Chapter 11
Chapter 11 — The Hand That Carves Sin
The pen slipped from Tran Da's trembling fingers, clattering against the floor with a crisp, echoing sound. I leaned down to retrieve it. Then, I picked up the consent form that had just been signed. I read it carefully from top to bottom. Although the handwriting was shaky, every character was legible and distinct. Black ink on white paper—an undeniable, immutable piece of evidence. I folded the paper in half, then in half again, and tucked it carefully into my pocket. Finally, I looked up at my mentor, the highly respected Chief of Orthopedics.
"Mentor," I addressed him. "The operating room can be prepared now."
He studied me, his gaze complex and unreadable. He gave a single, slow nod, his voice low. "Follow me. You need to familiarize yourself with the equipment." I followed him out of the room, leaving a heavy, suffocating silence in our wake. I did not look back. I knew that the moment I walked out of that room, the last tether between myself and Tran Da as husband and wife had been completely severed. Henceforth, we would share only the bond of physician and patient. One was about to perform a life-altering surgery on the other. For the next few hours, I remained in the simulation theater, adjusting to the neural signal feedback system developed by the military. It was an incredibly sophisticated piece of hardware. I donned the specialized haptic glove, my left hand wired to a multitude of tiny electrodes. Whenever I intended a micro-movement—such as "clamping" or "rotating"—the system would instantly capture the faint bioelectric signals emitted by my remaining nerves, amplify them, and command the surgical instruments at the end of the robotic arm to execute the action with surgical precision. Simultaneously, the pressure and resistance encountered by the instrument tip were transmitted back to the glove through electrical currents, simulating the sensation of touch. At first, I felt completely disconnected. It was as if a pane of frosted glass stood between my brain and my hands; I could see the task, but I could not truly grasp it. My mentor stood by, watching, offering no impatient remarks.
"Do not rush, To Hoan," he said. "Forget your physical hand. Trust in your mind. The memory of surgery is etched into your consciousness. You only need to awaken it."
I closed my eyes and took a deep, steadying breath. I began to visualize. I imagined myself standing before the familiar operating table, the shadowless lamps bathing me in light. I pictured the anatomy: the veins, the nerves, the tendons—their exact forms manifesting in my mind’s eye. I attempted the simplest of movements: using a needle driver to grasp a suture needle. The first attempt was a failure. The robotic arm exerted too much force, sending the needle flying across the room. The second attempt failed as well; the force was too light, and the needle slipped. The third, the fourth... Sweat began to bead on my forehead. It was useless; it still wasn't working. My heart began to sink. Had I truly lost my ability to perform surgery? Just as I was on the verge of abandoning the attempt, my mentor’s voice echoed in my ears once more.
"Trust your instincts."
Instincts... I suddenly opened my eyes. I stopped thinking about how much pressure I needed to apply; I stopped calculating angles and depth. I simply stared at the needle. In my mind, my hand reached out and grasped it in the most habitual, innate way. Almost simultaneously, the robotic arm moved. It performed with a smoothness and stability beyond my wildest dreams, capturing the suture needle with perfect precision. A firm, steady grip. I had succeeded. I looked up to see a radiant, relieved smile on my mentor’s face.
"I knew it," he said. "You were born to hold a scalpel."
My eyes brimmed with sudden, stinging tears.
The surgery was scheduled for nine o'clock the following morning. It was a procedure without precedent. The lead surgeon was a person with a severe disability, suffering from significant nerve damage in her left hand. The surgical equipment was an experimental piece of high-tech military hardware. The patient was the lead surgeon's ex-husband, a "hero" who had only just signed a confession regarding his history of domestic violence. Everything about the situation was fraught with absurdity and high drama. Outside the operating room, the hallway was packed. Tran Da's superiors, the hospital administration, and various officials whose names I did not know—but whose high ranks were evident—were gathered there. Every face was etched with tension and anxiety. This surgery involved more than just Tran Da’s hand; it involved a great many things that could never be laid out on an operating table. I changed into my scrubs, pulled on my mask and cap, leaving only my eyes visible. Before I could step into the operating theater, the ranking officer called out to me.
"Doctor To."
I stopped and looked at him.
"I leave him to you," he said, then bowed deeply before me.
A veteran soldier, adorned with the stars of a general, bowed his head to me—a mere doctor. I said nothing, simply nodding before turning and crossing the heavy, lead-lined door. Inside the operating room, the air conditioning was set to a biting chill. Tran Da was already on the table, under general anesthesia. His right arm was secured to the platform. The wound had undergone initial debridement, exposing the mangled, bloody tissue beneath. The sight was horrific, far more severe than any industrial accident I had ever handled. The shockwave of the explosion, the intense thermal burns, the jagged debris—it had all but reduced the entire anatomy from the wrist down into a pulpy, shredded mess.