Michelle's Fanfiction

The Madhouse 23/31

Mon, 04 May 2026 11:44:53 GMT

Title: The Madhouse
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: LotRPS
Summary: Viggo is a consultant in one of the busiest A&E departments in London. Orlando is just starting out as a resident and quite obviously Viggo hates his guts. Or does he?
Pairing: Viggo/Orlando
Genre: slash
Warnings: AU. This story takes place in a hospital, so please expect needles, monitors that beep and the occasional blood-splatter. And yes, patients might die. If it’s any consolation: This is more “Grey’s Anatomy” than it is “The Pitt”.
Rating: Explicit
Disclaimer: I’m sure many people are called Viggo or Orlando. But I can promise that I don’t know any of them. (And that’s a shame.)
Author’s Note I: This is a very late entry for 2025’s Medwhumpmay. The prompt sheet can be found here. And while this story contains a bit of whump and h/c the main focus is the character dynamics. I started writing this having no more than the premise for the first chapter and the authorial voice. I love to research and I love to make the backdrop of my stories as realistic as possible. But maybe it’s better if you imagine that my evil twin wrote this story. The idea here was to explore a different version of V/O. I never planned on the story getting this long and elaborate. Initially, this was simply a palate cleanser that I wrote in-between; research and accuracy weren’t exactly at the forefront. Which is to say: I apologise to everyone working in the medical field. I know this is not how foundation training works. And I know this has basically zero in common with the inner workings of the NHS. Just roll with it. This one was written for funsies!
Author’s Note II: This story was heavily inspired by me binging “24 Hours in A&E”. That show is actually where the title comes from. Some episodes inspired chapters in this story. And even if the story doesn’t come with my usual level of research the medical facts and procedures are as accurate as I could make them (as an ordinary person without – and I say it again – any background in medicine). I’ve added a cheat sheet with terminology/definitions for everyone who likes that sort of thing. However, all explanations necessary to make sense of the plot are within the story. The cheat sheet is a bonus, you don’t have to use it. And anyways, the hospital is only the backdrop of the story, the boys are the main attraction. Feel free to let the medical language wash over you without understanding a word of it.

( 23. stressful & selfish )

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The Madhouse 22/31

Thu, 30 Apr 2026 13:38:23 GMT

( 22. misunderstandings & misgivings )

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The Madhouse 21/31

Thu, 30 Apr 2026 12:30:43 GMT

( 21. tenacious & tender )

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The Madhouse 20/31

Thu, 30 Apr 2026 10:16:27 GMT

( 20. jealous & joyous )

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The Madhouse 19/31

Tue, 28 Apr 2026 06:08:47 GMT

( 19. races & revelations )

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The Madhouse 18/31

Tue, 28 Apr 2026 05:19:34 GMT

( 18. aspirin & ambulance )

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The Madhouse 17/31

Mon, 27 Apr 2026 12:30:25 GMT

( 17. baths & beds )

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The Madhouse 16/31

Mon, 27 Apr 2026 09:49:52 GMT

( 16. pizza & past )

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The Madhouse 15/31

Mon, 27 Apr 2026 07:57:48 GMT

( 15. confident & comfortable )

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Stray

Fri, 24 Apr 2026 19:17:16 GMT

Title: Stray
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: The Lord of the Rings
Summary: The Tale of Aragorn and Arwen, with the addition of some fantastical whimsy.
Fandom: The Lord of the Rings
Pairing: Aragorn/Arwen
Genre: Het
Rating: General Audiences
Disclaimer: I own black cats, a whole lot of them. And that’s it.
Author’s Note: Written for fandomweekly, Prompt #297 “Unexpected Kindness”.

( Stray )

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The Madhouse 14/31

Fri, 24 Apr 2026 14:35:09 GMT

( 14. games & groans )

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The Madhouse 13/31

Fri, 24 Apr 2026 12:49:12 GMT

( 13. smokes & stories )

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The Madhouse 12/31

Fri, 24 Apr 2026 12:02:14 GMT

( 12. scans & sleepovers )

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The Madhouse 11/31

Fri, 24 Apr 2026 08:37:35 GMT

( 11. salad & sex )

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The Madhouse 10/31

Mon, 20 Apr 2026 13:29:34 GMT

( 10. curious & complicated )

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The Madhouse 9/31

Mon, 20 Apr 2026 12:27:08 GMT

( 9. drinks & discussions )

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The Madhouse 8/31

Mon, 20 Apr 2026 09:17:45 GMT

( 8. playing & pestering )

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The Madhouse 7/31

Mon, 20 Apr 2026 08:29:52 GMT

( 7. sensations & stains )

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The Madhouse 6/31

Fri, 17 Apr 2026 09:52:41 GMT

( 6. complaints & connections )

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The Madhouse 5/31

Wed, 15 Apr 2026 13:00:50 GMT

( 5. sweet & suggestive )

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The Madhouse 4/31

Wed, 15 Apr 2026 10:05:18 GMT

This chapter comes with a trigger warning for character death (look at the prompt and then decide for yourself). Read only the second half of the chapter if you're in doubt.

Title: The Madhouse
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: LotRPS
Summary: Viggo is a consultant in one of the busiest A&E departments in London. Orlando is just starting out as a resident and quite obviously Viggo hates his guts. Or does he?
Pairing: Viggo/Orlando
Genre: slash
Warnings: AU. This story takes place in a hospital, so please expect needles, monitors that beep and the occasional blood-splatter. And yes, patients might die. If it’s any consolation: This is more “Grey’s Anatomy” than it is “The Pitt”.
Rating: Explicit
Disclaimer: I’m sure many people are called Viggo or Orlando. But I can promise that I don’t know any of them. (And that’s a shame.
Author’s Note I: This is a very late entry for 2025’s Medwhumpmay. The prompt sheet can be found here. And while this story contains a bit of whump and h/c the main focus is the character dynamics. I started writing this having no more than the premise for the first chapter and the authorial voice. I love to research and I love to make the backdrop of my stories as realistic as possible. But maybe it’s better if you imagine that my evil twin wrote this story. The idea here was to explore a different version of V/O. I never planned on the story getting this long and elaborate. Initially, this was simply a palate cleanser that I wrote in-between; research and accuracy weren’t exactly at the forefront. Which is to say: I apologise to everyone working in the medical field. I know this is not how foundation training works. And I know this has basically zero in common with the inner workings of the NHS. Just roll with it. This one was written for funsies!
Author’s Note II: This story was heavily inspired by me binging “24 Hours in A&E”. That show is actually where the title comes from. Some episodes inspired chapters in this story. And even if the story doesn’t come with my usual level of research the medical facts and procedures are as accurate as I could make them (as an ordinary person without – and I say it again – any background in medicine). I’ve added a cheat sheet with terminology/definitions for everyone who likes that sort of thing. However, all explanations necessary to make sense of the plot are within the story. The cheat sheet is a bonus, you don’t have to use it. And anyways, the hospital is only the backdrop of the story, the boys are the main attraction. Feel free to let the medical language wash over you without understanding a word of it.

( 4. trauma & talk )

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Your A&E Cheat Sheet

Wed, 15 Apr 2026 06:57:48 GMT

A&E
Stands for Accident & Emergency, the emergency department of a hospital.
Arrhythmia
Arrhythmia refers to an irregular heartbeat. Basically everything that’s not a normal sinus rhythm falls under the term arrhythmia. A sinus rhythm is the distinct form of the heartbeat as you see it on an ECG.
Arterial Catheter
An arterial catheter or arterial line is an invasive method usually used during surgery or in intensive care to monitor blood pressure in real time. The non-invasive method to measure blood pressure would be a blood pressure cuff, but the cuff will need to cycle repeatedly (pump up and take a measurement). This results in a blood pressure that is only updated in certain intervals. An arterial catheter is used when a measurement every five or ten or fifteen minutes is not sufficient. The catheter usually goes into the radial artery (in the wrist). It is only used for taking a measurement, not for drug administration. (Drugs are administered into veins, not arteries.)
CABG
A coronary artery bypass graft is a surgical procedure to bypass a blocked artery leading to the heart. The graft used for that bypass is usually taken from the arm, the leg or the chest. Different versions of this procedure exist: The most common is the on-pump CABG where the heart is stopped to perform the surgery. While the heart is stopped, the patient is on a heart-lung machine which oxygenates the blood. Also available is the off-pump CABG where the heart isn’t stopped. Both of these surgeries need a sternotomy, from which recovery is quite painful and time-consuming. There is also a minimally-invasive version available but it doesn’t look like this has been widely adopted yet.
CAD
Computer assisted dispatch system. Used to localise and dispatch vehicles, in this case ambulances.
Cardiac Arrest
Cardiac arrest occurs when the heart suddenly stops beating.
Carotid Artery
The carotid artery is an artery in the neck.
Cath Lab
A catheterisation laboratory or cath lab is an examination room equipped to visualise the arteries and chambers of the heart. It is also where certain procedures like PCI or catheter ablations are performed.
Coronary vasospasm
Coronary vasospasm refers to a temporal occlusion of a cardiac artery. It results in chest pain, nausea, cold sweat.
CT
A computer tomography is an imaging technique to get detailed internal images of the body.
CVICU
Cardiovascular Intensive Care Unit

Defibrillator
Defibrillation is used to treat arrhythmia and to re-establish a normal sinus rhythm. It is also used during CPR.
Dyspnoea
Shortness of breath
ECG
An electrocardiogram is a graph that shows the electrical activity of the heart. It is used to check whether there’s any irregularity to the functionality of the heart (like, for instance, an arrhythmia). An ECG uses electrodes that are applied to different parts of the body. Depending on how many electrodes are used, it’s a 3-lead, 5-lead or 12-lead ECG with the 12-lead ECG being the standard as it provides the most information.

Echo
An echocardiography is an ultrasound to examine the heart. It is used in patients with heart diseases.
Endotracheal Tube
An endotracheal tube is a flexible tube inserted into the windpipe to ventilate a patient (who cannot breathe independently) or administer certain drugs, e. g. during surgery. This is referred to as intubation. Intubation can be performed on an awake patient (during an emergency) or under local anaesthesia. However, since it’s an uncomfortable and invasive method it is usually used under general anaesthesia.

Fentanyl
Fentanyl is a very powerful opioid used for pain management in cancer patients and during recovery after surgery. It can also be used to induce anaesthesia.
Flumazenil
Flumazenil (usually injected) works as an antagonist to benzodiazepines, especially in cases of overdose. Benzodiazepines are used, among other indications, for treating insomnia.
Hypotension
Low blood pressure. A normal blood pressure for an adult would be 120 (systolic) over 80 (diastolic). If the blood pressure falls under 90 (systolic) or 60 (diastolic) this would be considered hypotensive.

ICU
Intensive Care Unit
Internal Thoracic Artery
The internal thoracic artery or internal mammary artery is an artery in the chest.

Ketamine
Ketamine induces a kind of trance-like state. It causes dissociative anaesthesia and pain relief. It is often used in emergency settings since it doesn’t cause breathing depression (= the patient stops breathing independently and has to be intubated).
Lidocaine
Lidocaine is used as a local anaesthetic or to treat ventricular fibrillation. As a local anaesthetic it is injected.
LOC
Loss of consciousness
MI
MI or AMI = acute myocardial infarction = heart attack
MS
Multiple Sclerosis, an autoimmune disease that damages the central nervous system.
Necrosis
cell death

Nurse Practitioner
Nurse Practitioners carry out an advanced level of care, usually in emergency settings or primary care units.
PCI
A percutaneous coronary intervention is a minimally invasive procedure used to treat narrowed coronary arteries. Blocked arteries cause reduced blood flow to (in this case) the heart, which leads to heart disease or heart attack. During a PCI a catheter is inserted into the artery (under local anaesthesia). The catheter is then advanced towards the block in the artery to open it up again. A PCI is what people refer to as „getting a stent“ since the stent is what is used to open up the artery (and keep it open).

Pericarditis
Pericarditis is the inflammation of the sac that surrounds the heart. It results in chest pain that can radiate into the shoulders and neck.

Pulmonary Artery Catheter
A pulmonary artery catheter (also called Swan-Ganz catheter) is introduced through a large vein – usually the jugular (neck) or subclavian (chest). It can be used to administer fluids. It is also a tool to get different measurements in regards to how (well) the heart is working.
Resus
Short for Resuscitation. The part of A&E were people with life-threatening injuries or illnesses are treated.
RN
Respiratory Nurse or Respiratory Therapist (the same thing seems to have different names in different countries) is a nurse specialised in giving critical to patients with cardiac or pulmonary problems.
Sepsis
Sepsis occurs when an infection causes damage to organs and tissue. It can be caused by bacteria or viruses and is a life-threatening condition that needs immediate treatment.
ST-elevation
An ST-elevation refers to a sinus rhythm (of the heart) where the segment between S and T is elevated (instead of a flat line). The sinus rhythm as you see it during an ECG is divided into different segments and those segments use different letters (P, Q, R, S, T). If the ST segment is elevated during a heart attack, the heart attack is called STEMI (ST-Elevation MI). Heart attacks can also occur without a visible ST-elevation. They’re then called Non-STEMI.
Sternotomy
A sternotomy is a surgical procedure where, after a vertical incision on the chest, the sternum (breastbone) is divided using a saw. This opens the chest cavity for surgery on the lungs or the heart. After the surgery the sternum is fixed together with wire.
Suction Chamber
A suction chamber can be used after surgery to drain unwanted fluids (air, blood) from a surgical site. To that effect, tubes are inserted into the body and those tubes connect to the suction chamber. Due to different pressures fluids are then suctioned into the chamber.
T5
The spine is divided into the cervical spine (C), the thoracic spine (T), the lumbar spine (L) and the sacrum (S) and coccyx (C). The individual vertebrae are then numbered from the top down, meaning T5 is the fifth vertebrae of the thoracic spine.
Tachycardia
Tachycardia occurs when the heart beats too fast. Generally, a heart rate above 100 beats per minute is considered tachycardiac.

Temporary Pacing Wires
In contrast to a normal pacemaker (which is transplanted right under the skin) temporary pacing wires are not meant to stay in the body for any length of time. The wires go from the heart out of the body and are connected to the pacer (kind of the size and shape of a remote control). Once the pacing isn’t necessary anymore, the wires are retrieved by pulling them out.

Troponin
Troponin is a protein. Cardiac troponin is elevated for up to two weeks after myocardial infarction.
Vasopressor
A medication that raises blood pressure by constricting blood vessels.

V-Fib
Ventricular fibrillation is an abnormal heart rhythm where the ventricles (the two chambers at the bottom of the heart) quiver. Ventricular fibrillation can cause cardiac arrest.

X-ray
An imaging technique to see bone structures.

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The Madhouse 3/31

Mon, 13 Apr 2026 09:53:53 GMT

Title: The Madhouse
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: LotRPS
Summary: Viggo is a consultant in one of the busiest A&E departments in London. Orlando is just starting out as a resident and quite obviously Viggo hates his guts. Or does he?
Pairing: Viggo/Orlando
Genre: slash
Warnings: AU. This story takes place in a hospital, so please expect needles, monitors that beep and the occasional blood-splatter. And yes, patients might die. If it’s any consolation: This is more “Grey’s Anatomy” than it is “The Pitt”.
Rating: Explicit
Disclaimer: I’m sure many people are called Viggo or Orlando. But I can promise that I don’t know any of them. (And that’s a shame.
Author’s Note I: This is a very late entry for 2025’s Medwhumpmay. The prompt sheet can be found here. And while this story contains a bit of whump and h/c the main focus is the character dynamics. I started writing this having no more than the premise for the first chapter and the authorial voice. I love to research and I love to make the backdrop of my stories as realistic as possible. But maybe it’s better if you imagine that my evil twin wrote this story. The idea here was to explore a different version of V/O. I never planned on the story getting this long and elaborate. Initially, this was simply a palate cleanser that I wrote in-between; research and accuracy weren’t exactly at the forefront. Which is to say: I apologise to everyone working in the medical field. I know this is not how foundation training works. And I know this has basically zero in common with the inner workings of the NHS. Just roll with it. This one was written for funsies!
Author’s Note II: This story was heavily inspired by me binging “24 Hours in A&E”. That show is actually where the title comes from. Some episodes inspired chapters in this story. And even if the story doesn’t come with my usual level of research the medical facts and procedures are as accurate as I could make them (as an ordinary person without – and I say it again – any background in medicine). I’ve added a cheat sheet with terminology/definitions for everyone who likes that sort of thing. However, all explanations necessary to make sense of the plot are within the story. The cheat sheet is a bonus, you don’t have to use it. And anyways, the hospital is only the backdrop of the story, the boys are the main attraction. Feel free to let the medical language wash over you without understanding a word of it.

( 3. coffee & company )

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The Madhouse 2/31

Mon, 13 Apr 2026 09:12:08 GMT

Title: The Madhouse
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: LotRPS
Summary: Viggo is a consultant in one of the busiest A&E departments in London. Orlando is just starting out as a resident and quite obviously Viggo hates his guts. Or does he?
Pairing: Viggo/Orlando
Genre: slash
Warnings: AU. This story takes place in a hospital, so please expect needles, monitors that beep and the occasional blood-splatter. And yes, patients might die. If it’s any consolation: This is more “Grey’s Anatomy” than it is “The Pitt”.
Rating: Explicit
Disclaimer: I’m sure many people are called Viggo or Orlando. But I can promise that I don’t know any of them. (And that’s a shame.
Author’s Note I: This is a very late entry for 2025’s Medwhumpmay. The prompt sheet can be found here. And while this story contains a bit of whump and h/c the main focus is the character dynamics. I started writing this having no more than the premise for the first chapter and the authorial voice. I love to research and I love to make the backdrop of my stories as realistic as possible. But maybe it’s better if you imagine that my evil twin wrote this story. The idea here was to explore a different version of V/O. I never planned on the story getting this long and elaborate. Initially, this was simply a palate cleanser that I wrote in-between; research and accuracy weren’t exactly at the forefront. Which is to say: I apologise to everyone working in the medical field. I know this is not how foundation training works. And I know this has basically zero in common with the inner workings of the NHS. Just roll with it. This one was written for funsies!
Author’s Note II: This story was heavily inspired by me binging “24 Hours in A&E”. That show is actually where the title comes from. Some episodes inspired chapters in this story. And even if the story doesn’t come with my usual level of research the medical facts and procedures are as accurate as I could make them (as an ordinary person without – and I say it again – any background in medicine). I’ve added a cheat sheet with terminology/definitions for everyone who likes that sort of thing. However, all explanations necessary to make sense of the plot are within the story. The cheat sheet is a bonus, you don’t have to use it. And anyways, the hospital is only the backdrop of the story, the boys are the main attraction. Feel free to let the medical language wash over you without understanding a word of it.

( 2. hungry & horny )

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The Madhouse (1/31)

Mon, 13 Apr 2026 08:40:37 GMT

Title: The Madhouse
Author: Michelle
Email: michelle [at] waking-vision.com
Fandom: LotRPS
Summary: Viggo is a consultant in one of the busiest A&E departments in London. Orlando is just starting out as a resident and quite obviously Viggo hates his guts. Or does he?
Pairing: Viggo/Orlando
Genre: slash
Warnings: AU. This story takes place in a hospital, so please expect needles, monitors that beep and the occasional blood-splatter. And yes, patients might die. If it’s any consolation: This is more “Grey’s Anatomy” than it is “The Pitt”.
Rating: Explicit
Disclaimer: I’m sure many people are called Viggo or Orlando. But I can promise that I don’t know any of them. (And that’s a shame.
Author’s Note I: This is a very late entry for 2025’s Medwhumpmay. The prompt sheet can be found here. And while this story contains a bit of whump and h/c the main focus is the character dynamics. I started writing this having no more than the premise for the first chapter and the authorial voice. I love to research and I love to make the backdrop of my stories as realistic as possible. But maybe it’s better if you imagine that my evil twin wrote this story. The idea here was to explore a different version of V/O. I never planned on the story getting this long and elaborate. Initially, this was simply a palate cleanser that I wrote in-between; research and accuracy weren’t exactly at the forefront. Which is to say: I apologise to everyone working in the medical field. I know this is not how foundation training works. And I know this has basically zero in common with the inner workings of the NHS. Just roll with it. This one was written for funsies!
Author’s Note II: This story was heavily inspired by me binging “24 Hours in A&E”. That show is actually where the title comes from. Some episodes inspired chapters in this story. And even if the story doesn’t come with my usual level of research the medical facts and procedures are as accurate as I could make them (as an ordinary person without – and I say it again – any background in medicine). I’ve added a cheat sheet with terminology/definitions for everyone who likes that sort of thing. However, all explanations necessary to make sense of the plot are within the story. The cheat sheet is a bonus, you don’t have to use it. And anyways, the hospital is only the backdrop of the story, the boys are the main attraction. Feel free to let the medical language wash over you without understanding a word of it.

( 1. lost & late )

comments