The Gynecology Anesthesiologist

Chapter 20

Scar's End

Chapter 20: Scar's End

Ethan had almost forgotten that monsters walked among ordinary people.

He was helping his parents close up the restaurant—a routine he had performed countless times in his youth—when they arrived. Three men, led by a large figure with a distinctive scar running down his left cheek. Local gangsters who had been terrorizing the neighborhood for months, extorting protection money from small businesses too vulnerable to resist.

"Cole," Scar said, his voice a gravelly rasp. "Good to see you again."

Ethan's father stepped forward, his posture defensive but his expression resigned. "We already paid this month, Scar. We're not due again until next week."

"Things change." Scar smiled, revealing yellowed teeth. "New rates. New rules."

"We can't afford—"

"You can't afford not to." Scar's smile vanished, replaced by cold menace. "Unless you want something to happen to this nice little business of yours. Or to your pretty daughter. Emma, right? She just turned sixteen?"

The threat hung in the air, unspoken but clear. Ethan's hands clenched into fists at his sides, rage flooding through him.

"Leave my sister out of this," he said, his voice dangerously quiet.

Scar turned to face him, his eyes widening with recognition. "Well, well. The doctor son. Heard you had some trouble at the big hospital. Fallen on hard times, eh?"

"That's none of your business."

"Everything on this street is my business." Scar stepped closer, invading Ethan's personal space. "Including you. Including your family. And if you don't show proper respect..."

He didn't finish the sentence. He didn't need to.

Ethan's father intervened, placing himself between Ethan and the gangster. "We'll pay. Just... give us a few days. Business has been slow."

"You have until Friday." Scar turned to leave, then paused. "And Dr. Cole? Watch your tone. Next time, I won't be so forgiving."

The gangsters swaggered out, their laughter echoing in the empty street. Ethan's father slumped against the counter, suddenly looking every one of his years.

"I'm sorry you had to see that," he said quietly.

"Who are they?" Ethan demanded. "How long has this been going on?"

"A few months. Since the new gang moved into the neighborhood." His mother's voice was tight with worry. "We didn't want to tell you. You have enough to deal with."

"You should have told me." Ethan's mind was racing, calculating options. He could go to the police, but Scar probably had connections there. He could try to fight, but three against one were poor odds, even with the System's power.

Or...

An idea began to form. A dark, dangerous idea. The ghost syringe could do more than anesthetize. With the right dosage, delivered to the right location, it could kill.

The thought should have horrified him. Instead, he felt a cold calm settle over him. Scar had threatened his family. Had threatened Emma. Some lines couldn't be crossed without consequence.

"Go home," Ethan told his parents. "I'll lock up."

"Ethan—"

"Please, Dad. Just go. I'll handle this."

His parents exchanged glances, then reluctantly agreed. They left through the back door, disappearing into the night, leaving Ethan alone with his thoughts and his growing resolve.

He didn't have to kill Scar. He knew that. There were other options—reporting to the police, finding evidence of their crimes, building a case that would put them away legally.

But that would take time. And in the meantime, his family would continue to suffer, continue to pay, continue to live in fear.

The System had given him power. Real, effective power. Was he going to let it go to waste because of abstract principles? When his family was in danger?

He stepped outside, scanning the street for Scar's presence. The gangster hadn't gone far—he was leaning against a custom-modified electric motorcycle a block down, talking with his companions, laughing about their successful shakedown.

Ethan watched from the shadows, the ghost syringe glowing in his consciousness. One shot. That's all it would take. A dose delivered to the right location—the base of the skull, the brainstem—and Scar would simply... stop. No violence, no evidence, no witnesses. Just a tragic accident, a man falling from his bike, his heart suddenly giving out.

It would be so easy.

Scar kicked his motorcycle to life, preparing to leave. His companions climbed onto their own bikes, engines revving. In moments, they would be gone, and the opportunity would pass.

Ethan made his decision.

He focused on Scar's neck, visualizing the ghost syringe's needle finding the precise point where spine met skull. He calculated the dosage—not enough to kill instantly, but enough to cause loss of consciousness, to make the rider lose control.

The syringe activated.

Scar jerked, his hands spasming on the handlebars. The motorcycle surged forward—directly into the path of an oncoming truck. The collision was brutal, instantaneous. Scar's body was thrown through the air, landing with a sickening thud twenty feet away.

His companions fared no better. In their shock, they lost control of their own bikes, skidding into traffic, into each other, into disaster.

Ethan watched from the shadows as sirens approached, as crowds gathered, as the three gangsters were loaded into ambulances—or body bags. No one looked his way. No one suspected his involvement. To all appearances, it was a tragic accident, a moment of recklessness punished by fate.

Only Ethan knew the truth.

He had killed a man. Maybe three. Used his medical power as a weapon, his healing ability to cause harm. He had crossed a line that could never be uncrossed, become something he had sworn he would never become.

And yet...

As he walked home through the quiet streets, he couldn't find it in himself to feel remorse. Scar had been a monster, preying on the weak, threatening innocents. His death meant safety for Ethan's family, protection for his sister, justice for dozens of victims who had suffered in silence.

Was it wrong to use power to stop evil? To protect the innocent? To ensure that monsters couldn't continue their reign of terror?

The ghost syringe pulsed in his consciousness, its power unlimited, its potential vast. Ethan had used it to heal, to help, to save lives. Tonight, he had used it to kill.

Both were acts of medicine, in their way. Both served the greater good. Both proved that he was no longer just a doctor—he was a force to be reckoned with.

His phone buzzed—the unknown number: "I see what you did. I understand why. But be careful, Dr. Cole. The path of the vigilante is seductive, but it leads to dark places."

"They threatened my family," Ethan typed back. "What would you have done?"

"Protected them. As you did. But ask yourself—was there no other way? And how many more 'Scars' will you have to eliminate before you find peace?"

The questions lingered as Ethan reached his apartment. He locked the door behind him and stood in the darkness, weighing his actions against his conscience.

He had killed tonight. Not in self-defense, not by accident, but by choice. He had taken a life—or three—to protect his family, to serve justice, to prove that he was no longer a victim.

Was he a hero? Or a villain? A healer who had lost his way? Or a warrior finally embracing his power?

He didn't know. But as he prepared for bed, one thing was clear: the world had changed tonight. The rules that had constrained him—the ethics, the limitations, the fear—had been shattered.

He was Ethan Cole. Anesthesiologist. Wielder of supernatural power. Protector of his family. And whatever else he chose to become.

The first twenty chapters of his new life were complete. The System had tested him, rewarded him, corrupted him, and elevated him. He had faced challenges internal and external, conquered enemies personal and professional, and emerged... different.

Stronger? Perhaps. More powerful? Definitely. But also more dangerous—to himself and to others.

Tomorrow would bring new tasks, new challenges, new opportunities to define who he was and what he stood for. The mysterious ally would continue to watch, to guide, to warn. The System would continue to offer power in exchange for... what? Compliance? Corruption? Evolution?

And Elena Sterling would continue to occupy his thoughts, the distant star that had set him on this path.

Ethan lay in bed, staring at the ceiling, feeling the weight of his actions and the promise of his potential. He had killed tonight. He might kill again. The line between healer and hunter had blurred, and he wasn't sure he wanted it to sharpen.

But one thing remained constant: his determination to protect those he loved, to achieve his ambitions, to become the man he was meant to be.

The game continued. And Ethan Cole was ready to play at a higher level than ever before.

Tomorrow, the next chapter would begin.

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