What to do (4)
“You’re planning a board?”
Kim Cheol-woo blinked in surprise.
Ki-Seok Choi is only in his first year as a resident. There is no power to decide the battle against pharmaceutical companies.
I know that fact well, but I didn’t expect you to say something like this so calmly.
“Maybe I heard wrong?”
“No, you heard correctly.”
Choi Ki-seok calmly explained the plan, and Kim Cheol-woo remained silent and listened to the story.
“Ha… I never thought you would have already made such a plan. Besides, when did you make all those connections?”
“I guess I got lucky.”
“Connections are never created by luck. It seems like you’ve been paying attention to managing people.”
Kim Cheol-woo continued speaking while stroking his chin.
“Anyway, it’s okay. I’ll collect as many cases of Elita’s side effects as quickly as possible. Is that the end of my job?”
“Yes. Thank you for your help.”
“I want to thank you, right? I already hate Yangcheon Pharmaceutical, the company that made Elita.”
“But Professor, I have one more question.”
“What?”
“Is Elita no longer available for patient Choi Mi-soon, who had a seizure yesterday?”
Choi Ki-seok asked cautiously.
There has yet to be clear evidence that Elita is the cause of acute myocardial infarction. However, I was worried that it would have negative effects if the administration continued.
“Of course. Stop taking the medicine immediately if it causes even the slightest problem. I’ve told you this for a long time, right?”
“….”
“If surgery saves people with a scalpel, internal medicine saves people with medicine. It is the same as not using rusty or broken scalpels in surgery and us stopping taking medication.”
“yes.”
Ki-Seok Choi finished talking with Cheol-Woo Kim and left the treatment room.
The first button was sewn well.
From now on, it is time to mobilize all of our personal connections and put pressure on Yangcheon Pharmaceutical.
Choi Ki-seok called KTB reporter Park Kwang-soo and Park Soon-jae, vice president of the Korean Association of Thoracic Surgery, in turn.
When I told them the situation, both of them readily accepted my request.
“Mr. Choi.”
“Huh? Hello.”
Ki-Seok Choi encountered Byung-Se Yoo in front of the elevator.
“Where are you going?”
“To the ward. There’s still work to do. Doctor Yu, are you going to the operating room?”
“Yes. I have CABG.”
The two people got into the elevator while talking.
However, the conversation between the people riding with them stimulated the curiosity of the two people.
“A relative recently went on a trip to India and he said it was better than I expected.”
“India? Instead of going to India, Southeast Asia is better.”
“There is no problem if you choose the area well. A relative followed the Ganges River course and said that there was surprisingly a lot to see.”
“What… Genji?”
Yoo Byung-se widened his eyes.
“Why are you doing this all of a sudden?”
“No. I heard a name that made me feel nostalgic.”
“It feels different from Hanzo, doesn’t it?”
“Teacher Choi! Comparing Hanzo and Genji is blasphemous.”
“Oh yes. I’m sorry.”
Seeing Yoo Byung-se’s facial expression, Choi Ki-seok apologized without realizing it.
Jiyiing.
The call phone rang in awkward silence.
I checked the number and it was an emergency room.
When the call was connected, the intern’s report continued.
T.A
(traffic accident) patient arrived and was told he needed thoracic surgical treatment.
“I have to go back down. I got a call.”
“I understand. And I was sorry just now. I got excited without realizing it…” After
Yoo Byung-se apologized and got off the elevator first, Choi Ki-seok headed toward the first floor.
A patient wearing a splint and neck immobilizer was lying on one bed.
After examining the electronic medical record and the eyes of Hippocrates, the patient required chest intubation.
Ki-Seok Choi had the intern prepare for chest tube intubation and called Young-Ho Lee.
“Senior. What’s going on?”
“I want to help you improve your skills.”
“What does that mean…”
“That patient needs to be chest intubated. You can do it.”
Lee Young-ho opened his mouth wide at Choi Ki-seok’s words.
“Are you serious? It’s not puncture, it’s intubation?”
“You can do it. I will watch over you, so there is no problem.”
“I’m not confident…”
Lee Young-ho scratched his cheek, avoiding Choi Ki-seok’s gaze.
I visited a thoracic surgeon out of greed for treatment and techniques, but I think the progress was too fast.
If a chest tube is being intubated, hold a scalpel in your hand and spread the sutures.
In a way, you could call it a mini surgery.
“It’s okay. It’s normal to be unsure. It’s your first time doing treatment and it’s also difficult. But if you run away because you’re scared, you won’t learn anything.”
“….”
“Raising a sergeant is my old experience. That’s what Professor Song told me.”
Despite Choi Ki-seok’s advice, Lee Young-ho stared at the patient a little distance away without answering.
“If you’re not confident, I’ll do it. I’m not forcing you.”
“Ah… no, senior. I will do it.”
Youngho Lee clenched his fists.
If I can’t overcome this level of fear, how will I learn about difficult surgeries in the future?
“Good idea.”
“yes.”
As the two approached the patient, the intern had just finished preparing the chest intubation.
Youngho Lee explained the need for chest intubation to the patient and put on surgical gloves.
‘That’s strange.’
My mind gradually became calmer.
My heartbeat, which seemed like it could be heard by others, subsided. The process of chest tube intubation passed through my blank mind one after another. Even if you think about it yourself, it is a change that is hard to believe.
Suddenly, I looked at Choi Ki-seok and saw that he was smiling faintly.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
Lee Young-ho disinfected a large area of his chest with povidone solution and covered it with a cloth. Then, the intern waiting next to me handed me a syringe filled with local anesthetic.
Fuuuuuk.
The needle pierced the skin without hesitation.
“Is this enough for the Emperor?”
After finishing anesthesia, Lee Young-ho pointed to the area between the 7th and 8th ribs with his index finger, and Choi Ki-seok nodded.
As soon as Youngho Lee received the OK sign, he stuck the needle. Then, when the body of the syringe was pulled, bright red blood came out.
The first thoracentesis was successful.
I feel like I want to scream with pride.
“Send this to the rap.”
I handed the syringe to the intern and put the scalpel in my hand.
Lee Young-ho, who underwent full-scale treatment with the help of Choi Ki-seok, completed the chest tube intubation neatly.
Cutting the skin with a scalpel and removing the rib fascia.
Intubating a tube into the pleura.
Finally, suturing the area around the tube.
The entire process was completed smoothly.
After the treatment was over, the two people came out of the emergency room together.
“Sir, I did it! I did a chest intubation!”
Youngho Lee revealed the emotions he had been suppressing.
The fear that I might harm the patient with my own hands has now turned into joy.
This is the first time in all my time as an intern that I have been as excited as I am today.
“Look. I said I could do well, right?”
Choi Ki-seok smiled and offered a can of coffee to Lee Young-ho.
“But I couldn’t have done it on my own without you. Thank you so much.”
“That’s all you need to know. And we will create more opportunities like this in the future, so try your best.”
Choi Ki-seok drank coffee and stared at Lee Young-ho.
Dreaming of the day when Lee Young-ho will stand shoulder to shoulder with him.
* * *
Early morning.
Kwon Il-soo visited the thoracic surgery ward conference room.
Is it because it’s the day of Norwood’s surgery?
After waking up early in the morning, I could hardly sleep again. So I went to work early.
Kwon Il-soo leaned against the back of the chair and quietly closed his eyes. And I thought through the details of Norwood’s surgery from A to Z.
“It’s been a while since I felt like this.”
Kwon Il-soo opened his eyes with a bitter smile.
Although he didn’t reveal it to anyone, he was actually afraid of Norwood’s surgery.
The surgery itself was very difficult and the mortality rate was high.
In fact, Kwon Il-soo has performed four Norwood surgeries so far. Two of them died during surgery and one died after surgery.
Only one patient survived to the end.
The patient’s name is Yoo Geon-woo.
Only Yoo Geon-woo survived the Norwood surgery, followed by the superior vena cava-pulmonary artery shunt surgery and Fontan surgery, and returned to a normal life.
“Goyan guy.”
Kwon Il-soo gritted his teeth as he thought of Jang Hyuk-pil.
I was irritated by the fact that this pale guy was trying to become an associate professor to rival him.
I admit that Jang Hyuk-pil is good at surgery and is resourceful.
But compared to him, it is still far below.
I will make the Norwood team successful and flatten Jang Hyuk-pil’s nose.
Kwon Il-soo glanced at the wall clock and left the conference room.
At that moment, I saw Choi Ki-seok coming out of the duty room.
“It’s hard to be on duty for 100 days.”
“Hello, Professor.”
Choi Ki-seok bowed his head and continued speaking.
“You came out earlier than usual today.”
“I can’t help it because the day is the same. By the way, where are you going in the morning?”
“I’m going to the pediatric thoracic surgery ward.”
“The reason is?”
“Originally, we first look at patients in the pediatric ward before going to the ward.”
“It’s a good habit.”
A smile spread across Kwon Il-soo’s lips.
The more I saw Choi Ki-seok, the more I wanted him. Not only does he have the skills, but he also has a heart that cares about patients. Song Myeong-jin did not take him as his disciple for nothing.
“Professor, are you going to the pediatric ward too?”
“Okay. Let’s go together.”
Kwon Il-soo nodded.
The reason he left the conference room was to see Na Jae-hyeon, a Norwood case patient.
Eventually, the two arrived at the pediatric thoracic surgery ward.
Drurr.
The moment I opened the door to the double room where Na Jae-hyun was and entered, their faces turned blue.
The safety bar on one side of Na Jae-hyeon’s bed was lowered.
What is even more shocking is that Na Jae-hyun is turning over to the side where there is no safety bar.
‘shit!’
Ki-Seok Choi used Tyrant’s Descent and ran to Jae-Hyeon Na.
Na Jae-hyeon, who was rolling around on the bed, fell under the bed. If this continues, a major fall accident will occur.
Ride, ride!
Choi Ki-seok barely caught the child by throwing his body like a baseball player making a diving catch.
My heart, which had been sinking due to the heaviness of my hands, returned to its original position.
“Aaaah!”
Na Jae-hyun, who was surprised, cried loudly.
The crying stopped only after Choi Ki-seok sat the child in his arms and made various jokes.
“Whew… that was dangerous.”
He placed the child back on the bed and raised the safety bar.
If the child had fallen, he would have had to undergo neurosurgery, not Norwood surgery.
“How on earth do you manage patients?”
Kwon Il-soo wrinkled his face and headed toward the station. And then I found the nurse who did the rounds in the hospital room and gave her a face-lift.
“I’m sorry. I forgot to check your vitals and lower the safety bar.”
“There’s nothing else to forget. Don’t you know that you need to pay more attention to young patients than adults? Even though the patient is having surgery today!”
“S-I’m sorry. I will be careful in the future.”
“This matter will not be overlooked, so be prepared.”
Kwon Il-su huffed and returned to the hospital room.
When he saw Choi Ki-seok examining the child, his anger eased somewhat. Thanks to him, the worst situation was avoided.
“You did well. Ki-seok. Are you hurt anywhere?”
“It’s okay.”
“No matter how tired I am from night shift. Managing patients like this… Let’s go.”
“Okay.”
The two returned to the conference room.
Kwon Il-soo was pacing around the bookshelf with a disgruntled expression, and Choi Ki-seok checked the status window.
[Surprise mission ‘Saving a patient who fell. ‘You succeeded. As a reward, you received the one-time buff Master’s Surgery.]
[Master’s Surgery: If hemostatic suture removal is performed during surgery, the patient’s progress improves twice.] * *
*
10:00 a.m.
Observation for surgery One by one, people gathered in the room.
Including Jo Ji-hwan, who had returned from China, Jang Hyuk-pil, cardiac surgery fellows, and even people from the Pediatric Thoracic Surgery Association took their seats.
“Professor Jang, what do you think of today’s surgery?”
Jo Ji-hwan asked, looking at Jang Hyuk-pil.
