David Hosack is "a doctor that he knew", if you catch my drift.

Isabella is Isabella Graham, one of Eliza's friends. Interestingly enough, her mother's maiden name was Hamilton.

The working title for this was "trans alex is pregnant (and also a mess but what else is new)".


my life is gonna be fine (cause you're in it)


"Are you okay?" John asks as Alexander returns to the kitchen. John wearing an apron declaring that he likes to fuck gender roles, heteronormativity and my boyfriend and is making breakfast — he is, objectively, the best cook out of the three of them, after all — and Eliza is double checking her plan for the day at the nursery. "It's at least the fifth time you've been sick this past week."

"Yeah," Alexander nods. "I must have caught a stomach bug or something."

"Given your stress levels, I would not be surprised if you have a weak immune system," Eliza agrees, absently finishing her own plate. She could also mention how his childhood is far from ideal for even building a strong one — his kindeys are enough proof of that, certainly — but she doesn't and Alexander looks thankful for that. John certainly would be in his place.

"Do me a favor and get it checked out by a doctor," John requests as he places the eggs and bacon on the table in front of Alexander.

"I can't," Alex responds. "I don't have the time."

"Please," John deadpans. "We all know that not only you're ahead of your work by a week, but George would give you the day off for this any time."

"Not to forget the insurance will pay for it," Eliza points out. "Please, Alex, I know you're not a big fan of doctors or hospitals, but if you get it checked out now, you might avoid a longer stay further down the road while doing so."

Alex sighs, pushing the food on his plate around. "Alright. But only so you stop nagging me."

John looks at Eliza. "As good a reason as any I'd say."

Eliza agrees, then she shuffles her papers together and stands up. "I'm sorry, but I have to run now. Isabella has to head to work early today and I promised her I'd open half an hour early." She kisses both of them goodbye and heads out of the door.

"You want something else?" John asks when he notices that Alex has taken perhaps one bite during the entire time.

"I'm just not hungry," Alex responds, pushing his plate away slightly. "Sorry."

"It's alright. Do you need a run to the doctor?" John is, after all, the only one out of the two of them with a license.

Alex shakes his head. "Nah, it's fine. I'll take the subway."

"If you say so."


"What do you think, Dr. Hosack?" Alexander questions. He's desperate to get out of here as soon as possible. Every time he's here, he again thanks the universe that Hosack is able to understand him when he rambles.

"Well, Mr. Hamilton, given the symptoms you described, the most obvious explanation would be that you are pregnant."

"I'm sorry, what?" Alexander exclaims in shock.

"The last check-up revealed that the reproductive system you were born with remains functional. Unless that changed in the meantime, the hormone replacement therapy would not have any effect on the ability to conceive if the needed requirements for such a thing to occur are met. Going by the look on your face, I will proceed to assume that that is the case."

"Yes," Alexander responds, trying to avoid thinking about the things he, John, and Eliza had done in the bedroom. And occasionally other places. Oh fuck, the more he thinks about it, the more plausible this whole thing seems.

He takes a deep breath. "I'd like to know for certain."

"Of course," Dr. Hosack responds


Eliza arrives back home to find Alexander pacing back and forth in the flat. The fact that he's not working is bad enough — on some level — but that combined with the fact that he had been at the doctor's earlier…

"Please don't tell me you're dying," she says instead of a greeting.

"That was my response, too," John comments, likely trying to make light of the situation which Eliza appreciates. "He wouldn't tell me anything until you're here."

"Well, I'm here now," Eliza points out. She moves to the couch and sits down next to John.

"I know," Alexander states. "I'm just… nervous. Confused."

That certainly does nothing to calm Eliza, but she knows that showing her worry is not the ideal thing in this situation. "Whatever it is, we'll deal with it together."

"We just can't help if we don't know what the problem is," John adds.

"I'm… I'm…" Alexander takes a deep breath and stops in place. Now Eliza can see that he is shaking. "Hosack says I'm pregnant."

"That's… unexpected," John manages to say after a moment and Eliza has to agree. Given the fact that her uterus decided to not and all of them had tested negative for HIV and such, they had decided that they could sometimes not use contraceptives. They had all assumed that Alex's hormone therapy would prevent him from becoming pregnant, but apparently they had been wrong.

"Do you know what you want to do now?" Eliza asks.

"Not at all," Alexander responds.

"Well, it's your choice," John states. "You'd be the one doing all the heavy lifting, after all."

Eliza nods in agreement. It's his body. "You also don't have to decide now," she reminds him, "though of course you can."

"I don't think I can. Decide now, that is," Alex lets himself fall on the couch with them. "There's just too many things. Time, finances, space, and dysphoria just being the obvious examples." Eiza knows that there's more than that to it. Him being an orphan certainly suggested it.

"If it comes to that, then we'll work something out," Eliza promises.

"And if not, then the same is true." John nods. They're all well aware that any abortion clinic is not the safest place to be.

"Thanks, guys," Alex mutters. "I don't know what I'd do without you."

"Crash and burn," Eliza deadpans. "That's true for you, too, John," she adds when he starts laughing.

"At least I can cook!"

"I can iron clothes though, which you can't," Alex argues.

"I was more talking about the fact that your self preservation skills are not exactly the best," Eliza interrupts with a laugh.

John and Alex exchange a look that she knows means they realize her point. They begin to laugh, too, and in that moment Eliza realizes that she certainly wouldn't oppose to a baby joining them.


I'm not saying that I won't continue, but I'm also not saying that I will continue.

Yelling at me in reviews or on my tumblr ( marvelgeek42) increases the chances, to a point.