Liberation (2)
“Ah…”
Choi Ki-seok groaned without realizing it.
Hwang Ki-jeong is the second marathoner from Korea to win an Olympic track and field gold medal.
After retirement, he worked as a national team coach and recently appeared on a variety show, garnering attention.
“Now that I think about it, I think Hwang Ki-jeong might suffer from left ventricular aneurysm.”
“That’s right. Among the people who visit thoracic surgery, quite a few are runners and marathon runners.”
Runners have a lower pulse than the general public.
This is because the heart muscle has developed through training, so the heart pumps a large amount of blood with one pump.
However, if this phenomenon continues, arrhythmia may occur.
That’s not all.
If you stop exercising, the trained left ventricle gradually loses strength and becomes hard and thick.
This causes left ventricular aneurysm.
“It seems like the manager wants to get media attention by treating Mr. Hwang Ki-jeong. If the surgery is successful, the heart clinic will be completely established.”
Choi Ki-seok calmly expressed his feelings.
Is it because political power has increased?
It wasn’t that difficult to read Jo Ji-hwan’s inner thoughts.
“If I fail, they will try to kill me.”
“….”
“After having fun with Saber and Norwood, he makes a lot of gambling moves.”
Hyukpil Jang sighed and stood up.
“Please take care of the remaining time.”
“Yes. I will work hard.”
Jang Hyuk-pil left the lounge, and Choi Ki-seok rested a little more and then headed to the hideout.
Then, I took the cow heart from the hideout and headed to the operating room.
Because it was after work, the rosettes were very empty.
“Teacher Su. Hello.”
“Mr. Choi. Are you here? You are really diligent. The first thing you would want to do after work is to rest.”
Kim Yong-seon, the head nurse in the operating room, praised him.
At the request of Yoon Ji-hye, whom he was close with, Choi Ki-seok was allowed access to the rosette where robotic surgery was possible.
Even though that opportunity only happens twice a week.
In the meantime, Choi Ki-seok learned robotic surgery every single day.
“Go to K Rosette today.”
“thank you.”
Choi Ki-seok entered K Rosette and started setting up.
The necessary devices were attached to the robot arm, a blanket was laid on the operating table, and the heart was placed on it.
‘shall we start?’
I sat in front of the console and lightly tapped my cheek.
The surgery to be practiced today is coronary artery bypass surgery.
Although manual surgery is the most confident, robotic surgery is at a baby level.
Weeeeeee.
As soon as I started operating, a mechanical sound rang.
Choi Ki-seok was the first to begin collecting blood vessels for transplantation.
The space between the rib cartilages was opened with the left robotic arm, and the fascial layer was cut with the scalpel attached to the right robotic arm.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
As the fascia split, the hidden internal thoracic artery was revealed.
In that state, the work began again with a scalpel to slightly cut off the end of the internal thoracic artery.
‘Let’s be careful. careful.’
I moved the steering wheel as delicately as possible while looking at the monitor.
I realized this after using the console for nearly three weeks.
Since you cannot feel the touch, you must not let your guard down even for a moment when handling the steering wheel.
With great difficulty, the internal thoracic artery was stretched toward the coronary artery.
This is the game from now on.
First, you need to select a site about a span away from the coronary artery where stenosis is assumed, and connect the internal thoracic artery and the coronary artery.
Choi Ki-seok couldn’t even breathe comfortably.
He controlled his vision by stepping on the paddle with his foot and never took his eyes off the monitor.
The hands holding the steering wheel began to sweat.
The surgical skills acquired through hard work are mostly not helpful in robotic surgery.
It’s been a while since we’ve had a real sword match.
How much time has passed?
“Whoa…”
Choi Ki-seok stood up from the console as if bouncing on a spring.
As practice ended, my patience exploded. Handling the console delicately was as frustrating as sewing a thick thread through a narrow needle hole.
Tiring!
[A new surgical mastery has been formed.]
[Robot-assisted coronary artery bypass grafting (CABG) (1/5)]
[This mastery affects other robotic surgeries and non-invasive surgeries.]
Ki-Seok Choi checks the notification and heads to the operating table. stood at
The compensation notification was good, but on the contrary, the surgical results were poor. Some of my internal thoracic arteries were torn because I was unable to control my strength when acupuncture.
The spacing between sutured areas was also uneven.
If the patient had been operated on in this way, the blood vessel would have burst and an accident would have occurred later.
“Today, we should focus on completion.”
After cleaning up, I went to the cardiothoracic surgery on-call room.
Two days later, there was an ultrasound lecture held by the Korean Association of Thoracic Surgery, so I signed up for the lecture and checked my email.
As mentioned a while ago, Song Myeong-jin sent an email.
The email detailed what he had to do to enter Meijo.
How to study for the USMLE (United States Medical Examination), how to submit an application, and other visa-related aspects.
I was grateful for Song Myeong-jin’s careful consideration.
[Mr. Choi. I would like to end my hospital stay this month. You will need time to prepare for studying for the exam. If you have any questions after reading the email, please call or leave an email at any time. I will contact you again soon.]
The moment I saw the last sentence, I had a strange feeling.
I couldn’t believe that I would soon have to leave Korea.
Once I leave, I won’t be able to see my beloved staff, family, and Jeong Seol-hwa for a long time…
The desire to head to a higher place.
The regret of parting with precious people.
As these two things collided, I had complex emotions.
Choi Ki-seok stared blankly at the monitor for a while.
Jiyiing.
Just then the call phone rang and I connected the call.
[Kiseok-ah. I am Geon-woo. Come down to the emergency room quickly!]
“Why?”
[This is a thoracic surgery emergency patient. There is no time to explain, so come back.]
Kim Geon-woo hung up first, and Choi Ki-seok ran to the emergency room.
“What’s going on?”
“This is a patient from a car accident. His condition is not good.”
Kim Geon-woo shook his legs as if he was nervous.
“I managed to get his vitals to a certain extent, but the hemothorax was serious. It was so urgent that I had to insert a chest tube, but that wasn’t enough.”
Kim Geon-woo pointed to the drainage bottle with his index finger.
Sigh! Sigh! Sigh! Sigh!
Blood flowed like a waterfall through the chest duct.
At that time, the blood pack ran out, so the intern put on a new blood pack.
“Okay, calm down.”
Ki-Seok Choi calmed Geon-Woo Kim and looked down at the patient.
The patient had bluish bruises on his chest and splints on his arms and legs.
Looking at the patient monitoring device, it was found that breathing was barely maintained at 10 times per minute and body temperature was lower than normal. Blood pressure is 80 mmHg systolic and 50 mmHg diastolic, which is significant low blood pressure.
Stamina: 2/10
Main symptom: Difficulty breathing / Chest
pain Affected area: Diaphragm / Lung
Diagnosis: Hemothorax / Diaphragm damage
Current status: Emergency Progress
: Poor
History: None
Used the Eye of Hippocrates and frowned.
It was impossible to treat this patient with chest tube insertion alone.
This situation requires emergency surgery.
Choi Ki-seok looked at the patient’s test results and then picked up his cell phone.
The staff who could perform the surgery did not answer the phone.
Even for those who received the call, it was difficult for them to return to the hospital right away. This is because I went to the funeral of the father of the head of thoracic surgery at Cheol University Hospital.
Choi Ki-seok made a final call to Jang Hyuk-pil.
[uh. What’s going on?]
Jang Hyuk-pil’s voice was particularly welcome.
“Professor.
Patient T.A. has come to the emergency room. The X-ray shows a hemothorax and diaphragm damage. I think he will need to go into surgery.”
[Can’t anyone else call but me? I have just arrived home, so it will take some time to get to the hospital.]
“Chief Jeong-hoon Lee, because of his father’s death, there are no staff left. So I called the professor last.”
[Norwood team too?]
“Yes. Today is a non-practice day, so all the staff except the residents have left work.”
Jang Hyuk-pil remained silent in response to Choi Ki-seok’s answer.
“Professor. Instructions…”
“…I can’t help it. You take care of the house as well.”
“Are you serious?”
“If aortic dissection surgery is possible, that level of surgery is fully possible. I trust you.”
Jang Hyuk-pil explained the surgical procedure, and Choi Ki-seok listened attentively.
“What do you think? You can do it, right? If you can’t decide, just wait until I arrive.”
“No, I will do it.”
Choi Ki-seok looked at the patient monitoring device and bit his lip.
There is no time to wait for Jang Hyuk-pil.
Bleeding beyond this is dangerous.
“I’ll go into surgery right away, and if there’s anything you don’t know, ask around. I’ll keep you on call. Okay?”
“yes.”
Choi Ki-seok hung up the phone and took the operating room. And Seo Ji-hoon and Lee Young-ho were called to the emergency room.
Minjoohyuk did not come to work because he was off.
Ride, ride, ride.
Three people dragged the bed and moved to the operating room.
Choi Ki-seok brought up the story about the patient’s condition and the fact that he had to perform the surgery himself.
“What? You’re doing the surgery?”
As soon as he finished speaking, Seo Ji-hoon frowned.
“I have given permission to Professor Jang.”
“Permission is not important. To perform this level of surgery, you need to be a 4-year graduate student. How can you perform surgery when you have no training in surgery?”
“Senior Choi. Can’t we just wait until Professor Jang comes? I think Senior Seo is right.”
Youngho Lee rolled his eyes as if he was anxious.
“Can you see the blood in the drain tank now? If we wait until the professor comes, the patient will die.”
“If you go into the operating room, you too will die.”
Seo Ji-hoon blocked the front of the bed.
“Let’s say you understand that you are great and are recognized by the Saber team. But this is not the case. If the patient dies after surgery, you will be the only one who becomes an asshole.”
“No. What you said was wrong.”
“what?”
Choi Ki-seok and Seo Ji-hoon’s eyes clashed tightly.
Only Lee Young-ho, caught in the middle, doesn’t know what to do.
“The patient lives, and so do I. No one dies from this surgery.”
Seo Ji-hoon flinched at Choi Ki-seok’s answer.
‘what? ‘This bastard?’
Even though it was a groundless statement, I felt strangely confident about it.
It feels as if a talented surgeon like Kwon Il-soo or Jang Hyuk-pil is comforting the staff. For a moment, I even had hopes that Choi Ki-seok would succeed in the surgery.
“I don’t know. I have to do what the surgeon tells me.”
When Seo Ji-hoon opened the way, Choi Ki-seok expressed his gratitude.
The three people who arrived at the operating room finished scrubbing and entered the rosette with the patient.
“My vitals are lower than before.”
Youngho Lee said while looking at the patient monitoring device.
“Epinephrine One Ampoule Intravenously! I leave all the checking of vitals and blood pack drainage to you.”
“Yes!”
“Senior, please help me.”
Ki-seok Choi carefully laid the patient on his side with Ji-hoon Seo.
Although it was his first surgery without a staff member to take care of him, he was not nervous. .
On the contrary, I even thought that I might have been waiting for this moment for a long time.
Jiyiing.
The door opened and a strong support group arrived.
It was none other than Kang Hana.
Without saying anything, Kang Hana stood behind Choi Ki-seok and prepared the surgical tools.
She had already reported the situation to Choi Ki-seok. Because I heard,
“I thought this day would come someday, but I didn’t know it would be today. I can’t believe I’ll be assisting Teacher Reggie…”
“Please take care of me. Teacher Kang.”
“Of course. Even if the sergeants make mistakes, I don’t make mistakes.”
Choi Ki-seok smiled faintly at Kang Ha-na’s joke.
Just having her there made me feel at ease.
This must be the strength of the team.
After a while . Anesthetist Shin Areum came into Rosette and administered general anesthesia.
This completes the preparations for the surgery.
Choi Ki-seok disinfected a wide area of the area where the chest tube is located, and Seo Ji-hoon placed a cloth over it.
“We will now begin treatment for hemothorax and diaphragm reconstruction. .”
Swoosh.
The scalpel split the patient’s skin.
