Chapter 22

Chapter 22

Jeong Eunwoo was transported by ambulance to a large women's hospital.

When her father arrived late, he received devastating news.

"...Cancer?"

"It isn't confirmed. However, a pelvic mass of this size is unusual in a seventeen-year-old. CT shows a twelve-centimeter cystic lesion. She needs a detailed OB-GYN examination. Emergency surgery may even be necessary. The formal radiology report will be available in the morning."

Her father collapsed into a hallway chair.

His hands trembled slightly over his knees.

He'd heard words like this before.

Twelve years ago.

We need a biopsy.

His wife had cried after hearing those words.

Over the next few years, his wife's hair became short.

Then shorter.

Then disappeared completely.

In her final hospital room, she'd held his hand and said,

Please raise Eunwoo well.

No.

I can't lose Eunwoo too.

The shock, pain, and grief from the past came rushing back.

Breast cancer.

That was how his wife had died.

In her early thirties.

And now his seventeen-year-old daughter was being told she had a 'pelvic tumor.'

Eunwoo heard their conversation from the emergency-room bed.

The words refused to organize themselves inside her mind.

Tumor.

Twelve centimeters.

Emergency surgery.

Everything that had seemed important until yesterday suddenly became distant.

Hanguk University.

Student council.

Menstrual cramps.

Embarrassment.

Am I going to end up like Mom...?

She was terrified.

Her entire body trembled.

Then the next thought wasn't about herself.

It was her father's face.

If I die too, what happens to Dad?

Eunwoo suddenly wrapped both arms around her shoulders.

"Dad..."

Her father hurried from the hallway chair to her bedside.

His hands were still shaking.

"Eunwoo, Dad's here. Don't worry. The emergency doctor probably read it wrong."

He was making up reassuring words because he felt like he might collapse.

Eunwoo knew that.

Still, she nodded and pretended to believe him.

Otherwise, they might both break at the same time.


Before dawn, her father took Eunwoo out of the emergency department without completing admission.

He only took the CT image CD, copies of the chart, and transfer request.

He didn't mention the word 'tumor' to anyone.

Jeong Eunwoo remained silent.

She almost said something.

Then she glanced over.

Her father's hands were trembling on the steering wheel.

"...No. Our Eunwoo doesn't have cancer."

"Dad."

"That doctor isn't an OB-GYN. He works in emergency medicine. An OB-GYN doctor needs to look at it again."

Twelve years ago, he'd never doubted the doctors.

After treatment, his wife suffered terribly from chemotherapy side effects.

Then she died.

All that remained was a framed funeral photograph.

He would not let that happen again.

Eunwoo swallowed.

Dad... I'm sorry.

She was startled that those words had formed in her mind.

Until yesterday, all she'd thought was,

I'm embarrassed because I still haven't had my first period.

Now that meant nothing.

Being alive came first.

The car entered the road leading toward the edge of the city.

As they passed the familiar market entrance, Eunwoo noticed something.

Hyundai OB-GYN...?

A sign hung inside the alley beside the market.

A banner fluttered beneath it.

The sign had still been lit when the ambulance passed earlier.

[24-Hour Emergency Treatment Available]

"Dad, I want to go there."

"...Huh?"

"The emergency doctor could've been wrong, right? Let's have an OB-GYN doctor look at me again before we go to another big hospital."

"Okay. Whatever Eunwoo wants."

Her father immediately turned on the signal.

While he parked in front of the clinic, Eunwoo called the mobile number listed for emergencies.

"Hello. Can I be seen right now? It's urgent."

"Yes. I'll open the door. Come upstairs."

Perhaps because it was nighttime, there were no nurses or receptionists.

Only one young woman in a doctor's coat came out to register her.

Her hair was slightly messy, as though she'd just woken up.


Gain put on her coat and received the patient who had arrived before dawn.

The girl was tall.

Her hair was cut short.

Her school uniform was neat, but her shoulders were stiff.

Traces of cold sweat remained around her temples.

Her father stood beside her, looking as though he hadn't slept at all.

He held a large hospital envelope.

Supporting her slightly swollen lower abdomen with one hand, the schoolgirl spoke.

"Please examine me."

Gain could guess what the envelope contained from that alone.

She didn't ask.

For a moment, she remembered a young trainee knight in the corner of a temple whose armor had always been one size too large.

"Come in and sit down. Slowly. Let's examine you first."

Eunwoo carefully sat on the edge of the consultation chair.

Her father pulled the CT CD and preliminary report from the envelope with trembling hands.

"Doctor... another hospital said it might be a tumor... They said she may need emergency surgery..."

Gain took the report and quickly scanned it.

[Pelvic mass, cystic, 12 cm.]

In one corner was the word:

[Preliminary]

It wasn't a formal interpretation by a radiologist.

It was an overnight emergency-department impression.

So this isn't the official reading.

Then Gain looked at the patient again.

Around seventeen.

Slim.

Short hair.

Traces of cold sweat.

Slight swelling in the lower abdomen.

"Could your father step outside for a moment? I need to ask some sensitive questions."

When the lower abdomen was enlarged, pregnancy naturally needed to be considered.

"My dad can stay."

But there were other possibilities.

Gain saw something in the girl's anxious, almost wronged expression.

Could it be that condition?

An idea came to mind.

The answer that her father could remain made Gain more certain.

If she'd done something that could lead to pregnancy, she probably wouldn't say her father could stay.

"Then I'll write the questions down. Could you answer them on paper?"

Gain quickly wrote something and handed it over.

The schoolgirl's eyes widened.

· 

Have you ever had sexual intercourse?

· 

· 

When was your first menstruation?

· 

Gain received the paper back.

Both answers were marked X.

Amenorrhea.

One possibility immediately rose in Gain's mind.

Imperforate hymen.

The hymen was a thin fold of tissue around the vaginal opening.

Contrary to common misunderstanding, it normally had an opening.

Rarely, however, it was completely closed.

It was a congenital anomaly found in roughly one out of every thousand to two thousand girls.

There might be no visible problem during childhood.

It was often discovered around the age of first menstruation.

But sometimes the girl simply assumed her first period was late.

"..."

If the emergency doctor had only seen the CT and abdominal ultrasound, Gain could understand how it might resemble a tumor.

But an OB-GYN doctor could recognize it with an external examination.

"Your first period hasn't happened yet, but have you sometimes had abdominal pain?"

Eunwoo's shoulders stiffened.

Her father blinked beside her.

"...How did you know?"

"I can tell you for certain after a quick examination. If I'm right, you may not need to go to a big hospital at all."

Her father's hands began trembling.

"...Really?"

"I'll examine you first. Eunwoo, come into the next room and lie down for a moment. Your father should wait outside this time. Just change out of your lower clothes."

In the treatment room, the schoolgirl lay trembling.

Whether from fear or cold, her entire body shook.

Gain spoke gently.

"It's okay. I'll make sure it doesn't hurt."

Gain put on sterile gloves and performed an external examination.

As expected.

The hymen bulged with a bluish color.

Dark menstrual blood could be seen behind it.

This hadn't been accumulating for only a month or two.

There was several months' worth of trapped blood.

Cryptomenorrhea caused by an imperforate hymen.

The tiny spring inside Gain's chest moved gently.

She felt sorry for the girl.

If she'd come when the pain first began, she wouldn't have suffered this much.

But Eunwoo had endured it.

Again and again.

She was a child who was very good at enduring pain.

Eunwoo stared at the ceiling and waited for the doctor's hands to stop.

"Eunwoo."

Gain spoke calmly.

"It's not a tumor."

"..."

"There is no opening in your hymen. So the menstrual blood your body has produced every month couldn't leave. It accumulated inside your uterus. That's what looked like a tumor on the emergency scan."

Eunwoo blinked.

She couldn't understand the words at first.

This time, because they were too good.

"...Then I don't have cancer?"

"No."

Gain smiled.

"We only need to make a small cross-shaped incision in the hymen. It can be done under local anesthesia in about thirty minutes. The trapped menstrual blood will drain out, and from next month onward you'll have normal periods."

Her father was standing outside the treatment-room door.

He heard every word.

He covered his forehead with one hand.


The surgical lamp came on.

The girl lying on the treatment table trembled.

"Cold?"

"...A little."

"It won't take long. You've been in pain for a long time, but you endured it very well."

"...Yes."

Gain arranged the instruments herself on the sterile tray.

Jo Eunjae wasn't there to prepare them this time.

Bard-Parker scalpel.

A five-cc sterile syringe with a twenty-seven-gauge needle.

A clear ampule of one-percent lidocaine.

Sterile gauze.

Kidney basin.

Sterile drape.

Under the bright light, the scalpel blade, needle, and stainless-steel basin all glimmered.

Gain put on sterile gloves and spread her fingers neatly.

"Eunwoo, I'll disinfect the area first. It may feel cold."

The Betadine-soaked gauze touched the vulva.

The brown antiseptic smell filled the room.

A familiar smell.

Gain slowly cleaned outward in circles.

She dried it with gauze.

Then wiped away the remaining Betadine with sterile saline gauze.

"I'm going to numb it now. You'll feel a small sting."

The twenty-seven-gauge needle was thin.

Gain inserted it at an angle along the four-o'clock edge of the hymen.

She slowly infiltrated 1.5 cc of medication beneath the membrane.

Because vasoconstriction could risk tissue damage in delicate terminal mucosa, she used lidocaine without epinephrine.

Fortunately, she had prepared it in advance.

"Mm..."

Eunwoo curled her toes on the table.

Gain didn't waver.

She repeated the infiltration at eight o'clock, twelve o'clock, and six o'clock.

After completing the four-quadrant ring block, the syringe was empty.

"Wait two minutes. The stinging should disappear."

Gain didn't need a clock.

Years spent in places without timepieces had taught her to measure time through breathing.

Before the two minutes were over, Eunwoo's breathing had already slowed.

"I'm making the incision now. You should feel almost no pain."

The tip of the number-eleven blade was a small triangle.

Gain held it like a pencil and gently touched the center of the bluish hymen.

The blurred outline of dark liquid could be seen beneath the membrane.

Tap.

The blade entered.

She cut from twelve o'clock to six.

Then from nine o'clock to three.

A cross.

Exactly one and a half centimeters in each direction.

"Whew..."

For the first second, nothing happened.

"!"

Eunwoo blinked.

It felt strange.

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