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Little Fish, Big Fish

Chapter 4

Summary:

"Seventy over fifty," Lena called. "Heart rate's climbing. Come on, baby, don't you dare."
"Keep pushing fluids. Don't let up."
Robby moved down the line of her, hands quick, and Dennis watched him and noticed — couldn't help but notice — the jaw set slightly too tight, the measured exhale through the nose between each step like he was counting to stay on track. He'd worked with Robby long enough to know what that meant. Robby wasn't scared of much. Robby being scared was its own kind of bad sign.

Notes:

(See the end of the chapter for notes.)

Chapter Text

Oh help me Jesus
Come through this storm
I had to lose her
To do her harm

The ER hit them like a wall of light and noise.

Robby went through first.

"Hey — Robby — what do we—"

"Lena!" He was already past the desk, voice dropping into that register — very controlled, very fast — which was worse than if he'd simply sounded scared. "What's open? I've got one of ours. R2, hemorrhagic, left thigh, self-inflicted. She's been down longer than we like. Large-bore IVs, both arms — type and screen, CBC, BMP, coags, crossmatch. Someone call vascular. Now."

Lena was already reaching for the phone.

"Central Two is yours. Walsh has a prenatal in three, Shen just finished in one." She was already dialling before he answered. "And before you ask, yes, you can assist, I'm not an idiot, Robby." A pause, receiver wedged between her ear and shoulder. "Next of kin? Please tell me you have something, because I really don't want to be making that call to nobody."

"I’ll handle it." His voice cracked slightly on the last word, in a way he probably didn’t notice. "Right now, we move. Okay? We just — we move."

Dennis laid Trinity down.

He didn’t step back right away. He stood there with one hand still near her shoulder — not quite touching, not quite letting go — and watched her chest rise. Barely. But it rose.

He made himself step back.

"Pressure?" Robby asked.

"Low," Lena answered, moving around the bed with the efficiency of someone who has done this so many times it lives in her bones. "Holding, but only just." She adjusted the line with practiced hands and then, under her breath, in a register that had nothing to do with clinical protocol and everything to do with something older than that: "Come on, sweetheart. You stay with me now. You hear me? You stay."

"Need a second bag over here! Wide open."

Dennis dragged a hand down his face. His hands felt strange. Not heavy, not numb — just wrong, like they belonged to a version of him that had already processed something the rest of him was still two steps behind on.

He stood there and watched her chest.

"Seventy over fifty," Lena called. "Heart rate's climbing. Come on, baby, don't you dare."

"Keep pushing fluids. Don't let up."

Robby moved down the line of her, hands quick, and Dennis watched him and noticed — couldn't help but notice — the jaw set slightly too tight, the measured exhale through the nose between each step like he was counting to stay on track. He'd worked with Robby long enough to know what that meant. Robby wasn't scared of much. Robby being scared was its own kind of bad sign.

"She was running," Dennis said. The words came out before he'd decided to say them, and once they started, he couldn't quite stop them. "Because I scared her — I was calling her name, I kept calling her name, and she just — she didn't stop, she didn't even slow down, she didn't turn around. She just kept going, and I thought she hadn't heard me, so I kept running, and then she just — she went down, and I don't know how long she'd — I don't know how long it had been before I got there. I don't know if I was — I should've been faster, or just more careful to begin with—"

"Hey." Robby’s voice dropped. "Look at me."

Dennis didn't.

"Whitaker! Look at me."

His eyes came up. Whatever was in them made Robby exhale sharply, something pained crossing his face before he pressed it back down where it needed to be.

"I don't know how long she was down before I got to her," Dennis said again, quieter this time, like saying it again might make the answer different. "I keep trying to work out the timeline, and I just — I can't. I can't make it add up in a way that doesn't mean I was standing right there and I still—"

"Whitaker." Robby's voice roughened, the composure thinning at the edges. "Stop. I need you to stop doing that right now, okay? I mean it."

"I'm just saying—"

"I know what you're saying." He looked at him steadily. "And I'm telling you — you got her here. That's the thing that happened. That's the thing that matters. You got her here, and I need you to hold onto that right now because I am — I'm a little bit—" He stopped himself. Adjusted a line. His hands stayed steady. The rest of him was working on it. "Just hold onto that. Can you do that?"

Dennis turned away.

"Okay," he said. It didn't sound okay.

John Shen burst into the room with one rapid pass, set his mug on the counter, and snapped on gloves.

"Alright, somebody talk to me."

"Twenty-eight, left thigh bleed. Unstable. About four minutes in." Robby's voice had gone clipped again, back where it needed to be.

"Pressure dressing?"

"Applied in the field," Lena said. "But she lost a lot before she got here, John. A lot. I've seen this kid around the ward for months, and I need her to still be around it tomorrow, so whatever you've got tonight, let's have it."

Shen leaned over the wound. Tilted his head slightly. Was quiet for a moment in the particular way he had — not hesitant, just deliberate, like he was having a conversation with the injury that no one else was invited to.

"Good field work," he said finally. "Whoever did this bought her time." He straightened. "Alright. Let's find out exactly what we’re dealing with."

Dennis shifted at the edge of the room. "What are we looking at? If she was down that long, what does that mean? Are we talking about—"

"Not right now," Shen said.

"I understand that, but if you could just give me something, any kind of—"

"I genuinely cannot give you a number I don't have yet, and I think you know that." Still focused on the wound. Unhurried in a way that was almost aggravating. "Every second I spend talking to you is a second I'm not looking at her. So do me a favour. Stand there. Let us work. That is genuinely, sincerely the most useful thing you can do right now." He glanced up briefly. 

Dennis went still.

Nodded once.

Abbott appeared in the doorway. He looked at the bed. Then, at Dennis, with the expression of someone doing a very quick and very thorough calculation.

"Good thing you found her when you did."

"Yeah."

He let it sit there for a moment.

"That's not a compliment."

Dennis's eyes dropped to the floor. Came back up.

"I know what it is," he said.

Lena materialized at his elbow — he hadn't even heard her coming — and pressed a pair of clean socks into his hands with the no-nonsense efficiency of someone who had learned exactly how to handle people who were falling apart without letting them know that's what was happening.

"Bathroom," she said. "Go."

"I'm fine."

"Honey." She said it in a way that made it clear she was not asking. "You are not fine, and that is completely okay, and I am not judging you for it, but you are also tracking blood across my floor. You look like you're about two minutes from locking your knees and going horizontal on me, and I’ve got enough on my hands tonight."

"I'm not going to pass out."

"You don't know that."

"Lena—"

"Dennis." She put a hand on his face — both hands, actually, briefly, the way you'd hold someone still who wasn't quite all the way present — and her voice dropped into something that had nothing to do with the ward around them. "Listen to me. Go wash your hands. Splash some water on your face. Stand in there for two minutes and let yourself be a human being, just two minutes, and then you come right back. She needs you thinking straight. You can't be any use to her like this, okay? You know I'm right."

He looked at her for a long moment.

"Okay," he said.

He went.


The bathroom was too bright.

Dennis turned the tap and watched the water run pink, then clear. He kept his hands under it longer than necessary, eyes fixed on the drain, listening to the fluorescent hum overhead and the distant, muffled sounds of the ward through the door.

He thought about the hallway. The specific sound of her footsteps not stopping when he called her name. The way someone's back looks when they've already made a decision and their body is just carrying it out to its conclusion and there is nothing in the world you can do about it except run faster and be luckier than you have any right to be.

He thought about Garcia.

He turned off the tap.

Stood there.

Went back.

The room had reorganized itself into something more like a purpose. Still urgent, but directed now, everyone moving with the particular economy of people who knew exactly what they were doing and why.

Lena met him at the edge of the bay with a tablet and a look that checked him over quickly and said nothing about what it found.

"I need a next of kin. Anything you've got."

"I don’t know her people," he said. "I'm not — I don't think there are people. She doesn't talk about family. She doesn't talk about much outside the hospital, she just — she shows up and she works and she goes home and I’ve been right there this whole time and I don't actually know—" He stopped. Pressed his mouth closed. "Sorry. There's a number on file?"

"There's a number on her intake form," Lena said, watching him carefully.

Dennis knew that number. Not because he'd memorized it — just the way you absorb things you're around often enough, a presence that moves from background to familiar to something you don't have a clean word for.

Her pager.

He didn't say anything for a moment. Just stood there with the tablet in his hands, looking at the number in the field.

"Dennis?" Lena said.

"This is her pager," he said.

Lena didn't answer right away. When he looked up, something had moved through her face — a quick, involuntary thing, there and then pressed back down. She looked at the number. Then at him. Her mouth opened and closed once.

Dennis looked back down at the screen.

He thought about intake day for the interns and med students. The conference room, the stack of forms, her pen moving fast and certain across every page. He'd been sitting two seats down. He remembered thinking that dark-haired woman in front of him looked like someone who had done this before, who found paperwork boring rather than daunting, who was already somewhere else in her head. He remembered thinking she seemed fine.

Who should we contact in the event of an emergency?

He tried to picture it. Her pen stopping above that line. Or not stopping. Just — writing it down. Her own pager. The most honest answer she had.

"She'd have known it would ring in an empty room," he said. His voice came out strange. Too careful.

"Yeah," Lena said. Just that.

Dennis put the tablet down on the counter because his hands had started doing something he didn't want them to do. He pressed them flat against the surface and looked at the wall above the monitor and breathed.

He thought about her on the couch at midnight with her knees pulled up and her mug held in both hands, texting him from two feet away because she had something stupid to say and wanted to say it to someone. He'd laughed at her for it. You're literally right there. She'd thrown a cushion at him.

He hadn't understood what it was.

He picked the tablet back up and held it out to Lena without looking at her.

She took it. Her hand closed over his for just a moment before he pulled away.

"I'll note we were unable to reach anyone," she said, and her voice had something rough at the edges that she wasn't quite ironing out.

"Yeah." He nodded at the wall. "Okay."


At half-past two, Garcia came through the door still in her coat.

Dennis watched her eyes go straight to the bed. Watched her stop, just for a second, just long enough for something to move across her face before she locked it back down and started moving again, pulling at her zip, already talking.

"Robby called me. What happened? Someone tell me what happened, who found her—"

"Garcia." Robby didn't look up. "You're not scrubbing in."

"I know her, Robby, I've been working with her for months, I know her history, I know how she thinks, just let me—"

"I know you do." He looked up then. "That's exactly why. Step back."

Garcia's mouth closed. Her jaw shifted. She looked at the bed for a long moment, and Dennis watched something happen in her expression that she probably thought wasn't visible from across the room.

Then she stepped back.

She crossed toward him.

He didn't move. Didn't turn toward her, didn't shift to make space. Just stood with his arms folded and his eyes on the monitor and let her come to him, because he didn't trust himself to close the distance.

"How bad is it?" she asked.

"Bad." He kept his eyes on the screen. Trinity's heart rate. Her pressure. The numbers doing what numbers did, going up and down and meaning everything and nothing at the same time. "But she's holding."

"Okay." Garcia exhaled beside him. "Okay, good. That's — do they know yet what—"

"She's holding."

Silence.

"I had my phone on silent," Garcia said. "Post-op ran long, and I had it on silent. I didn't see the calls until I was already out, and then I came straight here."

Dennis said nothing.

He was looking at the monitor. He was thinking about Trinity sitting on the kitchen floor at two in the morning with her back against the cabinets and her knees pulled up, and the way she'd been angry at herself for crying, like it was one more thing she was failing at. I know it's stupid. I know Yoyo’s just busy. The flat, exhausted way she'd said it, like she'd already had the argument with herself and lost. I know I'm being— and then she'd stopped, and pressed the heels of her hands into her eyes, and he'd sat down on the floor next to her and not said anything because there wasn't anything to say, and she'd leaned her head back against the cabinet and stared at the ceiling and after a while she'd said, quietly, she makes me feel like I’m making the whole thing up, and Dennis had looked at her profile in the dark of the kitchen and thought, very clearly, I know.

He'd said nothing. It hadn't been his thing to say.

He was thinking about that now.

"I've been worried about Trinity," Garcia said. "For a while. I want you to know that."

Dennis turned to look at her.

She met his eyes, and something in her expression recalibrated, the way people’s did when they realized the face looking back at them wasn't the one they were expecting.

"Have you. Have you really?" he said.

"Dennis—"

"She cried about you," he spat, silent and full of vitriol. Somehow, that was worse than if he'd raised his voice. "You'd go quiet for two weeks, and she'd spend the whole time going over every conversation you'd had, trying to find the thing she’d done wrong. And then you'd text her again like nothing had happened and she'd—" He stopped. Looked back at the monitor. His throat moved. "She'd just be relieved. That was the thing. She’d just be so fucking relieved."

The monitor beeped.

"I'm glad you're here," he said. He said it to the screen. "She'd want you here. So I'm glad."

Garcia was quiet for a long moment. When he glanced at her, she was looking at the bed, and her jaw was tight, and her hands were very still at her sides.

"Dennis—"

"Trinity’s stable," he insisted. "That's what matters right now."

He looked back at the monitor and didn’t say anything else.

Neither did Garcia.

Notes:

Lowkey a filler chapter, I'm so sorryyy

Notes:

If you’re struggling right now, please reach out. You deserve gentleness, kindness, and support.

Self-Harm & Suicide
- International crisis line directory: https://findahelpline.com
- USA/Canada: Call or text 988
- UK & Ireland: Call 116 123

Sexual Violence & Grooming:
- RAINN National Sexual Assault Hotline: Call 1-800-656-4673 (US) or online chat at rainn.org (espagnol: https://rainn.org/help-and-healing/hotline/linea-de-ayuda-nacional-de-abuso-sexual-de-rainn/)
- 1in6: https://1in6.org (for male survivors)
- 5WAVES: https://www.siblingsexualtrauma.com (for sibling sexual trauma)
- Army of Survivors: https://theathletesurvivorsassist.org (for athlete survivors)