Open Heart One Shots (Choices)

Miracles

Summary: A chance encounter with Ethan brings an expected revelation for Cassie.

Miracle of life, my ass!

It was a miracle the world's population was edging toward eight billion, given the indignities that pregnancy wrought on women's bodies.

Cassie Valentine barely controlled a grimace as her patient let out an inhumane scream and tried to push a watermelon-sized human being out of her hoo-ha. The mammoth pregnant belly heaved and metamorphized with each contraction, blood and fluids gushing out from between her thighs.

She was in week three of her intern year ambulatory electives block. She'd chosen Women's Health, thinking learning more about her body would be cool. However, most of her rotation had been spent in labor and delivery since that team was short-staffed.

Apparently, this was a popular time for giving birth in Boston. What else could horny Bostonians do during the long, cold winter nights?

Contrary to popular belief, babies straight out of the womb were not cute, with their skin red and wrinkly and covered in amnio fluids. Witnessing a mid-morning birth was enough to put one off their lunch.

"You have a beautiful baby girl," the third-year resident cooed, smiling widely as she laid the wriggling tiny human on the mother's chest.

Cassie scrutinized the scrunched-up face peeking through the blanket and thought it looked more like a fish, but to each their own.

Leaving mother and child to bond, she followed the team out of the delivery room, discarding the protective sheath and cap in the bin outside, and shook loose her long blonde hair.

Checking her watch to make sure she wasn't late for afternoon didactics, Cassie strode toward the nurses' station, intent on completing the notes from this case while it was fresh in her mind.

She didn't often think about motherhood. After an almost scare in college that had given her and Jackson several restless nights waiting for the results, she'd been diligent about preventing accidental pregnancies.

Still, given that she came from two prolific dynastic families, Cassie supposed it was inevitable she'd have kids one day. But everything she'd witnessed these few weeks hadn't exactly endeared her to the idea of putting her body through all that!

Her mind came to a screeching halt, and her feet slowed at the sight of Dr. Ramsey leaning against a wall, arms folded, chatting with another attending.

Ethan looked out of place in the brightly painted maternity ward, decorated with colorful wall posters about the benefits of breastfeeding and glittery balloons bobbing in the air as eager parents took their babies home. His somber expression countered the excited hubbub in the busy hallway.

Now, that was a man who couldn't see kids in his future. Cassie still remembered his ambivalence about family and children when they tested the fMRI machine. Given how his brain scan lit up, it was a sore subject.

Not that it's any of my business, she thought, turning away. Still, she furtively sniffed her underarms (the delivery room had been hot and sweaty) and sighed in relief. All clear.

Cassie sat behind the desk at the nurses' station, entering notes into the computer, when a shadow fell over her. She glanced up mid-sentence, instinctively knowing who it was.

"Be with you in a minute, Dr. Ramsey," the charge nurse said from behind her.

Ethan towered above the station, but his eyes were locked on his phone so Cassie could observe without him being any wiser.

He looked tired, his jawline scruffy with overgrown stubble. His short, neatly styled dark brown hair was unusually tousled—as if he'd run his fingers through it.

Cassie's hand itched to touch the small, subtle strand of hair that fell slightly forward. It gently curved towards his forehead, softening his otherwise polished (and somewhat austere) look.

She thought it added a bit of character, giving Ethan a relaxed and approachable appearance. Until his striking blue eyes caught you spying. Then, there was nothing casual about Ethan Ramsey.

"Rookie," Ethan said neutrally, head cocked sideways, his gaze inscrutable.

"Dr. Ramsey," Cassie acknowledged cooly with a slight nod. She wanted to be nonchalant, but curiosity won out. "What are you doing here?"

He quirked one eyebrow, his expression haughty, for lack of a better word.

"Sorry!" Cassie blurted out, feeling her cheeks flush. "I know it's none of my business."

"No, it's not," he said, hesitating. "But, since you knew Dolores..."

His Adam's apple pulsed as he swallowed, emotions swimming in his eyes. He blinked them away, cleared his throat, and shut down any hint of vulnerability.

"Baby Hudson is being discharged from NICU this week. Dolores' sister asked me to coordinate the transfer to his pediatrician in Minneapolis."

"Oh. I didn't know he was still here."

Cassie realized she hadn't given Dolores or her baby much thought in the last couple of months. She had moved on to other patients, trying to keep her head above water as the harsh realities of residency and competing in the fellowship competition beat down on her.

Of course, Ethan Hudson was still in the neonatal ICU, given his premature birth at twenty-six weeks. It was a miracle he'd survived the night. She felt terrible for her negligence, even though Dolores' untimely death had devastated her at the time.

"Why would you?" Ethan commented impassively, drumming his fingers on the desk. "He was no longer under your care."

"How is he?"

"He——" Ethan sighed, looking away from her briefly. "He's hit all his developmental markers. Dr. Lozoya doesn't expect any long-term complications. He has Dolores' eyes."

Her green eyes sharpened at the softly spoken words, the tenderness in his voice catching her off guard. From the sudden frown on his lips, Cassie suspected he hadn't meant to make that admission, at least not to her.

"Sorry to keep you waiting, doctor," the charge nurse interrupted.

The bubble surrounding them burst. Ethan straightened from the desk and nodded absently before accompanying the charge nurse down the hallway.

Cassie watched his retreating back with a considering look. In the short time she'd known him, his moods appeared to change like the weather.

The man was full of contradictions: arrogant one minute, compassionate another. Dismissive and rude at times, he was also wickedly sarcastic and funny on the most unexpected occasions.

Who, she wondered, was the real Ethan Ramsey?