What you need (5)
“Hello.”
William greeted Ki-Seok Choi and stood next to Julie.
“….”
“….”
A heavy silence follows.
William glanced at his family and Choi Ki-seok once, then frowned.
“Why are you suddenly silent? Did you say something I shouldn’t have heard?”
“William, that’s right. Your dad needs a liver transplant as soon as possible. But I can’t get a liver transplant because I’m a hepatitis carrier, so I’m asking for your help…” “I don’t want to.
”
William cut off his words with a single word.
“I told you before. I don’t like it. Why should I give my liver to my dad?”
“William, be careful what you say. It’s in front of your dad.”
“That’s a good thing. You’ll have to know anyway. Dad, I have no intention of helping with the liver transplant.”
The atmosphere in the hospital room froze at William’s declaration.
‘I’m embarrassed.’
Choi Ki-seok sighed inwardly.
Unless you know the details of the situation, you cannot hastily get involved in family matters. Even if they knew, the doctor’s position is that they cannot express an opinion.
Liver transplantation is an important issue.
Family cannot be forced.
Even in Korea, there were often cases where family members refused a transplant.
“Doctor Choi. Please say something to William.”
Julie gazed at Choi Ki-seok with a sorrowful gaze.
“I’m sorry Julie, but the decision is up to William. All I can do is give you information about liver transplantation.”
Choi Ki-seok continued.
Tests to determine if liver transplantation is possible, time required for transplant surgery, recovery period for the donor, possible aftereffects, etc.
When the explanation, not persuasion, was over, William nodded.
“I heard you right. It would be better not to do that. It will leave a lot of scars and the recovery period will be long. Dad, I think it would be better to take this opportunity to receive treatment slowly at the hospital and then receive a transplant from a brain-dead person.”
“Okay. If you don’t want to do it, don’t do it. I won’t force you to do it.”
“You! What do you mean? The doctor told me to get surgery as soon as possible…”
“That’s it. I have nothing to say anymore.”
Jace frowned and stared out the window.
“William. You need to talk to me.”
“Please.”
William and Julie left, leaving only the two of them in the hospital room.
“I feel this every time I see William, he seems overly hostile to Jace.”
“It has to be that way. Because of what he did to that child.”
“Is this story related to your deceased daughter?”
“I’m tired, so let’s stop talking.”
“I’m sorry for asking a stupid question. Rest in peace.”
Choi Ki-seok left the hospital room and headed to the medical office.
* * *
That afternoon.
Ki-Seok Choi is in the process of handing over in the duty office.
Across from me, Julien was listening to the story in a crooked position.
“Are you sure you heard correctly?”
“of course.”
“Then, tell me the diagnosis of the inpatient I just explained and the precautions.”
“Ah… that’s… so…”
Choi Ki-seok placed his hand on Julien’s forehead as he looked at him stuttering.
“When it comes to handing over, listen carefully. Then, if a problem arises, what will you do?”
“Okay, so don’t be too picky. Even if I didn’t hear your explanation for a moment, I can check it with the chart. Am I wrong?”
“Even if I tell you, you won’t listen, so I will try to find it with your own hands.”
“Mr. Choi. You’re so sharp today.”
Julien spoke with a disapproving expression.
“Is that because you said you put up a poster of a woman in front of Emma?”
“That has nothing to do with handover.”
“I don’t think so? I don’t think so?”
The anger gauge rose due to Julien’s playful tone.
When it comes to nitpicking and making up words, no one can match Julien.
I felt with my whole body what Ethan said before.
“By the way, Mr. Choi, what is your relationship with Emma?”
Julien changed the topic.
“I just practiced suturing once. It’s nothing like you think.”
“Do you know what I’m thinking?”
“Do you really have to tell me that?”
“I only think about patients and colleagues 24 hours a day?”
“I guess they only think about female patients and female colleagues.”
At Choi Ki-seok’s command, Julien held his stomach and burst into laughter.
“As expected, it’s not that easy.”
“That’s the end of the nonsense. I’m leaving work first.”
Choi Ki-seok left the duty room.
The ward hallways were empty today.
This is because most of the general surgery residents attended a seminar at another hospital two hours ago.
“If you have a mouth, tell me. OK?”
While walking down the hallway, I heard a familiar voice.
As we closed the distance to the station, David and Jose were facing each other.
“David. Isn’t this a clear medication error? What do I do if I change the patient’s injectable medication?”
“Because you’re busy…”
“If you’re busy, you can just look at the patient! And you’re just making excuses that don’t work. Why are you dragging it on like this when you could just say you were wrong and made a mistake? Are you still proud?”
Jose raised his voice.
Choi Ki-seok watched the situation and asked a passing nurse.
“There was a prescription for painkillers for a Carlson patient in Ward 502, but it looks like David took another injection by mistake. Teacher Jose found it.”
“….”
“Anyway, I saw Mr. Jose again. I always had a hard time because of David, but today I’m holding on tight.”
“I agree.”
Choi Ki-seok nodded slightly.
“….”
“….”
While passing the station, I made eye contact with Jose.
Choi Ki-seok narrowed his eyes to indicate that he was doing well, and Jose smiled slightly as if he recognized the signal.
Gurgling.
As we arrived at the dormitory, the sound of hungry stomachs spread.
Until the handover, I continued to assist in surgery. The hunger I had been holding back was finally coming.
Choi Ki-seok rubbed his stomach and headed to the cafeteria. But on the way, I found Emma standing against the wall.
I felt like she might collapse at any moment, so I quickly helped her up.
“Emma are you okay?”
“Mr. Choi? Why are you here…”
Emma asked with bleary eyes.
“I came here because I was hungry. Didn’t Emma eat too?”
“Yes. I was lying down all day… I was hungry…”
The sound of his dying voice was unusual.
When I placed my hand on her forehead, I felt a warm sensation.
‘As expected…’
Choi Ki-seok clicked his tongue inwardly.
Using the Eye of Hippocrates resulted in a diagnosis of influenza. This may be because he was on duty while in poor condition.
“Let’s go back to the room first.”
“I… I’m hungry…”
“I’ll take care of the food for you, so don’t worry.”
I helped Emma and arrived at the room.
Knock. Knock. Knock.
There was no response to repeated knocks.
“My roommate is off, so there’s no one there.”
“Good for you.”
Ki-Seok Choi laid Emma on the bed and covered her with a blanket. Afterwards, I brought her food from the cafeteria, helped her eat, and brought her an IV set from the ward.
Fuuuuuk.
The blood vessels were secured at once and the amount of drops was adjusted.
“You don’t have to go this far.”
“Then there’s nothing you can’t do, right? And when you’re sick, fluid is the best. I brought it after telling my superior, so you don’t have to worry.”
“….”
“I’ll come back again later, so get some rest.”
“yes.”
Choi Ki-seok returned to the cafeteria and ate. Then, I lay down on the dormitory bed and entered the training room.
[You have entered the training room (2/3)]
[For the training surgery, the proficiency of the mechanical intestinal obstruction assistant staff was confirmed as high. From now on, we will output the video.]
Whiiiiing.
My vision changed with the notification.
Choi Ki-seok was suddenly standing in front of the operating table, and virtual staff were positioned around him.
Mechanical intestinal obstruction.
This mainly occurs in patients who have previously undergone surgical procedures.
The main cause is that the intestines are blocked due to skin or membranes clinging to the surgical site after surgery, which is one of the representative cases requiring emergency surgery in general surgery.
In Korea, a famous celebrity suffered from intestinal obstruction as a side effect of gastric band surgery.
Afterwards, he passed away in vain during surgery.
‘How on earth did they perform the surgery?…’
When I remembered that time, my anger soared, but my frozen heart calmed my emotions.
“We will now begin surgery for intestinal obstruction.”
The virtual staff moved busily at Choi Ki-seok’s shout.
They quickly disinfected the abdomen and placed a cloth over the surgical site.
“Meth.”
I received a scalpel from a sterilizing nurse and cut into the patient’s abdomen.
The fascia and peritoneum were split one after another, exposing the organs.
‘It’s here.’
His eyes were fixed on a part of the duodenum.
There was severe adhesion in the middle of the duodenum.
As a result, severe swelling and necrosis were in progress in the duodenum.
In addition, a phenomenon in which the large intestine becomes entangled in the duodenum also occurred.
Ki-Seok Choi first released the confined area with his hands.
A treatment to adjust the position of an organ by pulling it.
Although it was my first time doing this treatment, I was able to succeed without difficulty if I followed the surgeon in the video.
“Meth.”
I received a scalpel from a sterilizing nurse and cut off the head and tail parts where the adhesions had occurred, one by one.
Cheeeeeeeek.
The bleeding stopped as the staff began administering suction and electrocautery.
“We will begin duodenal anastomosis now.”
At his words, the first assistant held both ends of the severed duodenum together with his hands.
“4-0 Prolene.
(Non-absorbable suture)”
Gigi Geek.
After tightening the suture needle with the needle holder, the full-scale anastomosis began.
The duodenum was carefully stitched together, stitch by stitch, with simple interrupted sutures.
Because the first assistant held the organ without shaking, I was able to demonstrate my skills to the fullest.
After completing the anastomosis, the anastomosis site was lightly pressed with forceps.
This is to check for air and other leaks.
Fortunately, there were no problems with the anastomosis site.
The surgery ends with closing the abdomen.
[You have had a successful mechanical bowel obstruction surgery. Overall rank B.]
Whiiiiing.
With the notification, my vision returned to normal.
Ki-Seok Choi lay on the bed and looked up at the ceiling.
When the surgery was over, the celebrity who passed away in an unfortunate accident came to mind again. In addition, he felt angry at the surgeon who operated on him.
Even though it was just training, he also succeeded in the surgery.
But how did that specialist perform the surgery?
Maybe he didn’t have surgery for intestinal obstruction.
What if only the stomach band was removed and other organs were touched during the process?
My thoughts continued to linger.
Jiiiing.
A call phone suddenly rang, interrupting my thoughts.
“Jose. What’s going on?”
[Excuse me, teacher, but could you please come to the ward for a moment? Because the microphone is in bad condition.]
“What’s wrong with the microphone?”
[He has a fever and is complaining of abdominal pain. I don’t think I should just leave it alone.]
“I’m leaving right away.”
Choi Ki-seok jumped up and ran to the ward.
When we arrived at the hospital room, Mike was rolling around on the bed and Jose, who was next to him, didn’t know what to do.
“Teacher. My stomach hurts so much. I feel like I’m going to die.”
Mike found Choi Ki-seok and cried.
“It’s okay. The teacher is here now.”
Choi Ki-seok used the eyes of Hippocrates on Mike and frowned.
‘Fortunately at this time….’
