Work Text:
Ushijima gasps as he shifts on the dildo. It rubs against him everywhere, he feels stuffed and so so full, and if he raises his hand and presses on his stomach. OH. He can feel it in him, bulging from underneath his skin.
He lets out another moan at that realisation, his eyes rolling back in pleasure. His hips continue to jerk as he grinds down on the dildo, even the slightest movement eliciting uncharacteristically high whines as the ribbed ridges rub against his walls.
His dick, hard and heavy between his legs, bounces slightly as he shifts. It’s big. Bigger than anyone he knows, bigger than his friends and his friends’ friends. Ushijima wishes it was smaller — he doesn’t have much use for that thing anyway.
Ushijima stills his mindless grinding, eyes screwed shut as he imagines a voice – low, it has to be low – muttering into his ear.
“Look at that thing. So small, so cute. Imagine trying to satisfy any omega with that. You’re so lucky you’re such a bottom bitch, just a greedy hole for your alpha’s cock.”
His alpha would slap his cock. Ushijima removes a hand clenched against the headboard and hits his cock. Hard.
He wails.
“Sorry alpha,” he sobs out. “Just a hole for your cock, alpha.”
Fuck. Is that him? He sounds wrecked, voice cracking at three spots and on the verge of tears, desperation bleeding through with every syllable.
The scene evolves, something more realistic as Iwaizumi appears in front of him.
“What a huge dick,” the Iwaizumi from his memory growls. “Too bad it’s useless. Slut only wants to get stuffed. Look at you. You’re taking my whole fist, and you’re still begging for more.”
A shiver runs down Ushijima’s spine.
God. He remembers that. Iwaizumi had fucked him open with his fingers, then his dick, then his fist, and Ushijima hadn’t been allowed to cum even once, writhing and begging Iwaizumi for more, please, it’s not enough, need it now, please, please, his typically stoic composure lost in Iwaizumi’s scent — like cloves, but especially sharp, rich and thick with arousal — the intoxicating smell of alpha clouding his mind until all he could think about was being filled.
It was his birthday too, so Iwaizumi had been kind, or so he had claimed with a dark chuckle, pushing the dildo into him. It had stretched him out, pulled against his rim even if it taken Iwaizumi’s large fist and then some. A special treat for your birthday, Iwaizumi had said, don’t you ever dare use it without me.
Ushijima urges down the guilty pang at that. The irrational part of his brain is screaming that Ushijima was bad, had disobeyed a direct order, needed his alpha to punish him now, rip the toy away from him and lock him in a cock cage for two weeks. He kindly told that brain to shut up.
Iwaizumi had broken off their purely sexual relationship two months ago when he finally got together with his childhood friend and long-time crush. Ushijima is happy for him, truly, but it’s difficult to find sexual partners with his preferences, and a hand around his dick only did so much. He’s pent up. And if he has to bust out the biggest toy he has in his collection to be satisfied, then he isn’t going to be ashamed of it.
Ushijima focuses back on the memory, on how Iwaizumi had teased him, dragging the toy in and out of him slowly as Ushijima squirmed, body unable to decide whether it wanted more or less of that overwhelming pressure in him.
Not that he has to. His alpha would choose for him.
He just has to be good and take it.
Ushijima ruts mindlessly into the air, the base of the dildo shifting against the bed as he makes short aborted movements. He feels – fuck. He feels. He wants to cum, he wants to stay like this forever. So full, like he’s about to split into two, yet it’s somehow still not enough. His alpha would fuck him with it, and he’d see stars with every thrust, strings of unintelligible pleads falling from his mouth as his mind goes dumb — it always did, when he was fucked good.
Or maybe they’d make him ride it. A hand wrapped around his leash hauling him straight as his alpha stood in front of the bed, still fully clothed and composed. If you wanna be fucked so bad, you’ve gotta do it yourself. Ushijima whines. Fuck. That was an idea.
Thighs trembling, he lifts himself off the toy, managing one, perhaps two inches before his muscles give out and he drops back down. All the air in his lungs is punched out of him again, and a guttural groan escapes without his consent. Big bad alpha, falling apart for a silly toy, his alpha would mock. Pathetic.
“Wanna be filled, alpha,” Ushijima cries out to the empty room. “Please.”
His whines and sobs fill the silence as he bounces on the dildo – as much as he could anyway. He could hear an alpha whispering into his ear. Put on a show, whore. If you’re good I’ll let it fill you up, and then I’ll fuck you again myself. You’d be so loose, I don’t know if I could even feel you. You’d try to clench but it won’t work. That slutty hole gaping—
Click.
Lost in the haze of imagined filthy words, Ushijima almost misses the sudden mechanical sound. The dildo swells, stretching against his rim – no, slightly above it – as it makes a weird whirring noise. It grows and grows, locking Ushijima into place and pressing against his most sensitive spots. Fuck. He’s being knotted. That realisation has Ushijima’s hips stuttering one last time as he moans, eyes rolling back and vision whiting out as he comes untouched, cum splattering all over his abdomen and sheets.
That orgasm lasts what feels like forever, leaving Ushijima dazed and panting by the end of it. His hands clenched tightly against the headboard finally loosen, and when he looks down he can see the indents from how hard he held on to prevent himself from touching his undeserving cock and coming prematurely.
Ushijima yawned, feeling tired and relaxed for the first time in weeks. Just this once, he could worry about the mess in the morning. He slides down, intending to rest his head on his pillow when the first movement jostles the dildo still inside of him. Ushijima winces. He’s so sensitive. It hurts.
Ushijima reaches down to tug the dildo out. He grabs the base, but every movement only serves to stimulate him somewhat uncomfortably. The haze of his orgasm is clearing up quickly, replaced by the foreboding sense of dread as he realises that the dildo is not coming out. He clenches down in panic, tries to push it out, but all that does is strain his rim, the knot far too large for him to tug out safely.
Fuck. How did the knot appear? What did he do? He doesn’t remember. This was his fault, his fault for being cock-dumb and such a bad boy, disobeying direct orders from Iwaizumi. Oh right, Iwaizumi.
Distantly, Ushijima knows he’s dropping, the influx of negative emotions so quickly after an intense scene — even if it was a solo one — detrimental to his mental state. Iwaizumi will help, Ushijima thinks, alpha will help — no, no, Iwaizumi isn’t his alpha. Ushijima doesn’t even like him romantically, he’s just desperate for attention now, but Iwaizumi would help anyway. He’s nice. They’re friends, even though Iwaizumi’s omega hates his guts.
Ushijima stands up from his bed and his knees nearly buckle. He braces himself on the table not far away and snatches up his phone laid safely on it, hands shaking as he sifts through the contact and finally dials Iwaizumi’s number.
It’s a torturous moment as the phone rings with no reply, the conflicting voices warring in his head. Bad boy, the sub in him screams, you deserve to be punished, go beg alpha for forgiveness. The more reasonable, rational part of him just frowns internally, stating that you’ll probably be fine, as long as you get it out by morning so you can go to work. Iwaizumi bought you the gift. He knows how to use it. There’s no need to panic.
For once, Ushijima kind of understands why his old coworkers sometimes hate him. He’s panicking so hard right now that his own unbothered stoicism grates at him.
Ushijima’s trepidation spikes the longer the dial tone drags on. He glances at the clock. 11pm in Japan means 7am in California. Hopefully Iwaizumi will be awake.
“Ushijima?” Iwaizumi slurs. His voice is deeper than Ushijima remembers, an effect amplified by the phone and the fact that he just woke up. Ushijima tries and fails to suppress a full-body shudder.
Alpha, he wants to say.
“Iwaizumi,” he says instead, pleased at how steady it comes out despite his emotional turbulence. “Sorry for waking you up. Can you spare a moment of your time? This is… urgent.”
“Of course,” Iwaizumi replies, voice deep and gravelly and so seductive in his ears. Ushijima snaps himself out of him. That man has a boyfriend, he chides. Bad alpha, part of his brain screams again. He ignores it.
“Do you remember the toy you gave me for my birthday?” Ushijima asks.
“I… would not forget that,” Iwaizumi replies. He can get quite shy outside of bed, Ushijima muses. Lost in thought, he accidentally shifts, and the dildo brushes against his sweet spot yet again. Ushijima bites down hard on his lips to prevent the moan from escaping and freaking Iwaizumi out.
“Right. Do you know how to deflate the knot?”
“What?” Iwaizumi asks. He’s probably confused because he hasn’t woken up fully yet, Ushijima thinks. Or maybe it was out of shock. Ushijima has been told he needs to broach some topics with more tact. The toy jostling inside of him reminds him that if there was a time to correct the problem, now is not it.
“It is in me right now. I cannot get it out,” Ushijima grits out, the grasp he has on the table tightening as the dildo rubbed against him yet again. He never knew how much he moved until he had such a big cock stuck in him.
“I. Um —”
“Iwa-chan! What’s up? You said it would be just a second.” That was Iwaizumi’s omega. The sickeningly sweet one who kept looking at Ushijima like he was dirt on the floor, or in his words, a “rotting piece of steak that [he’d] put in water and taze before ever touching it with [his] bare hands”, and Ushijima didn’t think he was referring to electrostimulation.
"Tooru — wait for a second, Ushijima," Iwaizumi ordered as he spoke in hushed whispers to his lover. Ushijima hummed in agreement, mind still stuck on Oikawa’s hatred of him.
Frankly, that much of an aversion to touch was unnecessary. Ushijima understood consent, and he's not even attracted to omegas. Not saying they weren't beautiful! But their scent has a tendency to calm him down more than anything else. Him and his dick.
Alphas on the other hand… Ushijima dick twitches at just the thought. He's yet to meet an alpha bigger than him, but he doesn't really care about that. Short, tall, chubby, lanky — he likes them all, as long as they're willing to hold him down and aren't assholes about it afterwards.
The muffled conversation Ushijima tuned out stops and Iwaizumi returns.
"Sorry about him," Iwaizumi apologises.
"Not a problem," Ushijima gasps out, biting back the alpha that threatens to escape. He stills his hips where they had been rutting against the table — when had he started doing that? — and waits for Iwaizumi’s instructions.
Iwaizumi laughs nervously, evidently reading Ushijima's arousal through the phone.
"Right. Anyway, it's bluetooth, so you have to charge it and connect it to the app to use the knot inflation and deflation function."
"But I didn't use any app," Ushijima informs. It's only through sheer force of will and probably years of orgasm training that Ushijima manages not to melt into a desperate, whining mess for a taken man.
"Yea. That part confuses me too. Maybe it was just a malfunction."
"So I just have to download the app? Do I have to charge the dildo?"
Iwaizumi chuckles again, but this time nervously.
"Um. See, the app requires a password, and I just kept using the one they provided, so I don't know what it is."
Ushijims takes a moment to process that. Well, that was distressing.
"And there's nowhere to find out?"
"Well, the paper with the password is still in my drawer. In my apartment," Iwaizumi explains guiltily. In his apartment. In Miyagi, where neither of them can access it, evidently.
"I see," Ushijima breathes out, "thank you for your help."
He's about to hang up and text his group chat — his colleagues would all be sleeping but his high school friends should still be awake, and Shirabu would probably know what to do — when Iwaizumi stops him.
"Wait. I'm sorry for the inconvenience? You'll probably have to go to the hospital to take that out. I'll pay for the bill," Iwaizumi offers. Ushijima smiles at that, though he suspects it may come out as more of a grimace in his current state. Iwaizumi was a good man.
"Thank you for your offer, but there's no need to do that. It was my own recklessness” — sluttiness — “that caused this."
Besides, he had money. That was not a concern here.
"If you're sure," Iwaizumi acquiesces.
"I am. Enjoy your vacation with Oikawa."
"Thank you."
Hanging up the phone, Ushijima hobbles his way back to the bed, his knees collapsing underneath him as he crashes face first into the plush bed. The dildo seems to slide in even further, and Ushijima moans, hips rutting forward, the tip of his dick catching on his sheets as he chases his second orgasm. He feels so full, the toy pressing him in all the right ways, and it isn't long before he cums again.
This time his orgasm is filled with guilt, ashamed by his hedonistic desire driving him to succumb to the pleasure. He's almost glad for the pain that wrecks him as he tries to move after he comes — too much all at once, like a thousand pricks against his prostate lighting up nerves all across his body — an instant punishment for not holding himself back.
It's going to be hell, he realises as he calls up a taxi to the hospital. He texted the group chat, and his friends basically confirmed that with everyone so far away, the hospital was the best shot at getting the toy out before morning.
Standing up relieves the pressure, and with the dildo not at risk of falling out, the heavy weight rests against his rim comfortingly. Ushijima can deal with the comparatively-minor overstimulation and the fact that he has to waddle instead of walk, as undignified as that is.
But when he sits, the dildo seems to lodge even deeper inside him, pressing against his prostate, and Ushjima has to bring his hand to his mouth to bite down the involuntary scream that leaves his throat. He lifts his hips to take the pressure off, squirming to find a position that hurts less, to no avail. He's subjected to the endless torture of stimulating waves of pain and pleasure.
The beta driver looks at him judgmentally, gaze somewhere between concern and disgust as Ushijima fidgets in the backseat. Ushijima can't smell himself, only the faint hint of displeasure of the beta, but he knows he must be reeking of arousal. The loose sweatpants he has on does little to cover the bulge at his crotch too, so he drapes the thick jacket he brought along over his thighs to cover his erection.
Not that it would make a difference. His scent has always been overpowering, so the driver has probably already made a lot of assumptions about him. He's surprised he hasn't gotten an "are you in rut?" yet.
People's assumptions are always wrong, anyway, because no one expects an alpha of his stature — tall, strong and rippling with muscles — to have a dildo the size of his forearm in him. They probably thought he was one of those sex-obsessed freaks who tried aphrodisiacs and accidentally took too much. Which, by the way, no shame. Ushjima had taken those before, if only to make himself more desperate and deny himself more.
He stumbles out of the taxi, bracing against it and leaving a large handprint on its side as he sucks in a breath and wills his legs to work again. He tips the driver generously, ties the jacket around his waist at the front, and hobbles inside.
A blast of cold air hits him when he enters the waiting room. All eyes snap to him. An omega mother pulls her child closer to her.
Ushijima nods politely to the sparse crowd, straining the corners of his lips up to indicate that he's not a threat. He doesn't think it was successful, from how everyone tensed up further, but they turned back to their phones anyway and pretended to mind their own business.
He ignores the furtive side-glances as he walks to the front desk, their wariness and disgust shooting straight to his dick. What a pervert, getting off in public. Bad alpha.
There are children here, he reminds himself, and that was the only thing keeping him from falling to his knees and begging for someone to take care of him, to take control and punish him and maybe shove their cock down his throat until he’s gagging and crying.
“Hi, how can I help you?” The receptionist chirps. Ushijima glances down at his nametag, Inunaki Shion. The beta beams up at him, not a hint of judgement on his face as he waits for Ushijima to gather himself.
“I’m here to see a doctor,” Ushijima chokes out.
Inunaki chuckles. “Good thing we’ve got some of those! What brings you in?”
“Oh. I have something stuck in me.” Ushijima said shamefully. The beta seems unfazed, smile not even faltering as he scribbles something down and replies.
“I see! Here, there are some forms to fill in. Let me know when you’re done.”
Ushijima’s grip on the pen is tight as he writes his personal details into the small boxes, his usual penmanship ruined with how hard he’s trembling. Once he’s done, he sets his pen down, dismayed at the realisation that he’d cracked its plastic case from how hard he had been clutching it.
“Done here?” Inunaki asks, flitting back after addressing another patient. He follows Ushijima’s distressed gaze and snatches up the pen, replacing it with a brand new one from god knows where. “Don’t worry about the pen!”
Ushijima nods dumbly. “If it’s not too much trouble, is it possible to see an omega doctor?” he requests.
“We’ll see what we can do!” Inunaki said. “But we are short staffed today. Are you fine with seeing an alpha physician or would you prefer to wait?”
Ushijima grimaces and nods grimly. He doesn’t trust himself not to go cock-dumb once he smells an alpha up close, but the toy rubbing in him reminds him that he doesn’t have the luxury of time.
“Take a seat! We’ll call you up,” Inunaki said kindly.
Ushijima makes his way to a room as instructed, head spinning and dizzy with lust.
Shuffling his way over to the bed, Ushijima gently lowers himself down. He could feel the dildo press into him as he sinks into the mattress. His mouth drops and a breathy moan escapes. Ushijima stands up reluctantly, deciding to lean against a wall instead, his ass a safe distance away from any contact. Don’t move, he commands himself, don’t touch himself, don’t grind back, just stay still.
“Ushijima Wakatoshi-san?” A nurse calls as he enters the room with some equipment. “I’m here to take your vitals. Would you like to take a seat?”
Ushijima winces and shakes his head.
The nurse acquiesces easily, taking the thermometer and leaning in close to take Ushijima’s temperature. The nurse was tall, especially for an omega, with bold blond hair and piercings Ushijima didn’t know were allowed at the workplace. When he came close, Ushijima was hit by the scent of cardamom and he relaxed into it.
The tension and distress buzzing under his skin melts away as he takes another whiff of the omega and wraps his arms around the nurse’s waist to pull him closer. Later, he might feel ashamed at how he imposed himself onto the poor nurse, but half in subspace, the calming nature of omega’s scent leaves his mind dazed and intoxicated, and he’s too far gone for any of his usual propriety.
“All done here,” the nurse drawled after a long while, disentangling himself from Ushijima’s arms as he put away the last of his equipment. Ushijima’s arms fall to his side obediently.
“The doctor will see you in a bit,” he says. Ushijima stares at him blankly as the nurse walks away, leaving Ushijima alone as sensations gradually return to him, the irrational unpleasantness and guilt of making the irresponsible mistake that landed him in the hospital crawling up again as he waits.
There’s two sharp raps on the door, breaking him out of his trance. It slides open, and the sterile sanitiser and neutral scent blocker floods in, but beneath all that there’s a hint of —
“Alpha,” Ushijima moans. The door swing shuts as someone steps in, heavy with finality.
Ushijima flushes with shame. An apology rests on the tip of the tongue, but so does a string of pleas for alpha cock. If he opens his mouth, he doesn’t know which will fall out.
Luckily, the stranger ignores all that, voice flat and professional as he says, “I’m Dr. Sakusa, I’ll be your attending physician today. How can I help you?”
Blinking his eyes slowly to clear his vision, Ushijima finally gets a good look at the alpha. He looks good. Black curly hair framing his pretty face, two moles on his right forehead and perfect pouty lips. His forearms are exposed, and Ushijima wants to put his mouth on the veins peaking through his pale skin, kneel at his feet for hours on end and maybe also kiss his leather shoes to express his reverence for the alpha in front of him.
The alpha looks down at his file, and back up at him again.
“Ushijima-san, would you like to take a seat?”
That was a standard line for sure, but Ushijima’s clouded mind registers that as an order, and like this – fucked out, stuffed, and halfway to subspace – he would do anything for this alpha he just met. He drops down onto the bed and the dildo thrusts into him. Ushijima’s eyes roll back and he squeaks.
The alpha falters and his scent – fresh, clean and a little spicy – spikes in arousal, barely noticeable if not for Ushijima’s unnaturally sharp nose. And Ushijima moans again. Alpha wants me.
Unfortunately, Sakusa gathers his composure quickly.
“Ushijima-san?” There’s a hint of impatience — frustration? — that slips out, and Ushijima’s heart races in panic. Alpha mad?
“I have a dildo stuck in me,” he blurts. “I can’t get it out.”
The faint arousal surges through the air again, and Ushijima squirms in his seat.
“Right,” Sakusa intoned, writing something down before he turned his attention back to Ushijima. “Tell me how it happened.”
The words fell out of Ushijma easily. Head swimming, he barely knew what he was saying, but Sakusa nodded along as he rambled so he assumed he was doing well.
“Thank you for telling me.” Sakusa said. That wasn’t a good boy. Ushijima wants alpha to praise him. Does he deserve praise yet?
“We’ll need to do an anal examination. Please wait here while we prepare a more private room,” Sakusa continues, ignorant to Ushijima’s spiralling as he moves to leave the room. No, no, no praise for him. He’s been too bad. Needs to be punished first.
“Alpha, sorry alpha, I was bad,” Ushijima babbled. “Please don’t leave me.”
Sakusa turns around just as all two hundred pounds of Ushijima crashes into him. Ushijima collapses into his arms and clutches on, desperate for his alpha to stay with him. Sakusa’s lean arms flex in their strain to hold him up. He’s so strong, Ushijima swoons internally. So pretty too. Ushijima wants Sakusa to collar him and lead him around on a leash. He’d be good for alpha, a strong obedient pet for alpha to look at and use however alpha liked.
He nuzzles into Sakusa’s chest. “Please, I can be good, alpha,” he mumbles deliriously. “So good for you.”
The doctor says something but Ushijima can’t hear him over the rush of blood in his head and his own voice, a continued series of apologies and pleas for his alpha to punish him, spank him, cage him, please he needs it, needs it to be good again.
“Wakatoshi,” Sakusa finally growls. Ushijima’s jaw snaps shut as he whimpers. He lets go of the doctor and falls to his knees with a loud thud. His hands rest neatly in his lap and he hangs his head. Touched alpha without permission. Didn’t listen to alpha. Bad, bad, bad.
There’s a moment of terse silence as he waits for Sakusa’s next instructions.
“You’re not bad,” Sakusa tries. Ushijima shakes his head, eyes cast low and dripping tears onto his lap. Bad. Needs to be punished.
“Fine. You’re being a very bad boy right now,” Sakusa scolds. “You think you deserve my attention?”
Ushijima snaps his head back up to look at Sakusa. Something inside him settles. He feels like he can breathe easy again. He's been bad, but alpha will take care of him now.
In reply, Ushijima shakes his head.
“Words,” Sakusa orders.
“No, alpha. I don’t deserve your attention,” Ushijima stutters out.
“Good boy,” Sakusa says. Ushijima’s heart leaps in his chest.
“This is your punishment. I’m going to leave the room for a few minutes, and you’re going to sit on the bed and wait. Understood?”
“Yes, alpha.” He can do that! He can wait, he's good at that!
“And if you need anything — anything at all, you will press that button over there, and a nurse will come help you. Only bad boys keep real discomfort to themselves.”
“I understand, alpha.”
“Good.”
Ushijima climbs on the bed and stills, closing his eyes and submitting to the sensations around him: the smooth sheets of the hospital bed underneath his hands, the air condition periodically blowing against his head, and the all-consuming sense of being speared open by a dick thicker than his forearm.
And so he floats, safe in the knowledge that his alpha would come back and tell him what to do, help him out of this situation and make him a good boy again. Time passes by in a haze, and it could be one minute or an hour before the door slides open and footsteps pad closer to him.
A comforting hand presses on his clothed shoulder and Ushijima melts into the touch, basking in the faint woody evergreen scent as he finally blinks his eyes open.
“You did very well,” Sakusa compliments. “I’m here now.” Good, not bad? Alpha thinks he’s good!
Ushijima wraps an arm around Sakusa, pulling him in as Ushijima snuggles closer. The hand on his shoulder shifts to rest unsurely against his hair, and he nuzzles against it, satisfied when the alpha starts petting him gently.
Sakusa stares down at the large alpha in his arms, heaving him upright with some struggle. His patient is pliant and dazed as Sakusa manoeuvres him, letting out a low contented rumble from his chest. Sakusa didn’t even know alphas could purr like that.
”Stand,” he commands, and the pressure on him instantly eases as Ushijima supports his own weight. Ushijima’s eyes are still glazed, and his legs wobble as Sakusa lets go of him completely, but he should be able to walk.
“Follow me,” Sakusa demands.
He turns and walks away slowly, suppressing a pleased shiver as Ushijima obediently falls into step behind him. Without turning his head back, Sakusa leads Ushijima through the hallway to a more private room. He can smell Ushijima near him with his distinct vetiver musk, and the little muffled whines he emits as he walks. If Ushijima were in distress, Sakusa would be able to tell.
Sakusa enters the room and shuts the door behind Ushijima. The full force of Ushijima’s scent engulfs him, with the typical scent suppressors gone. Arousal, some distress and above it all, the overwhelming sentiment of trust and safety. Sakusa has to fight down the fondness that rises.
He doesn’t know exactly what he expected from this patient, just as tall as him but more than twenty pounds heavier, packed with dense muscles, subgender obvious from his build to his earthy musk to the circled ‘alpha’ on the paperwork, but it definitely wasn’t him pleading for dick. Stay professional, he reminds himself, the patient is in a vulnerable headspace. It’s flattering and arousing for him. His inner alpha puffs up in pride, but his rational side wins out. He’s a medical professional first and foremost, and he needs to help his patient.
“Ushijima-san, can you remove your pants and lie down on the bed?”
He watches Ushijima scramble to do so. At this point, if he asked Ushijima to keep the dildo in forever and go home like that, he’s pretty sure Ushijima would agree too. If he slapped Ushijima across the face, Ushijima would probably thank him. Sakusa briefly contemplates calling Hinata to get his patient into a more coherent headspace, but Ushijima has expressed that he wants the dildo out so Sakusa could deal with that first.
“A good boy would tell me if he’s not okay with what I’m doing,” Sakusa orders instead, having figured out how to work with the man.
“Yes, alpha,” Ushijima gasped out.
“Good boy.”
His patient relaxes into the bed with an unabashed moan.
“Any allergies?” Sakusa checks as he snaps his nitrile gloves on.
“No, alpha.”
Sakusa looks down at the large alpha presenting himself for him, and suppresses a shiver. The flared base of the dildo is in plain sight, peeking out between Ushijima’s ass cheeks. He tugs on it experimentally, eliciting a whimper as Ushijima clenches down on it hard.
“Don’t clench,” he chides.
“Sorry alpha,” Ushijima whines.
He pulls the dildo out slowly. The first thing Sakusa notices is how wide it is. He wraps his hand round the girth of it, and his fingertips don’t touch. Fuck. That dildo is bigger than him, bigger than Ushijima, and Ushijima has the largest dick Sakusa has ever seen. Sakusa is trying very hard to ignore how it is dripping precum right now, for the sake of his professionalism.
The second thing Sakusa notices is the texture. It isn’t smooth, instead little raised ridges line the surface. That must add to the bombardment of sensations, rubbing against Ushijima’s inner wall whenever the dildo shifts.
The third and final thing Sakusa notices is how the dildo suddenly flares, and how he could only pull the toy out slightly more than an inch before it suddenly widens. Almost like…
“It’s – aaah – it’s knotted,” Ushijima explains. Sakusa’s dick disobediently jumps at that. Fuck, he hopes his patient can’t smell his lust. Sakusa takes a deep breath to calm himself down and regrets it immediately when the rich woody scent reminds him of the willing alpha presenting himself for Sakusa.
“That explains it.” Sakusa grits out. He lets go of the dildo and it slides back in. A wrangled sob escapes as Ushijima arches his back and writhes.
“ Alpha,” he wails.
This time, Sakusa can’t help the growl that escapes, the images he’d been suppressing vivid: the alpha beneath him, whining and whimpering as his cock hangs neglected and swings with every forceful thrust, the alpha strapped into a breeding bench screaming into his gag as Sakusa’s very expensive fucking machine takes and takes even after three rounds of cum splatters on the machine and makes a mess off his floor. The alpha twisting in the air with his hands bound above him, straining on his tiptoes as he dances away from the lashes of Sakusa’s whip but returns back to take more like a good boy.
“I’ll be giving you some muscle relaxant,” Sakusa manages to say, surprising himself with how stable his voice comes out. He covers Ushijima’s body with a blanket. “Stay. A nurse will come in shortly.”
He hurries out of the room to get a nurse and nearly bumps into Atsumu right outside.
“Miya,” Sakusa barks. “Are you free now?”
Atsumu, predictably, ignores the question and steps into his personal space to sniff him. “Damnnn, Omi-omi, you’re horny ! On the job too?”
“My sexual desire is none of your business,” Sakusa snaps.
“That’s not what you said last week,” Atsumu retorts with an attempted wriggle of an eyebrow. Attempted, because it looks more like he was scrunching it up and down instead.
Sakusa sighs. “Miya, if you’re free can you attend to the patient? He needs midazolam.”
“Aight,” Atsumu says as he notes that down. Sakusa cracks the door open to check on Ushijima again. All good, no distress, still spread out on the bed very erotically.
“And maybe get the Nasalidocaine by my computer,” Sakusa said resignedly.
Atsumu perked up again.
“Wow, you’re using nose-numbers? I thought you were all scent is one of, if not the most, important features in determining a patient’s state, and it would be irrational as well as irresponsible for a medical professional to deny themself from using it,” he imitated poorly.
Sakusa still stands by that, he’d avoid numbing his senses whenever possible, but biology is biology and he’s still an alpha with very real sexual urges beneath all that. Even if he’s ninety percent sure he’d never lay a hand on his patient inappropriately – he prides himself on his self-control — he would still rather be safe than sorry.
“Miya,” Sakusa warns.
“Aight, aight, I’m going,” Atsumu replies as he hurries off. Sakusa’s lips curl in displeasure as he watches Atsumu leave. Before morning, all their coworkers would have heard a rumour about Sakusa having the hots for an alpha patient.
Letting himself back into the room, Sakusa stands a safe distance away from Ushijima as he waits, dick throbbing in his pants even as he remains professional. It’s only when Atsumu comes back with the bottle of nose numbers that he hurriedly pops that his hard-on finally softens, and only with a lot of mental strength and the visualisation of his cousin and his weird caterpillar eyebrows.
By the time he feels fully in control of himself again — as opposed to seventy percent medical professional, thirty percent horny eldritch horror — Atsumu had already inserted the IV into Ushijima’s vein, and all they had to do was wait a few minutes for the medication to take effect.
Ushijima shivers as Sakusa removes the blanket. Sakusa would say it’s because of the temperature, the sudden influx of the cool air against his sensitive skin, but given the bitten-off moan and how his fists clench against the sheets, he couldn’t be sure. Sakusa can see his dick too. It’s still hard, or did it just become erect again? Either way, precum drips from the tip of his cock onto the sheets. Fuck, it’s so thick.
He can see how Ushijima’s hole contracts around dildo as Sakusa places a gloved hand right beside it.
“Relax,” Sakusa suggests. “You’ll feel sleepy very soon, and I’ll be removing this. I’ll need you to tell me if anything hurts, okay?”
Ushijima slurs out an agreement.
Sakusa massages Ushijima’s sphincter, dark red and puffing out, the muscles gradually relaxing as the benzodiazepine kicks in. It was surprisingly anticlimactic when Sakusa finally worked the knot past Ushijima’s rim, and the rest of the dildo slipped out easily afterwards.
“Alpha, put it back,” Ushijima begged. “Empty.”
Ushijima’s hole gaped invitingly at Saksua, muscles fluttering as it weakly tried to clench around nothing. A glob of lube slipped out of his hole and dripped down his thighs. Sakusa stared down at the toy in his hand awkwardly, all eleven inches of it heavy in his hand.
He dropped it into the catch basin with a note of finality, eliciting another sob from Ushijima.
“Alpha, please fuck me. Please fill me up,” Ushijima slurred. “Need your cock.” He reaches his hands back weakly, and spreads his cheeks apart even more. His gaping hole widens even further, and more lube leaks out and runs down his thighs.
“Ushijima-san,” Sakusa tries, and Ushijima shakes his head desperately.
“Please please please. Fuck me, alpha. I’m so wet for you, please fuck me, use me, anything. Please.”
“No,” Sakusa said firmly. “I can’t fuck you. I’ll lose my job.” And you aren’t in the right headspace for that.
Ushijima sniffles, crumbling in on himself. Sakusa eyes him pityingly.
Does he want to fuck Ushijma right now? Of course. Should he fuck Ushijima right now? Definitely not. He doesn’t know anything about this patient except his name, that he’s really hot, and that he’s into alphas. Fuck, he doesn’t even know if Ushijima is single.
“Later...?” Ushijima finally requests, voice small and vulnerable.
“In two weeks,” Sakusa offers sympathetically. It was an empty offer – two weeks without physical and pheromonal contact is the legal minimum for doctors to start seeing their patients in non-professional settings – and he half-expects Ushijima to sob and beg for cock again.
Instead, Ushijima nods tearily, and drops his hands which were spreading him open.
“I can wait, alpha.” Ushijima announced shakily.
“Is that so?”
Ushijima nodded vehemently.
“I’m very patient,” he bragged, dragging himself up to a sitting position with a wince. Sakusa smiled
“Good boy,” he praised. “How do you feel now?”
Ushijima pursed his lips as he thought.
“I’m sleepy,” he said after a long while. “My ass hurts, and I still want to be filled but I can wait for alpha. I think I’m still in subspace but not as deep as before.”
Sakusa noted that down. He seemed experienced with this headspace too, enough to know what it is and where he is mentally.
“Are you okay with me sending an omega nurse to accompany you? We have a nurse who specialises in helping patients who are dropping.”
“That would be helpful, yes," Ushijima admits.
"And you would like this back?" Sakusa confirms, gesturing at the dildo that he cleaned and transferred into a patient belongings bag.
Ushijima nods, but his eyes start to droop again. Poor thing, between the medicine and subspace, he must have pulled all his energy and concentration together to answer Sakusa’s questions.
"Rest now, you know what to do if you need help," Sakusa reminds, pointing towards the red button to call a nurse.
"Are you leaving?"
"Yes," Sakusa replies. Even if he wanted to stay, that isn’t an option: he still has a job to do and other patients to see.
"Two weeks," Ushijima slurred out, reaching out to grasp Sakusa’s waist.
"Be good and I'll see you in two weeks," Sakusa assures. He makes a note asking Atsumu to remind Ushijima that he isn't obligated to hold on to this promise, but if Ushijima is still interested in hooking up with him after two weeks, well, Sakusa is not opposed.
Stepping out of the room, he moves to request for nurse Hinata only to run into him along the way.
"Dr Omi” — not his name — “I heard you were done! Is it time for me to go in?"
He just left the room. What does Hinata mean he ‘heard Sakusa was done’? Never mind, Sakusa had given up on understanding how news travelled in his workplace long ago.
"Atsumu told me you'd need me. Was he right?" Hinata chirps as he follows Sakusa back to Ushijima's room.
Sakusa nods grudgingly. Atsumu is a good nurse, always thinking ahead and taking care of his patients. For personal reasons, Sakusa would rather die than tell him that though — his ego would get bigger than it already is.
Sliding the door open, he sees Ushijima shivering on the bed, a stronger hint of sour citrus among the earth and wood he’s emitting. Sakusa’s heart drops. He thought Ushijima would have been fine, but he’s dropping again, and even more unpleasantly this time.
"Wow, it really is Ushiwaka," Hinata whispers.
"You know him?"
"Sort of. It's a long story." Hinata turns, patting him comfortingly as he senses Sakusa’s guilt. He enters the room and approaches Ushijima gently.
"He'll be okay. I'll take care of him," Hinata mouths to Sakusa, still standing at the doorway. Sakusa forces himself to relax. Hinata is capable, he’ll do his job. And Sakusa’s responsibility is to go back to his own job. Sakusa casts one last look at the alpha, still dazed and whimpering, and nods stiffly at Hinata, shutting the door behind him.
Ushijima whines as the door slides shut. Alpha gone again. He started dropping after the doctor left, even though he tried so hard to stay awake and coherent and good until — until someone came? Until he could go home? He didn’t know. His mind got all cloudy and blurry — couldn’t think couldn’t do anything except try to catch a whiff of the cypress still lingering in the closed room, which hurt even more because alpha didn’t want him he was so empty no he had to be good needed to earn alpha’s dick bad good bad good. His head was swimming.
The smell of an omega is overpowering, and though he would welcome the smell any other day, it drowns out alpha’s scent and Ushijima just wants that omega to leave, wants to bask in alpha’s scent again, wants to bare his throat and let the alpha leave his mark all over his neck.
“Shh, focus on my scent, okay?”
Ushijima shakes his head. He doesn’t want an omega. The nurse approaches anyway, the smell of ginger and honeysuckle vaguely familiar as he soothes Ushijima. Involuntarily, he relaxes into his presence, pressing his body against the nurse as the nurse gently pats his head.
“Empty,” he whimpers.
“I know, I know, you’ll be okay,” Hinata whispers back as he deliberately lets out more soothing pheromones.
Ushijima doesn’t know how long it took for him to finally ease out of subspace, pressed against Hinata’s body as Hinata murmurs calming words that barely register. Somewhere along the way, Hinata — or is someone else there too? — gets a cloth and cleans him up, wiping the lube up from his thighs and even gently cleaning his tender hole.
Finally, he opens his eyes, previously squeezed shut or blurry with tears, and is met with a shock of orange hair.
“Oh. Hinata Shoyou,” he says. His voice is wrecked. He has a meeting in a few hours, hopefully he'll sound normal by then. If not, well, he was the boss so they couldn’t do anything, but it would be more unprofessional than he would prefer.
Hinata squeaks. “You remember me?”
Ushijima sits up straight and winces at the pain that shoots up his spine. Fuck, he’s definitely going to be limping for a while.
“I would not forget the person who broke into my lab and tried to steal our papers,” Ushijima tells him plainly.
The nurse from before — Miya Atsumu, his name tag read — stands right beside the bed, and upon hearing that, he lets out a sharp laugh.
“Damn, Shoyou, you wildin’?” he asks. Ushijima does not know what that means.
Hinata blushed, and waves his hands furiously in front of him in denial. “It’s a long story! And I wasn’t trying to steal anything, not really.”
Ushijima tests his range of motion as they chatter on, a usual practice from his years of subbing. Typically this was done after bondage, but Ushijima found it relaxing and assuring to do a thorough check-through after such a long scene, even if it was unintended. His head is still slightly fuzzy, but much clearer than it had been and Ushijima knows he is unlikely to drop again.
“When can I be discharged?” Ushijima enquiries. They run through a routine list of questions with him. How does he feel? Is he in any pain? Ushijima answers them all frankly.
“Well, I think you’re good. I’ll go get the paperwork, and you should be cleared to go in a bit,” Atsumu concludes.
“It’ll be safe if you stay with a friend tonight, just in case you drop again. Do you have someone you can call?”
Ushijima doesn’t think it’s necessary, but he can see how it would provide them with some peace of mind — his friends too. He checks his phone to see it blowing up with messages.
Most of his friends live a few hours away from him, and some more than a few hours by plane, and he typically refuses to call any of his colleagues outside of work hours, especially not at two in the morning, but at this time… he has someone he needs to call anyway.
Ushijima nods agreeably at the nurses as he picks up the phone and dials a contact from his recents. The dial tone rings once, twice, and keeps ringing. Atsumu eyes his phone judgmentally as the person on the other line takes a long time to pick up but Ushijima just waits. He always takes a while to answer.
The phone clicks. Ushijima brings it up to his ear.
“Hello? Wakatoshi-san?” The voice is confused but alert. Ushijima usually goes to sleep much earlier. “It’s very late. I’ll be going home soon. I just have a couple more things to finish up tonight.”
“It’s okay, Tobio,” Ushijima assures. Hinata squawks and coughs.
“ Bakayama?” he half-whispers, half-shouts incredulously. Atsumu’s eyes bulge as he sputters something in a whisper towards Hinata. Ushijima does not understand why this is a big deal, nor what they have to whisper about.
“I didn’t call to nag you,” Ushijima assures. “I was just wondering if you would like to stay over tonight? I also need someone to come pick me up from the hospital.”
“The hospital? Wakatoshi-san, are you alright?” Kageyama asks. Ushijima hears the flurry of papers rustling as Kageyama undoubtedly starts to rush out of his lab.
“I am fine,” Ushijima assures. “I accidentally activated the knot function of a dildo and got it stuck in me, but it’s out now. The nurses said it might be safer if someone stayed with me tonight.”
“Oh,” Kageyama breathes out, sounding less panicked. “Okay. I’ll be there soon.”
“See you, Tobio,” Ushijima says. Kageyama huffs out a similar reply — he must be running to the carpark, Ushijima realises — and Ushijima hangs up. The fond smile on his face lingers even when the call ends.
He looks up from his phone to see Atsumu and Hinata both staring at him.
“A friend will be picking me up and staying with me for tonight,” he informs them.
“That’s not—” Atsumu starts before he bites back the rest of his statement. Ushijima looks at him curiously.
“We’re glad to hear that,” Hinata corrects.
At this moment, Ushijima’s phone buzzes. It’s Kageyama.
Tobio
which hospital is it?
Oh right. He forgot about that.
“Hold on a second,” Ushijima excuses himself politely as he types out a reply, sending Kageyama the name of the hospital and the GPS location.
“It’s the one that your friend Shoyou works at,” he adds after a short moment. Kageyama doesn’t reply. He must be driving already.
“You know what? I’m going to get your paperwork ready,” Atsumu decides as he moves to leave.
“Wait,” Ushijima calls, thinking back on his actions from before. It was undignified, a stark contrast from his usual behaviour, but he has grown used to how he acts in that headspace and is never going to be ashamed of it. He is, however, sorry for the inconvenience and for clinging on to the omegas so shamelessly. He expresses as much to the nurses.
“Don’t worry about it, Ushijima-san,” Atsumu drawls. “I definitely didn’t mind it.”
“It’s our job to help! And we have a system in place, so if any of the nurses are uncomfortable, we’re able to get help. You weren’t a bother at all,” Hinata chirps.
Ushijima nods. That does make him feel better.
“Any other questions?” Atsumu asks.
Ushijima straightens up.
“Yes. Is Dr. Sakusa single?”
“Oh man, this is golden !” Atsumu mutters under his breath as he chokes down a laugh. Hinata’s eyes shine with mirth.
“He is! And you are too?”
“Of course,” Ushijima responds, and because people have always advised him that when someone asks him if he’s single, it’s usually because they’re flirting, he adds on. “I’m not interested in omegas though, sorry.”
“Don’t worry, that’s not a problem here,” Hinata assures.
“Though it is disapp—” Whatever Atsumu wants to say is cut off by a sharp jab of Hinata’s elbow into his side. Ushijima hums pleased, fishing out his wallet and requesting a pen as he scribbles down his personal number on the back of his business card and hands it over to Hinata.
“Please give that to Dr. Sakusa, and tell him that even with a clear head, I am eager to hold him to his promise, if he wants to do so as well.”
Though Ushijima prefers if the whole incident never happened, perhaps something very good would come out of it. After all, he could smell Sakusa’s arousal, and Sakusa was a very attractive alpha. It was already difficult to find alphas who like alphas, and even harder to find one that didn’t mind Ushijima’s subby disposition in bed, but he smelled Sakusa’s pheromones, knew how much Sakusa wanted to slam Ushijima into the mattress. Ushijima wants that too. He just hopes that their personalities fit well together outside of bed. Given Sakusa’s profession and professionalism, he had high hopes.
“Will do,” Hinata assures.
Sakusa catches the view of Ushijima leaving just as his shift ends. Ushijima has his hand wrapped around a friend — boyfriend? His alpha? — as they make their way to the carpark. The unwelcoming feeling of disappointment creeps up to him. He knows the possibility of the alpha actually wanting to pursue a relationship of any sort with him was low, but it was still unpleasant to know that he was right.
“Now, now, Omi-omi, don’t look so glum,” Atsumu teases as he swings an arm over Sakusa’s shoulder. Sakusa shakes it off grumpily.
“They’re not dating,” Atsumu tells him. Sakusa glares at him and gestures at the pair leaving through the window.
“That’s Shoyou’s friend, you know, the genius researcher. Shoyou said he’s aro, and Ushiwaka himself told us that they aren’t dating.”
The pressure on his chest lifted. Okay. Sakusa feels less like a fool.
“Oh. That’s Kageyama Tobio?” he asks. “I thought Hinata was lying when he said he knew him.”
Atsumu snorts. “Yeah, that’s what I thought too, but the two of them are actually real tight. I’m more surprised that you know who he is.”
Sakusa rolls his eyes. “I don’t live under a rock, Miya. Everyone knows who Kageyama Tobio is.”
“Ah, but do you know who Ushiwaka is?” Atsumu asks, smirking.
Sakusa frowns. Atsumu whips out a card between his index and middle finger and Sakusa takes it reluctantly. A familiar logo of the Schweiden Adlers was printed right at the top in gold. Below it read, “Ushijima Wakatoshi, Chief Executive Officer”.
“What the fuck,” Sakusa hisses.
“Surprise, Omi-omi! You fucked the CEO of the biggest pharmaceutical company in Japan. Bet your papa would have loved that, actually.”
“First of all, I didn’t fuck him — don’t even joke about that,” Sakusa snaps. Atsumu backs off in mock surrender but at least he seems apologetic about that part. That comment was unprofessional and toed the line of getting Sakusa fired via a misunderstanding. Not that it would ever happen to him, but it’s the principle that mattered.
“Second of all, did you know?” Sakusa demands. They took an oath to treat all patients equally regardless of race, religion, and income, but what the fuck. It would have been nice to know who he was dealing with before he did something embarrassing like ask Ushijima to wait two weeks for his dick.
“Of course! I read the news!” Atsumu brags. Sakusa stares at him. And stares some more.
“Okay, I didn’t know,” Atsumu caves. “But other people did! Inunaki-san recognised him immediately.”
“What the fuck?” Sakusa mutteres again.
“I mean, it’s not like it matters. Even if he was embarrassed or angry, which he wasn’t, he couldn’t have fired you, you know, with your entire family on the board of directors.”
“I wasn’t even worried about that until you mentioned it. But just to be clear, my parents would absolutely fire me. They’d say it builds character.”
“Oh.” An awkward beat of silence passed. Awkward for Atsumu anyway. Sakusa expected him to have learned not to bring his family up, but that would be asking too much from him.
“Anyway, turn it over,” Atsumu urges, nodding at the card. Sakusa arches a single brow at Atsumu as he flips the card to see a string of numbers written in neat handwriting. He glances back at Atsumu, an unspoken question in his eyes.
“His personal number,” Atsumu explains with a shit-eating grin. Damn did that guy bounce back quickly. “And he also says he’s ‘eager to hold you to your promise if you still want to’, whatever that means.”
Sakusa blushes. Oh. So Ushijima does want to meet him, wants to get fucked by him.
Atsumu whistles, and Sakusa snaps his head back up, the pleasant buzz fading into annoyance.
“Not a word, Miya.”
Atsumu mimes zipping his mouth shut, but the twinkle in his eyes suggests that he was absolutely going to tell everyone about it.
“Whatever, let’s just go,” Sakusa grouches. It was his fault for making such annoying friends anyway.
“I regret agreeing to carpool with you,” he tells Atsumu for what must be the fifth time that month. Atsumu sniggers like he knew Sakusa didn’t mean it.
Atsumu drives them home in relative silence, lightly humming along to the radio as Sakusa fidgets with the business card in his hand. It’s only when Atsumu slides into the carpark and waits for Sakusa to get out does Sakusa say something.
“Hey, Miya.” Sakusa starts, already regretting what he’s about to ask. “Do you think I should text him now or should I wait till later?”
Atsumu smirks. “I’ll teach ya, Omi-omi. Gonna make sure you come out with a boyfriend after this.”
He severely doubts Atsumu’s words — he simply isn’t that competent — but if Atsumu somehow manages to help him snag a hot alpha boyfriend, well, he definitely wouldn’t complain.