Chapter Seven: Toughest Decision of Life

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The hallway outside the operating room felt like a different world—too quiet, too cold, too sterile. Vivaan stood there, still in shock, his body numb from the weight of the decision that had just been made.

Dr. Shankar, the chief cardiothoracic surgeon, had approached Vivaan moments ago, his face etched with concern. “Vivaan, we need to talk.”

Vivaan’s heart pounded in his chest as he looked at the doctor, afraid of what was coming next. “What is it? How is Aarav?”

Dr. Shankar sighed deeply. “The situation is more complicated than we initially thought. The damage to Aarav’s heart is extensive, and we’re running out of time.”

Vivaan’s breath caught in his throat. “What are you saying?”

Dr. Shankar placed a hand on Vivaan’s shoulder, his expression serious. “We need someone who understands Aarav’s medical history inside and out, someone who knows the intricacies of his condition. No one knows his heart better than you.”

Vivaan’s eyes widened in disbelief. “You can’t be serious. I can’t operate on my own brother.”

“I know this is an unimaginable position to be in,” Dr. Shankar said gently. “But Aarav’s heart condition is complex. You’ve worked on similar cases, and you know him better than anyone. Our team is ready to assist, but we need you to lead this surgery.”

Vivaan’s mind raced. The idea of being responsible for his twin’s life—of holding Aarav’s heart in his hands—was too much to bear. His chest tightened with panic. He had operated on countless patients in his career, saved lives, but this was different. This was Aarav—his other half, the person he shared his life with, his memories, his soul.

“I… I don’t think I can do it,” Vivaan whispered, his voice trembling. “What if something goes wrong? I wouldn’t be able to live with myself.”

Dr. Shankar met his eyes, his voice steady. “If we don’t act now, Aarav won’t make it. I wouldn’t ask this of you if I didn’t believe you were capable. You have the skill, Vivaan. But more than that—you have the heart to save him.”

Vivaan’s knees felt weak as the weight of the decision pressed down on him. His hands, the same hands that had performed countless surgeries, suddenly felt heavy. Could he do this? Could he face his greatest fear and operate on the one person he couldn’t afford to lose?

Aarav’s face flashed before his eyes—his smile, his laughter, the bond they’d shared since birth. They had been through everything together. They had survived their parents’ deaths, built a business from the ground up, navigated the complicated waters of love and life. But nothing had prepared him for this moment.

Vivaan swallowed hard, his heart aching. He had to make a choice. If he didn’t do it, there was a chance Aarav wouldn’t survive. And if he did, there was still a risk. But at least he’d know he had done everything in his power to save his brother.

“I’ll do it,” Vivaan finally said, his voice barely above a whisper.

Dr. Shankar nodded, his face a mixture of relief and understanding. “You’re doing the right thing. We’ll be with you every step of the way.”

Vivaan stood outside the operating room for a few more seconds, gathering his strength. Then, with a deep breath, he pushed through the doors.

The operating room was sterile and bright, the smell of antiseptic in the air. The surgical team was already in place, the instruments laid out in neat rows, the hum of machines filling the room. Aarav lay on the operating table, pale and fragile, his chest rising and falling with the aid of a ventilator.

Vivaan approached his brother’s side, his heart tightening as he looked down at him. Aarav’s face was calm, but the machines surrounding him told a different story—one of desperation, of time running out. Vivaan gently placed his hand on Aarav’s arm, his voice low and filled with emotion.

“I’m here, Aarav,” he whispered. “I’m going to take care of you. Just hang in there, okay?”

He stepped back and took his place at the head of the surgical table. His mind shifted into the focused clarity that had gotten him through every surgery before this. He had no room for doubt now—only precision and skill. For Aarav’s sake, he had to be perfect.

“Scalpel,” Vivaan said, his voice steady, despite the storm raging inside him.

The nurse handed him the instrument, and with a deep breath, Vivaan made the first incision. His hands moved automatically, guided by years of training and experience. But this time, every movement felt heavier, more meaningful. Every cut, every stitch carried the weight of a life that was more precious to him than anything.

“Clear the pericardium,” Vivaan instructed, his voice calm as his hands moved with practiced precision.

Dr. Shankar stood beside him, monitoring the vitals and offering quiet support. “You’re doing great, Vivaan. Just take it one step at a time.”

Vivaan nodded, his focus never wavering. As he exposed Aarav’s heart, the reality of the situation hit him like a wave. His twin’s heart—damaged, fragile, but still beating—was right there in front of him. It was surreal, a sight he had never wanted to see.

“Bypass ready,” one of the nurses said, as they prepared to hook Aarav up to the heart-lung machine.

Vivaan’s hands moved steadily as he attached the necessary tubes, his breath shallow but controlled. Every second felt like a lifetime, every movement heavier than the last. He was about to stop his brother’s heart, and the gravity of that hit him like a freight train.

“Okay,” Vivaan said softly, though the room was silent. “Let’s stop the heart.”

As the heart-lung machine took over, Aarav’s heart stilled. Vivaan stared at it, a hollow feeling settling in his chest. This was the moment. This was where everything mattered.

“We need to move quickly,” Dr. Shankar said, his voice bringing Vivaan back into focus. “You know the procedure.”

Vivaan nodded, steeling himself. His hands moved with precision as he began the delicate task of repairing the damage to Aarav’s heart. The minutes felt like hours, each stitch, each movement calculated and careful. His mind blocked out everything but the task in front of him, pushing aside his fears, his doubts.

Finally, after what felt like an eternity, Vivaan finished the repair. His hands were steady, his heart pounding in his chest. He took a deep breath as he prepared to restart Aarav’s heart.

“Prepare to come off bypass,” Vivaan instructed, his voice calm despite the tension in the room.

The team worked seamlessly, and soon, the moment came.

Vivaan watched with bated breath as they restarted Aarav’s heart. For a few agonizing seconds, nothing happened. Then, slowly, the heart began to beat again, weak at first, but growing stronger.

“He’s stabilizing,” Dr. Shankar said, his voice filled with relief. “You did it, Vivaan.”

Vivaan let out a shaky breath, the tension finally releasing from his body. He had done it. Aarav’s heart was beating again.

But as the relief washed over him, so did the exhaustion. He had been through the most difficult operation of his life, and now all he could do was wait. Wait and hope that his brother would wake up, that he would be okay.

Vivaan stepped back from the operating table, his legs weak, his heart full of emotions he couldn’t begin to process. All he knew was that for now, Aarav was alive. And that was all that mattered.

But deep down, Vivaan knew that this was only the beginning. There were still so many questions, so many unresolved feelings—about Aarav, about Meera, and about what their future would hold.

For now, though, he could only wait. And hope.

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