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Chapter 85 - Chapter 86: A new challenge

Jillian and Megan stood side by side in the sterile operating room, their gloved hands hovering over the unconscious patient. The bright overhead lights reflected off the surgical instruments, neatly arranged on the tray beside them.

Dr. Zhang, along with other senior surgeons, observed from a distance, ready to intervene if needed.

"Scalpel," Jillian said, keeping her voice steady.

The nurse placed the instrument in her hand, and she made the first incision with precision, exposing the heart.

Megan, holding the suction device, kept the area clear. "Heart rate is stable. No excessive bleeding."

Jillian carefully opened the pericardium, exposing the hypertrophied septum—the overgrown heart muscle restricting blood flow.

"This is the critical part," Dr. Zhang reminded them. "One wrong move, and you could damage the conduction system, causing a heart block."

Jillian nodded and reached for the specialized myectomy knife.

"We need to remove just enough muscle to restore blood flow but not so much that we weaken the heart," Megan added.

Jillian made precise, calculated incisions, carefully shaving off the thickened muscle. Sweat beaded on her forehead despite the cool temperature of the operating room.

Megan monitored the patient's vitals. "BP is steady. Oxygen levels are good."

As Jillian worked, Megan prepared the suturing material for the final steps.

Then—an alarm beeped loudly.

"Heart rate dropping!" one of the assistants called out.

Jillian's hands froze. Had she removed too much muscle? Was there a complication?

Megan reacted fast. "It might be a conduction issue. We need to act now."

Jillian made a quick decision. "Prepare the temporary pacemaker—just in case."

The assisting doctor set up the pacing wires while Megan checked for any blockages. Seconds felt like hours as they waited for the heart rhythm to stabilize.

Then—the heart rate picked up.

A sigh of relief passed through the team.

Dr. Zhang finally spoke. "Good reaction. You both handled that well."

Jillian exchanged a glance with Megan. For the first time, it felt like they were truly working as a team.

They proceeded to close the incision and finished the surgery successfully.

As they stepped back from the table, exhausted but accomplished, Dr. Zhang gave a rare nod of approval.

"Congratulations. You just performed a near-perfect septal myectomy."

Jillian exhaled, feeling a mix of pride and relief. This was not just another surgery—it was a turning point in her career.

After the intense hours in the operating room, Jillian and Megan stood side by side in Dr. Zhang's office, their surgical gowns still carrying the weight of the procedure. The air was thick with anticipation as the senior doctor reviewed the surgery report in silence, his sharp gaze scanning every detail.

Finally, he looked up, a small but satisfied smile forming on his lips. "Well done," he said, folding his hands on the desk. "The surgery was a success, and both of you handled your respective tasks well under pressure."

Jillian felt a sense of pride swell in her chest. It had been a high-risk operation, and she had remained composed throughout. Megan, standing beside her, kept her usual confident stance but gave a slight nod of acknowledgment.

Dr. Zhang continued, "Jillian, your technique in handling the delicate suturing was commendable, but there were moments where you hesitated before making a critical decision. Trust your instincts—you have the knowledge, don't second-guess yourself."

Jillian absorbed his words, understanding the importance of confidence in high-stakes situations. She had always been meticulous, but hesitation could mean the difference between life and death in this field.

"Megan," Dr. Zhang turned his attention to the other doctor. "You have excellent precision, but you need to be more adaptable. Medicine isn't just about skill—it's also about teamwork. There were moments where communication between you and Jillian could have been smoother."

Megan stiffened slightly but nodded, her expression unreadable.

Dr. Zhang stood up, signaling the end of the session. "Both of you have potential, but the journey ahead is long. Keep learning, and more importantly, keep pushing yourselves beyond your comfort zones."

As they left the office, Jillian found herself lost in thought. She had come a long way from the first day she stepped into medical school, yet she knew there was still so much more to learn. Looking over at Megan, she saw a flicker of something different in her rival's eyes—not just competition, but perhaps, for the first time, mutual respect.

Would they remain rivals, or was there room for something more—an understanding that could push them both to greater heights?

As Jillian walked out of Dr. Zhang's office, she felt the weight of his words settle in her mind. The evaluation had been fair, and she knew she had to work on her confidence in high-pressure situations. Beside her, Megan remained silent, her expression unreadable as always.

Just as they reached the hallway, Megan suddenly spoke. "You did well in there."

Jillian blinked, slightly taken aback. Compliments weren't something she expected from Megan, her long-time university rival. "Thanks," she replied, studying Megan's face.

Megan crossed her arms, leaning slightly against the wall. "I'll admit, I used to think you were just lucky. But after today, I see it—you're actually good." There was no bitterness in her tone, just a straightforward acknowledgment.

Jillian smirked. "I could say the same about you. You're precise and efficient, but you need to work on trusting your team."

Megan let out a short chuckle, shaking her head. "Looks like we're both learning."

For the first time, there was no hostility between them—just two ambitious doctors recognizing each other's strengths. A silent understanding passed between them.

But deep down, Jillian couldn't ignore the lingering thought—was this the beginning of an unexpected friendship, or was it just a temporary truce? Would Megan, driven by competition and ambition, eventually turn against her?

Only time would tell.

The tension in the hospital was unlike anything Jillian had experienced before. Nurses and doctors whispered among themselves, their faces etched with concern. A foreign diplomat had been rushed in with a rare and life-threatening heart condition. The case was delicate, not only medically but politically—any failure could cause an international scandal.

In the absence of Dr. Zhang, the senior doctors hesitated. No one was willing to sign the consent papers for the high-risk surgery. If something went wrong, the consequences would be severe.

Jillian stood at the edge of the discussion, gripping the case file. She scanned the medical reports, her mind racing through possible surgical approaches. The procedure was challenging, but not impossible.

"I'll do it," Jillian said firmly, stepping forward.

The room went silent. Eyes turned to her in disbelief.

"Jillian," one of the senior doctors warned, "this isn't just any patient. If something happens, it could ruin your career."

Jillian met his gaze, unwavering. "I understand the risks. But if we don't operate now, the patient won't make it through the night."

A nurse hesitated before holding out the paperwork. "You'll have to sign the responsibility waiver."

Without a second thought, Jillian took the pen and signed her name. She knew this decision could either cement her reputation or destroy it.

Megan, standing in the corner, finally spoke. "You're crazy," she muttered, then sighed. "But if you're going through with this, I'm assisting."

Jillian gave her a determined nod. "Then let's save this patient."

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