Back in OT11, it was quiet now that the interminable drilling had stopped. Keith Goh, the soft-spoken neurosurgeon leading the team, nodded, and Kenji Ohata, a Japanese vascular specialist, took charge. For the next 16 hours, Ohata labored to create a new circulatory structure for Ladan. The twins shared a sagittal sinus - the brain's primary drain. Once the sisters were separated, that vessel would go with Laleh. Ohata was fashioning a new pathway for Ladan's blood, harvesting a section of vein from her right thigh and grafting it into her brain's venous system.