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As Above, So Below

Summary:

Two attendings, one new psychologist working both the day and night shifts on a rotation. You could have sworn you heard both of them call “dibs,” and you’re more than willing to entertain the both of them.

Notes:

As Above, So Below. "Quod est superius est sicut quod inferius, et quod inferius est sicut quod est superius." -- That which is above is like to that which is below, and that which is below is like to that which is above.

It based on the notion of Hermeticism; the idea that God was a magician.

The religious and philosophical idea that the universe is broken into the Macrocosm (the universe), and the microcosm (the individual).

That which is above, corresponds to that which is below in order to accomplish the miracle of one thing. In simplest terms—whatever happens in the spiritual world, also happens in the physical world, and vice versa.

Your spiritual and physical world existed on two equal and opposite sides; day shift and night shift.

Two very different shifts.

Two very different paces, senses of humor, and inside jokes

Two very different attending doctors.

And you were vying for the attention of both of them.

Chapter Text

Chapter 1: I'll Tell You Everything is Copacetic

The promotion from the career you had grown comfortable, came unexpectedly and as the result of a physical altercation with a patient. You, the staff psychologist at a maximum-security prison, had come face-to-face with a makeshift weapon during a routine therapy session. The irony, which had not been lost on you, had been that your patient had been so worried that he’d never get out of prison, he had no insight into the fact that stabbing someone in the back with a sharpened toothbrush, would surely end in those exact consequences. He was one of your favorite patients. It was a real “Et tu, Brute” type of moment, both figuratively and literally. 

The thing they don't tell you about being stabbed in prison, is that the threat needs to be cleared before life-saving measures can be started. There you were, on the ground, bleeding from a stab wound that barely missed your spinal cord, waiting for EMS to arrive, while you almost choked to death on the pepper spray canister that had been deployed by security as they watched on in horror. The other thing they don't tell you about being stabbed in prison, is how motherfucking painful it is and how that trauma will likely linger long after the pain. 

Leaving that job wasn’t a suggestion as much as it was a directive. You were medically cleared after 12 weeks, but the optics of the entire situation made it difficult for management to move forward without shouldering most of blame. The split was mostly amicable; they wouldn’t have to feel any guilt about a weapon making its way all the way to your therapy session, and you’d never have to wear khaki cargo pants and a "stab vest" again that clearly was just for show. 

You applied for the job of Chief Psychologist at Pittsburgh Trauma Medical Center as soon as it popped up on your archaic Linkedin profile, and got the job the following week. The long-waited return to your hometown and all of the skeleton's in your childhood home's closet. The emergency room didn’t exactly sound like a soothing retreat for the recently stabbed, but it did promise the perfect distraction – 12-hour shifts, vacillating between days and nights, and no time to think about all of the things that had happened up to this. And, as a cherry on top, you’d be the first in this position, a long-awaited overhaul of PTMC only relying on psychiatry and social work for their mental health needs. To have someone on-site, in the emergency room, was PTMC's big wet dream; and you were happy to give them that happy ending.

---

Your shift starts at 7am and you take the long way to work to clear your head. The city you once called home has hardly changed, but the feeling of being back was heavier than you expected.

Your phone dings, a familiar face and name.

Dana: Hey kid, come find me at the nurse's station when you get here. you're gonna fit right in

Your physical therapist told you to take it slow, and walking was about as much as you could handle still 12 weeks post-injury. The pain shot down your back from your shoulder blade to your hip, a lingering limp still evident. The scar was "gnarly" according to your best friend, but you had been too afraid to look. PTMC sat at the top of the delightfully named "cardiac hill" -- One of the steepest hills in the city, home to several of the best hospitals in Pittsburgh and the University of Pittsburgh campus. According to local legend, more heart attacks happened here than any other place in Pittsburgh.

Your injury forced you to relocate with the distance in mind, but you weren't exactly thrilled to be sharing the sidewalk with undergraduate college students and their roller backpacks who barely look up from their phone. You were, however, thrilled to see one of the seven wonders of the world on your way to work-- Dunkin'.

America does run on Dunkin', and you know why? Because it's trash, and so is society. You don't walk into a calm environment of espresso machine and jazz music, surrounded by independent filmmakers discussing their film adaptations of David Foster Wallace like you would at a hipster coffee shop. Dunkin' welcomes you with bloodied open arms into a warzone. An absolutely unhinged battlefield, people screaming, the excitement of giving your order to someone who absolutely could not give a fuck. You let Dunkin' tell you what you need, and not for lack of trying. You give the order but they rarely listen. Today you walk out with a large iced mocha, with whipped cream, after ordering a large vanilla latte with oat milk. The universe just feels right, a little off its axis and sickenly sweet.

You walk through the double doors to the ER sliding in between two gurneys on their way to the ambulance bay and make your way to the nurses station, Dana waiting with open arms

"It has been far too long, my girl," Dana hugs you tightly, "and boy am I glad you are okay, and you are here. Your mom told me what happened, how you holding up"

"Almost recovered. You should see the other guy" you reply, "and you look great."

"Thanks kid," Dana smiles, her eyes shift to someone behind you "Oh captain, my captain."

"A patient?" You hear his voice before you see him, and when you turn around, it's hard to look away. He's all tall, dark, and handsome, a real father-figure vibe towering over you. Cargo pants, black scrub top, a fancy watch, a faded hoodie. This must be the place, and this guy definitely fucks. He must have clocked you the moment you walked in--looking like a lost puppy with a limp and a cup full of coffee. Of course he thinks you're a patient.

"My daughter's best friend, and your new psychologist," She corrects him, "This is Dr. Robby."

"Sorry, I saw you come in and were limping, just wanted to make sure you were okay," He nods, confirming that he did, in fact, notice you as soon as you walked in

"The limp is more of a talking point than a medical emergency, but I wouldn't say no to someone taking a look at it. I almost got laid out by an undergrad with a roller backpack on my way here." You smile, outstretching a hand, "I'm Y/N Wheeler, the new head of the psych department."

"Michael Robinavitch, but everyone calls me Robby," He shakes your hand, noticing the tattoo stretching from your wrist to your elbow and under the sleeve of your shirt. He instinctively tilts your arm to examine the ink, a thumb rubbing over your wrist softly, without even noticing he's doing it. Ooooph. You clear your throat and his eyes meet yours, face turning a deep shade of red.

"Don't worry, it definitely goes all the way to my shoulder. If you're good, I'll show it to you." You quip, maintaining eye contact until he looks away,  "and yes, the nose ring is real too."  

“Wheeler! I see you've met Robby" John Shen takes a step next to Robby, a matching Dunkin' cup in hand. He raises his glass to yours, knocking the two together, "Cheers, bitch. Never thought I'd see the day you moved back to Pittsburgh. Welcome to the thunderdome.”

Shen looks at Robby, “She's straight from the feds. You didn't see her on the news--”

You interrupt before he can divulge any gruesome details of the trauma to your new colleague, “He means that I was a psychologist at the federal detention center not that I was in prison. Although always keep your cards close to your chest."

"Sorry, You two know each other as well?" He raises his eyebrows as the dynamic playing out in front of him, "Jesus Pittsburgh really is small world."

"We met in grad school. Gave him therapy the whole way through residency” You reply, "taught him everything he knows about screaming internally while keeping a straight face." 

"Ah" Robby nods, "That really does explain his shockingly chill demeanor." 

“Oh great, you're all here." Gloria interrupts the conversation, coming up behind you in a pastel purple pantsuit. Over teams she seemed less, up tight. In person, she's all business in the front and even more business the back, "Our newest chief psychologist. We now have our own consult, and she's overseeing the entire department."

"Figured I could help the ol’ pill pushers up in psychiatry. And plus, these patients seem like a breeze compared to prison." You make a joke, trying to assess the humor of the group. Shen gets it, and laughs. Robby gets it, wants to laugh, but stuffs his hand in his pockets. Gloria doesn't get it at all. 

"She’ll be spending her time between day and night shifts, the full 12 hours, so use her as an appropriate resource," she continues.

"You save 'em and I’ll keep them from jumping off the roof" You say quietly, nudging Robby with your elbow, a smile spreading across his face as Gloria turns around and heads off to whatever upper-management office she spawned from. 

"So where did you go to school?" Robby asks, hoping your answer reveals something about your age.

"I went to Pitt for undergrad and then Drexel for graduate school. Did my internship, post-doc, and forensic fellowship with the feds" You nod, "we had an infirmary unit, which closely resembled a hospital, but more security forward than anything. I'm board certified in forensics, but my internship focused mostly on neuropsychology." 

"Don't take this the wrong way, but fuck am I glad they hired someone like you." He responds, rubbing a hand over his neck,"Hell, some of us could probably use an evaluation."

"I'm excited to be here, but I'm definitely going to have to learn the sense of humors around here. I'm pretty fucked up from the prison, i don't have a great filter, but i work hard and I care about my patients." 

He stops walking and turns to face you, "you'll fit in great. So why did you leave the feds?"

"Honestly, I was tired of getting pissed on." The way you say it, so matter-of-factly, with the ability to maintain a serious expression causes Robby to snort. It catches him off guard, a genuine laugh erupting from his throat. He looks at you like he's not quite sure what to make of you yet, but his gaze lingers, a smirk on his face.

"Speaking of getting pissed on" another attending comes up behind you, shorter than Robby, but equally as handsome in a way that screams he's got his own trauma, “Kraken is in two if you’re into that sort of thing." 

"Dr. Abbot" Dr. Robby shoots him a look like he's trying to corral his kid. These two know each other. Maybe not biblically, but you know they've definitely cried in front of each other. Something you wouldn't be opposed to seeing.

"Who is the kraken? And do I look like I’m into that sort of thing?" He wasn't expecting you to shoot the same level of bullshit back to him,even as a shit-eating grin appears on his face.

"Never met a nose ring that wasn’t," He shrugs

"A little early for kink shaming, Jack, "Shen interjects, unable to help himself.

"Can't wait to see what my tattoos suggest" you raise an eyebrow

"Sorry, Do you two know each other too?" You can't tell if Robby's annoyed with him or the conversation, but Abbot ignores him.

"Military?"

"Feds."

He nods his head in approval, narrowing his eyes like he's trying to figure out if you're worth his time, "You on nights?"

"Next week. Running a support group on how to dive off the roof and land on your feet at 1am." You don't miss a beat.

"Right up my alley" Abbot responds, "you're going to be trouble."

You catch the look between Robby and Abbot, something unspoken. For a second, you could have sworn they were calling dibs.