This was not an aortic dissection.

This was a man whose electrolytes had crashed so severely that his heart had begun to fail — and if they put a body in that state under general anesthesia and opened his chest, the anesthesia and the surgical stress would stop his heart on the table, and everyone in that room would spend the rest of their lives believing the operation had simply come too late.

I looked up at the surgeon and said, with the full weight of two decades behind it, “Do not operate on him.”

Priscilla shoved my shoulder.