Chương 66: CHAPTER 64: MICRO-VASCULAR BYPASS
God Level Surgeon Just Wants A Vacation!! · DICHROMAX · 92 chương · ~32 phút đọc · Tạo 19/08/2026
The scream that tore out of Baron Oric's throat was not the roar of a high-born nobleman, nor the furious bellow of a regional administrator. It was a high, thin, animalistic shriek—the sound of a beast trapped in an iron jaw. As the long silver needle pierced the blackened, necrotic skin over the medial malleolus, the concentrated green salve entered the damaged tissue. The chemical compound did not soothe. It ignited.
The potent botanical extract reacted violently with the dark, corrupted mana stagnating inside the vessel walls, turning the stagnant fluid into a searing, acidic surge that flashed directly along the nerve pathways of his lower leg. Oric's back arched off the damp velvet cushions. His thick chest heaved upward, straining against the massive iron-shod forearms of the six enforcers holding him down.
The heavy oak frame of the litter groaned under the sudden, violent tension, its joints creaking sharply against the quiet hum of the apothecary.
"Hold him immobile," Rudra said, his voice dropping into the absolute, flat rhythm of a chief surgical operator.
"If his torso shifts by more than two millimeters, the blade will sever the posterior tibial artery instead of clearing it." The bronze-bearded guard tightened his grip around the baron's right shoulder, pressing his heavy steel gauntlet deep into the silk-clad flesh. Sweat dripped from beneath the guard's visor, splashing onto the floorboards. None of the six enforcers dared to speak.
They had watched high priests from the capital temple chant holy scriptures for hours, filling sickchambers with blinding golden light and perfumed incense to knit flesh. But this was not holy magic. This was an executioner's precision applied to the art of survival. Rudra did not pause to let the baron adjust to the pain. His dark-iron prosthetic fingers moved with fluid, mechanical speed.
With his left hand, he pressed two fingers firmly into the soft tissue just below the baron's popliteal fossa—the hollow behind the knee joint—applying a precise, structural vascular compression. The throbbing, dark-blue vein that had been bulging violently under Oric's calf flattened instantly. The upward migration of the black rot froze in place, stalled three inches below the knee.
"Arterial clamp," Rudra murmured to himself, though no assistant stood beside him. He reached into his inner leather field kit, pulling out a pair of fine, spring-loaded bronze forceps. The tips were micro-serrated, no thicker than the leg of an insect. Without looking away from the surgical field, he positioned the forceps over the small incision he had opened with the needle tip. Oric's eyes rolled back into his head, white showing around his bloodshot irises as his body shuddered in continuous, low spasms.
"Kill me..." he choked out, his voice a hoarse, wet rasp.
"Just... cut the leg off... cut it off..."
"Amputation represents an administrative failure of conservative therapy," Rudra replied coldly, his eyes narrowed beneath the shadow of his straw hat.
"You paid for total limb preservation. You will receive total limb preservation." Rudra leaned down, bringing his face within six inches of the corrupted flesh. The foul, putrid stench of the rotting foot was thick enough to gag an untrained man, but Rudra's breathing remained slow, even, and entirely unbothered. His eyes locked onto the black, decaying skin.
Beneath the surface, the delicate micro-vascular network—the microscopic channels that carried oxygenated blood and vital fluids to the bone and muscle—was completely choked with dark, crystalized mana sludge. In traditional medicine, a healer would attempt to flood the entire leg with pure holy light to burn the corruption away, a crude method that often destroyed the delicate vascular lining and left the patient crippled for life. Rudra did not use holy light. He used fluid dynamics and mechanical extraction.
He reached into the wooden rack on his workbench, retrieving a long, razor-thin silver scalpel. The blade was not steel; it was forged from refined cold-moon silver, an inert metal that did not react with corrupted mana or human tissue. With three rapid, micro-flicks of his wrist, Rudra made three parallel incisions across the top of Oric's foot—one over the dorsalis pedis artery, one near the base of the first metatarsal, and one along the lateral plantar pathway. No blood spouted from the cuts.
The tissue beneath was dark, dry, and purple, completely lacking arterial pressure.
"The primary channels are ninety-eight percent occluded by crystalline pathogen deposits," Rudra observed silently, assessing the blockage.
"Standard flow cannot be restored through simple evacuation. A full collateral bypass is required." He laid the cold-moon scalpel aside and picked up a specialized instrument from his lower leather roll: a thin, hollow glass tube attached to a tiny, hand-operated brass air pump. The glass tip was tapered down to a point no larger than a hair follicle. Rudra inserted the tip of the micro-tube directly into the severed end of the healthy saphenous vein above the block.
"Initializing micro-aspiration," he announced flatly. He squeezed the small rubber bulb attached to the brass pump. A sharp, wet SICK-SLURP sound filled the quiet room. Through the clear glass tube, a thick, tar-like black substance began to flow. It was the corrupted blood—sluggish, foul, and filled with tiny, glittering specs of dark red quartz dust. Rudra's hand remained steady as a rock, guiding the glass needle along the curved path of the vessel with sub-millimeter accuracy.
He did not pierce the delicate internal lining. He glided along the lumen, pulling the black sludge out millimeter by millimeter, clearing the main arterial trunk. Oric let out a low, bubbling groan, his head turning limply from side to side on the velvet pillow. The intense, burning sensation was shifting now. As the dark sludge was pulled out, fresh, bright red blood from the upper leg began to press against the newly opened channels, creating an intense, throbbing pressure inside his nerves.
"He... he is clearing the vessel without a single spell," the bronze-bearded guard whispered, his jaw dropping open beneath his visor.
"He is pulling the rot out by hand..."
"Silence," Rudra commanded, his voice cutting through the guard's amazement like a whip.
"Maintain shoulder stabilization. The arterial rerouting phase is beginning." With the primary trunk cleared of heavy obstruction, the most critical part of the procedure remained: the dead, black tissue on the outer toes had no active blood supply left. The original micro-vessels had collapsed entirely under the weight of the infection. Without a new pathway, the toes would turn gangrenous within twelve hours, regardless of the cleared main artery.
Rudra reached for a small, sterile porcelain dish containing a fine, shimmering green thread. It was not silk, nor was it thread. It was a preserved, single-strand tendril of a Silver-Vine Lotus —a rare botanical plant known for its incredible flexibility, vascular compatibility, and high mana conductivity. If you spot this narrative on Amazon, know that it has been stolen. Report the violation. Using his micro-forceps, Rudra picked up the green botanical thread.
"Creating collateral anastomosis," he muttered. With high-speed, hypnotic precision, Rudra's dark-iron prosthetic fingers and organic hand worked in perfect, seamless harmony. He introduced the botanical thread into the side of the healthy medial plantar artery, using it as an artificial scaffold.
With terrifying speed, he stitched the microscopic botanical channel directly into the healthy tissue, anchoring it to the bone fascia before looping it around the dead zone and connecting it back to the primary return vein. He was not using magic to heal the body. He was building an artificial biological detour directly inside the baron's foot. STITCH. CLIP. TENSION. The dark-iron fingers clicked with rhythmic, clockwork regularity. STITCH. CLIP. TENSION.
To the six guards standing watch, Rudra's hands had become a blur of silver and dark metal. It looked less like medical treatment and more like a master weaver working on a priceless tapestry—except the canvas was human muscle, and the thread was living plant fiber. Within two minutes, twenty-four micro-sutures had been placed along the top and side of Oric's foot. Rudra placed his thumb firmly over the primary compression point at the back of the baron's knee.
"Releasing arterial pressure," he said cleanly. He lifted his thumb. For a second, nothing happened. The incisions remained open, the green botanical threads lying taut against the pale, cut flesh. Then, the physiological response hit. A bright, surging wave of fresh, crimson imperial blood rushed down the femoral artery, shooting past the popliteal space and slamming straight into the newly constructed botanical bypass.
The green Silver-Vine threads expanded instantly, turning a deep, translucent emerald as they absorbed the blood flow and directed it cleanly around the dead tissue. The black, rotting discoloration on the skin did not just fade—it was violently pushed back. Like ink being washed out of a white cloth by a jet of clean water, the pitch-black stain receded down the calf, shrinking past the ankle, retreating across the instep, and vanishing entirely from the healthy skin.
Fresh, warm, pink blood flooded back into the capillaries. SPLASH. A few drops of dark, corrupted fluid dripped out of the drain incisions into a brass collection basin Rudra had placed below the litter, followed immediately by clean, bright red blood. Rudra instantly picked up a hot iron cautery rod from the small brazier beside his desk and touched it to the tiny drainage points for half a second. SZZZZT. A thin wisp of white steam rose into the air, carrying the faint, sterile scent of singed skin.
The bleeding stopped instantly. The incisions were sealed. Baron Oric's chest collapsed into the velvet cushions as the agonizing, oil-like burning sensation vanished from his leg. The unbearable, crushing pressure inside his bone marrow dissolved into a soothing, cool numbness. He drew a long, ragged breath through his nose, his body trembling with sheer, exhausted relief.
"It... it stopped..." Oric whispered, his voice cracking as tears of relief leaked from the corners of his swollen eyes.
"The fire... it's gone..." He feebly lifted his head, turning his neck to look down at his left leg. The hideous, black, putrid rot that had threatened to devour his life was completely gone. His foot was no longer swollen to twice its normal size. The skin was pale, clean, and smooth, marked only by three thin, faint pink lines where Rudra had executed the incisions and placed the botanical sutures.
"My leg..." Oric sobbed, letting out a weak, hysterical laugh.
"You saved it... You actually saved it..." The six guards let go of the baron's shoulders, stepping back with wide, stunned eyes. They looked at the young herbalist standing over the litter, then down at the clean, fully restored foot of their master. The fear they had felt earlier was no longer just fear of physical violence; it was a deep, superstitious awe.
To alter the human body with such cold, mathematical certainty without invoking a single god or chanting a single holy spell was a power that felt far more terrifying than divine magic. Rudra wiped his silver scalpel with a clean piece of linen, placed it back into its leather slot, and closed his field bag with a quiet snap of its brass buckle.
"The vascular pathway is restored," Rudra stated, his tone as flat and clinical as when he had begun.
"The micro-vascular bypass has successfully re-routed blood flow around the damaged zone, preventing systemic sepsis and preserving the structural integrity of the extremity." Oric wiped his face with his sleeve, struggling to sit up against his pillows. He tentatively reached out a trembling hand, attempting to wiggle the toes of his left foot to confirm he was whole. He stopped. His eyes widened in sudden, cold confusion. He tried again.
He concentrated with all his strength, straining his calf muscles, trying to bend his foot at the ankle. Nothing happened. His left foot lay completely limp against the velvet cushion. It felt heavy, cold, and entirely disconnected from his mind, as if it were a block of solid wood attached to his leg. He could feel no pain, no heat, no cold—no sensation whatsoever below the mid-shin.
"What... what is this?" Oric asked, his voice shaking as panic surged back into his chest. He reached down and slapped his own calf. He felt the impact against his hand, but his leg felt nothing.
"Why can't I feel my foot?! Why won't my toes move?!" Rudra turned around, pulling a small amber glass vial from his coat pocket and placing it neatly into a wooden lockbox on his granite desk.
"During the clearance procedure, a localized neural block was introduced into the posterior tibial nerve plexus," Rudra explained without looking back. Oric stared at the youth's back, his mouth working silently before he managed to find his voice.
"A... a neural block? What does that mean?! Fix it! Make it move!" Rudra turned his head slightly, his dark, emotionless eyes meeting the baron's terrified gaze from under the wide brim of his straw hat.
"It means the physical structure of your leg is completely healed, but the nerve signals required for motor control and sensory feedback are currently locked inside a chemical matrix," Rudra said cleanly.
"The tissue will remain fully oxygenated and healthy, but you will not walk on that foot. It will remain entirely paralyzed."
"You... you sabotaged me!" Oric roared, his high-born fury flaring back up, though his voice lacked its previous strength.
"I paid you! I gave you eighty-four gold kobans! I gave you my imperial signet ring! I signed over my iron mine bank notes! You took everything I had and left me a cripple?!"
"You paid for the removal of the necrotic pathogen and the preservation of your life," Rudra corrected him, his voice dropping into an icy, unyielding baseline.
"That contract has been fulfilled to the exact letter. The neural block is a safety protocol." He stepped closer to the litter, leaning down slightly so his shadow fell completely over the weeping nobleman.
"The chemical matrix holding that neural block will remain stable for exactly six months," Rudra whispered, his clinical tone carrying a razor-sharp edge of absolute warning.
"If you, your enforcers, or any representative of the eastern gatehouse attempts to retaliate against this apothecary, file a complaint with the regional magistrate, or seek to recover the liquidated assets you legally signed over... the matrix will degrade into an irreversible neuro-toxin." Oric froze, his breath catching in his throat.
"However," Rudra continued smoothly, standing back up to his full height, "if you return to your estate, maintain complete silence regarding the nature of this procedure, and ensure that my peace in this district remains entirely undisturbed... you may return to this apothecary in six months. At that time, for a secondary consultation fee, I will administer the neutralizing agent and restore full motor function to your limb." Oric stared at Rudra in absolute, horrified silence.
The realization hit him like a physical blow. He had not just been treated by a local ditch-doctor. He had walked straight into the lair of a cold, calculating mastermind who had stripped him of his entire fortune, cured his fatal illness, and locked a leash around his neck that bound him for the next half-year. He was completely trapped. If he killed the boy, he would remain a cripple forever—or die when the neural block turned toxic.
If he obeyed, he had to live as a half-crippled beggar-nobleman for six months, praying that the youth would grant him his leg back.
"Do you understand the terms of your post-operative maintenance plan, Baron Oric?" Rudra asked calmly. Oric swallowed hard, his high-born pride breaking completely into dust. He closed his eyes, slumping back onto the pillows, his body shaking with helpless defeat.
"... I understand," Oric whispered softly.
"Good," Rudra said.
"Your appointment is concluded. Vacate the facility immediately. You are contaminating the sterile environment." The bronze-bearded guard did not wait for a second order. He immediately barked at the other five enforcers, and together they lifted the heavy wooden litter. Moving with frantic, careful haste, they carried the slumping, defeated baron out through the shattered doorway of the apothecary, stepping carefully over the broken wood and glass.
Outside, the four-legged iron hound construct let out a low, metallic clatter as it stepped aside, its red optical lenses watching the retreat of the guards until they vanished into the rain-slicked darkness of the alleyway. Silence returned to the small brick room. The heavy, suffocating tension that had filled the air evaporated, replaced once again by the soft, steady ticking of the water clock on the back wall and the quiet, rhythmic hum of the blue wall runes.
Rudra stood alone in the center of the room for a long moment. He reached up with his dark-iron left hand, unbuttoned the top collar of his gray coat, and adjusted his straw hat. He walked over to the granite workbench. The heavy black iron crossbow still rested there, its red fire-quartz bolt pointing harmlessly at the empty wall. Rudra reached out, pressed the manual release catch on the side of the stock, and disarmed the mechanism with a clean, metallic CLICK.
He pulled the glowing bolt out, placed it into a lead-lined storage box, and slid the heavy weapon under the counter. He then reached into his coat pocket, pulling out the signed asset transfer document and the silver imperial signet ring he had taken from the baron. He flipped the ring into the air, caught it cleanly in his prosthetic hand, and dropped it into the top drawer of his desk alongside the eighty-four gold kobans.
"A successful transaction," Rudra murmured softly to himself.
"Capital reserves increased by four hundred percent. Security threat neutralized. Facility integrity... ninety percent." He turned his head toward the back of the room. The small slum boy was still lying on the second granite slab, his hands clutching his thin blanket, his wide, dark eyes staring at Rudra in absolute, silent wonder. Rudra walked over to the boy's table, his leather boots making a quiet, steady rhythm against the floorboards.
He reached out, picked up a small glass cup filled with a warm, sweet-smelling brown liquid from the side tray, and held it out to the child.
"The noisy patients have departed," Rudra said, his clinical voice softening by a fraction of a degree.
"Drink your willow-bark infusion. We need to complete your dressing change before the morning shift." The boy took the cup with both hands, nodding eagerly, his previous terror completely forgotten as he looked up at the straw-hatted youth who had just brought a regional baron to his knees with nothing more than a silver needle and a pile of gold coins.
Outside, the rain continued to fall over the slums, washing the blood and grease off the cobblestones, while inside the small apothecary, the ditch-doctor returned to his work.

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