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possibilistfanfiction · 4 months

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surgeons au - when they get engaged?

[@gohandinhand hbd pt2 lol // ao3]

‘chief superion?’ dr. alvarez says, poking her head into your office and looking more frazzled than you expect and much more frazzled than you ever want to see any of your doctors, especially your head of ortho. ‘do you, uh — do you have a moment?’

you never have a moment, but you close your computer and nod, motion for her to come sit.

‘actually, i… can you come with me? it’s for…’ she sighs. ‘please?’

it worries you, instantly, because this would never happen if things were business as usual, if everything was running smoothly. ‘what’s going on, dr. alvarez?’

she hesitates. ‘it’s ava,’ she finally admits after a few seconds.

you’ve spent decades perfecting the art of looking calm when you are very much not, but this tests you immediately, the jolt of panic that shoots through your body. when silva had joined your residency program, he had frustrated you beyond measure: you thought her unserious, impatient, selfish — the only reason you had any patience to begin with is because jillian had recommended her so warmly after ava’s time as her doctoral candidate. but you were so, so wrong — about her work ethic, her overwhelming compassion, her deep bravery and even deeper capacity for love. beatrice, from even before she had matched with your hospital, had been your favorite in a way that you trusted her to, one day, take over your program and continue to make sure it’s the best in the world — even better, you’re certain. she’s unshakably calm under pressure, good with patients and colleagues alike, a skilled surgeon and even more skilled teacher.

but ava is special in a way that feels too close to even say — your mentee, the incredible leader of next generation of neurosurgeons and researchers: miracle after miracle, delivered with a bravado and a kindness that’s impossible to teach.

so you nod, stand and grab your cane with the steadiest hands you can manage. camila leads you, silently and quickly, clearly also trying to act calm, to the nearest staff bathroom to the OR, and you open the door and then see ava sitting on the small bench there, slumped over a little to one side. normally, ava never stops moving, always fidgeting, gesturing, greeting you with a wave and a daily attempt to get you to come up with a secret handshake with her. but now, ava’s face is set in a pained grimace and her body is noticeably still.

‘hey, dr. s,’ they say, trying to smile, but it doesn’t work.

‘hello, dr. silva.’ you feel caught in no-man’s land for a moment, with ava so still and camila hovering worriedly.

‘so, i, uh. well, first of all, my surgery went great. secondly, please don’t tell bea until we know what’s going on.’

‘ava —‘

‘— i can’t move.’

you don’t have any comforting thing to say: you’ve seen ava’s scans over the years, especially when her back has flared before; you know about how jillian is always working on more effective injections, better tech. you hear about it when you visit her lab for business, and you also hear about it over quiet dinners at either of your houses, with the lights low and her voice taking on a sadder timbre than the determined, professional clip when she’s talking only of science, not of love too.

so instead you nod and walk toward ava, crouch down with only a few clicks in your knee — you’ll take it. ‘numbness? tingling?’

‘i —‘ ava’s voice shakes and she takes a deep breath, steadies herself. ‘i can’t feel anything. it’s — there’s just nothing.’

you go through a few more questions and she answers with what you can tell is honesty: she’d been in pain lately but nothing out of the ordinary, especially with the winter weather rolling in; there wasn’t anything concerning before operating, or else she certainly would’ve postponed; after she finished — eight hours of concentrating and microscopic movements later — when she sat down, things degraded quickly from there.

‘i had my intern page cam,’ they say, ‘because i just — bea is going to panic and go into worst-case-scenario mode, and i don’t know if it actually is worst-case-scenario or just, you know, a passionate flare-up.’

all of you can guess that this is not a normal flare, but, ‘okay. let’s get an mri then. but i don’t want to move you without a brace and a backboard.’

ava pouts.

‘you know i can’t justify just helping you transfer to a chair right now.’

‘yeah, but it doesn’t mean i have to like it.’

you place a tender hand on the top of her head and she leans into it, just for a moment: a comfort, quiet and small and, you imagine, as much as she can accept right now.

‘alright,’ ava says, sniffling. ‘let’s get this show on the road.’

you would never take away ava’s autonomy, especially not now, but when you show her the scans — the worst worst-case-scenario results — she bites her bottom lip, clearly trying not to cry, and you say, ‘can i page dr. choi for you?’

ava looks toward the ceiling in frustration, in fear, in anger, in grief. ‘yeah,’ she says eventually. ‘yeah, i want her here.’

it’s a risky surgery, one that even you feel unsure about: if things go wrong, or, really, even if they go right, ava could have worse chronic pain and irreversible paralysis. beatrice accepts those risks steadily when you talk to her privately, when camila is doing one final pre-op update of ava’s vitals, her mouth set in a firm line, jaw clenched tightly.

the risks that shake both of you are much worse: too much blood loss, stroke, a lack of oxygen to the brain. you don’t want to say them, let alone think them about ava, but they both deserve to know, to choose.

but, ‘there’s no other options, are there?’ beatrice says, finally sitting down and putting her head in her hands, running a hand over her hair and then sitting back in the stiff chair, slumped, horrified.

your silence is the only answer she needs, because she’s brilliant and there’s nothing else you can say: you will do everything in your power. she knows that.

‘just — i love him.’

‘i know,’ you tell her. ‘i do too.’

she nods. ‘okay,’ she says, steeling her resolve as she looks to ava’s room. ‘okay.’

‘hey,’ ava says, ‘can you scoot where i can fully see you with this stupid neck brace on?’

even without being able to move, even scared out of her mind, ava glares at you. it makes you want to smile, the fight that sits in her bones.

beatrice sits carefully on the side of ava’s bed fully in her line of sight. ‘what do you need, my love?’

ava smiles softly. you wonder, briefly, if she feels the grief of not being able to touch her partner, always so tactile. ‘don’t pretend this couldn’t end really badly, please.’

‘ava.’

‘bea.’

beatrice frowns, staring down at their linked hands, held tightly even if ava can’t himself.

‘i’ve lived way longer and better than i ever thought i would,’ ava says.

‘and you’ll have plenty of good time left,’ beatrice says, stubborn even still.

‘well, i hope so,’ ava concedes. ‘but i just — i gotta ask you something, just in case.’

beatrice swallows, clearly fighting back tears, and nods.

‘there’s a ring in my tan purse, the one i never use.’

beatrice does start to cry then; she shakes her head.

ava’s smile is so, so sad. ‘i was waiting for, like, the perfect moment or the perfect plan. which you still deserve, but, well.’ she shrugs with her jaw clenched in pain. ‘i can’t get down on one knee right now, but i know you’ll like the ring.’

‘i — i’ve known,’ beatrice admits, which has them both laughing through tears. beatrice dries ava’s cheeks first, then her own.

‘and you didn’t say anything?!’

‘i knew you wanted to ask. also, i was just looking for a spare mint; it didn’t seem fair to ruin your surprise for such a ridiculous reason.’

ava shakes her head. ‘that’s very kind.’ and then, ‘so, what do you say then?’

‘i, um — i have a ring too, in my winter pack.’

ava grins. ‘so that’s a yes?’

‘yes, ava,’ beatrice says, then leans forward to kiss him softly. ‘of course it’s a yes. as soon as you can, i’ll marry you. i’ve wanted to for years.’

‘wow,’ ava says. ‘okay, cool. sweet. it’s a yes from me too, obviously. also — is it a big diamond? family heirloom?’

beatrice laughs, despite it all. ‘i thought a diamond band might suit work better.’

‘hot,’ ava tells her. ‘well, when i wake up, i expect it.’

‘i’ll send lilith to rifle through all our belongings as soon as i can.’

ava sobers. ‘i wish i could feel you.’

beatrice cups ava’s jaw gently, her thumb grazing over her cheek. ‘i’m here.’

‘i love you,’ ava says.

‘i love you so much, ava silva.’ beatrice smiles, watery and terrified and sorrowful and grateful. she kisses ava, who leans her head up as best she can with a neck brace on. ‘in this life.’

ava nods, sniffles, and then looks at you, resolved, determined. ‘let’s do it.’

‘promise me,’ ava says, loopy from the drugs already administered in her IV but not asleep yet, ‘that you’ll take care of her if things don’t work out.’

‘things will work out.’

ava shakes her head. ‘we both know they might not.’

you smooth your hand over ava’s hair. ‘you are both loved beyond measure,’ you say, and ava takes it in.

‘well, try your best not to fuck it up.’

you laugh, and ava grins, and then her eyes flutter closed.

you explain to beatrice — now changed into joggers and a hoodie you’re sure was once ava’s — her alma mater not even close to beatrice’s — since it’s the middle of the night, lilith sitting stiffly beside her — that ava is alive but there were complications: too much blood loss, low oxygen levels. her spine is stabilized and you think — you hope — that part, at least, was successful, but you’re just not really sure if ava will wake up — or, if she does, what her cognitive function will be, who she’ll be.

beatrice takes it, just for a moment, like a physical blow, but then she nods. ‘thank you,’ she says, quiet and polite without fail, but lilith looks on, concerned.

‘we’ll monitor him closely in the neuro icu,’ you say, ‘and hope for the best.’ you don’t think beatrice has prayed in years and years, but there’s a rosary, probably lilith’s, clenched in her hand.

‘okay,’ she says, and follows you quietly there.

even though beatrice is a surgeon, seeing ava hooked up to so many monitors, drains and leads and an oxygen cannula in her nose, seems to give her pause, slightly unsteady on her feet — just for a moment, but enough for you to think nothing of it when you take her in your arms and hug her tight. unlike ava, who is always physically affectionate, beatrice has been reticent for as long as you’ve known her. but she sinks into it this time, letting out a shaky sob while you rub her back, and then steadies herself eventually.

she sits down by ava’s bedside, faithful as always, and brave, and fishes out a box from her pocket, opens it and then slips a beautiful ring onto ava’s left hand. ava’s hands are cold, you know, because you made personally sure that she was comfortably settled in bed; but beatrice just holds steady, brings it to her lips, kisses the cool, still skin there.

she murmurs something — please wake up; please don’t leave me; i love you, you’re not sure.

you’re technically both done with your shift and also behind on so much paperwork, but you settle down at the nurse’s station and watch ava’s vitals as beatrice prays.

jillian brings you breakfast early the next morning, kissing your forehead in a show of affection that you both rarely allow at either of your workplaces. but she loves ava too, for years now, even longer than you, and so she takes you by the hand and leads you into her room. beatrice is asleep on mary’s shoulder, shannon bringing coffee for everyone. there certainly aren’t this many people supposed to be allowed in an icu room, but it doesn’t stop anyone because it doesn’t really matter: whenever a nurse comes in to change a dressing or an iv, you all stay out of the way. it’s quiet, small conversations only. you think ava would probably hate it — the lack of stupid jokes, beatrice’s bright laugh, mary and lilith’s fondness not at all masked by their snark.

you take turns getting beatrice to eat; you sleep lightly. eventually jillian makes you shower, changing out of your scrubs and into comfortable slacks and a soft sweater she’d brought you.

it stays like this for two days: so many people from the hospital dropping by to see how ava’s doing, to drop off flowers, to check in with beatrice too. ava’s kindness is remarkably present even when he’s not fully; being returned tenfold. you don’t even ask or say anything, just make sure that beatrice’s shifts are covered by your other cardio attendings, and so she waits, sentinel.

and then, just as beatrice is about to doze off again, 46 hours after you’d finished surgery, ava groans. beatrice shoots up like she’s not sure it happened, a specter too good to imagine.

‘ava?’ she asks hesitantly.

it seems like a herculean effort, and you wait with bated breath, but then ava fights and opens her eyes. ‘hey bea,’ she says, weak and rough but coherent, aware, sure.

beatrice smiles, immediate tears running down her cheeks. ‘hi.’

ava lifts her left hand — a miracle in itself — an inch or so off the bed, but easy, natural, and sees the ring there, beams. ‘hot.’

beatrice kisses ava’s forehead, her cheeks, her mouth — joy, everywhere.

you walk ava down the aisle, almost a year later — it was slow going, at first, and then more and more progress in physical therapy, beatrice’s steadfast reassurance through even the most frustrating, painful days. but now you’re here, ava smiling at your matching canes.

‘wouldn’t be here without you,’ he says, in his wispy, beautiful white dress and immaculate makeup.

you smile, hug her to you. ‘it’s an honor.’

you walk her down the aisle, steady and easy, both of you, and then watch as she stands, grinning at an already emotional beatrice. visible below her hair that falls just at her jaw, the newest scar along ava’s neck — from your scalpel, as careful and neat as you could — has faded; is still fading; has healed.

#wn #wn fic #avatrice #avatrice fic #surgeons au #butch bea 🥺🫡#sorry but everything is fine!!!! fluff coming up in the next few prompts! lmao #if there's one thing abt ava tho she WILL make a joke at any time!#i’m an english major idk what’s wrong w ava but who cares this isn’t the new england journal of medicine

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possibilistfanfiction · 3 months

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Surgeons AU - when they first meet 🫶🏼

[just a tiny bit of bea's pov, maybe i'll do ava's too tomorrow]

it would be both stupid and irresponsible to not know at least the basics about the interns you’ll be in charge of before they get there, so you know: ava silva, md, phd is quite impressive on paper.

however: ‘silva, you’re with me,’ you say after you’ve introduced yourself to the small group and given the other four their assignments. as you take off down the hallway. dr. silva — beautiful, although that’s not a very professional thought as their boss — is wide-eyed and enthusiastic, far too talkative for you to really engage with at 4:30 am.

‘anyway, you don’t have to call me dr. silva. that sounds so serious. ava is fine, he/she/they pronouns, i don’t really care, it’s all fun to me.’

you nod, making note, but, ‘i’m going to call you dr. silva.’

he just laughs. ‘for now.’

you fight the urge to roll your eyes. ‘you worked with dr. salvius, for your doctorate?’ you ask while you wait for the elevator, for no reason other than that it’s the most normal thing to say and sometimes the way you were raised — polite smalltalk is better than silence —still overpowers.

dr. silva nods. ‘yeah. biotech stuff, neural interfacing, all that jazz.’

‘i read your research that came out this summer in the new england journal of medicine. it was quite fascinating.’ you refrain from saying amazing or incredible or groundbreaking or bordering on miraculous because dr. silva is grinning already.

‘pretty cool, yeah? i want to go into neuro, mostly because i would hate for all that research to just get stuck in the lab.’

‘well, dr. superion is the best in the world.’

‘oh yeah, i know. she and jillian have a thing; it’s actually why i wanted to match here so badly.’

you ignore she and jillian have a thing for your own sanity, pushing the button on the elevator for the fourth floor, cardio. ‘it’s a great teaching program,’ you say, because it really is, all things considered. ‘if you need anything, these first few days especially, don’t hesitate to ask. i’d rather you reach out than do it wrong.’

her grin softens into a smile, singularly for you. ‘you’re much nicer than your vibe let on at first, you know that?’

you’ve spent your whole life trying to be kind, amidst a lot of cruelty. you know you’re contained, exacting, aloof, but you liked medicine in the first place because those things — your focus and your quiet — never stop you from being able to care for people well; dr. superion, especially, has taught you that those things can make you listen better, comfort more, explain procedures more clearly to your patients and your interns both — those things can be good.

dr. silva isn’t thrown off by your silence, which is both annoying but also something you appreciate. it’s going well; he’s talking about his research and the outdoor cat who lives by her capital hill apartment, but then she’s looking at the tablet — giving you your patient’s latest vitals like you asked, getting her back on track and focused at the task at hand — and runs right into lilith, rounding the corner.

lilith’s coffee goes everywhere, all over her the floor, and dr. silva’s tablet.

‘god fucking damn it,’ lilith says, and dr. silva just looks on a little startled but also like they’re trying not to laugh — a horrible idea, if lilith’s pinched expression is anything to go by.

you apologize to lilith, which prompts, thank god, dr. silva to also apologize. lilith hurries off, cursing — not too quietly — at her ruined scrubs, and dr. silva turns to you, a little sheepish.

‘she’s hot,’ he says, then clamps his mouth shut. ‘my bad; it’s so early.’

you roll your eyes. ‘wipe off that tablet off. we’ve got rounds.’

#wn #wn fic #avatrice #avatrice fic #surgeons au #butch bea 🥺🫡#truly disasters both of them

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