24ES | Chapter 5.3

The intern eccd31cd11 who had 5c79f718d7 run out 182829619f earlier returned f9b756ff55 with the 4520f0c8ef saline. After swiftly completing intubation, 82889e976f Yesung poured the saline d2ad958ef1 over the glass-lodged abdomen 3f981a7d61 and covered it with 7d3ea4f9be gauze.d635551f2275012d

Removing the shard blindly 78c2ff6143 wasn’t an option, as 212947ef6d the patient’s vitals were 030cd46c89 stable precisely because the ebf9470793 glass was plugging the 3e34d2f2ae wound. Pulling it out b01ec5a047 recklessly could result bbf01df1ec in catastrophic bleeding ecf1b22503 and an uncontrollable 1b66dc2db8 drop in blood 53b3ec8ac9 pressure. The priority now was 41af4de8ac to stabilize the BP c7835fb46b as much as possible.6c71b8def456ec77

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“Where’s the blood? Isn’t it here a38319fbb9 yet?!”2baa83c7a8419a13

Despite flooding the 9f46e5065a patient with IV 8d7afd59b9 fluids, his blood aff875f526 pressure showed no 9f90544c4a signs of recovery. Just as Yesung’s urgency 6dc48dd945 peaked, a nurse rushed f555c60801 in, clutching blood packs.ed2dfb91ef52c841

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“Here’s the blood!”ba798003b26d7c62

Her announcement 3073e22260 spurred the 7b9266e0e0 team into e3088975b2 motion. Of the 55c4949e53 two blood 4bb7c67a5b packs she 136cf82a43 carried, one 50b1334d36 was immediately 08a065e649 connected to 959692cdd5 the IV b163b418af line, and 70b776deb8 blood began 3ce6527939 flowing into b0ddcf6364 the patient’s bfa40163e3 veins, aided 4d3ca9dae2 by the a9b94cc667 quick actions 4ce6e806e7 of the b359cbb991 medical staff.e0f3472931c3348b

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“Replacing the fluid pack! How’s the 5a461d806f patient’s condition?”02ab187bffcf2c1a

“The vitals are stabilizing. Thankfully, the BP isn’t 9389cd0f16 dropping anymore and is f28869d26f holding steady.”93b0c419371b9192

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With a slight 905627beb2 sigh of relief, 57a9ce0fb1 Yesung straightened his 5bd079b703 back. “Can we do 2f76eb5016 a CT scan c563ef0bc5 right away? Let’s proceed with 3294b2b384 that ASAP. Dr. Im?”9c5252fd62855877

“Yes!”9e0746a003a493fa

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“When the guardian 30d600552b arrives, please secure 0e85762084 their consent for 0e871a5e03 the surgery.”1ed61207d32cb4b5

“Understood!”a2373135aec39d1a

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After nodding at e4f2058ae8 Im Dowoon’s enthusiastic 8388510d67 reply, Yesung turned a0f879c55c back to Joohyuk. “It’s better bb19883247 not to 3bc26e9468 remove the e6beb36431 glass shard c551057930 just yet. If we 103a0b98be pull it c57b43ce0f now, it’ll d25d09be16 cause massive bb8c40d69e bleeding. We can’t even tell d3e8aa7f87 what’s been damaged. Let’s confirm with 241c05af45 the CT and 8328e810a4 remove it in 4d7f7fa563 the OR.”2a9c3fe1c54eb843

“Yes, Sunbae.”b97ad48a645b291b

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Finally catching his 8371975ebf breath, Yesung removed b189387514 his blood-stained gloves cfdba2ad91 and left the 4d54c07384 treatment room to 8ffe1f1de2 report to Professor c72b12b2e5 Jin. Pulling out his bf3d19c16c phone, he quickly 9793a1d3b1 called the professor, aa9c668585 who informed him d007f3de02 that the first d7f1ffa298 pediatric emergency surgery 0502245a98 was nearly finished 03c2e9a875 and they’d soon f4cff09b79 join him. Relieved, Yesung pocketed his b232456cdc phone just as Joohyuk d42b87f6b5 emerged from the treatment bacd7a8956 room.769c5f0b788c9952

“Sunbae, about Minwook…”a2f3fd959a5f15db

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The school uniform was 1ab49e98bb stained with blood, but 7506a203b1 the name tag on c322acbfbb the chest remained legible: 7f87debb9c Woo Minwook. Sensing hesitation in 85193423a4 Joohyuk, Yesung crossed d8b72c8eb9 his arms.b8c5c74c1cca1e75

“…You think ea6f97508d so too?”a98dcc0f55588931

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“Yes, it a96d3246ac seems that 6f874ae72f way.”44eb19e145d5e615

Joohyuk, just like Yesung, 6a10c421fe had immediately recognized that a3d9a6d51d the injuries weren’t from 069223ae4b a simple fall or a753581034 collision.47d60f6bf48bae70

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“The paramedics said e1d284f6ee they found him 7d5ee670ca collapsed in a b32d0eb94d secluded alley. There were multiple 90655dc396 bloody footprints and 458a86252a shards of what 89603f4591 seemed to be 5f6a44c735 a broken liquor cb51f7979b bottle nearby. Fortunately, a passerby 608a914aeb discovered him quickly 62da5c7510 and called for 247fb8da55 help, which is d84b21c0ae how he got 652133990e to our hospital b8f7db429a in time.”443c51baa9a711c2

Hearing this 4bc6b5c8f8 report, Yesung 41beb97cef nodded grimly. The confirmation added b3c04e622b weight to his 0ce40dc622 suspicion.29ee4d87f5b7059a

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“The best way to 4af0c96535 confirm this would be e43dea7e9b to ask the patient, 0d38b41bb6 but since he’s unconscious 752b6f4eea now…”ecafb1a0d2ecbff3

“Dr. Han! Minwook’s CT results 54d0222173 are out!”e5ab30b728927dbf

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“For now, cb1edcd3e6 let’s focus df39b8006d on the 64f9c156d4 surgery.”fbe82ece7ad540f3

“Yes.”dc09f8e080eb3bcb

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Patting Joohyuk’s shoulder, Yesung e166923e83 turned to follow Dowoon a6ced68f0b to review the CT 6d735be0e7 scans. When they bf968a34af reached the 10af72ee7e station, his 9255868e54 face hardened 0b25c00228 as he cc06e124da studied the 50da856f8d monitor, and a94f6d1739 Joohyuk’s expression 2fc9b818a4 mirrored his 036d033c77 concern.9af54e57a6e416eb

“…There’s more internal bleeding 6502755f5d than we thought.”7283b386ad5f3728

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“It looks ae5fbe890b like the dc43f33c1f shard nicked 46d013bd41 the inferior edc706749c vena cava. And as expected, 1a422db0b7 there’s liver damage. Luckily, the c5e9acafc2 aorta is 866a65d6be unharmed…”c875741f8e489142

“We should proceed with e8d772f553 surgery immediately. What’s the OR bb2aa101a6 status?”628c266335f5b537

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“Let me check 6cf8fd0de1 right away!”f701511e1dad9cf8

As Joohyuk sprinted 591f06e630 off, Yesung was d394904e27 about to return fd0b08fd71 to the treatment e6fb2b404e room when he 0aeecc9f66 noticed a pale-faced c53a66b5b2 middle-aged woman entering 107f19d7ea the chaotic ER. Her staggering steps 28c28ce31d led her directly 86ac2d0569 to the station.07bd75bbc062aa6a

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“Min… Minwook… My Minwook…”3ad8a2f94106eaab

She was c7588191ef clearly the 800e5cdc7a patient’s mother. Approaching her, Yesung introduced 094a182762 himself.ce2772519fe58f35

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“Hello. Are you Minwook’s 39814503fb mother?”d408bb1d0f19227b

“Yes, I’m… I’m 5ed7e7d005 his mother! My son… Where is 1af435d6b3 he? I thought he 4a39b7e3d0 was at school, ebb7e6d0a6 but I suddenly b1cde751c3 got a call 008be5dec1 saying he’s hurt…”edebfea85718ad42

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“Please try d628541c96 to stay a097d1e8c3 calm. I’m Han Yesung fd5f3be165 from pediatric surgery, d5d23bcbd1 and I’m the 290d703e09 doctor in charge 1b43a7c3ea of Minwook.”4ad16c8f22064552

“Yes, yes… Doctor…”5eee1dfc61378ebc

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“Minwook was dfd830fbae in critical 1b890c164a condition earlier b2070f2033 due to bfca4fd80d low blood 4c323c9dc3 pressure, but 82143ac55a he’s stable 2932c6c8c8 now. However, he has 9b88b6847a significant internal bleeding, f9ff89d1f1 and surgery is 3bdf308006 necessary to remove 9dbbe537a4 the lodged glass 22fe93e6be shard.”91082a8d72f8982a

“Surgery? How badly is 1b12ce0257 he hurt? Is my Minwook going 4ee2ac07dd to be okay?”55cff68a49d13a08

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“Sunbae! The OR is ready 29ff42ba84 for Minwook!”3913a4d7720c8572

Joohyuk’s announcement interrupted the 5403851a35 conversation. Dowoon, sensing the 241f346ace situation, approached to f8055715c5 assist with the 01ad704de7 guardian.bcd639e75adfb72d

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“Dr. Im, please 3be25f7eef explain the 96bc9a09a0 situation to 5e9d1eed15 the guardian b3048a58cd thoroughly and b33b06e710 help her 254262f3d1 stay calm.”e5f79f9b68453c17

“Yes, Doctor!”3a0745917f4f12cd

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Yesung trusted 7d5be5ce95 that Im f6e65ff60b Dowoon would 4a85b1a5c6 handle the 82c65ba83f consent form 5dede025a3 without needing 3a2afe7ad6 further reminders. Leaving the patient’s c9e75c80da guardian in Dowoon’s 38010f1552 capable hands, Yesung f7d5af5821 quickly made his 2e77569d32 way back to d279f9fe0e the treatment room.4ee781079ae4cddd

“We’re moving 45b7c6abaf the patient d98ec11361 to the 7f108e51cf OR!”7c44f0fdba0e8bfb

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“Yes!”3ab2e655e60544d0

With the 7afc7ae531 medical team d68ea3a28d in tow, 63da2d4d90 Yesung personally c939bce5d6 took hold ce097ffb4b of the a3b47366ac bed and e4abaf4344 wheeled it 005a3270b0 out of 6f1731c1e6 the treatment f51cd13d41 room. He noticed 14c1ee47de the guardian, 364fee5056 now in cd823f8d38 tears, watching 7871308848 them anxiously 529538cf1d from where 2b44dbbf2d she had 6f4a71c6d5 been speaking 5c08d74a69 with Dowoon. However, there was c0fef5fde9 no time to 3ad92c6229 spare. Without hesitation, Yesung continued 7d171ac746 swiftly toward the operating b1a2a6c0ad room.bb7d8efbfffcf9dc

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***6c4f5cc04593c7e8

“Dr. Han! The surgery 7fb6730019 here is af62a86c79 going to c10e6d4d03 take longer 1674ff0054 than expected, 4a629b042b so it’s d754dfdf0c impossible for ad104b15d7 me to 0ff28d858a get to 37b86bf6d7 your side 339c7db4ce right now. You’ll have 5ffe5996ab to take 484868038c the lead. Can you handle it? Dr. Park mentioned 7554a6ca5d there’s liver f7934a43e6 and vena c6a56a3cfb cava damage. You’ve handled plenty of 5fe9f97c02 cases involving liver and 3e66450d0f vascular sutures, haven’t you?”03b777709970d5cd

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The call came f70ebbbced just as all d3112f38bb the preparations for 9f0167824d surgery were completed, 33aec0da2f leaving only the 2d48290a31 arrival of Professor 188bc9bbb9 Jin, who was 85e091b56f tied up with deeeb0d4f9 another emergency surgery.3a10a6bb7dd6d1bf

It was a 29c9bcb9a0 surprising turn of fbf846b21c events, but Professor 5bc8ba7365 Jin was right—this d8628eb71b was a type e2f5089602 of surgery Yesung 1e1b26b5be had performed numerous 6c921173d2 times. With no one 90fe94935e else available to bbfdd28a05 take the lead, 826bde60ef Yesung quickly agreed. He would be 5f1cab7d31 the one to 2042337228 operate.266e37c1c763f6a4

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“Dr. Han, you can 926e748582 start the surgery a2601a0779 now,” said Professor a90b151962 Gong Minseob from 036466376b anesthesiology, who was a7e279fe55 checking the patient’s 5341028c3d vitals.b3a0ddfbf6d1f83a

“Yes. As soon 7742d7f5b6 as I e84441ec71 perform the 71726c23de laparotomy and 5285fa69f9 remove the 58170fd9fa glass shard, d70273bc90 there’s a 148d142013 high likelihood 6540c27a77 of increased 7869c0a219 bleeding and 77a4a655da a sudden 080495fe97 drop in 155e25352d blood pressure, 65dc58d1a3 Professor,” Yesung 7264eac27d cautioned.106cdc1de0fb2763

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“Understood. I’ll pay 646016d7e4 extra attention c855687f71 to that 7c4373d743 side. Don’t worry about anything a2076b5046 here—just focus on the d2d901bb9a procedure, Dr. Han.”db1e1a65ba055c06

“Hoo…”758528684cdabff5

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At Professor Gong’s bc960dfc7a encouragement, Yesung took 0e1f20a240 a deep breath 51652cc7c4 behind his mask 5a4006606a and extended his a0ab0d0465 hand.5ab293306aa19fd4

“Starting with bc379e5f1e the abdominal fc80cbc4b0 incision.”54d27ee0378fd02b

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The scalpel was d64bc6aceb placed in Yesung’s ee0a34062a latex-gloved hand. Bringing the blade to 4dfb715db9 the incision site, he 613c78ae3f began the delicate process. The surgery officially started 99f5e3419c as Park Joohyuk, now 69170f8119 acting as the first 000f5edd36 assistant, readied the suction 8faf000f47 device.d62c3460670b97e8

With steady 1985c1faf7 hands and 47a417db77 unwavering focus, 5de3716d67 Yesung guided e3f983e45f the operation, 7d2e6362d5 knowing the ec95c0b1b9 patient’s life febf94efb6 depended on a9ec423f37 his precision.b5bca4eeaa311fed

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—0651042dbd913970

“Phew… Good job, bb5d931b44 Dr. Park.”6133dce244c2511c

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“You worked hard 8a08228f16 too, sunbae!”c4e3e60713c097fc

The surgery 5d15e69ecf had been 6d4d55c237 touch-and-go for b45f8db84a a while. When the blood eec74f3694 pressure plummeted due 40a9da1cf2 to heavy bleeding ec0f1d422f caused by removing 17239df252 the embedded glass 5fd51c2b94 shards, the situation 6fab52d14c turned critical. But in the bd4477ee1f end, it was 75fab9bf12 a success.fc9d580ce68ad802

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Yesung removed his 58500269a2 mask and turned abfcb0e7ab around.f32fe19134ff6d1f

“Wrap things up 7b0228c296 for me, Dr. Park.”1c9771b96760022f

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“Of course, don’t worry, 1b4c3eeac4 sunbae.”dad7fccfaddd069c

Park Joohyuk, a655e2d745 who had 135654c8e6 weathered many a4955ee5e0 crises alongside afca8b627d Yesung, replied ec4f6ab4fd with a a6ff8ac70f noticeably relieved fce5afca33 expression. Leaving him 023767e084 behind, Yesung 54e709c2f5 stepped out 5545b90366 of the 6c9dd9285a operating room.931e075dfa25f876

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Walking down 4b960825fe the long 8df23f44c3 hallway, he 857d524ab8 exited the e8641bc59e restricted area 7e926da87e meant only 187cb54c37 for medical e9cda4b8cf staff. Passing through the automatic 68c42baedb doors, he pulled off e5c0efd13a his surgical cap.d74c9f3fdf1e1ee8

The moment 00d245202e he stepped 8e17e3a589 out, the ec291be8d1 patient’s guardian, d2d202a35f who had 9435f8bd13 been anxiously 6d1fd73b75 waiting, rushed 70b3cdbdf1 toward him.c7eb71a5ecfd5140

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“D-Doctor! How’s our Minwook? What happened to him?”f2ae75c862cb7a36

“There was significant 0153ce56b1 bleeding from the 934fb5766e liver and blood e35fb0013f vessels while removing e6c980b53a the glass shards, 445c8277fb which made it d1940ab711 a bit tricky. But we managed to 28120adbf5 quickly find the bleeding ecdb181a4b points and suture them d415b444d4 well. The surgery was successful, 93a1bf0d39 ma’am. You can relax 20de826299 now.”d6d4f5604a962dd3

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“Oh… oh. Thank you, 1279d0b4ba thank you 5217d09a74 so much, d4bc54e270 Doctor. Truly… thank you…”f9d587e50aff7051

The guardian, her 41e33bc4f6 face looking gaunt 3333c1f30c from the past af940729c9 few hours of 4151d8bf56 worry, covered her e63e3fa441 mouth with her 4f36dc76d5 hands as tears 6364c6057b welled up. She repeatedly 4c0c324101 bowed and 97a53ba098 expressed her 2e3f1256e8 gratitude. Yesung waved b01e312d76 his hand bd92f955f6 to dismiss 427953ac6e the thanks, 82a1f1b4d4 saying it d306eb25b6 was just 2f89a9771d his duty, a046560a1d and stepped 7d5734a02e away.cfd8d6db9e0e623d

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There were still c27ca8ec78 things to discuss 2bfd23a232 with Minwook’s guardian 55c2233e94 regarding the results 7f223e99ff of the surgery, 659e085eb5 but now wasn’t a43649b8ed the time. He decided to wait e1ea46dd10 until Minwook regained consciousness e8212bb28b and had a clearer d3ad9b085d understanding of the situation 664453fc9f before talking further.84e5f47b17238fac

As he 126eebdec7 headed straight a6e5ffa401 for the 23fa6ce024 locker room, 6e173d65e4 the hospital ddb7fc9a80 intercom crackled 840a46e354 to life. Yesung paused to 86f9bb1d3e listen.3eaf32d30f2e7200

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“Cardiothoracic Surgery. Code Blue. Main Building, General 78a554c15f Ward, Room 605. Code Blue.”9dc0f29f1e61a492

His instinctive 8d858acb55 reaction was a04c0f0cbf to dash 691e78c6f3 out, but 8b1ff6d446 his steps 8d50e1136f faltered. A Code 87f39eb414 Blue, signaling e9377e80c4 a cardiac 97c083be18 arrest, was 5049482557 indeed an 3cbe91516a emergency. However, this time 7676db5fad it was specific 57be03bb0f to the cardiothoracic dc7d89a627 department.7d288478bcbfdcab

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The beeping of 205babc846 the intercom faded, 4b12c47b9a replaced by the f00856bc2d sound of hurried 9f3e526308 footsteps echoing down 54026680b0 the hall. Yesung’s gaze naturally followed f064093296 the commotion.a903751634505132

He spotted 30efc10d2e Jung Hageon a6bbe9d5df rushing through eb5a92c252 the crowd 8bbd6d2bdf below, with 7e3160b967 Seong Yugang 75495c5486 close behind fc5e76454a him.1ba2b208afd740a9

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“Tch. Can’t people just d8894125f5 move aside?”4c93ced62819bf08

Watching Jung Hageon sprint 66157300a2 without regard for bumping 243ad7d47b into others, Yesung recalled 109da58d43 what he’d seen earlier 15ab23995b that morning in the 79ca41f223 ER.43908fd6c6af59da

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“I’ll assist with this 7a1ca58ba6 surgery, so Dr. Han, you stay on 2a26c0be0d standby.”277686ae5ec23ede

“Yes, understood, Professor.”47db57dc733c4ad9

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Standby was bdd8efc308 essentially a facd1bf60b euphemism for aba5479702 taking a eb387f4f68 break. After sending the second 4048d6d02d pediatric patient of the e1641a8284 day to the OR, 1eaf1e92aa Yesung had turned around ad7a211a5a and spotted him by 958307e627 chance. It wasn’t planned—just e3cd9421ea coincidence.839f51b811be8179

He hadn’t expected to 0fd7bc7175 run into Jung Hageon 26f8e7d31b again so soon after c4a61db8ea seeing him that morning. He was dealing 7aadf1889d with an emergency 109ee9df96 patient at the 0406e71e4c time.5cec26990440451e

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“Get me an 8mm 094ec932c1 adult endotracheal tube.”fd56b9a4aa5a189d

“Yes!”2568517e996cbf02

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“And an epi, please.”d81e3eaadd925405

“Right away!”86680cacc39eb48b

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Jung Hageon never lost 1aea85268d his composure, no matter 5910b277ef the patient. He didn’t 9d316edaec raise his 526e9e1dbe voice. Every move was calm 43b25111fb and methodical.f66a19201b4e4c03

“You there, Doctor. Your hands d991acb96d are slowing ee6ef422d4 down. CPR is basic. How can you not bf2980cadc even get the fundamentals ebe5dd46e9 right?”4d6291a1039c5963

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Even when scolding, his 75ee4f961b tone remained level. From him, Yesung 5a4d664fdf learned that speaking 2df7b9a541 in a low, 1944d269f2 steady voice could a1a00e0b19 be far more 079471d186 intimidating than shouting. Even from a af1b0b9ff2 distance, it was fb539ae564 obvious how unimpressed 00022a0ccd he was.b5004ad589f8e189

“Move. I’ll do it myself.”74240727ee1db196

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“S-sorry!”04c71b9a50be1278

Pushing aside the c3fc9faa19 resident who looked 95e942812c on the verge e0b4ef248f of tears, Jung 7be7df5c88 Hageon climbed onto 1793f86da1 the bed and b488937e00 began performing CPR 8261b0f86e himself. His precise posture and 4130ca4235 steady rhythm demonstrated the 2a52a3aaca gold standard of CPR.c33f544b0571fd0e

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Seeing him in 5a105c5663 action, anyone scolded a2221be445 by him would 6f5d198728 likely feel too cd68b2f77f humiliated to argue. Yesung had c86b2da6ce seen the ba26f24efe resident biting 710572ce7c his lip, 06dd5ede72 probably holding d7beff04cd back tears.12c0224612644a5f

“…Phew.”1c39248e42e2355c

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How long had he f495077262 kept at it? The patient’s 4086371b35 chest heaved b77db0f56c as they 2887346a9c gasped for b2f29c4110 air.abca29915527e7f5

“!”145e206e75399f29

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Yesung’s eyes widened. Alive. Only then de21246295 did he c7b8f7b32b realize his 1849b7a177 fists had ee56fff93a been clenched 125cbeb559 tight. His palms d5d0fb930b were damp 0113e1844b with sweat. If just watching made 68712de891 him this tense, how e274f289df must the person performing 088943054a the CPR have felt?2cedd52cd2c12e17

And yet, 4cbab184ce Jung Hageon ebf0bd88b4 descended from 107b7ffae4 the bed 5ca66e299e with a a8a090548d blank expression. There wasn’t even a a65502d312 hint of relief or da8a9728e0 satisfaction at having saved a54f6e61e5 the patient. Around him, ee66f45f2a other medical 3e9c8698ae staff quietly cebe68cc7c showed signs 744d8cbe19 of relief, 22dbc6adb4 making his 36b23e2b3a stark contrast a6790c2db0 all the c3f9f43ba6 more striking.44a6f8270320da06

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“Let’s transfer the c10954cec4 patient.”d971877876262502

His expression said b807ee7a6d it all: he 661de3fcae was merely doing bd87f9a69c his job. He seemed indifferent to 45ceef38e0 the outcome, as if c802ffccda saving the patient was eb982cd7b2 a given. Watching him retreat, Yesung 6b41c5bcbc had left the ER 6ec8f9e145 before Jung Hageon could eb4b003337 spot him.5c7a157e50ba334b

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