voice. The only thing that snapped him out of it was watching a young guy approach you with a shot and a flirtatious grin. It had taken both Robby and Shen to hold him back, dragging him back to the booth by the scruff of his neck.

There wasn’t anything more to say so they descended back down to reality, one step at a time. By the time he and Robby exit the Pitt doors, there was only one thing on Jack’s mind.

“You gonna grab a beer with us?” Robby asks as they cross the street but he already knows the answer.

“I have to do something first. Something long overdue,” Jack stations himself at the entrance of the park.

“Fucking finally,” Robby claps his shoulder. “Tell her I said goodnight.”

“I heard you’ve been asking her about dead people again, not cool man!”

“Sorry! Sorry, I’ll make an effort to stop that,” Robby throws his hands up before disappearing into the park.

Jack steels himself in place, waiting and praying he hadn’t missed you. His instincts were correct as usual, you soon appeared before him with a tired smile gracing your lips, backpack hanging off your hand. For a moment the only sound is the wind rustling through the trees. Slowly he takes measured steps closer to you, until he can see the small scar on your top lip. You take the moment to admire the freckles that adorn his nose and cheeks. You were nervous seconds ago, but not anymore.

Finally Jack speaks. “You wanna know what I see when I look at you?” he whispers, his strong hand coming up to cup your cheek. “I see the woman that I love, who makes me want to live life, not just survive it. I see a woman with the endless capacity to help others, the strongest person I know.”

“I- you saw what happened to me today. It may not always be easy,” your voice is thick with emotion.

“You know me better than anyone, it won’t be easy with me either, but we have each other.”

“That’s all I need - you.”

Lifting yourself on your tiptoes you press your nose to his, your lips hovering over one another. Electricity crackles between you, months of yearning and unspoken tension threatening to break free. His muscular arm wraps around your waist, tethering you to him.

“Come home with me, where you belong.”

“I thought you’d never ask,” you whisper.

Then something blooms in his chest, a feeling he hadn’t felt in a long time - hope. You can see the fuzzy color around him lighten into a beautiful blue color, like the sky on a sunny day.

“Feel it with me?”

You wrap your arms around his neck, letting the mental blocks down momentarily. The moments your lips touch bursts of colors fill your mind and you feel it all. His love encompasses you, his hope for the future with you and passion makes your skin tingle.

“I love you Jack Abbot.”

“I love you more."

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