After finishing my internship (6),
I came down to the hideout and accelerated the preparations for the house.
Today will probably be the last day of my long battle with CABG (coronary artery bypass grafting).
Choi Ki-seok prepared the timer and looked at the cow heart placed on the table.
Right now, it’s his own battle that no one knows about, but one day, everyone will be amazed by his housecleaning skills.
Beep beep beep!
I started the timer and went into surgery.
Because I had watched Song Myeong-jin’s CABG videos so many times, I had no hesitation in the surgical process or using the necessary tools.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
The left internal thoracic artery was dissected with a scalpel.
Using the dissected artery, a bypass was created to the left anterior inferior artery, which was assumed to have stenosis.
As the surgery progressed, the fishy smell of blood filled the hideout.
The sound of an aspirator sucking blood.
The burnt smell of an electric cautery burning the bleeding area, the snapping sound of scissors as they cut sutures, etc.
The hideout was reminiscent of an operating room.
‘This is enough.’
There was a faint smile on his lips as he performed the surgery.
If the prediction is correct, his current surgery speed is similar to Song Myeong-jin’s surgery speed.
Even considering that there are no assists.
How much time has passed?
Snap!
The surgery ended with the refreshing sound of scissors.
I finally completed CABG perfectly.
Choi Ki-seok raised one hand to the ceiling and enjoyed the joy.
Completing CABG is proof of the ability to perform most surgeries.
It was also a sign that he had surpassed his past self.
Tiring!
[You have succeeded in performing a hidden mission, a great surgery that no one knows about.]
[As a reward, the ‘I’m Left-Handed’ skill will be raised to the maximum level, Lv.3. Due to the maximum increase in skill level, the ‘I’m left-handed’ skill is changed to ‘I’m ambidextrous’ skill.] [The
surgical treatment level increases by one level.]
A notification followed as if to congratulate him.
Choi Ki-seok cleaned up after himself and hurried to the ward.
I did CABG without noticing time passing, and the conference time came.
When we went up to the ward, Nam Kang-Jun had completed treatment and preparations for the meeting.
Although he did something extraordinary, he didn’t even say a word of greeting.
I couldn’t forgive what I did to the patient or what I did to Jeong Seol-hwa.
widely!
Choi Ki-seok placed the English books he had brought with him on the window sill.
It looks like I should study English in the evening.
“hello.”
Choi Ki-seok and Nam Kang-jun bowed their heads to the teachers entering the conference room.
Among them was Jihye Yoon.
When Choi Ki-seok greeted her, she smiled brightly and said good morning.
“That’s ridiculous. An ice witch can talk.”
“I even laughed.”
“Did the sun rise in the west today?”
The other staff members murmured quietly at Jihye Yoon’s unprecedented response. No matter who in the government greeted her, Ji-hye Yoon would nod her head expressionlessly.
But today, the record was broken.
Only Choi Ki-seok, who knows why she changed, smiles while looking at the people who are shaking.
The full-fledged meeting began with Song Myeong-jin, Jang Hyuk-pil, and Jo Ji-hwan entering one after another.
The meeting was cordial.
This is because Jo Ji-hwan joked during the meeting to brighten the mood.
Jo Ji-hwan has become much more cheerful recently as Song Myeong-jin’s decision to go to Mayjo has been decided.
The meeting and rounds ended without incident.
Choi Ki-seok checked the time on the call phone.
An hour later, Lee Joo-hee’s arm tetralogy surgery was scheduled, and 30 minutes later, Song Myeong-jin’s valve surgery was scheduled.
These are the only two surgeries this morning.
Unlike other times, time was generous.
“Hey. What are you!”
Min Joo-hyuk came over and put a headlock on him.
“It hurts, senior. Why are you doing this?”
“If you don’t know your sins, who knows? Huh?”
“You have to tell me to know. The only thing I know without having to say is chocolate snacks.”
Min Joo-hyuk released his headlock and narrowed his eyes at Choi Ki-seok’s joke.
“What happened in the morning?”
“….”
“Why is Professor Yoon greeting you and smiling? Does it make sense based on common sense?”
“Well… that happens.”
“What? Are you saying I can’t tell a senior like me?”
Because Min Joo-hyuk persisted, Choi Ki-seok had no choice but to confess yesterday’s incident.
Giving Yoon Ji-hye a cell phone at Jang Hyuk-pil’s request, having a conversation in the garden, etc.
Of course, the elevator accident was completely excluded.
“Damn. I got lucky.”
Min Joo-hyuk tapped Choi Ki-seok on the shoulder and continued.
“Anyway, Professor Yoon, don’t think about what to do. You know why, right?”
“yes.”
“Go see.”
After breaking up with Min Joo-hyuk, Choi Ki-seok visited the neonatal intensive care unit.
This is to check on Lee Joo-hee, who is having surgery today.
Unlike last time, Lee Joo-hee was lying down with a helpless expression. Even when Choi Ki-seok joked and joked, there was no response.
I could tell without having to use the eyes of Hippocrates.
The child’s condition has worsened.
“I think Joohee knows that she’s having surgery today. She’s been calm since morning.”
Intensive care unit nurse Moon Ji-ju approached and spoke to me.
“It’s true. Seeing you so weak.”
Just as the two were talking, Lee Joo-hee frowned and gasped heavily.
Even my face immediately turned pale.
“Aaaah!”
At that moment, other children around were crying loudly.
The neonatal intensive care unit became devastated in an instant.
“Oh my! What should I do!”
“Stay calm.”
Choi Ki-seok calmed down Moon Mi-joo, who was stomping her feet, and laid Lee Joo-hee face down.
In that state, I lifted my buttocks upward.
This is a posture called knee-chest position or chest-knee position. This position is very helpful when an anoxic attack occurs due to tetralogy of Fallot.
‘It’s Joohee. please.’
I prayed earnestly for Lee Joo-hee to maintain her posture.
If the symptoms do not improve with the chest-knee position, things become a headache.
About five minutes have passed.
Lee Joo-hee’s seizures subsided and her breathing returned to normal.
Choi Ki-seok and Moon Mi-ju breathed a sigh of relief.
“Teacher Choi. That’s amazing. How can he be so calm when he’s out of breath?”
“Patients survive only when doctors remain calm.”
Choi Ki-seok answered calmly and looked down at Lee Joo-hee.
For some reason, I couldn’t shake off the ominous feeling.
This ominous feeling resembles the time when Song Myeong-jin and I underwent aortic dissection surgery.
Could it be that the patient dies again this time?
That thought sent a chill down my spine.
“I’ll tell the professor.”
As Choi Ki-seok left the intensive care unit, a loud voice was heard from the waiting room.
Lee Joo-hee’s guardian, Kim Ji-hee, and what appeared to be her parents were arguing.
“So I told you not to marry him?”
Kim Ji-hee’s mother raised her voice.
“Someone who only speaks loudly but has no ability whatsoever, ended up getting you pregnant.”
“Stop it, Mom.”
“Why can’t you stop? Your daughter’s life is ruined. Do you think you can stop?”
“….”
“What are you going to do now? Huh? How are you going to raise a child by yourself who has no father? What kind of ability do you have to raise a child alone in this harsh world?”
“I’ll take care of it.”
“Don’t you know that everything you’ve done so far is like this? When are you going to grow up? Oh my. You can’t survive!”
Choi Ki-seok unintentionally left his seat while listening to the conversation.
It is not polite to interfere in other people’s family affairs.
However, I felt sad when I thought about Kim Ji-hee, whom I had watched over the past few days. Not only did her husband pass away in an accident, but her only child suffered from heart disease.
Even her parents are so harsh, so who can she rely on?
What kind of hope should we live with?
slap.
Choi Ki-seok lightly tapped his cheek to calm his growing heaviness.
As time passed, the time for tetralogy of Fallot surgery arrived.
Since Lee Joo-hee had an anoxic seizure, the surgery time was moved forward by 30 minutes.
Choi Ki-seok entered the operating room, dragging the bed where Lee Joo-hee was lying.
Today’s staff was as follows.
Cardiac surgery fellow Hyukpil Jang performed the surgery.
Ji Seok-hoon, First Cardiac Surgery Fellow.
Min-Hyuk Min, second year of second leg.
Third intern Ki-seok Choi.
As a result of Choi Ki-seok examining the condition of the staff, all of them are in good physical condition. In other words, the outcome of the surgery will not deteriorate because someone is unwell.
After a while, we finished scrubbing and entered the operating room together.
[You have used the encouragement skill.]
[The staff’s confidence in their immunity and regeneration ability increases significantly. Special effect agility is granted to Min-hyeok Min, who is early in Rapo level 2.]
[Agility: Kill and assist speed increases by 1.5 times.]
Ki-seok Choi used Encouragement and took his place.
When I looked down at Lee Joo-hee lying on the operating table, a corner of my heart felt painful.
Lee Joo-hee is growing up well and receiving love from her parents, but she is fighting an illness on the operating table.
‘Cheer up, Joohee.’
I internally cheered for Lee Joo-hee.
The anesthesiologist gave Lee Joo-hee general anesthesia, and Ji Seok-hoon disinfected Lee Joo-hee’s body extensively.
“From now on, we will be performing complete correction surgery for Tetralogy of Fallot.”
Jang Hyuk-pil’s voice echoed in the operating room.
“Meth.”
Jang Hyuk-pil received a scalpel from a nurse and cut Lee Joo-hee’s skin from the bottom of her neck to the solar plexus.
Phudduddduk. Phudduddduk.
Afterwards, Min Joo-hyuk took a saw and cut Lee Joo-hee’s sternum in half. There was no misdirection of the hand like in the case of the aortic dissection patient.
The cut surface of the sternum was also quite clean.
“Can I do woodworking?”
Jang Hyuk-pil praised Min-joo-hyuk, and Min-hyuk did not know what to do.
Soon, a cannula was inserted into the aorta and vein, and a heart-lung machine was turned on.
This is the beginning of a full-scale surgery.
“Retractor.”
“yes.”
Choi Ki-seok placed a retractor on Lee Joo-hee’s chest and pulled her.
Then, he secured the surgical field of view with the eyes of a dragon and began filming a video.
That’s not all.
In my head, I was reviewing the paper on tetralogy of Palo that I had read in the morning.
It means that you are fully prepared to do anything.
“Meth.”
Hyukpil Jang took the scalpel and carefully cut into the right atrium.
This is to secure a view inside the heart. However, it was not possible to secure a complete view just by incision in the right atrium, so the incision had to be continued up to the right ventricle.
“Hmm…”
Jang Hyuk-pil’s eyebrows twitched.
The first step in tetralogy of Fallot surgery is to close the hole in the wall dividing the left and right ventricles.
However, in Lee Joo-hee’s case, the size of this hole was much larger than expected.
The damaged area extends to the lower part of the aortic valve tissue.
“patch. 5-0 prolen.”
At Jang Hyuk-pil’s cry, the disinfection nurse handed him the supplies.
Jang Hyuk-pil added a patch to the damaged area and anastomosed it with a simple interrupted suture.
Choi Ki-seok watched the suturing scene, swallowing dry saliva.
Just in case. A catastrophe could have occurred if the suture site ruptured later with clumsy handling.
However, as if the worries were for naught, Jang Hyuk-pil completed the suture neatly.
Next, it was time to widen the narrowed right ventricular outflow tract.
“Scalpel.”
Jang Hyuk-pil took the scalpel. The enlarged muscle in the right ventricular outflow tract was cut,
and at that very moment,
an
ominous electronic sound filled the operating room.
