Chapter 2: Scalpel

1104 Words
7:03am. Operating Theater 3. OR doors sealed with a hiss. Cold. Sterile. Final. The sound of a coffin closing. “Anesthesia,” I said. My voice was steel. No Amara Okoye who he destroyed three years ago. Just Dr. Okoye. Youngest neurosurgeon in Lagos. Ice in my veins. Damian Blackstone lay on the table like a fallen god. IV in his arm. Gray eyes open, watching me. No fear. No panic. Just that same infuriating calm he had when he slid the divorce papers across mahogany and said “You’re embarrassing me.” “You still hate me?” he whispered. Only I could hear it over the anesthesia machine’s steady beep. I adjusted my mask. Met his gaze. “I don’t have feelings for corpses, Mr. Blackstone.” His lips twitched. Almost a smile. The boy who failed anatomy twice would’ve begged. The man dying on my table just... observed. “Liar. Your hands are shaking.” They were. I clenched the scalpel tighter until my knuckles went white. Three years ago he called me “barren, useless wife.” Tonight I held his life between my fingers. Karma had a scalpel and it was mine. Chief Richard’s voice crackled through the intercom from the gallery above. “Blackstone paid twenty million, Dr. Okoye. He lives, or you never work in this hospital again. Do I make myself clear?” Crystal clear. Save the man who ruined me, or lose the career I built without him. I nodded once. “Scalpel.” The nurse slapped the blade into my palm. Cold. Familiar. The only thing that never lied to me. The first incision was perfect. Skin parted clean. No hesitation. This was what I was born for - not his wife, not his “nothing.” This. “BP 120/80. Stable,” the nurse reported. Good. For now. I worked in silence. Muscle. Bone flap. Dura. Each layer peeled back with surgical precision. This was the Damian I remembered - perfect anatomy, perfect structure. Even dying, he was meticulous. “Suction,” I ordered. Blood cleared from the field. And then I saw it. The tumor. Ugly. Invasive. Glioblastoma, stage 3, exactly like the MRI said. Inoperable by any surgeon in Nigeria except me. I should’ve felt satisfaction. This was revenge without lifting a finger. Let the cancer take him like he tried to take me. But my eyes caught something else. A shadow. Behind the tumor. Too symmetrical. Too perfect. The radiologist missed it. The resident missed it. But I saw it because I knew Damian’s brain better than he did. I tutored him through med school at 2am, remember? “BP dropping,” the nurse said suddenly. “100/60... 90/50...” “Then raise it,” I snapped. “Phenylephrine, 100mcg IV.” Damian’s hand shot up. Weak. Trembling. But he caught my wrist before the anesthesiologist could push the drug. Anesthesia was already in his veins. He shouldn’t be conscious. But his gray eyes locked on mine, clear as glass. “The tumor isn’t the only thing killing me, Amara,” he breathed. Each word cost him. “They put something inside me. Three years ago. The night I signed the papers.” My scalpel paused a millimeter above his brain tissue. “Don’t talk. Save your strength.” “I don’t have strength left,” he whispered. Blood at the corner of his mouth. “Only you.” The monitors started screaming. “BP 70/40 and falling! Heart rate 140!” “Damian Blackstone, you don’t get to die before explaining,” I hissed, even as I worked faster. His fingers tightened on my wrist. Cold. Desperate. “I signed because my father said they’d kill you if I didn’t. The divorce... it was the only way to keep you breathing.” Lie. It had to be a lie. The man who called me “nothing” didn’t protect anything but his ego. “Flatline!” the nurse screamed. “Asystole!” Beeeeeeep— The sound that haunted every surgeon’s nightmares. “Clear!” I shouted. Pads on his chest. “Charging 200 joules!” His body arched off the table. Once. Twice. Nothing. Flatline again. “Dr. Okoye, protocol says we stop,” a resident said, voice shaking. “Patient is coding. We’ve been in asystole for 90 seconds. Brain damage is irreversible after 4 minutes. We’re losing him.” I stared at the shadow on the monitor. The metal implant hidden behind the tumor. Not cancer. A device. Deliberate. Protocol. Or truth. Chief Richard’s voice came through the intercom, cold as the OR: “Stop the surgery, Doctor. That’s a direct order from the Blackstone family. My son signed a DNR if surgery went south.” Damian’s blood pooled faster on the table. 60 seconds. Then 4 minutes. Then he was gone forever. My jaw clenched. Three years ago he walked out and called me nothing. Today he was dying and calling me “only you.” I made my choice. “Scalpel,” I said again. Louder this time. “I said stop, Doctor!” Chief Richard slammed his hand on the gallery glass. I ignored him. I ignored protocol. I ignored the voice screaming that I’d lose my license. I cut deeper, past the tumor margin, straight into the shadow the radiologist missed. Blood gushed like a river. Nurses gasped. The resident backed away. “Dr. Okoye, you’re going to kill him!” “I’m going to save him,” I said. Blood sprayed my mask. My gown. My hands. And there it was. Metal. Small. No bigger than a grain of rice. Implanted deliberately at the base of his skull, wrapped in scar tissue. Not glioblastoma. A microchip. A device. Something man-made. The OR went dead silent except for the flatline. Someone had put this in him three years ago. The same night he divorced me. Damian’s monitor flickered. One weak beep. Two beeps. His eyes opened. Just for one second. Bloodshot. Dilated. But focused only on me. He mouthed two words. Lips barely moving through the oxygen mask. “I know.” Know what? That I’d find it? That I’d cut past protocol to save him? That I was the reason it was there in the first place? I didn’t get to ask. Because his heart stopped again. Hard. And this time, no one in the room told me to stop. Only the distant buzz of my phone in my locker. The same unknown number from last night. And the words burned in my head: Some secrets are better left buried. Too late.
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