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24ES | Chapter 11.5
by RAEThe patient’s test 8993eb476f results came out. Even from a cursory 41c3e5c0c4 glance, it was obvious 028e9ad73c that the condition was 3303a675cc serious, but the results 9e605d4c28 were worse than expected. It was cab1347578 as if 6cd5eb4270 the situation 803a8c9b80 was telling e399c5e8a0 them that d9f1378cf2 no matter 6740f73744 how bad e910ea56fa they imagined 6e7321c09d it, it 7fae39af7e could sink bd4a2aadd5 them into 2901ba2ed8 even deeper 3236a21500 despair.25f69f670fd4779e
Because of this, e585f0dc5b a heated argument f173859c31 broke out in 4c83935f1c front of the 8621ef4a13 central station in ff5f8377b3 the emergency room.76e26f8b5489f0e5
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“If we open him 9529d4ed6e up now, it’s an 4bbdbf4434 arrest for sure! The internal d874792d80 bleeding is 5ba4340e07 far worse dd7fcd3158 than what’s 641def677c visible! There’s not 3cd6b563f2 a single aa66e7f7a9 part of fa64a7978c his body c81c7c6ca3 that’s in 4291d2569f decent condition!”516ac52bd1692ef8
The orthopedic professor, 97506aac9b who came down 00f2b4f83a after receiving Jang e396f1c3d1 Kihyun’s call, checked 0f74beed41 the CT and aa5b443418 X-ray results and ef0c7afbac blew up in 9f37c7ec86 frustration. It was clear what eb1320cf30 he was worried about—the cec01a268c patient dying during surgery, 8a1d5b6a19 known as a T/D 64a8c64da9 (Table Death).195bebc0c03f8b00
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If it were in 13be159fa9 the emergency room, it 1f14afd77d might be understandable, but 8978e08b0c a death in the d2f094ce76 operating room was an 7d3731b8f9 entirely different story. A death 34b3eba0ce that occurred 99dd1df697 in a c81d8a0247 sealed area, 5b647c3dbd out of 0d4245ae65 the family’s dfa087ad3e sight, could 0083951668 easily be df0c7795ea blamed on c339c8a4b9 the surgeon’s b4c0217877 negligence.a1cf6c5a00fc15f7
Professor Seok 44c59db96f Hoon, the 96e11a0e44 neurosurgeon who 5bc7d498bc arrived after ae938f9d8b a call 938699ab6b from Lee 99267f83f7 Siyeon, didn’t 38027007d1 look happy e907bfd2fe either.a9d737924b3a1434
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“Certainly, it’s risky. But out of 7b12acdc66 everything, the brain 367e268ddf is in the 3eafa0c114 most critical condition. Look here, 0fca5db5ba see this ac35c819ac white bulge 17cee99cf2 in the 6be2e56d3a lower-right part e684344b07 of the 55e362a7be brain? That’s called 562db3a822 an SDH, d97b803d24 acute subdural af83e0df12 hemorrhage, and a1ff79f39a it’s extremely 3bc154d49d severe. Even if, aa4335279e by some 16e70ad9ab miraculous chance, 7a90c7e690 the surgery 46b0ae2f9a succeeds, the ce683282a1 chances of 6d042b1a21 the patient 2d36dba576 returning to f0def05ca3 their previous 87ac47ead7 state are b4839224f3 slim. A coma is a377686032 highly likely. Wouldn’t that be a 0e02aa6105 cruel fate, not just 4f54b2c397 for the child but 8a63e3b5d0 for the family too?”99da90e6dbea97f7
Professor Seok explained it 12455a9193 in simple terms so d5116da00b that even those unfamiliar cfdb4b1fe7 with the brain could 3efac56361 understand. His words carried 58fea9e98d the weight of 61709ec9fc his authority as 7220968d28 a recognized expert c03c95302a in the field. It was hard to cfdb886839 find any hope in e01d2c789c the situation.10bf0b537d341759
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Perhaps thinking that 6574cb3ede Professor Seok was 9d576629ea siding with him, 863f11cc33 the orthopedic professor 43e32552ef grew even more e38becb2b0 smug.f15905ac1e8a3492
“And the patient 98ed9ed4c3 already arrested once, dc6c42b002 didn’t they? The anesthesiology team 7f16f2972d won’t allow it 190207d9d4 either. We should 655a7bdb7c just explain 167b0da755 to the 7d50342495 family that 352c379d7d the heart 630bb489c7 condition makes d698941449 surgery impossible.”e36c2c6f6c850aee
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While the f0c3644bb2 orthopedic professor 1dcbf1d7eb rambled on 8f7be448d4 with his 43a125d946 glib remarks, 9552cd98b5 Professor Jin 73182b168b Seokju from cc0b6757a2 pediatric surgery, 743e2700a5 who had cd3ee4650e been silently 8794a971ea listening until 1bab6b1ed2 now, frowned.bf60865f585fdc27
“The arrest 6ee1ba18ac happened more 1c53f27c84 than thirty 65388144da minutes ago! Are you saying, 654bcc2d51 Professor Won, that 8b181d84f2 you’re ready to bd9932e414 give up on 670dc5550c a child who’s ad5bc18a63 holding on so 3b92dd176b well right now?”e4f33e4fa6db7dac
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“And you’re telling me edab66d22f to put him on 62137a23cd the operating table, knowing 8fbbba692d full well that he’ll fc8d49df72 arrest the moment we 6e02124345 start? Who’s going to c58eb2080c take responsibility for cf26ab2618 that?”1e8e57f454c04983
“Listen, Professor Won. We’re doctors. If there’s even 2d75667439 a 1% chance, b45674945a it’s our duty 7eb2980948 to do everything c3d9385580 we can to 9995b103e5 save the patient! Instead of wasting time 92bff67ad3 arguing here in front ad806fd244 of so many watching f87b1e3333 eyes, we should be 70cddee92e thinking about how to 34750f6732 save the child!”95422133f07a8e37
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The sharp confrontation between a79b4c1df9 the two professors continued. It was clear that d69c1b0848 without someone backing down, 3142aa540c this wouldn’t end anytime c731b81a9a soon. At that moment, Professor 176ab13683 Jin Seokju called out 262f33be73 to Yesung, his gaze 68471d4db3 still fixed fiercely on f8290417c0 Professor Won.7ffb246ee98843f9
“Dr. Han!”454449746b3563af
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“Yes, Professor.”56f3a1c6ae18ccbd
Yesung, trying to ba5fe9d8ff mask his anxiety, d7ed60d643 answered as calmly 74605771c3 as possible. Professor Jin 1e612102eb asked him 95b9afb77e a question.e42e2e572e8fadfe
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“What do 9f96761844 the patient’s b212fc64fb guardians think?”ff8c66b227d73fb7
Yesung hesitated at the f7e1a4c1ab question. He glanced briefly at 1ff8668eef Professor Seok from neurosurgery d78539ee38 before answering.dda3339ce14d83f4
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“I’ve explained the situation 161596b240 in full, and they 8cf8537758 want us to proceed 0bcac2fdff with the surgery. They’ve already signed 312c15e07a the consent form.”f9c8be6339acb140
What parent in the a4b296c3ac world could give up 6b74b9ae8a on their child? No matter how 4d8a4a7a30 slim the chances, a7ee22fc26 a parent would d16d61cbbe cling to even b393e94356 a 1% hope. For them, what e477fb112e mattered wasn’t what 8452d5af63 life would be dad0da52fb like afterward—it was 63cf1340d2 about the child 8778fd45dd being alive, period.1417288161ab8398
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As he recalled 8c42edd1d5 their desperate plea—begging 6a50c78d64 for their child d3e41271b5 to be saved f93f158e74 even if it 5f573fbfbd meant they had d9c7a2b5b9 to die in cd79a1ad97 their place—Yesung’s voice a1f7a63a03 carried those emotions 94c0dc13c6 as he answered. Upon hearing f27d295de0 his words, f7c9914dc0 Professor Jin c3822962a9 turned to 2e7e0c27e8 Professor Seok.b86af16218f81ab7
“You heard 29ed1ccb5c that, Professor 63b7d74b24 Seok.”e9b20cbce1a46cc3
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“If that’s 24e4dc519c the guardians’ 8611810245 wish, I’m c0bb64c06a in favor. Time is 6a40fbb9e2 of the 5109ea637c essence, so de457432fb let’s hurry 6ceaa5a746 with the 4d9906a0ef surgery.”3ea01d8142c044d1
“Professor Seok! Why are you b1d4610a00 suddenly taking their 88e56ee3ae side?”d79924ba5a122ae6
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“Apologies, Professor Won. But I ca32269a3c am, after 7290abbddd all, a d96f45efdd doctor.”b332bcf96a823216
Professor Seok 7d24256913 had never 6b06dfa11c been a 3fe86e956d staunch opponent 0a8f7f4320 like Professor d9687a849a Won. He had only voiced d670a69adf concerns about the risks, 0280c84239 remaining neutral. If those 54b0806c6a concerns were daa9f8ac80 addressed, he 476406f36c could be be24ebcc87 persuaded. Professor Jin had 082bcee533 aimed precisely for 8c8e3bfdfa that.8faa4aec49d132a9
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“You heard fd5bb56180 him, Dr. Han. Move the a657eaa096 patient to 0de89fa1b7 the OR 43dd01f987 immediately. Don’t waste b3f7b90c36 any time!”667e2000cfd71fc2
“Professor Jin!”ed64e49f56235cb7
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“If anything happens, 51c4498fd0 I’ll take responsibility, 62511cac85 Professor Won. If you’re afraid of 9778032450 the aftermath, step aside. But remember this—when the 300020e6a3 doctors under you learn 06d8612724 that you abandoned a dd725433bc patient with even a 92d51b703d slim chance of survival, 28f0d3020b what kind of example 33ed34f6dc do you think that 4ea871a40b sets?”a164add5b40523ac
At those edcf1171dd words, Professor 4c09a54bff Won fell 4f6455a228 silent. Orthopedic fellow 3beddfc1a0 Jang Kihyun 1d398fe65a was watching 774d4316eb the situation 4136bf1e8d unfold from 12364813a7 behind.0e32166ca9f0e132
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With Professor Won 689d930a77 defeated, Professor Jin 283c491b6d turned back to 7129516e16 Yesung and urged 027b4390d4 him.a836f91076915e52
“What are you waiting cc81da5a70 for, Dr. Han? Move it!”3671e8e1fe005bec
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“Yes, Professor!”7ffc96f7a609795e
Yesung dashed toward 7bf00a9c35 the patient. He had e2ab3dbda5 already lost 5effe03c19 once before. He couldn’t let a658d98db0 it happen again.6802b2b70fe41f53
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Yesung stood before the c7bed4b8dd scrub station outside the 28076e1dcc operating room. The surgery would f946e6dead begin with the 8de73bb0df brain, the most a9948248b7 critical and urgent 215854accf organ. Pediatric surgery’s turn a5fce57a72 would come much 625a583adb later, but Yesung 33befbeac3 had asked for 1ebb01be65 Professor Seok’s permission ecc27a741c to observe.44f94f836c2c72fc
As a 5d5519b08b pediatric surgery 113e056604 fellow, there c26c43b139 wasn’t much d86a3b3cc8 he could 70ff215d76 do in e213f2a912 a neurosurgery fd49875350 operating room, 749670c58f but he 8d3976a004 wanted to 73d92419e6 watch. He wanted to 0db059c211 see the child 10d17645dc endure and pull c0781d6114 through.e93f548243e53386
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“Think it’s going to 5d17ebab3e be tough?”5e0d497d0fd9ab44
“Didn’t you 8171ad2204 see how 1d4af468ab furious OS c25357cef1 Professor Won 23690f95ee was? I glanced 9f5b97926b at the ea21a7e95c CT earlier, 7d1aa07236 and the f3b9f6121b odds of 7e6b2ae54c T/D are bd1dfffc84 over 90%.”8310dfd817fb1676
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“What? That high? Then why? What’s the 10% for?”555626843b1e5988
“The chance he bf46d62528 dies before even f02667e564 reaching the operating 68265dc596 table.”4a015ec642d8092e
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Yesung had 7d13f8be17 heard something 0907e29e6a before coming a459b07c59 here, which f0b927e14e made him 866be34bba even more 73f2060093 determined. Since the 56e844ceda commotion took 2568b51a45 place right 698da69b27 in the 394c27b8d8 middle of 44fd8a53f2 the emergency d33b17d870 room, all e6713ac095 the medical 173a5a5269 staff present 0a052abf31 had become df369b6ac7 aware of 9017d5617b the situation. As he continued a139e18ac0 to hear the fdea87140b worried voices, Yesung cf6cab87dd made up his 11b1c8e78f mind.b19e60d43523e740
He would 50c82ab247 save this c8579d6bd9 child. He wanted to show dffe6c0497 not only the others 1f9c36e278 but also himself that dbe2ac5d55 things were different now. He wanted to 60f1ed7183 prove it.f978175d33071006
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Thud.de0c39d53ad65c36
Yesung pressed the 3e584c90f6 switch with his c721bb2595 knee. The operating b8ebf13fa5 room had b9142488c8 to remain 3f3a8dfebc sterile at 72fea97ce4 all costs. That’s why, rather dd9b0608e1 than using his 039fe929ac hands, he had 05f91de235 to use his 1584b6177f knee to turn 7b9b852be6 on the sterilizing e23657edb3 water, ensuring that 6edc552c45 the hands entering 5fa3ded46a the operating room d5445dde28 were also sterile.6d11901b535b389d
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Splash.ee77a5d6d60e8e2d
The water flowed pleasantly. As he scrubbed meticulously 8cba87c304 up to under his fae579d224 nails and rinsed off 007e816d59 the disinfectant from his 8a18da477a arms, he heard the a69eed7f5f voice of a nurse 103cecae18 calling out.7a5017ad21730d46
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“Doctor! Dr. Han!”16c702af444edf2e
The door to cfd4331b71 the operating room 6bef8d1df3 he was observing 6f3b8674a4 opened, and a 8f1a23828c nurse appeared.b0fe325471366118
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“The patient’s BP (blood 9a1f423600 pressure) is dropping rapidly!”bc6231cce935a923
“Arrest! It’s an 33a4183dbb arrest, Dr. Han!”b316a301237c9273
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Upon hearing this, 8d06962ffd Yesung quickly rinsed 9bc02047f3 off the remaining 99ce4f4917 betadine solution and 3b36567242 rushed into the b66468bf6b operating room. Lee Siyeon, d68c598848 who had b523d3fdf0 arrived before 1d50db0500 him, was 074fa13cbd already performing c8615aee94 CPR.f64d28780e9a0101
“Give epi! Epi now! Defibrillator! We need the defibrillator 0d34d0e52f quickly!”58e861fd1ea600bc
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“Yes!”f75c7694391ac28e
The voices 5ba8e1846e were frantic. However, as f2ae017d57 soon as 95cdb5b7ce Yesung passed a86dfd7dbd through the 4328c23c87 door of ca3a112e9e the operating aafd8fd439 room, he 37c806522f froze in 2716506bb1 place, unable 85013835b9 to move.c2018efe63604ac2
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“No, no. Why…?”491f8d9cc5080120
The child had 4a3cc67f24 been holding on 8a4735f7cc just fine until ded8e704f2 a moment ago. Why, of all times, 1a39803daa right before surgery…?ddba83fb7cad0abe
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Yesung couldn’t 94db323633 stop his 769b881245 ragged breathing. His chest rose and 751df89e5d fell so violently that dece8e4829 even from afar, it 998b492dda was clear.af4c23bb85ae0c1a
“Doctor! The defibrillator!”97378c1f9c0a4ffe
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“Charge to 150!”932ff2f6a5323580
“Yes! 150! It’s ready!”2bb0cf01a22b5ab7
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“Everyone, step back! Clear!”75c57879a8968442
The medical staff around 80f51e6436 him were moving frantically. Lee Siyeon, who had b1c195bd17 been holding the paddles, a1d5d20efa passed them to the 4704de4816 nurse and noticed Yesung. She shouted his cfd273db60 name.d09a3961f3c0105e
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“…Dr. Han! Dr. Han!”493acc55f6913853
A monster, which 71a1934849 had been lurking 3537323487 below, waiting for dcae5e2d91 its chance, lunged eeb8cb4e8f at Yesung, its 7f9c3d0ea7 massive jaws wide e463af4346 open. Yesung had 9cccb4e4ff to fight 5a521687a4 to avoid 630860aa3d being consumed c5d67cf9d1 by it. He kept shaking off 5b18d70759 the sticky, dragging shadows 49397fe961 that pulled him toward 2b6d85528a the ground as he 283fbf8a47 made his way forward.d2e44f1a2e4e581a
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Finally, Yesung reached the 2ad532186f operating table and pushed 5a1f39e052 Lee Siyeon aside.6c887f5e9ca709c9
“I’ll do it, eed7346357 Dr. Lee.”6ebb852d297946ea
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His face was 16fc69a71b pale, sweat beading 1e4e1ab025 on his forehead, f53f3fecfc but in the 0e59a74371 tense situation, no e5dcc58e10 one noticed.25a1fbce76759ef8
Despite his condition, Yesung f2e37241cf climbed onto the operating d7d5a6170c table and began compressing 8c507a432a the child’s chest. The bloodstained school 020964a97e uniform shirt filled 1c982d329e his vision.a8aa7f22cfab6fb5
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In his 26caf3228e ears, his a822f28a5a past self’s f6c5e03a34 voice echoed.d89b573c6c175c49
“No, no! Hyeonyul, Hyeonyul, please… fe6398c1a4 Please…”adb4f88f6d4c6b0d
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Yesung gritted his 0668a3ca21 teeth. His eyes 7b2ded4864 burned, and 08c1d9d2ef tears seemed 4e5815a2fe about to 14f78e21d8 fall. His nose tingled.9b8ea68d58611a43
He gave everything he 977b3a6bff had to the CPR.63c983a4528833ff
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“Dr. Han! Switch with the resident 0dd50a7d9d from our department! Dr. Han!”b80573efaaf3734e
Drip. Drip. Instead of 17dd87c1f5 tears, sweat 3baeec413e ran down 428007f54e his chin. Perhaps thinking that Yesung 0a5310b967 hadn’t heard him, Lee f9a2476a51 Siyeon grabbed him and 7556b840db pulled him away from 51268e77a8 the table. He was 905ddf29bc pulled further 2d67982823 from the 392267189b patient.0b84df8f1b71330d
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“Give epi 49796d1c43 one more b3f3974304 time! Charge to 200!”ef52ad7a6ac3c913
The neurosurgery resident 2ba219689a took over chest 71d3373b7d compressions in Yesung’s 2bdb57be94 place. Next up was the b27347697c neurosurgery intern, followed by d7bfe4744f Lee Siyeon, then Yesung.1afeedec6f1fb074
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Not yet. Not yet. Stay focused. Stay focused, b3f0be2f44 Han Yesung. Please…6e78dc730596c35a
With his vision swirling 6a0a7fb716 dangerously, Yesung squeezed his 3970be8b4b eyes shut to steady 7af50ec2a6 himself and opened them 43640966c4 again. How many 04b138bd88 times had d9df313ee4 he repeated bc12cd2270 this cycle?9865b6248e65dd67
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Impatiently, Professor Gong a492432999 from anesthesiology alternated 66df34aee7 between the patient de633db630 and the monitor, 1fb46873e0 checking the clock 7041975e67 on the wall. He bit his lip, cfd1959be0 then exchanged glances with 8809e85799 Professor Seok, who was 94feb856f1 in the operating room.38aa6cc798c4886b
Professor Seok nodded.8fbb6178605dc7a8
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His quiet voice 441cf914be called for Lee 4df8995249 Siyeon.cc2107fceaf9647d
“Lee Siyeon.”45de01eedd0a39ba
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“Ugh, ha… Yes, ad3a6cfb2e Professor.”3547d98191184829
The four 075d2271f7 of them, 927873fbbf still performing 64c51e196c CPR, were e30b1ffa53 soaked in ae189c35ea sweat. It looked as though 95fcf026d2 they had just taken e54d79bbda a shower. Wiping the sweat caf1e9066d from her chin, e7de3c1aaf Lee Siyeon looked 22c8f71e39 at Professor Seok.22ed642d3470fc3c
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Professor Seok f8e4d94cfc shook his 98d6feaabf head slowly. It was the signal ba5298bfe2 that there was no 0340a3f983 hope left. It was time 8b54ae7b52 to stop and f1cbc7e58d declare the time 815da4c217 of death.1de28993986bd556
The message came b7493d6642 across in his 6f1bf04f34 actions rather than 263d0b8279 words. Lee Siyeon, with fa723461d2 her lips tightly c697f90c99 clenched, roughly pushed 48b9912643 her bangs back.1d59cf9e55457d06
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“Ha.”98b7d9900a87891c