THE WOMAN ON THE BILLBOARDS - part 1
SUMMARY - Daisy St. John is twenty-eight and one of the most recognisable faces in fashion. She is also an omega — something nobody knows, kept buried under layers of suppressant patches and deliberate privacy. On her way to visit the ten children she has come to know in PTMC's cancer ward, her car is struck by an SUV running a red light, and she arrives in the emergency department unconscious, bleeding, and completely unaware of what is about to find her.
WARNINGS - frank langdon x fem!patient. brendon park x fem!patient. mentions of death and blood. medical therms. medical inaccuracy. unspecified age-gap. ooc ... everyone?
AUTHOR NOTE - this is my first fic so lmk what you think. this was meant to be x reader but I think it fits better with a name.
part 2 , part 3
The weeks leading up to Christmas had been unusually quiet. Ice on the roads normally meant a steady stream of trauma, but this year the city seemed to have collectively decided to stay home and behave itself, which nobody in the pitt was complaining about. Nobody said so out loud, of course. That was the other rule, right up there with never eating the last of the break room coffee without making a fresh pot.
Ogilvie, apparently, knew neither rule.
"Quiet day today, huh?" He slid up beside Santos with the particular confidence of someone who had not yet learned that Santos did not do company while she was charting.
The groan that rippled around the pitt was almost harmonised.
"What the fuck, Ogilvie," said Santos, looking up.
"What?" He looked genuinely bewildered, which somehow made it worse.
Frank didn't bother turning around from his computer. "You just jinxed us." A pause, for effect. "Even the med students know you don't say that in the ED." Frank couldn't help but scoff as he continued, mumbling under his breath, "you do take the scenic route to understanding though..."
Dana got the call two minutes later.
Trauma inbound. Two patients. MVC — driver's side T-bone, high-speed impact. Patient one, female, twenty-eight, GCS seven and dropping. Head lac, suspected lower extremity fracture. Patient two, male, fifty-three, blunt chest trauma, unconscious. ETA two minutes.
Dana was already moving. "Robby — incoming trauma, ETA two minutes. Langdon, Santos, Trauma One. Jack, you've got Two." She didn't look up from the board. "Ogilvie, sit yourself back down."
Frank was pulling gloves on before she'd finished the sentence. Almost five years and it still arrived the same way every time — that particular coil of focus tightening in his chest, the rest of the world narrowing down to whatever was about to come through those doors.
Trinity appeared at his left, tying her hair back. The beta glanced at the empty doorway, then at him.
Neither spoke.
A blast of icy air swallowed them whole as the doors opened.
Two gurneys, two sets of paramedics, the controlled chaos splitting itself between the bays without anyone having to direct it. Frank's attention went immediately to the gurney coming toward him — young woman, head dressing already bleeding through, left leg immobilised and sitting at an angle that told him everything he needed to know about the ankle before anyone opened their mouth.
The paramedic was already talking. "Female, twenty-eight, unconscious passenger. Vehicle took a full-speed T-bone on the driver's side from an SUV that ran a red. Head lac, left temporal — bled significantly at scene but we've had pressure on it. Left ankle is dislocated, probably fractured. GCS was eight when we got there, dropped to seven en route. Vitals stable but tachycardic the whole ride, sitting around one-ten."
Frank was already at her head. He tilted her jaw slightly, watching her chest rise. Airway clear. Respirations shallow but present. He brought his pen light across — left to right, right to left.
"Pupils reactive, but left's lagging." He straightened. "I want CT head and C-spine, chest film, full panel. Have neuro on standby." Two fingers to her wrist, counting against his watch. "She's one-twelve. Let's get a second line in."
It was routine. His hands knew what to do and did it, moving through the checklist the way they always moved — efficiently, without hesitation, without needing him to think about each step consciously anymore. He reached her neck to check her airway more carefully and registered the scent patches there, multiple of them, peeling slightly at the edges from the impact. Standard hospital protocol meant they'd come off — the autosprayers couldn't do their job over the top of them — and he removed them without particular thought, dropping them into the waste bin at his side.
The autosprayers cycled.
And then —
It was so faint he almost missed it entirely. The trauma bay smelled the way it always did: latex and antiseptic and the low copper-iron of blood that never fully left no matter how clean the floors were, and underneath all of it the hospital's neutralising mist, flattening the scent environment down to something manageable and professional and controlled.
But for half a second, through all of that —
Something warm. Something that didn't belong to the antiseptic or the blood or the recycled hospital air. Fleeting, barely there, gone almost before he'd registered it was present at all. Like a door opening briefly onto somewhere else and then closing again.
He tilted his head slightly, angled toward her as though checking her breathing, and caught the very edge of it again before it disappeared.
She was suppressed. Heavily. Whatever she had been wearing had survived the crash and the blood loss and the shock of impact, had held through all of it and let almost nothing through. She'd been wearing those patches for a long time — this was not a casual precaution but something practiced and deliberate and deeply private, the kind of thing an omega did when they had good reasons not to advertise what they were.
Only the trauma had shaken anything loose. Only barely. Only for a single second before the autosprayers swallowed it back down.
Frank's hands were completely steady. He was an alpha. A steady, controlled and reliable member of this team. The thought felt gross to him, having to reassure himself when he used to be so confident.
Inside, something had gone very quiet — the particular silence of a realisation arriving that he had no framework for and no time to examine and absolutely no intention of examining right now, in this room, with this patient in front of him.
No, he thought, with the same flat authority he used to stop a room full of residents. Not here. Not like this.
"Where are we on imaging?" he said, because her pulse was one-twelve and she was his patient and that was the only thing that was true right now.
"Ordered," Dana said from the door. "It's on the way."
"Good." He reached for fresh gauze and pressed it carefully against the laceration at her temple. The bleeding had slowed but hadn't stopped. Under the dressing her skin was very pale, a small bruise already beginning to mottle at the edge of the wound.
Twenty-eight years old. Unconscious. No idea where she was.
He kept his hand steady and his eyes on the monitor and did not think about the half-second that had just happened.
From Trauma Two, through the partition, he could hear Jack's voice — clipped, efficient, directing his team through whatever the second patient was dealing with. Frank had learned years ago to filter it out the way you filtered out the ventilation hum.
He filtered it out now.
"Robby." Dana's voice came from just behind his right shoulder, carrying the particular quality she reserved for things that needed to be said carefully. "You should see this."
He heard Robby cross the room. Heard the rustle of something — a wallet, from the paramedic's kit — and then a silence that lasted just long enough to mean something.
"Tell me you're joking," Robby said.
"I'm not," Dana said.
Frank looked up.
Robby was holding an ID card, and the expression on his face was the one he got when a situation had reclassified itself without asking his permission — not alarmed, because Robby did not do alarmed, but quietly and rapidly recalibrated. He turned it so Frank could see.
Daisy St. John.
The name landed differently the second time. Frank had filed it when the paramedic said it, given it no particular weight, moved past it because names were not his job in the first three minutes of a trauma. But now it arrived in full — context, recognition, the particular cultural saturation that came with someone very young building something impossible and refusing to explain themselves about it. The billboards. The magazine covers on the newsstands outside the hospital entrance that Frank walked past every morning and registered in his peripheral vision without ever quite stopping to look.
And suddenly the scent patches made sense.
He looked now, though she was not on a billboard. She was on his trauma table, twenty-eight years old, and the laceration at her temple had bled through the fresh gauze already.
Trinity had gone still at his left. Even Trinity, who had never once in Frank's experience allowed anything to interrupt her clinical momentum, had stilled.
"Huh," she said. Just that.
"Chart on lockdown." Robby's voice had dropped — not dramatically, but with the particular weight of an alpha drawing a line. "Nobody outside this team touches it. Not upstairs, not admin, nobody." He handed the ID back to Dana.
"Marcus Webb, fifty-three," Dana said, already reading from her notes. "He was in the driver's seat. Her driver — the paramedics said she doesn't drive, he takes her everywhere." A pause. "He's in Trauma Two. Blunt chest trauma. Jack's got him."
Something in the room shifted. Frank kept his eyes on the monitor.
Robby looked toward the partition, then back. "Get me a number for her emergency contact. She's going to want a familiar face when she wakes up, and if her regular person is on the other side of that wall—" He didn't finish the sentence. He didn't need to.
"Already on it," Dana said.
The room resumed its rhythm. Frank adjusted the pressure on her temple and looked at her face and thought about the CT coming back, and whether the sluggish left pupil was going to mean what he was afraid it might mean, and whether the tachycardia was pain response or something worse. All the things that were his actual job.
He couldn't help softly brush his thumb across her cheek. Her soft cheek. Even now, in this delicate state, he couldn't help think that she looked like an angel.
He thought about those things, and only those things, for the next twelve minutes until imaging came back.
No bleed. Concussion. Superficial lac. Brief hypoxia accounting for the GCS drop. All of it survivable. All of it manageable.
She was going to be alright.
He stood with that in the narrow privacy between himself and the imaging screen and let out a breath he hadn't entirely been aware he was holding.
The ortho consult went out at 15:14.
Santos paged it while Frank was reviewing the CT with the neuro fellow — who had appeared, taken one look at the patient, performed the same quiet recalibration that everyone in this bay seemed to be performing in sequence, composed herself, and done her job. Frank appreciated that.
He stayed at the imaging board while Santos made the call. Heard her explain the findings, and her current status. Heard the pause on the other end that meant someone was checking the board for available attendings.
Heard her say: "Okay. Tell him we're in Trauma One."
Frank looked back at the CT.
Brendon Park arrived at 15:31.
Frank knew his footsteps. After years in the same hospital, sharing the same corridors and the same impossible hours, you learned the rhythm of the people around you the way you learned the sounds of a house you'd lived in long enough. Park the Shark walked like a man who had decided where he was going before he stood up — each step placed with the unconscious precision of someone who had stopped second-guessing himself somewhere in his surgical training and never started again. There was no question what he was. You knew it simply by looking at him, the particular quality of his stillness filling a room before he'd said a word.
Those footsteps came down the corridor, pushed through the trauma bay doors, and stopped.
Frank was at the side station updating the chart. He did not look up.
The footsteps resumed after a beat — slower now, more deliberate — and came to a stop at the foot of the bed.
Silence.
Not the working silence of a surgeon beginning an assessment. Something else. Something that lasted three seconds longer than it should have before Park the Shark's hands moved to his gloves. His size ten gloves. There was nothing small about the man; not his ego, not his height and certainly not his biceps.
Frank kept typing, trying not to focus on the alpha he called 'friend'.
The autosprayers ran their constant cycle. Antiseptic. Neutral. Flattening everything down to its managed baseline.
Almost everything.
Frank wondered, with the small detached part of his mind still capable of detached wondering, whether Park had caught it too. Whether whatever the crash had briefly shaken loose was still just barely present — just enough, for an alpha in close enough proximity, paying the right kind of attention.
He did not look up to find out.
"Talk to me," Park said. Frank recognised the register — that particular flatness Park used when he was working harder than usual to sound like he wasn't.
"Left ankle, fracture-dislocation. Imaging's here." Frank pointed toward the chart. "She's unconscious. Tachycardic since admission. Neuro's happy with the trajectory."
Park said nothing. Frank could hear him examining her — careful, controlled, the absolute precision he brought to everything he touched clinically, every movement exactly what it needed to be and nothing more.
"She'll need an OR," Park said eventually. "ORIF, proper setup. Not here." A pause. "Keep her NPO. I want to see her again when she's conscious — upstairs."
"She moves up in the next twenty minutes," Frank said. "Neuro cleared it."
Another pause. The kind that had weight in it.
"Which room?"
Frank glanced at the board. "Four-twelve."
He heard Park strip his gloves. The snap of latex. The drop into the bin. The sound of him not moving immediately — the particular stillness of someone deciding whether to say something and then deciding against it.
The doors swung shut.
Frank finished the line he was typing. Then the next. Then the one after that, working through the chart with the same steady focus that had carried him through four years of this job and kept carrying him now, one line at a time.
Through the partition, Jack's voice was still going — low and continuous, which meant the man in Trauma Two was still alive and still being fought for. Marcus Webb, fifty-three. Her driver. The person who put himself between her and whatever the world intended to throw at her, every single day, and who had not been able to stop this one thing from happening through absolutely no fault of his own.
Frank thought about that briefly.
Then he closed the chart, pulled up the next one, and kept going.
Outside, the storm had not let up. Snow against the windows, the sky pressed down to white and grey, the city carrying on somewhere underneath it. Inside, the fluorescent lights hummed their indifferent hum over all of it.
In Trauma One, Daisy St. John's monitor kept its steady rhythm.
One-oh-four now. Coming down.
Frank noticed. He told himself it was because she was his patient and her vitals were his responsibility, which was true, but it was also not the only reason — but that was something he was not going to examine right now.
He went to find Robby.
It was only going to be a long afternoon.













