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Chapter 2 - The Price of Breath

"Clear again!"

The second shock hit Elena’s body, causing her chest to arch violently against the restraints. The smell of singed flesh and ozone filled the confined space of Operating Room 4.

Beep... beep... beep-beep-beep.

"Sinus rhythm restored!" the nurse gasped. "Blood pressure ninety over forty! She's stabilization-adjacent, but we need this baby out now!"

I was dragged backward by two heavy-set orderlies, but I fought them off, slamming one against the steel supply cabinet before planting myself at the head of Elena's table. "Touch me again and I buy this hospital just to fire you," I snarled, my suit jacket ruined, my tie torn loose. "Keep working!"

Harrison’s hands moved with terrifying, precision speed. The incision was made. The smell of cauterized tissue filled the room. Within forty-five seconds, the chief surgeon reached into the abdominal cavity, his gloved hands lifting a tiny, blue, motionless body from the wreckage of Elena’s womb.

The silence in the operating room was deafening.

There was no crying. No sharp gasp of infant lungs taking in their first breath of air.

Just a tiny boy, no larger than my two hands combined, completely still, covered in vernix and blood.

"Umbilical cord is wrapped twice around the neck," Harrison said, his voice flat with emergency protocol. "Suction! Get the neonatal team over here now!"

I stood frozen. My mind, usually capable of calculating billions in financial risk within seconds, completely stalled. That was my son. A frail, tiny creature hanging between existence and nothingness.

A young female pediatrician rushed to the heated resuscitation station in the corner. She worked with frantic, practiced rhythm—inserting a breathing tube thinner than a straw, pumping microscopic bursts of oxygen into the tiny chest, performing thumb-compressions on a chest no bigger than a teacup.

"Come on, little guy," she whispered, her forehead beaded with sweat. "Come on. Fight."

One minute. Two minutes.

I felt like I was drowning in the middle of a desert. I looked down at Elena—she was completely unconscious, her face pale, a machine breathing for her now as the surgeons feverishly worked to repair her uterus and stop the hemorrhage.

If he died, she would wake up to a grave. And if she died, I would be left in an empty world holding a memory.

Waaah...

It wasn't a roar. It was a faint, tiny, squeaking rasp—like a kitten lost in the snow.

WAAAAH!

The sound grew stronger, filling the sterile room, cutting through the heavy drone of the life-support machinery.

"We have a cry!" the pediatrician yelled, a sudden, massive smile breaking across her face. "Apgar is six at five minutes! We have a heartbeat! One-forty! Get him to the NICU immediately!"

They packed the baby into a clear plastic transport incubator, wheeling him past me so quickly I barely caught a glimpse of tufts of jet-black hair and tiny, flailing fists.

"Mr. Vance!" Harrison called out, his hands deep in blood as he clamped a major vessel in Elena's pelvis. "The baby is stable for transport to the Neonatal ICU, but your wife is bleeding out. Her heart cannot sustain the fluid resuscitation! We are transferring her to the Cardiac Surgical ICU for emergency ECMO placement!"

"What is ECMO?" I demanded, my hands shaking as I wiped blood from my forehead.

"A machine that takes over the work of her heart and lungs," Harrison said, looking me straight in the eyes. "It is the absolute last line of defense. If her heart doesn't rest and recover on ECMO within seventy-two hours, she will require a total heart transplant. Or she will die."

"Do it," I whispered. "Use every machine, every doctor, every drop of blood in this city. Jonas!"

The heavy steel door swung open, and Jonas stepped into the surgical suite, completely unbothered by the bloody scene.

"Get the Chief of Medicine," I ordered, my voice turning into forged steel. "Lock down this floor. No reporters. No family. No external visitors. If Madison Chen sets foot within three blocks of this facility, have her arrested for trespassing. Call my personal legal team. I want full temporary guardianship papers drafted for my son, and I want Elena’s medical power of attorney transferred to me instantly."

"On it, sir," Jonas bowed his head and vanished.

I turned back to Elena as they transferred her onto a heavy, mechanized transport bed hooked up to four different IV towers and a portable ventilator.

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I leaned down, pressing my lips against her damp hair.

"You fought for eight months alone, Elena," I whispered into her ear as they wheeled her out into the cold night of the ICU wing. "Now it's my turn."

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