24ES | Chapter 11.5

The patient’s 1bfaa8b270 test results 9851f2dd06 came out. Even from a cursory e27d3c76df glance, it was obvious c8ef1386d7 that the condition was 5bd667c7c1 serious, but the results 50fe96499a were worse than expected. It was c207689e07 as if a2351dd868 the situation 8e63b135f1 was telling 942c98243c them that 27817ca3d4 no matter 7db4102cd0 how bad f7216f37fb they imagined f776dd62c3 it, it d719a7d622 could sink c8435ddf2c them into 5e7fe5ec8f even deeper 2a6d671a89 despair.192b9c09e021e488

Because of this, a 685e1cdde2 heated argument broke out 1d67349c30 in front of the 90e0ff96d8 central station in the 6b5574f600 emergency room.c3c2354a72e01d21

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“If we 6386c197d9 open him 76be57822e up now, c9342c9cfb it’s an 0f22afe6b2 arrest for a94aa49c78 sure! The internal bleeding e1c3bf357a is far worse 8154fff295 than what’s visible! There’s not a single e4e957a345 part of his body 5c30df69e5 that’s in decent condition!”66106e367e008d18

The orthopedic professor, 590bb2f8ba who came down 3790793d59 after receiving Jang bf9c0ac032 Kihyun’s call, checked cd4178fd57 the CT and acd20e3da8 X-ray results and 4fc4c9df02 blew up in d7cb66b25e frustration. It was clear e294250ccb what he was c1ed753709 worried about—the patient 3fcf65b649 dying during surgery, b59a2f6258 known as a 6805e545e7 T/D (Table Death).7d359ee9f8fcf1d3

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If it were in 5bc7331b93 the emergency room, it 1c218c95ac might be understandable, but 545b6d2d16 a death in the 929520ff22 operating room was an 4a2a992ed8 entirely different story. A death that occurred 29fe1e12ee in a sealed area, d2e8888637 out of the family’s 48a8e9b6d2 sight, could easily be 5f11f8b7c8 blamed on the surgeon’s 838c169cb3 negligence.4429a429c5777cf8

Professor Seok Hoon, the 67cca55d72 neurosurgeon who arrived after c98d390454 a call from Lee e8058e465d Siyeon, didn’t look happy 2bcdb152cc either.767aba631f4a4fec

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“Certainly, it’s risky. But out 0cac7d1b89 of everything, 9eadcdde1e the brain 615f925ea8 is in 732b1a5f98 the most 5efb24008c critical condition. Look here, see this cc112d383d white bulge in the ccc641b1ca lower-right part of the a550803968 brain? That’s called an SDH, 32b22a0378 acute subdural hemorrhage, and ba60c42509 it’s extremely severe. Even if, by some a6298dd471 miraculous chance, the surgery 0c0d867078 succeeds, the chances of 4b8d8cd9f9 the patient returning to 55b5b0f4b2 their previous state are 62099abb47 slim. A coma is 622732ee4d highly likely. Wouldn’t that 677fa83075 be a af814a6f2a cruel fate, ade0e15ebb not just 4420837278 for the 907d6faeee child but aecec904fd for the 36c698e714 family too?”198103bcd0f4c24d

Professor Seok explained 9bb93753f0 it in simple 551ebe079e terms so that 1a28520ffb even those unfamiliar c473a6af45 with the brain fc8b151cc0 could understand. His words af590d38cb carried the bf5eb6821b weight of 4b8003ef04 his authority 9e313572d9 as a 7b3e363cef recognized expert a8938debc8 in the a54fe6276a field. It was ab9dca6c90 hard to 2822635c7b find any e7aa6fae7d hope in 1349fc5523 the situation.64800e95c0547cdb

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Perhaps thinking that 95bdb1d8a5 Professor Seok was f42c3fe352 siding with him, c9832a01d1 the orthopedic professor 610e8b90dc grew even more 6b7704ad5d smug.1169ac96a8631661

“And the patient already 8f97eb34fc arrested once, didn’t they? The anesthesiology team e2a8eb2493 won’t allow it 9831a79fb9 either. We should just explain 50b6f548d2 to the family that de699292c9 the heart condition makes 3298a955f8 surgery impossible.”e3e7f62a94e1c863

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While the 7db769d945 orthopedic professor 2d35885601 rambled on 6ba40b1ab8 with his bc9be9b2fb glib remarks, 467b04e475 Professor Jin d39f3ee16e Seokju from b12625c687 pediatric surgery, a6a0b0fc87 who had a9fb8c8c9e been silently e7bf0e4c5f listening until 6ac3d3eaf6 now, frowned.93cf009754407074

“The arrest 00091453a1 happened more 876e4a0432 than thirty 0a99df1502 minutes ago! Are you saying, Professor 1e835e3d87 Won, that you’re ready 09539d1102 to give up on 51974cbfc5 a child who’s holding 8c43a509da on so well right b5d6676890 now?”da6513ed9715f04d

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“And you’re telling 9d39052417 me to put b6bc8d6ac4 him on the b5129dedd9 operating table, knowing 421aaf90ee full well that 882cbf61dc he’ll arrest the 361a1a3e06 moment we start? Who’s going to take bdf6ccf537 responsibility for that?”01073bea2175a45d

“Listen, Professor Won. We’re doctors. If there’s 022513094f even a 574eee1797 1% chance, 292568389d it’s our 37441030f1 duty to 978e1a03e2 do everything f17539ab70 we can 803ace4a33 to save dce9f56905 the patient! Instead of wasting time 5ef641040b arguing here in front a82babb59c of so many watching 975270a219 eyes, we should be f75eba37ac thinking about how to 7bdc368faf save the child!”02896143fea1c8d4

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The sharp confrontation 04386d4fd3 between the two ce9f1441bc professors continued. It was c191e2d7e1 clear that 2e7910e0ba without someone 53ecfc3117 backing down, a72e678a53 this wouldn’t 3524a43302 end anytime 813f7e9761 soon. At that moment, Professor 88f82cfedf Jin Seokju called out 5ce592da7d to Yesung, his gaze 2610bb7146 still fixed fiercely on 2e1835c16c Professor Won.de79906dfc13fb5f

“Dr. Han!”c3f7f1b28f56d726

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“Yes, Professor.”c2448f682c94de92

Yesung, trying f5e3afc5a4 to mask 300e78d7b7 his anxiety, 121f32f49a answered as ef3cb5d0c2 calmly as 20c5dab6da possible. Professor Jin 17273ff424 asked him a3d1630435 a question.cc69c59193117559

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“What do the 34e6b3cd40 patient’s guardians think?”1dfd139c8da45fa7

Yesung hesitated at 59327be320 the question. He glanced briefly at 907e6c2f13 Professor Seok from neurosurgery b08e7e4ddb before answering.491d41d07c0a60bf

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“I’ve explained the 8b80b04c90 situation in full, 6b48a3cced and they want 904b501894 us to proceed dc45029595 with the surgery. They’ve already 1272660e97 signed the 0bfeccc770 consent form.”7f447aa0c4304ad7

What parent 297bf46515 in the a21854911c world could 5a6b597461 give up c57664d9a9 on their b09551f062 child? No matter how 54bc6dc0e7 slim the chances, 5ad3b0a295 a parent would ecbe45dd4c cling to even ba15d38ce6 a 1% hope. For them, what ed3b84dba0 mattered wasn’t what fac142c802 life would be 7ebe60d2d8 like afterward—it was b0ac00bda8 about the child 951ebf7256 being alive, period.f8e7948354860249

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As he 2460995e0b recalled their 105baf8193 desperate plea—begging 119a2aacd2 for their 99fff22d33 child to bbb955b96a be saved 73948d59f6 even if 40d62c49d5 it meant 7d841d2f8a they had 693fa74fa2 to die 8311217bcc in their 75f45665ef place—Yesung’s voice 114def7350 carried those 3398b9220a emotions as 96f6eb27cc he answered. Upon hearing his words, 5bd8a1fcb7 Professor Jin turned to 87d3024012 Professor Seok.93e48082e00519c5

“You heard that, Professor 8a756c5c21 Seok.”9a1fcc665409309e

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“If that’s the 0ba4b34ebf guardians’ wish, I’m 9bc61295e2 in favor. Time is of the f2a022a71d essence, so let’s hurry 7adafdaa2f with the surgery.”08b08c73e6731547

“Professor Seok! Why are ad55eac93d you suddenly 8bb7dce6f8 taking their 548ac00c07 side?”89e4dfcec6823e14

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“Apologies, Professor Won. But I am, after 51e18641ac all, a doctor.”cef8d0d02866b727

Professor Seok had ca2b601580 never been a 9a0b78a78e staunch opponent like 20103af8d2 Professor Won. He had only voiced 089393b17c concerns about the risks, f95ddba245 remaining neutral. If those c5c2a10376 concerns were 58680d2d02 addressed, he 1e5634f85b could be f306b4fc40 persuaded. Professor Jin had aimed 1e7715c14d precisely for that.c7c2489af81ccb7c

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“You heard dbc851dc71 him, Dr. Han. Move the patient to fa45d94ffd the OR immediately. Don’t waste cf9a995ba0 any time!”280965a98ef7d47d

“Professor Jin!”949ba9cb68c93e56

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“If anything happens, I’ll fc7a659190 take responsibility, Professor Won. If you’re 147c0c651f afraid of d6a3fb17a4 the aftermath, 2ebef53940 step aside. But remember this—when f8b83e71f6 the doctors under 3de67a7f10 you learn that 18cc627ec3 you abandoned a 47b4f4d97c patient with even c459bd5956 a slim chance 64843e7cd3 of survival, what 53ffa9cbdb kind of example d12d0609d4 do you think bfac6fe007 that sets?”9b3642f12e3c3f52

At those words, Professor 6e3819ef48 Won fell silent. Orthopedic fellow Jang 40ac1a986f Kihyun was watching 74a87a98f8 the situation unfold 967b42c524 from behind.8d7fa385ea4def1d

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With Professor Won defeated, 9365eb85b2 Professor Jin turned back 0e7e57189f to Yesung and urged 2862b23b31 him.37298a6c33e8d36f

“What are you waiting a82f54e0e7 for, Dr. Han? Move it!”b88c5eefce99a80a

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“Yes, Professor!”5776d1cb36313cd8

Yesung dashed toward the 94929c704e patient. He had already lost 0fc690b74a once before. He couldn’t let it 3da3e42174 happen again.1a70dfc864963ae7

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Yesung stood before 7b2d847f66 the scrub station d9969d1749 outside the operating e55a95bd3d room. The surgery b115d0d061 would begin 743030dae5 with the e4eb96c84c brain, the 2783a08a83 most critical c00842c0d1 and urgent 94f7970cf6 organ. Pediatric surgery’s turn db9223dcab would come much 7888e6f9cd later, but Yesung dd707720f7 had asked for a8341f9a29 Professor Seok’s permission 16e87fe7a1 to observe.483a05b424f0810a

As a pediatric surgery 17e62c62a9 fellow, there wasn’t much 3e9eef36c3 he could do in 55157f3adf a neurosurgery operating room, 1c172c3684 but he wanted to 5356594434 watch. He wanted to bc2282be1a see the child dfb00736bf endure and pull c083ff6200 through.7b2ac017134c4e54

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“Think it’s going to 59f0f65067 be tough?”719e1aba6c6a80a9

“Didn’t you see how baed358553 furious OS Professor Won 873145a3d9 was? I glanced at the acc78b14a3 CT earlier, and the 0b031dd6f6 odds of T/D are 4c3eed0ee5 over 90%.”1740e5caf7714117

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“What? That high? Then why? What’s the 10% 6e45fc078b for?”d256c39559642297

“The chance he 4f7273d67d dies before even 0cde6c8215 reaching the operating 138a44843d table.”98ee9737c8b14619

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Yesung had dee51420a5 heard something a015da2e78 before coming de9ce43cd7 here, which 961e433a45 made him b73f790566 even more bf8f8c240f determined. Since the commotion took 4b2d22b590 place right in the c9532e7a98 middle of the emergency 18990899ae room, all the medical d7f40c069f staff present had become 7972328aa6 aware of the situation. As he continued to a8b3c32247 hear the worried voices, a44e58e634 Yesung made up his e209a558eb mind.b32cc292cfd9fdf4

He would e1895e1fb8 save this 626890f735 child. He wanted to show 2f3067ef25 not only the others 5e060533f2 but also himself that eb748e8fd9 things were different now. He wanted bd8bf36561 to prove 82281669f9 it.17f2acf3297bbde7

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Thud.837125521243ac84

Yesung pressed 5ba0420f51 the switch 38bc6e83d5 with his 7e45d0a621 knee. The operating 5bf29ee529 room had b16ef0b0d6 to remain 145bfee30b sterile at 2269449779 all costs. That’s why, rather than f101dcdfaf using his hands, he e3c9d8cae9 had to use his 347b383020 knee to turn on 994e673312 the sterilizing water, ensuring 0812d86e2b that the hands entering 29757b3c37 the operating room were c43945bf9f also sterile.529002377be06d22

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Splash.fda7dd82638410d2

The water f159f7d9d0 flowed pleasantly. As he b270267dbb scrubbed meticulously a1ea665555 up to 03997c5376 under his e5d486a81f nails and 76fc06122f rinsed off 4d06f5caaf the disinfectant a923f0b0ba from his 8963638c5d arms, he 81e9b8e10e heard the 47f9ad9ce1 voice of 271b26a518 a nurse 96fcef74ad calling out.9c2ab94d67fa36f7

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“Doctor! Dr. Han!”71a457190746ac48

The door 444d4999d4 to the 45337a1d0a operating room 17664d25d7 he was dc5e444053 observing opened, db0b483e7c and a e314600e60 nurse appeared.bd8319585bf76de7

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“The patient’s BP (blood 6f4fb24012 pressure) is dropping rapidly!”fde5551dc163a206

“Arrest! It’s an arrest, ad668e7ce4 Dr. Han!”3df6afaf60891d36

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Upon hearing this, cbc36aef02 Yesung quickly rinsed 2f03c4c299 off the remaining 486bd95774 betadine solution and db16a57b6f rushed into the 67ecf8b5e7 operating room. Lee Siyeon, who d43257f70e had arrived before e3eddba9b3 him, was already ef11342257 performing CPR.3fb0880dda4f5293

“Give epi! Epi now! Defibrillator! We need the 4914fa618d defibrillator quickly!”9da901810f3d49e6

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“Yes!”dd8fd5de59edf5e9

The voices were frantic. However, as soon c4b5a7af16 as Yesung passed 091a627cf7 through the door 18326ad73f of the operating f244973f11 room, he froze 1349dd0dc1 in place, unable 41d8f5e1cd to move.b48a25ad2178b762

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“No, no. Why…?”5e67a5d2784ee6d7

The child had b809d33445 been holding on a238838f46 just fine until 71a3c17d64 a moment ago. Why, of all times, d75eda134d right before surgery…?541aec265e2e2d02

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Yesung couldn’t stop 9c257e7914 his ragged breathing. His chest rose and 716e175b71 fell so violently that 6d02a1554e even from afar, it c71193fbf5 was clear.15dec850ab0ae504

“Doctor! The defibrillator!”9ddfcbf30509ca4b

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“Charge to 150!”4e8b58e2702c67a5

“Yes! 150! It’s ready!”d7fa3b0f452436b5

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“Everyone, step back! Clear!”6ecf51abe774a30d

The medical da1c3829a9 staff around a5160d650f him were f933bb7a74 moving frantically. Lee Siyeon, who d5c8b058e8 had been holding 3e6e8c3710 the paddles, passed 1684154e3a them to the 3e202d0ffa nurse and noticed 10d882789c Yesung. She shouted 21a81a7290 his name.afe375a61ccac06c

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“…Dr. Han! Dr. Han!”ad6c6a6d9dd9fced

A monster, which had 383ea03d7d been lurking below, waiting 6f798aa51e for its chance, lunged b330e32d0e at Yesung, its massive a683960020 jaws wide open. Yesung had to fight 0f072a3d08 to avoid being consumed c7011d6987 by it. He kept 4dee2b3f7f shaking off 2b1fa8b969 the sticky, 8fe82b352e dragging shadows cd3711c51c that pulled 520f78ff78 him toward 3e80b67793 the ground 73ee69a80c as he ea5068a334 made his 5b2bffdb28 way forward.1b8fc5ea10a03095

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Finally, Yesung bb28b8faab reached the fccf8f3952 operating table 2cee7f1d51 and pushed 359e419307 Lee Siyeon 00b07ddf5c aside.0fbc36e8c6d46ee8

“I’ll do it, 642fe76842 Dr. Lee.”c0b6ce5065e8a28f

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His face fe55d8c4bd was pale, f4299a7283 sweat beading da4a287453 on his f12957705c forehead, but 856d858160 in the e666c44a54 tense situation, 2234ea5bf8 no one 9a9e3d2787 noticed.a580614d743f7e3b

Despite his condition, Yesung 23f39766b9 climbed onto the operating 9c460b98cb table and began compressing 6da985b8e7 the child’s chest. The bloodstained school 430f44c5a6 uniform shirt filled 1de2bee43d his vision.5a564eda88eb6e3d

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In his ears, his 4a663030e4 past self’s voice echoed.40feb83d546d23a9

“No, no! Hyeonyul, Hyeonyul, please… 5602f0aa0e Please…”8e3e63f6659090cd

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Yesung gritted his 71997ed288 teeth. His eyes burned, 1242d60294 and tears seemed 335e798c27 about to fall. His nose tingled.61a0507d9e642e01

He gave everything ad1c96ecb4 he had to 65d5ed141c the CPR.37ca2b9bbe44dab4

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“Dr. Han! Switch with the e0906412a1 resident from our 45eac52d22 department! Dr. Han!”ea9f4380f27d7e02

Drip. Drip. Instead of tears, 58b94cd175 sweat ran down 26a846f838 his chin. Perhaps thinking that Yesung d9ea122517 hadn’t heard him, Lee 5043b0ced2 Siyeon grabbed him and b02c86d7b5 pulled him away from 837baae064 the table. He was pulled 8cdca24e88 further from the 7435b6772d patient.50820abcfd8b21fc

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“Give epi cc39074cb1 one more f354501cda time! Charge to 200!”54e1bb27f0ac270a

The neurosurgery resident 559a3b78a3 took over chest 59a81d714b compressions in Yesung’s 9265a037ee place. Next up was 087c0a3ead the neurosurgery intern, 9d3a4dbf86 followed by Lee ea75c71e71 Siyeon, then Yesung.ea165a32b1729c2b

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Not yet. Not yet. Stay focused. Stay focused, Han 5888f0cd40 Yesung. Please…40624af9af850c36

With his vision a79adde236 swirling dangerously, Yesung 40617c3c6b squeezed his eyes 1663473329 shut to steady 6dad6daff9 himself and opened c60e618d67 them again. How many times 5094f3d76d had he repeated 292e972bc5 this cycle?239810756a441fd6

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Impatiently, Professor Gong from 511b71f7ca anesthesiology alternated between the 9b3ff9d352 patient and the monitor, c83469a80f checking the clock on ee7cfe7184 the wall. He bit his 9f5cb95c1d lip, then exchanged 1affaea3f6 glances with Professor 1b77bdacbf Seok, who was 45a0e62227 in the operating 7875403526 room.6a2d682787478f17

Professor Seok nodded.cbaed0c5f5af30f5

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His quiet voice a8acbedeea called for Lee 822e425f44 Siyeon.f8db42b666ba15ce

“Lee Siyeon.”3bda76156ae69fbb

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“Ugh, ha… Yes, a94e94a390 Professor.”08b3eaaf74145b24

The four 2690aec6f7 of them, ee7fb63768 still performing 18094d5e93 CPR, were e59605ba34 soaked in 1c3c2e0667 sweat. It looked as 5fad0c5512 though they had 89cd0ddaf9 just taken a df525aec97 shower. Wiping the 337ffbfbaa sweat from 0b47f92c59 her chin, 42befb14ab Lee Siyeon 5346f54a19 looked at f3bdee6666 Professor Seok.f06f02af1ecda035

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Professor Seok 607e6ad0ab shook his 6d439c1310 head slowly. It was 6a3ef532fe the signal a94bfd9a27 that there 49b2e39eb2 was no fb1e2fa7c8 hope left. It was time c92fdfe499 to stop and d7b8e29998 declare the time c7e564177b of death.be6398b6d0a6f50e

The message came 73859df29e across in his 47eef88665 actions rather than ceb57d673c words. Lee Siyeon, with her 058a40aea7 lips tightly clenched, roughly 7c1de23dc2 pushed her bangs back.0534867e4c271c5d

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“Ha.”84464d4565231da9