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TW/CW: Severe Medical Conditions

When Mountains Fall

The bourbon Miguel slid across the scarred wood was Elijah Craig small batch, amber catching basement light like liquid fire trapped in plastic. This one's been aging in barrels made from trees that survived worse storms than we're weathering tonight, Mom, his voice carrying that smoky-tender combination making every drink feel like communion.

I pressed the cup to my lips and noticed Bubba shift in his chair by the window. Not dramatic movement—just slight adjustment like someone trying to find comfortable position in seat that suddenly felt wrong. His massive hand rubbed absently at his chest, face showing brief flicker of discomfort before settling back into stoic Georgia mask he'd worn for six decades.

Sarah and Brandon were mid-debate about philosophical implications of queer resistance during fascist rollbacks, their voices carrying across the bar with intellectual intensity. Ezra sprawled in their beanbag throne, blue hair electric under basement lights, adding commentary punctuated with enthusiastic gestures. Sage drew intricate patterns on napkins while chaos erupted around them. Remy sat near Bubba—close but not touching, that careful distance they'd maintained for years before finally admitting what everyone already knew.

You good, cher? Remy's cigarette dangled from lips as he studied Bubba's face with attention most people reserve for holy texts. You look a little pale.

Fine, Bubba's mountain-deep voice rumbled, dismissive as always. Just tired. Long week at the warehouse.

But his hand kept returning to his chest, rubbing circles like he could massage away discomfort brewing underneath skin. Sweat beaded at his temples despite basement's comfortable temperature. His breathing seemed slightly labored, chest rising and falling with more effort than conversation warranted.

Keira appeared beside me, settling into her usual spot with book in hand. She glanced at Bubba, then at me, eyebrow raising slightly. He okay?

Says he's tired.

He looks like shit.

I watched Bubba disconnect slowly from conversations he'd usually dominate, his massive presence seeming to contract inward. The basement air felt suddenly heavier, charged with tension none of us could name yet.

Mom, you seeing this? Ezra materialized at my elbow, blue hair catching light, face showing concern beneath usual enthusiasm. Bubba's been rubbing his chest for like twenty minutes. And he's sweating like he just ran a marathon.

I noticed. The bourbon sat heavy in my stomach, liquid warmth curdling into anxiety. Keep an eye on him.

Miguel emerged from behind the bar, his bartender instincts sensing disturbance in sanctuary's equilibrium. He moved toward Bubba with casual grace, but I caught tension in his shoulders. Hey, big man. Want some water? You look like you could use hydration.

I'm fine, Bubba repeated, but his voice carried less conviction. His hand pressed harder against his chest, face contorting briefly before smoothing back to neutrality. Just indigestion. Della's quesadillas earlier—

Don't you blame my fucking food, Della called from the kitchen, but her voice lacked usual aggressive affection. She emerged wiping hands on grease-stained apron, dark eyes tracking Bubba with predatory focus. That discomfort in your chest or your stomach?

Both. Neither. I don't know. Bubba shifted again, massive frame looking uncomfortable in chair that had held him countless nights without complaint. It's nothing. Y'all are fussing like—

His breath caught. Not dramatically, just slight hitch suggesting something inside wasn't working right. His left arm moved unconsciously, fingers rubbing from shoulder to elbow like trying to ease tension that wouldn't release.

Remy's cigarette hit the floor.

Bubba, baby, talk to me. His Cajun accent thickened with emotion, rough edges sharpening. What exactly are you feeling?

Pressure. Like someone's sitting on my chest. Bubba's admission came reluctantly, mountain eroding under persistent water. And my arm feels weird. Tingly. Probably just pinched nerve from lifting shit at work—

Fuck. River materialized, forest green scrubs still carrying hospital smell from their shift. They'd been sitting quietly with Phoenix, but now medical training activated like emergency protocol. Bubba, I need you to describe the pressure. Scale of one to ten.

Maybe six? Seven? His face showed confusion at suddenly being medical subject. It's not that bad—

Is it radiating? Moving anywhere?

Left arm. Little bit into my jaw. Sweat poured down his temples now, dark skin taking on grayish undertones that made my stomach clench. River, I'm fine. Just need to—

You're having a heart attack.

The words hit the basement like bomb detonation, sucking oxygen from the room. Everyone froze in tableaux of mounting horror as River's clinical assessment transformed casual Thursday night into medical emergency.

Non, Remy's voice cracked completely, entire body going rigid with terror. Non, non, that's not—he's just tired, he said he's tired—

Phoenix, call 911. Now. River's voice carried twelve-hour-shift authority cutting through denial. Tell them we have a male, approximately fifty-five, presenting with classic MI symptoms. Sarah, first aid kit behind the bar. Ezra, clear floor space. Everyone else, back up but stay close.

I watched Bubba's face as reality crashed through his Georgia stoicism. Heart attack? I can't—I'm only fifty-five, I don't—

Age doesn't matter. Symptoms matter. River knelt beside him, fingers finding pulse point, eyes tracking breathing patterns. Your pulse is elevated and irregular. You're diaphoretic. Classic radiation pattern. Bubba, this is serious. We need to get you to a hospital immediately.

I don't want to go to the hospital, Bubba said, and something about his voice—small, scared, completely unlike the mountain we knew—made everyone's chest constrict. Hospitals are where people go to die. My mama—

Hospitals are where people go to live, River interrupted gently but firmly. If we do this right, if you cooperate, you'll be fine. But you need to let us help you.

Phoenix's voice shook as they spoke to dispatch, providing location details while ruby ring caught light on trembling fingers. Brandon hovered at edges, notebook forgotten, face showing every emotion his humor usually buried. Sage abandoned their napkins, helping Ezra clear space. Sarah returned with first aid kit, her stoic mask cracking around edges.

Bubba, I need you to stay calm. River's hands moved with surgical precision, loosening Bubba's collar, checking vitals again. Deep breaths. Don't try to move. The pain—how is it now?

Worse. His massive hand clutched his chest, face contorting into mask of pain that made everyone watching feel it reverberate through their own sternum. Fuck, it's worse. Like someone's crushing me, like I can't get enough air—

That's the myocardial infarction progressing. River's clinical detachment couldn't quite hide fear bleeding through. Your heart muscle isn't getting enough oxygen. The ambulance will have nitro, aspirin, equipment we don't have here. ETA, Phoenix?

Six minutes, Phoenix's voice cracked. They said six minutes.

Six minutes felt like geological epochs.

Remy had collapsed to his knees beside Bubba's chair, weathered hands hovering over Bubba's body like he wanted to touch but feared breaking something already damaged. Tears streaked down Cajun-rough features unchecked, voice emerging strangled. Cher, you listen to me. You stay here. You don't get to leave, you hear? Not when we just—not when I finally—

Remy. Bubba's voice came in gasps now, each word costing effort. If this is it—if I don't make it—

Don't you fucking dare— Remy's sob cut off whatever else he might have said, rage and terror and love colliding in his throat.

Let me finish. Bubba's free hand found Remy's, massive fingers engulfing weathered ones. I love you. Should've said it years ago. Decades ago. But I love you, and if this is—

Shut up. Remy pressed Bubba's hand against his own face, lips moving against knuckles in something between kiss and prayer. You're not dying. You're going to the hospital, they're going to fix you, and then we're going to have decades to say everything we should've been saying all along.

The pressure in Bubba's chest intensified—we could see it in how his body curled inward, how breathing became visible struggle, how pain stripped away every defense leaving raw vulnerability exposed. His face contorted, teeth clenched against sounds wanting to escape.

Talk to me, Bubba. River's voice stayed steady, clinical anchor in emotional storm. Pain level?

Nine. Maybe ten. Fuck, it hurts— The admission cost him, mountain crumbling under assault he couldn't fight with strength or stoicism. Can't breathe right. Everything's tight—

That's the cardiac muscle in distress. Your body's trying to compensate, but— River glanced at their watch, calculation visible in their expression. Four more minutes. We're doing okay. You're doing okay.

But he wasn't okay. We could all see it—the way his massive frame seemed to shrink, how sweat soaked through his shirt, how each breath became battle. His left arm hung useless now, pain radiating from shoulder to fingertips. His jaw clenched so hard tendons stood out like cables under strain.

Della knelt on Bubba's other side, her usual aggressive competence transforming into fierce tenderness. You stubborn son of a bitch. You've survived worse than this. Georgia backwoods in the seventies didn't kill you. This doesn't get to either.

Della's right, I said, moving closer despite Keira's anchoring hand on my shoulder. You're our mountain, Bubba. Mountains don't fall from one goddamn earthquake.

This earthquake feels pretty fucking strong, Bubba gasped out, attempting humor even as his face showed agony. Mom, if I don't—tell Gizmo—tell everyone—

Tell them yourself. My voice came out harder than intended, fear manifesting as fury. You don't get to write your goodbye speech. You survive this. That's an order.

The silence between labored breaths felt suffocating, basement air thick with terror none of us knew how to process.

Three minutes, Phoenix updated, voice barely above whisper.

Three minutes of watching Bubba's skin turn grayer, watching his chest heave with effort that should be automatic, watching Remy's face cycle through terror and rage and helplessness. Three minutes of River monitoring vitals with expression growing grimmer. Three minutes of Miguel standing sentinel by the door, watching for ambulance lights. Three minutes of Keira's hand on my shoulder keeping me from flying apart. Three minutes of Mary's quiet presence somehow making space feel less like tomb. Three minutes of chosen family bearing witness to biology's cruel indifference to love's intensity.

Remy, Bubba's voice emerged thread-thin, mountain reduced to valley whisper. Scared.

That admission—Bubba, who'd survived being Black and gay in 1970s Georgia, who'd weathered violence and hatred and erasure, admitting fear—broke something in all of us. Remy's sob echoed off sunset crimson walls, sound containing every year of dancing around love too frightening to claim, every moment of carefully maintained distance protecting them both from vulnerability neither could afford.

I know, baby. I know you're scared. Remy's cigarette-rough voice cracked on every syllable, Cajun accent so thick words blurred together. But you stay with me. You stay here. We got too much left, cher. Too many mornings waking up together, too many nights at this bar, too many conversations we ain't had yet. You don't get to leave when I just learned what your laugh sounds like in my bed, when I'm still figuring out how you take your coffee, when we only just started—

I'm trying, Bubba gasped, each word costing everything. Trying to stay. But it hurts so fucking bad—

I know. But help's coming. River's here. We're all here. You're not alone.

The basement felt suspended in amber, every second stretching impossibly thin while we watched someone we loved struggle against biology's betrayal.

Bubba, stay with me. River's voice sharpened, medical professional recognizing danger signs. Eyes on me. Don't close your eyes. Focus on my voice.

Tired, Bubba mumbled, his massive body seeming to deflate. So tired. Just want to sleep—

No sleeping. Not yet. Not until the EMTs get here. River's hand found his pulse again, face showing alarm they tried to hide. Phoenix, where's that ambulance?

Ninety seconds. They're turning on our street—

Sirens screamed closer, Doppler effect announcing salvation approaching through downtown streets. But ninety seconds felt infinite when watching someone's life balance on cardiac muscle's failing capacity. Bubba's eyes started to flutter closed, exhaustion and pain and oxygen deprivation conspiring to drag him toward unconsciousness.

Bubba! Remy's voice pitched into something primal, terror stripping away every defense. Open your eyes, cher. Look at me. You look at me right now—

Those dark brown Georgia-deep eyes opened, finding Remy's with effort that shouldn't be required. Something passed between them—decades of unspoken love, years of careful distance, months of finally claiming each other completely—compressed into look containing everything words couldn't hold.

Love you, Bubba whispered, and I saw everyone's heart stop in sympathetic response. Always did. Even when I couldn't say it.

Then stay here and keep saying it, Remy demanded, voice breaking completely. You don't get to tell me you love me and then fucking die. That's not how this works—

Then Bubba's eyes rolled back. His massive body went completely slack, head lolling to the side, chest stopping its labored rise and fall. The sudden stillness felt obscene—mountains shouldn't stop moving, shouldn't surrender to gravity, shouldn't become just meat and bone without the force of will holding them upright.

No! River's voice cracked through clinical detachment. He's coding. Remy, move back—NOW!

Non, non, non— Remy's hands clutched at Bubba's shirt, unable to process what his eyes were seeing. He just—he was just talking—

Sarah, get him back! River was already moving, hands positioning on Bubba's chest with practiced precision. Della, time me. Phoenix, keep that ambulance updated—tell them patient is in cardiac arrest.

Sarah's arms locked around Remy's chest, physically hauling him away from Bubba's body as he fought like wounded animal, Louisiana curses mixing with sobs. Let me go, let me—

They need space to work, Sarah's voice cut through his panic, firm and uncompromising. You want him to live? Then let River fucking work.

River's hands locked together, positioning over Bubba's sternum—center of chest, between nipples, textbook placement. Starting compressions.

Their body weight drove down, arms straight, shoulders directly over hands. Bubba's massive chest compressed under the force—two inches, maybe more. River's face showed fierce concentration, lips moving silently as they counted.

One, two, three, four, five— The rhythm stayed steady, mechanical, thirty compressions at rate that made their own breathing accelerate. Bubba's body jerked with each push, three hundred pounds of muscle and bone responding to force meant to manually circulate blood when heart refused to do its job.

Fifteen seconds, Della called out, her voice steady despite tears streaming down her face.

Sixteen, seventeen, eighteen— River's arms trembled from exertion, but their rhythm never faltered. Sweat beaded on their forehead, dripped down temples. Twenty-eight, twenty-nine, thirty.

They tilted Bubba's head back, pinched his nose, sealed their mouth over his. Two rescue breaths, watching for chest rise. Then back to compressions, heel of hand finding sternum again, driving down with force that would crack ribs if they weren't careful, that might crack them anyway because that's what saving lives sometimes costs.

Come on, Bubba, River panted between compressions, professional detachment completely abandoned. Come back. Don't you fucking leave us—

Thirty seconds, Della's voice cracked.

Remy had stopped fighting Sarah's hold, body going rigid with horror as he watched River perform CPR on the man he loved. Mon Dieu, mon Dieu, mon Dieu— The prayer spilled out like blood from a wound, like he could bargain with forces that didn't negotiate.

One, two, three— River's compressions continued, relentless rhythm trying to convince Bubba's heart to remember its job. Phoenix, where's that ambulance?

Sixty seconds out! Phoenix's voice pitched high with terror, ruby ring catching light as they pressed phone against their ear with shaking hands. They said sixty seconds—

Forty-five seconds, Della called.

Come on, you stubborn Georgia son of a bitch, River gasped out, their own breathing labored now. You don't get to quit. Remy's right there. You hear him? He's right fucking there—

Then Bubba gasped. Not breathing exactly—more like body's involuntary attempt to survive despite brain's shutdown. His chest hitched once, twice, then resumed its labored rise and fall. His eyes flickered open, unfocused and glassy but present.

He's back! River's hands hovered over Bubba's chest, ready to resume if needed. Bubba, stay with me. Look at me. That's it—

Remy, Bubba's voice emerged barely audible, confused and slurred. What—

I'm here, cher, I'm here— Remy broke free from Sarah's grip, collapsing beside Bubba again, hands finding purchase on massive shoulders. You're okay, you're—

Pulse is weak but present, River announced, fingers still on Bubba's carotid. Respirations shallow. Bubba, the ambulance is almost here. You need to stay conscious. Can you do that for me?

Tired, Bubba mumbled, eyes already trying to close again. Everything hurts—

I know. But you have to stay awake. River's voice carried desperation bleeding through clinical facade. Keep talking to Remy. Stay focused on his voice.

But Bubba's consciousness was slipping again, his massive body going slack despite River's commands. The brief moment of awareness guttered like candle in wind, and we watched in horror as his eyes rolled back again, chest stopping mid-breath.

Fuck! He's coding again! River's hands slammed back onto Bubba's sternum, resuming compressions with renewed desperation. Come on! Not again—

Non! Remy's scream tore through the basement, sound containing every loss he'd ever survived, every abandonment, every fear made manifest. Not twice, he can't—

Della, time! River's voice cracked with exertion, their arms already trembling from previous round of compressions. Sarah, I might need you to take over—

Thirty more seconds, Della called out, watching alley door like salvation might materialize through sheer force of will. They're close, River—

One, two, three, four— River's rhythm had grown slightly erratic, exhaustion affecting precision. Their scrubs were soaked with sweat, face showing strain of manually circulating blood through three-hundred-pound body. Eleven, twelve, thirteen—

Let me help, Sarah moved forward, but River shook their head.

Can't—break rhythm—fifteen, sixteen—

Phoenix stood frozen by the door, phone clutched in white-knuckled grip, watching their friend fight to keep our mountain alive. Ezra had curled into themselves, blue hair falling forward to hide tears. Sage's hands moved across napkins without seeing them, drawing patterns that looked like heartbeats. Brandon's pen moved across pages, documenting horror because that's what writers do when they can't stop what's happening. Miguel stood behind the bar, his bartender's mask completely shattered, revealing raw anguish underneath.

Twenty-eight, twenty-nine, thirty— River sealed their mouth over Bubba's again, forcing air into lungs that had forgotten how to demand it. Back to compressions. Come on, Bubba. Remy's here. Your family's here. Come back—

Then sirens screamed right outside, so close the sound physically vibrated through basement walls. The alley door burst open and EMTs flooded in with equipment and professional competence, but River didn't stop compressions until Paramedic Thompson physically took over.

How long? Thompson demanded, his team spreading out with defibrillator and monitors.

First arrest about ninety seconds, got him back after forty-five seconds of CPR, River panted, stepping back with shaking hands. Second arrest started maybe thirty seconds ago—

Charging to 200, one EMT announced, placing defibrillator pads on Bubba's chest. Everyone clear!

Remy lunged forward but Sarah caught him, physically restraining him as Bubba's massive body convulsed from electrical shock. The monitor showed rhythm for three seconds before deteriorating again.

Still in V-fib. Charging to 300. Clear!

Another shock. Another convulsion. This time the monitor showed organized rhythm, weak but present.

We got sinus rhythm, Thompson announced, already moving with his team to get IV access, oxygen mask, full monitoring. But it's unstable. We need to move him now. Get that gurney—

What followed was orchestrated chaos of medical intervention, but all I could see was River's face—exhausted, traumatized, wearing expression of someone who'd just fought death twice in three minutes and barely won. Phoenix was beside them instantly, holding them as they started shaking in delayed reaction.

You did it, Phoenix whispered fiercely. You brought him back. Twice. You kept him here—

Until they could finish the job, River's voice emerged hollow. Another minute and I couldn't—I was losing him, Phoenix. I could feel it—

But you didn't lose him. Phoenix's hands cupped River's face, forcing eye contact. He's alive because of you.

The EMTs had Bubba on the gurney now, strapped in with more equipment than seemed possible to attach to one human body. Thompson looked at River, professional respect evident despite the chaos.

You did good work. Textbook CPR under worst conditions. He's got a shot because you kept blood moving to his brain. His eyes found Remy. You can ride with us, but it's going to be tight—

I don't fucking care how tight it is, Remy's voice emerged destroyed but determined. I'm not leaving him.

They wheeled Bubba toward the door, his massive frame strapped to gurney looking wrong—mountains shouldn't be horizontal, shouldn't be diminished by equipment forcing continued existence. But his chest rose and fell with assistance from oxygen, monitors beeped irregular but present rhythms. Alive. Still alive.

His eyes opened briefly as they passed me, dark brown irises finding mine across medical equipment and trauma.

Mom— His voice emerged weak, Georgia rumble reduced to earthquake aftershock. River—tell River—

Tell them yourself when you wake up, I said fiercely. That's an order.

Then they were gone, ambulance doors slamming shut, sirens screaming back to life as they pulled away carrying our mountain and the Cajun man who'd just watched him die twice. We stood in suddenly empty basement—Miguel, Della, Keira, Phoenix, River, Ezra, Sarah, Brandon, Sage, Mary, me—staring at space where Bubba had been sitting forty-seven minutes ago when this nightmare started.

River's knees buckled.

Phoenix caught them, lowering them to floor gently as River's body finally registered what they'd just done. Their hands shook violently, residual adrenaline having nowhere to go. I almost lost him. Both times, I almost—

But you didn't, Della knelt beside them, her kitchen-rough hands surprisingly gentle on River's shoulders. You fought for him. You kept him here. That's what matters.

My arms, River's laugh emerged slightly hysterical. I can't feel my arms—

Adrenaline crash, I said, kneeling on River's other side. You just manually circulated blood through three hundred pounds of human for over a minute. Your body's going to remind you of that for days.

Worth it, River whispered, tears finally spilling over. If he lives, it's worth it—

Everyone in vehicles. Now. Della's voice brooked no argument, kitchen commander redirecting troops toward new objective. Miguel, lock up. Sarah, you drive Ezra, Brandon, and Sage. Phoenix and Wendy ride with Keira and me. River—can you walk?

I can walk, River said, but Phoenix had to help them stand, had to support them toward the door. The rest of us moved on autopilot, finding keys, climbing into cars, navigating streets that suddenly felt too long and too short simultaneously. We raced toward hospital where Remy was probably watching EMTs continue fighting to keep Bubba's heart functioning.

He coded twice, Phoenix said from backseat, voice hollow. I've never—River had to bring him back twice—

River did bring him back twice, Keira corrected, hands steady on wheel while mine clutched my knees hard enough to leave bruises. That's what we remember. Not that he died. That River brought him back.

But what if he codes again? What if next time—

Then we deal with it, I said flatly, voice containing no emotion because if I started feeling this I'd never stop. But right now, we operate on assumption he's alive and fighting. Anything else is luxury we can't afford yet.

County General's ER looked like every emergency room—fluorescent violence assaulting eyes adjusted to basement warmth, antiseptic attempting to mask bodily failure, people in various states of crisis waiting for triage. We found Remy in cardiac care waiting area, pacing like wounded animal, cigarette-stained fingers running through gray-streaked hair repeatedly while leaving tracks.

His face—Jesus fuck, his face. Every defense stripped away, every rough edge worn smooth by terror, every Cajun stoic mask shattered revealing raw vulnerability underneath. When he saw us, something crumbled further in his expression. When he saw River, he moved toward them with desperate intensity.

You— Remy's voice broke completely. You brought him back. Twice. I watched you—mon Dieu, I watched him die and you—

I just did what training taught me, River said, but their voice shook with residual trauma. Anyone with CPR certification—

Non. Remy's hands gripped River's shoulders, Cajun-rough fingers gentle despite intensity. Not anyone. You. You kept him here. You gave him chance. Whatever happens now— His voice cracked. You gave us chance.

River's sob broke free, and Remy pulled them into embrace that looked like two survivors holding each other upright. Phoenix joined them, ruby ring glinting as all three held each other, bound by crisis and love and terror of loss.

They took him straight to cath lab, Remy said when he finally pulled back, wiping tears with back of his hand. Said it's bad, Mom. Said his LAD is ninety percent blocked, said he coded twice more in ambulance—

Four times, I said hollowly. He's died four times tonight.

But he keeps coming back, Della said fiercely. That's what we focus on. Not that he's dying. That he's fighting like hell to stay.

Said he's lucky he made it this far, said— Remy's voice broke completely, sob escaping before he could stop it. Mon Dieu, I can't lose him. Not when we just—we wasted so many years dancing around this, and now—

Sit down before you join him, Della commanded, producing flask from somewhere and pressing it into shaking hands. Drink. Not debating.

Remy obeyed mechanically, throat working as whiskey burned down. The rest of us arranged ourselves in waiting room geography—Sarah and Brandon flanking Remy like honor guard, Ezra curling into chair with blue hair falling forward to hide tears, Sage already drawing on napkins someone provided. Miguel stood by windows watching parking lot like threats might materialize. Keira sat beside me, her hand finding mine, anchoring presence keeping me from dissolving.

River collapsed into chair beside Phoenix, face showing exhaustion particular to medical professionals who just fought death with their own bodies and barely won. Their hands still trembled, arms hanging useless at their sides, forest green scrubs soaked with sweat and marked with evidence of life-saving violence.

They're still working on him, River said without preamble, understanding we needed facts before comfort. Dr. Chen is one of the best interventional cardiologists in the state. If anyone can save him, she can. But— They paused, medical training warring with personal connection. Four cardiac arrests. That's—that's significant. Even if they restore blood flow, there might be brain damage from oxygen deprivation, or—

Stop, Remy's voice cut through clinical assessment. Just—stop. I can't—I need hope right now, not medical reality.

Hope is all we have, I agreed quietly. So that's what we hold onto.

We settled into waiting room time dilation—seconds stretching into epochs while simultaneously compressing hours into moments. Phoenix fetched terrible coffee from machines designed to punish the desperate. Mary produced tissues from purse containing infinite supplies. Brandon attempted jokes that died before reaching punchlines. Sage drew mountains on napkins, each one showing cracks down center but still standing. We waited.

And waited.

And waited.

Hospital sounds filled the silence—beeping monitors from nearby rooms, overhead pages calling codes and doctors, hushed conversations between medical staff, crying from somewhere down the hall. I thought about Gizmo three states away, my daughter who didn't know how close we came to losing part of our chosen family tonight. I thought about writing this down later, transforming medical emergency into story, making permanent record of how love manifests in hospital waiting rooms at midnight.

I thought about Bubba and Remy dancing around each other for years—decades probably—both too scared to claim what everyone could see. How many Thursday nights had they sat near each other but not quite together, careful distance protecting vulnerable hearts? How many conversations had they shared while maintaining plausible deniability about what simmered underneath casual friendship?

And now Bubba lay on cath lab table dying repeatedly while surgeons threaded stents through blocked arteries, forcing blood flow back to oxygen-starved muscle that kept giving up. Now Remy sat in waiting room chair clutching flask like rosary, praying to gods he probably stopped believing in decades ago. Now River sat traumatized from performing CPR on chosen family member, from feeling our mountain die under their hands and forcing him back through sheer stubborn competence.

Tell me about when you knew, I said suddenly, needing to fill silence with something other than fear. About Bubba. When did you know you loved him?

Remy's laugh emerged bitter, self-deprecating. Always knew, cher. From the first night he walked into Sanctuary five years ago, looking like mountain that got lost on way to becoming legend. Knew it immediately. His cigarette-stained fingers twisted around flask. But knowing and claiming are different countries, non? I spent forty years in Louisiana learning that being gay man meant staying quiet, staying hidden, staying alive. Old habits—they die hard.

What changed?

He did. Few months ago, he just— Remy's voice caught, tears spilling over. He looked at me one night, after everyone left, and asked why we kept pretending we weren't exactly what we were. Asked how much more time we were going to waste being scared when we could be happy instead. And I didn't have good answer. So we stopped pretending.

Best decision you ever made.

Worst timing though, Remy's sob broke free. Finally get brave enough to love him out loud, and three months later his fucking heart tries to quit. Four times. Four times I've lost him tonight—

But River brought him back twice, Keira said quietly, her voice cutting through Remy's spiral. And the EMTs brought him back twice more. Six people have fought to keep him here tonight. That's how much he matters. That's how much you both matter.

Dr. Chen appeared in waiting room doorway two hours and forty-seven minutes after we arrived—petite Asian woman whose competence radiated like physical force despite exhaustion evident in her features. Every person in waiting area surged to their feet simultaneously, chosen family moving as single organism toward information.

He's stable, she said immediately, understanding that we needed conclusion before details. Significant STEMI—ST-elevation myocardial infarction. His left anterior descending artery was ninety-two percent occluded. We placed two drug-eluting stents, blood flow is restored, but there's moderate damage to the cardiac muscle.

He coded four times, Remy said, voice hollow. What does that mean for—

It means he's a fighter, Dr. Chen interrupted gently. Four arrests with successful resuscitation suggests strong constitution and excellent initial CPR. His ejection fraction is currently forty percent, down from normal range of fifty-five to seventy. We'll monitor for neurological deficits from oxygen deprivation, but initial signs are encouraging. He was conscious and oriented during transport to CCU, recognized the EMTs, asked for you specifically.

Can I see him?

He's in CCU now, room 412. Still sedated but waking. He's been asking for— She consulted chart. Someone named Remy? I assume that's you?

Yes. The word emerged fierce, claiming. I'm his partner.

Good. He'll need support during recovery. Heart attacks are physically traumatic but emotionally devastating. Multiple cardiac arrests compound psychological trauma. Depression is common, fear is expected, lifestyle changes are mandatory. Her dark eyes found Remy's specifically. You'll need to be patient with him. And with yourself.

I can do that.

Two visitors at a time officially, but— She glanced at all of us crowded into waiting area, chosen family refusing to be separated. Given the hour and circumstances, I'll pretend I didn't count. Room 412, fourth floor. Don't overwhelm him, but— Small smile cracked professional mask. He kept asking if his family was here. I think seeing all of you will help more than any medication I can prescribe.

Her eyes found River specifically. You did the initial CPR?

River nodded, unable to speak.

Textbook compressions. You kept blood flowing to his brain during two critical arrests. Whatever recovery he makes, you're part of that. She extended her hand. Thank you for keeping him viable until we could intervene.

River's sob broke free as they shook her hand, Phoenix's arms immediately wrapping around them. We filed through CCU corridors in reverent silence, witnesses to miracle of survival rather than tragedy of loss. The elevator ride felt endless despite lasting seconds. Fluorescent lights buzzed overhead, antiseptic smell intensified, medical equipment beeped from rooms we passed. Everything felt simultaneously too bright and too dim, too fast and too slow, too real and too surreal.

Room 412 smelled like every hospital room—antiseptic and fear and machines forcing bodies to continue beyond their expressed preferences.

Bubba looked small.

That's what hit me first—our mountain, our massive presence, our Georgia survivor looked small in hospital bed surrounded by technological forest growing from his body. EKG leads sprouted from chest, IV lines ran into arms thick as most people's thighs, oxygen cannula rested under nose, monitors beeped rhythms measuring continued existence. His eyes were closed, face showing exhaustion beyond physical, skin still carrying grayish undertones suggesting how close we'd come to different outcome.

But his chest rose and fell. Steadily. Mechanically. Alive.

Remy moved toward bed like man approaching altar, every step weighted with accumulated fear and relief and love too big for body to contain. His weathered hand found Bubba's, massive fingers engulfed by Cajun-rough grip that refused to let go.

Cher, Remy whispered, voice breaking on the endearment. You stubborn son of a bitch. You scared me.

Bubba's eyes opened slowly, consciousness returning in increments. Those dark brown Georgia-deep irises found Remy's immediately, and something passed between them that made everyone watching feel like intruders on sacred moment.

Hey, Bubba's voice emerged gravelly from intubation, mountain-deep rumble reduced to valley whisper. Told you...wasn't ready...to leave you yet.

You left four times, Remy's sob broke free, tears streaming unchecked down weathered features. Four times I watched you die tonight. Four times they brought you back.

Stubborn, Bubba managed, attempting smile that looked more like grimace. Georgia stubborn. Louisiana stubborn. We don't...quit easy.

You better not be, Remy pressed Bubba's hand against his own face, lips moving against knuckles in something between kiss and prayer. You hear me? We got decades left. Decades of learning everything about each other we should've been learning all along. Decades of waking up together and fighting about stupid shit and making up and loving each other out loud instead of in shadows. You don't get to take that away from us. From me.

Doctor says...gotta change lifestyle. Bubba's face showed vulnerability we rarely saw, exhaustion stripping away every Georgia-stoic mask. Less stress. Better food. More exercise. Stop carrying...everyone's weight...on my shoulders.

We can work on that, I said from doorway, voice sounding foreign in clinical space. Starting with you accepting that chosen family means we carry each other. Not just you carrying all of us.

His eyes found mine across white linoleum and medical equipment, decades of survival meeting decades of different survival. Then they found River, standing near the back of our group with Phoenix's arms supporting them.

River, Bubba's voice strengthened slightly, mountain trying to resurface through sedation and trauma. They told me...what you did. Twice...you brought me back.

River's sob broke free, Phoenix holding them tighter. I couldn't let you go. Not when Remy—not when all of us—

Thank you, Bubba said simply, and something about those two words carried weight that made everyone in room 412 start crying. For fighting...when I couldn't.

Always, River whispered. We always fight for family.

I love him, Bubba said, eyes finding Remy's again, no performance or pretense, just truth emerging clean and complete despite sedation and pain and exhaustion. Took me...too many years...to say it. But I love him. And I want...decades...to keep saying it.

Remy pressed Bubba's hand against his own face, lips moving against knuckles in something between kiss and prayer and promise. You're going to get them, cher. Every goddamn decade. Every goddamn year. Every goddamn day. I'm not going anywhere, and neither are you.

The rest of us bore witness in silence—Miguel and Della holding hands, his wedding ring catching fluorescent light beside her scarred knuckles. Ezra's blue hair falling forward to hide tears they couldn't stop. Sarah's stoic mask completely shattered, brown eyes swimming with emotion she rarely showed. Brandon scribbling notes because writers process trauma through documentation, pen moving across pages while tears spotted paper. Sage drawing hearts and mountains on napkins, each one showing cracks that somehow made them stronger. Phoenix and River holding each other, ruby ring glinting between their clasped hands, River's body still trembling from adrenaline crash and trauma of feeling chosen family die under their hands. Mary quiet as always, her subtle presence making space for everyone else's grief and relief. Keira's hand on my shoulder, anchoring me when I wanted to fly apart.

We stayed until nurses gently suggested we go home, that Bubba needed rest, that tomorrow would bring new challenges requiring fresh energy. Most of our chosen family reluctantly filed out, exhaustion and relief making bodies heavy. But Remy refused to move, settling into chair beside bed with determination suggesting he'd grow roots before leaving.

Dr. Chen appeared with blanket and pillow, small kindness acknowledging that sometimes love trumps hospital policy. He's going to need you tomorrow. You should rest.

I'll rest here. Remy's voice brooked no argument, cigarette-rough tone containing steel underneath exhaustion. I ain't leaving him. Not for nothing.

I figured. She draped blanket over his shoulders, professional competence softening into human compassion. There's a cafeteria on the second floor. Coffee's terrible but functional. And Mr. Remy— She waited until he looked at her. You did good tonight. You kept him conscious, you kept him fighting. That matters.

He did the fighting. I just—I just loved him. That's all.

Sometimes that's everything.

Keira drove me home through streets empty at 2:47 AM, neither of us speaking—words felt inadequate for what we'd witnessed, what we'd survived, what we'd almost lost four separate times. My bourbon would still be sitting on scarred wood back at the bar, liquid fire grown cold in plastic cup, surrounded by empty space where mountain had crumbled and died and somehow refused to stay dead.

Inside our home, Charlie slept unaware of crisis, Alex studied through night like always, Gizmo was three states away not knowing how close we'd come to grief tonight. I sat on bed edge still wearing clothes that smelled like hospital antiseptic and fear and chosen family's desperation.

Keira sat beside me, her hand finding mine in darkness. You okay?

No. But I will be. I leaned into her shoulder, letting myself be held for first time since Bubba's massive hand had pressed against his chest four hours ago. Tomorrow I'll write this down. Make it permanent. Add it to collection of stories proving we were here, we survived, we loved each other through impossible shit.

He died four times tonight, Keira said quietly, voice containing wonder and horror in equal measure. And four times, people who love him refused to let death win.

Yeah, I agreed, remembering Cajun-rough hands holding Georgia-massive ones with gentleness that contradicted every survival skill either man had learned. Remembering River's body driving compressions into Bubba's chest, forcing blood to circulate when heart refused. Remembering Remy's face as he watched his partner die twice before his eyes. Yeah, they did.

Tomorrow would bring challenges—recovery, rehabilitation, lifestyle changes, ongoing monitoring, fear that would linger long after physical healing. Tomorrow Bubba would wake more fully, would face reality of damaged heart and changed life and mortality made visceral through four separate deaths. Tomorrow Remy would start learning how to be caretaker instead of just lover, how to support without smothering, how to manage his own terror while being Bubba's anchor. Tomorrow River would process trauma of performing CPR on chosen family, of feeling death under their hands and refusing to surrender.

But tonight we had this: Bubba alive in room 412, Remy beside him refusing to leave, River having fought death with their own body and won, chosen family scattered across city but connected through love that survived medical emergency and crisis and fear of loss. Tonight we had proof that survival itself becomes revolutionary act, that showing up matters more than perfect words, that chosen family means witnessing each other's pain without flinching away from difficulty.

The revolution continues in hospital rooms as much as basement bars, in love finally claimed and survival finally achieved through sheer stubborn refusal to let death win.

"Love is or it ain't. Thin love ain't love at all." - Toni Morrison

Morrison understood what we witnessed tonight—that love stripped to its essence exists or doesn't, present or absent without middle ground. Thin love performs caring while avoiding commitment, offers support while maintaining escape routes, speaks words while refusing action when action becomes difficult or frightening or inconvenient. Real love shows up in emergency rooms at 2 AM, holds space for terror without trying to fix it immediately, witnesses crisis without flinching away from blood and tubes and monitors measuring heartbeats that stopped four separate times. Real love drives compressions into massive chest until arms scream with exhaustion, forces air into lungs that forgot how to demand it, refuses to accept death as final answer. Remy could have loved Bubba thin—casual friendship, convenient affection, commitment only when comfortable. Instead he loved him wholly, completely, showing up when showing up meant watching his partner die repeatedly, claiming partnership when claiming meant vulnerability neither man had allowed themselves for decades. He knelt on basement floors and hospital linoleum, pressed massive hands against his own face like they were holy relics, promised decades when hours weren't guaranteed. And Bubba, our Georgia mountain who carried everyone's weight, finally let himself be carried by love thick enough to hold his mass without collapsing, deep enough to survive cardiac muscle failure and emergency procedures and four separate cardiac arrests. River loved thick too—performing CPR until their body gave out, bringing Bubba back from death twice through sheer competent stubborn refusal to let chosen family die on their watch. That's what we bore witness to in room 412—not just survival of heart attack but survival of love too deep, too long denied, too necessary to diminish into anything less than what it actually is. Love or it ain't. Tonight, surrounded by machines forcing continued existence, Bubba and Remy chose love. River chose love through action, through violence against death itself. Full, complete, undeniable. The kind that survives heart attacks and hospital rooms and terror of mortality made visceral four separate times. The kind that makes showing up the only possible response, that transforms waiting room chairs into altars and antiseptic corridors into sacred space, that drives compressions into failing chest until death surrenders its claim. The revolution happens in moments like these, when love refuses to be anything less than everything, when choosing to stay becomes most profound statement two people can make to each other, when fighting for someone's life becomes purest expression of devotion. Thin love would have called it inconvenient, would have offered thoughts and prayers from comfortable distance. Thick love brought compressions and rescue breaths and blankets and pillows and promised decades that started with single hospital night, with four deaths and four resurrections, with love that refused to quit even when biology tried claiming victory. That's the love worth having. That's the love worth dying for. That's the love worth living for.

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