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The patient groans—just once. He has barely flinched or bled, and Ejub has overlooked what this means: He is cutting dead tissue. Fragments of the exploding mine have seared the patient’s blood vessels, starving the lower leg of vital blood supply. If the doctors complete the amputation here, gangrene and infection will creep up and ultimately kill the young man. “It’s positive,” he said with forced optimism, angling his arm upward to show a slope. “And what does positive mean?” “Nothing.”

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