Return (3)
Ki-Seok Choi returned to the ward after completing treatment in the emergency room.
I am fortunate that the first patient I saw at the neurosurgery department was not an emergency.
“Mr. Choi. Manager Lucas wants to see you?”
As soon as we entered the medical office, Larry said something.
“The chief of cerebrovascular surgery? Me?”
“Today is the first day of work. I’m sure there’s a lot you want to say.”
“okay.”
Choi Ki-seok turned around and found Lucas’ office.
Knock. Knock. Knock.
When I knocked, I heard a voice telling me to come in.
Lucas was sitting on the sofa drinking coffee, and Matthew was sitting across from him.
It’s a coincidence.
The heads of cerebrovascular surgery and brain tumor surgery, who are aiming to become the next head chief, are in one place…
“Hello.”
“Nice to meet you Mr. Choi. This way.”
Following Lucas’s gesture, I sat down next to Matthew.
“I called the medical office and they said I saw treatment in the emergency room. What kind of patient was it?”
“This was a pediatric patient, and upon examination, traumatic subarachnoid hemorrhage was suspected. However, his behavior was suspicious, so we talked to him and found out he was faking it.”
“feigned illness?”
Matthew’s brows narrowed.
“Did you conduct the test properly and come to the conclusion that it was a faking illness?”
“No testing was done.”
“Uh huh. Is this guy dangerous? This is not a place where you can be diagnosed simply through a questionnaire.”
Matthew said, pointing to his temporal region.
“I want to hear why you didn’t get tested.”
“I took the parents away and talked to the child. The child said he had never hurt his head and that he lied because he was scared of breaking the vase. It was obvious he wasn’t hurt, so do we need a test?”
Ki-Seok Choi calmly answered Lucas’ question.
Lucas smiled in satisfaction, but Matthew still seemed dissatisfied.
“Still, a test is needed.”
Matthew paused before continuing.
“For the hospital’s profit.”
“Are you telling me to do unnecessary tests?”
“Mr. Choi, you don’t understand. Didn’t I just tell you that testing is beneficial to the hospital? Why is that unnecessary?”
“It’s unnecessary from the patient’s perspective.”
Choi Ki-seok added in a calm manner.
“Meijo’s core value is patient-centered. Therefore, I think it is right not to perform tests that are not necessary for patients.”
“I hope we don’t forget that money is needed to maintain the value of patient-centeredness.”
The gazes of the two people collided tightly.
In a heavy silence, Choi Ki-seok used the Eye of Hippocrates on the two people.
The surgical treatment of these two people is level 9.
Since this was close to the maximum level, there was no need to doubt his skills.
However, while Lucas’s tendency is patient-centered, Matthew’s tendency is success-centered.
‘It wasn’t a Great Surgeon for nothing.’
Choi Ki-seok compared the two people and Smith.
Smith’s orientation is patient-centered.
Although he has the same level of surgical treatment as these two people, he has mastered all the subspecialties of general surgery (gastrointestinal surgery, colorectal surgery, and hepatobiliary pancreatic surgery).
In addition, he also possessed more skills than these two people.
Even Lucas and Matthew combined cannot handle Smith alone.
“You two, stop. We didn’t gather here to fight.”
Lucas intervened.
“By the way, I read the evaluation letter Chief Smith sent me this morning. The evaluation was very generous. He is known for being harsh to new sergeants.”
“I think they appreciated my hard work.”
“Yes. So you must have been promoted early to the higher system.”
Lucas nodded slightly.
“Even though it’s only your first day, what is neurosurgery like?”
“I’m still out of my mind. I didn’t even get any neurosurgery training during my internship.”
“But Mr. Choi, you will adapt quickly. I can tell by looking in your eyes that you are on a different level from your classmates.”
After a moment of silence, Matthew opened his mouth.
“Are you aiming for early promotion in neurosurgery?”
“Yes. I want to shorten my training period and go to thoracic surgery as quickly as possible.”
“Thoracic surgery… I remember now. The story about being taught by Chief Song in Korea.”
“you’re right.”
“What do you think of the hire system?”
Matthew changed the topic by looking at Lucas.
“I don’t think it’s bad. If you have solid skills, wouldn’t you be able to shorten the training period?”
“I am the opposite. Skill is something that cannot be measured specifically. Moreover, it goes against fairness among trainees.”
Matthew looked straight at Ki-Seok Choi.
It was as if he was telling me to listen to his words.
“Mr. Choi. Have you met Leon?”
Lucas asked after taking a sip of coffee.
“Yes. I saw him before I came to the neurosurgery department, and I saw him briefly today as well.”
“I don’t know if you know it, but Leon is just as special a friend as you. He took the top spot in last year’s resident recruitment and is now performing proudly despite being in his first year.”
“….”
“Being with Leon will be very stimulating. I don’t know if it will work in a good or bad way.”
“Isn’t there a surgery for Leon’s brain aneurysm in a little while? It would be nice for Mr. Choi to come into scrubs, wouldn’t you say?”
“Good idea.”
Lucas nodded at Matthew’s suggestion.
“It may be sudden, but would you like to wear surgical scrubs?”
Tiring!
[You have acquired the new mission ‘Brain Aneurysm Surgery Scrub’. If you successfully complete the scrub, you will receive a special reward.]
As soon as Lucas finished speaking, a notification rang.
“Well, if you’re scared, you don’t have to. I’m not forcing you.”
“No, I will.”
Ki-Seok Choi defeated Matthew’s provocation at once.
Honestly, I wanted to see it.
The two people praised Leon’s house painting skills clearly with their own eyes.
“I’ll tell Leon about Mr. Choi’s scrub gun in advance. Just leave.”
“all right.”
Choi Ki-seok said hello and left the office.
* * *
That afternoon.
Choi Ki-seok was reading a surgical manual at the medical office.
I am preparing for the brain aneurysm scrub that is coming in 30 minutes.
Brain aneurysm.
This is a disease in which brain blood vessels are damaged for various reasons and the blood vessels swell. If swollen blood vessels are left unattended, they may burst later, causing various aftereffects.
“That’s amazing.”
I closed the book and shook my head.
Honestly, Leon’s surgery is hard to believe.
To use an analogy, it would be like performing an aortic aneurysm at a thoracic surgery clinic.
It is possible for Leon to have a cerebral aneurysm surgery.
Other staff members accept this without hesitation.
Both of these things were shocking.
Could it be said that I once again felt that Meijo was different from other hospitals?
“let’s go.”
Choi Ki-seok lightly tapped his cheek and left the medical office.
But while I was walking, a question crossed my mind.
Unlike general surgery, no mission linked to the Hier system came to mind in neurosurgery.
Is early promotion impossible in neurosurgery?
As my thoughts deepened, a plausible inference occurred to me.
Currently, the neurosurgery department does not have a head chief who oversees the higher system.
I thought maybe the mission wasn’t appearing because there was no head chief.
‘Then… Matthew will be a problem.’
Matthew not only did not like the Hire system, but he also resented himself.
It was obvious that if he became Head Chief, they would try to hold him back.
While I was thinking about this and that, I arrived at the operating room.
Neurosurgery staff were gathered in front of Rosette A.
“Mr. Choi. Are you here?”
“Oh yes. I’m sorry for suddenly asking you to scrub.”
“It’s okay. I heard that it was suggested by the manager. Have you studied surgery a lot?”
“No problem.”
“That’s right. There is no complicated treatment for the second assistant, so you don’t have to be nervous. Then, let’s have a final briefing.”
Leon personally explained the outline of the surgery.
After completing the disinfection, the staff entered the rosette.
With the staff busy, general anesthesia was administered and the surgery began.
“I’m going to prepare you for a craniotomy.”
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
Choi Ki-seok disinfected the surgical site of the patient whose hair was shaved and covered it with a cloth.
“Meth.”
Leon held the scalpel given to him by the disinfection nurse. Then, the patient’s scalp was carefully incised.
“I use a drill.”
The second assistant began drilling holes in the incision site.
Drudduddudduk.
A strange sound echoed through the rosette.
After a while, three holes were created near the incision site.
The drill hole is a kind of trace through which the skull plate will be lifted.
“I keep going.”
Leon took the scalpel again and cut the skull along the hole.
Choi Ki-seok was amazed as he watched Leon doing the housework.
Even though he was a second-year resident, he was skillfully overseeing the surgery.
Although the surgery is still in its very early stages.
Choi Ki-seok had a vague idea of what the stimulation Lucas was talking about was.
Because my heart warmed when I saw Leon.
“The skull is revealed.”
When Choi Ki-seok stored the cut out skull separately, the inside of the head was visible at a glance.
“Good job. Looks like you prepared a lot?”
“It’s nothing compared to Leon.”
“You can’t compare yourself to me already. Then let’s look for the aneurysm now.”
Leon looked through a microscope and used forceps to dig deeper into the brain.
At the same time, the first assistant and Ki-Seok Choi secured Leon’s vision with gauze that absorbed blood.
The start of a risky journey to find an aneurysm.
If a nerve was accidentally touched on the way to the surgical site, the patient could become paralyzed.
Even the smallest actions had to be carried out cautiously.
Amidst the tension of walking on thin ice, an aneurysm was discovered in Willis Circle.
The Circle of Willis is also called the cerebral artery annulus, where the brain arteries form a star shape.
“Is your condition worse than you thought?”
Leon carefully touched the brain aneurysm with forceps.
The type of cerebral aneurysm is fusiform.
The brain aneurysm blood vessel swelled above the normal blood vessel like a lump.
The size of the spindle is approximately 15 mm.
Not only was it large, but the blood vessel walls were smooth, so there was a high risk of rupture.
That’s not all.
Because the location is not good, part of the skull needs to be cut off to treat it. In other words, the difficulty of surgery has more than doubled than expected through testing.
How will Leon overcome this crisis?
All the staff’s eyes were focused on Leon.
“Meth.”
Leon proceeded to remove the skull that was interfering with the treatment.
If the blade was even slightly off, brain arteries and nerves could be damaged, so hand movements had to be more careful than ever.
bang!
A piece of bone fell on the bench and made a clear sound.
“Clip number 33.”
At Leon’s cry, the disinfection nurse handed him a clip.
Today’s surgery is clip ligation.
This is a surgery to prevent rupture by tying the aneurysm with a clip so that blood no longer flows into the aneurysm.
Click.
Leon tied the brain aneurysm with a clip, but was unable to completely block blood flow.
This is because the brain aneurysm was so large.
The size of the clip was greatly increased based on number 33, but there was no clip that perfectly suited the cerebral aneurysm.
“Leon, what do we do now?”
Choi Ki-seok’s eyes were fixed on Leon.
Leon’s special surgical ability comes from his memorization ability through hypermemory syndrome.
In other words, there was a high possibility that the ability to respond to unexpected situations would not be excellent.
“Shall we at least call the manager?”
“I don’t think it will work. I thought of a good way.”
A smile appeared on Leon’s lips.
