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The surgical lights in St. Catherine’s Medical Center hummed a flat, metallic note that seemed to vibrate directly behind my eyes. For six years, I had believed that control was the only currency that mattered. If you owned the land, the debt, and the silence of the men who enforced both, you owned reality. But standing outside Room 412, staring through the narrow reinforced-glass window at Claire’s motionless chest rising and falling beneath a white sheet, reality felt like a cheap stage set that had just caught fire.