Return (5)
Choi Ki-seok tilted his head and started PVP mode.
[Welcome to PVP mode. PVP mode is a mode where you compete against soldiers in previously recorded videos. Unlike training mode, you can enter once a day. If you win in PVP mode, you will receive a special gem as a reward.]
[Please select the opponent’s battle.]
[Please select the confrontation surgery.]
Whiiiiing.
As I checked the options, a dazzling light enveloped my surroundings.
Soon, Choi Ki-seok took his place in front of the operating table.
The patient was lying on the operating table, and virtual staff were nearby.
How PVP mode differs from training mode.
That is, right next to him, the opposing surgeon is preparing for surgery.
A little distance away from him was Leon, and a yellow bar appeared above his head.
The bar felt like a health gauge from a fighting game.
[In PVP mode,
you can check the progress through the Surgery Progress Bar, commonly known as
S.P.B. ]
‘I have it too.’
Choi Ki-seok checked the top of his head and laughed.
The PVP mode definitely felt different from the training mode. Because the other person was by my side and I was able to know the progress of both sides.
In fact, it feels like a battle between swordsmen and swordsmen.
[5 seconds before brain aneurysm surgery. Please prepare for surgery. 5 4 3 2 1. Brain aneurysm surgery begins.]
A notification rang through the rosette.
Tdu-duk-duk.
Choi Ki-seok cracked his neck and stared at the virtual staff.
As if he had read his intentions, the second assistant disinfected the surgical site and covered it with a cloth.
“Meth.”
Choi Ki-seok carefully cut the patient’s scalp with a scalpel. Then the second assistant drilled a hole in the incision site.
‘It’s still okay.’
While receiving assistance, Leon and I looked at the bar.
The bars on both sides were moving equally.
The surgeon’s skills did not have much of an impact during the preparation stage for the surgery.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
The loud sound of the drill stopped and a hole was created near the incision site.
“Continue moderation.”
Choi Ki-seok received a scalpel from a disinfection nurse and cut the skull along the hole.
I watched the brain aneurysm surgery video more than 10 times and even practiced a few times in the training room.
I was confident that I would not lose easily.
Eventually, when I exposed the excised skull, the scenery in my head came into view.
Choi Ki-seok pulled his chair closer and fixed his eyes on the micro microscope.
“The view (surgical field of view) is deeper.”
Under his instructions, the surgical staff operated the microscope.
After several operations, a satisfactory view was obtained.
Choi Ki-seok dug deep into his head with the help of the virtual staff. Through a difficult process, we reached the circle of Willis, also known as the annulus of the cerebral arteries.
‘what? This?’
His mouth opened wide.
The location and size of the brain aneurysm were different from when it was filmed in the surgery video.
The cerebral aneurysm was in the middle cerebral artery and was 10 mm in size, which was smaller than before.
Choi Ki-seok was faced with an unfamiliar situation and did not know how to deal with it.
As I anxiously stared at the progress bar of Leon’s surgery, I saw that the bar was only about 20 percent full.
On the other hand, there is still more than half of his bar left.
‘Let’s settle down.’
I took a deep breath and focused on the microscope again.
“Clip number 13.”
I received a clip from the sterilizing nurse and carefully tied the brain aneurysm.
click!
The sound was pleasant, but the clip was large and the brain aneurysm was not tightly tied.
“Clip number 12.”
“Clip number 11.”
“Clip number 10.”
Choi Ki-seok continued to lower the size of the clip. I could have skipped the number, but I decided it might take longer.
As I was struggling to ligation the brain aneurysm, an alarm suddenly rang.
[Leon completed the surgery first. Final surgery rank A+. You lost the brain aneurysm surgery with Leon.]
As the notification ended, a glow came out.
Choi Ki-seok looked up at the ceiling with a blank expression.
Losing to Leon wasn’t unfair.
It has only been two days since I came to the neurosurgery clinic. It would be rather strange if he were better at performing surgeries than Leon.
What’s unfair is that I wasn’t able to finish the surgery.
“Is it because it’s PVP mode?”
Choi Ki-seok scratched the back of his head and was lost in thought.
The new PVP mode was more useful than I thought. One of them is that it increases the desire to win, and the second is that the details of the surgery change.
In training mode, the course of the disease matched the recorded video. So all I had to do was memorize the entire surgery and follow it exactly.
On the other hand, in PVP mode, the course of the disease was different even if it was the same disease.
It was seen that the brain aneurysm appeared in a different form than expected during PVP mode.
If you use this well, it will be a great help in improving your surgical application.
Tiring!
[A new mission, ‘The Thirsty for Victory’ has been created. A random skill-up book is provided when you win 5 times in PVP mode.]
Ki-Seok Choi checked the notification and scratched the back of his head.
It’s not an easy mission.
All of the surgeons who performed the surgeries I filmed so far were more skilled than him.
‘Shall we try CABG (coronary artery bypass grafting) with Professor Song tomorrow?’
* * *
The next morning.
After the rounds, Ki-Seok Choi visited the pediatric neurosurgery ward.
Drurr.
I opened the door and entered a hospital room.
“Hello, Dr. Choi.”
“good morning.”
Ki-Seok Choi greeted Tina and stood next to Vera’s bed.
Vera, who suffers from moyamoya disease, was still showing no signs of improvement.
“I talked about Vera with the professors during the morning meeting. They said it was best to schedule the surgery as soon as possible. I looked into it and found that the morning after three days was the earliest possible time.”
“Yes. Please perform surgery. We must do whatever it takes to help Vera get better.”
“Then, please fill out the consent form for surgery.”
Choi Ki-seok gave Tina a consent form for surgery and explained the surgery.
However, Vera’s expression as she listened to the story was unusual.
“Dr. Choi. I have a question.”
“Please speak.”
“What happens to the blood during this surgery?”
“Blood? What do you mean?”
“So, isn’t the surgery performed by transfusing someone else’s blood?”
“That’s right. There is usually no surgery performed without a blood transfusion. This is especially true if the patient is a child.”
“Hey… I have a favor to ask. I don’t want blood transfusions to be used in Vera’s surgery.”
Vera’s words hit me hard in the back of my head.
Choi Ki-seok stared at Tina with a mesmerized expression.
This is no different from the sound of a dog eating grass.
Isn’t pediatric brain surgery already extremely difficult?
But I wish I didn’t have to do a blood transfusion.
It wasn’t much different from saying to leave out the po and tea and play janggi.
“Is there a reason you are refusing a blood transfusion?”
“It’s uncomfortable to talk about that. The important thing is that my husband and I have the exact same opinion. Bloodless surgery is absolutely necessary for Vera.”
“….”
“Wouldn’t it be possible to do this at Mayjo Clinic, which is not a small hospital?”
“What would you do if I told you that bloodless surgery is impossible?”
“There is nothing we can do. All we can do is find another hospital.”
“Do you think other hospitals will readily accept surgeries that are impossible at Meijo?”
When Choi Ki-seok hit the nail on the head, Tina kept her mouth shut.
“Tina. This is Vera’s life-threatening surgery. Please think again…” “
Please do it.”
“yes?”
“Please perform the surgery without blood transfusion. If that doesn’t work, I will go to another hospital.”
“Vera’s condition may worsen as she moves to various hospitals. Are you fully aware of that?”
“But I can’t help it.”
Tina did not back down her opinion even a single step.
With the tension in the air, she handed him the consent form for surgery that was on the table.
“I’ll give this back to you. I hope you can respond by tomorrow.”
“…All right.”
Choi Ki-seok came out of the hospital room and roughly ruffled his hair.
I encountered an unexpected ambush. I never thought Tina would complicate the surgery in this way.
I stood in the hallway, calmed down my emotions, and then went into the medical office.
At the moment, Leon is entering a prescription.
“Leon, are you busy?”
“Wait a minute. All I need is a few prescriptions and a Gamma Knife order.”
“Have you accepted a patient with a brain tumor?”
“bingo.”
Leon chuckled and tapped on the keyboard.
Gamma Knife is a treatment performed on patients with brain tumors or vascular malformations. When you hear the name, it may sound like a surgical treatment, but it is actually radiation therapy.
“What’s going on? Your face is the color of mud.”
“One of my patients is a child suffering from moyamoya disease. But the parents want a blood-free surgery. I don’t know what to do, so I’d like to discuss it.”
“The Moyamoya disease surgery involved no blood transfusion…”
Leon frowned and rubbed his chin with one hand.
“I don’t think this will be easy even for Chief Lucas…”
“I agree.”
“Have you tried to persuade the patient?”
“My ears are completely blocked. They said if they can’t operate at Meijo, they will go to another hospital.”
“Hmm… Is it because of religious beliefs?”
Leon paused before continuing.
“Actually, we have a lot of experience in transfusion-free surgery. But most of that was in adults. At least as far as I know, we have never performed blood-free surgery on children.”
“Then what should I do?”
“Let’s talk to Manager Lucas. He’s probably still in the office. I’m sorry I couldn’t help you, Mr. Choi.”
“No, there’s no need for Leon to feel sorry.”
Choi Ki-seok immediately went to Lucas’ office.
Lucas is sitting on the sofa and talking to Matthew like last time.
“What’s going on?”
“I’d like to discuss the patient I briefed you on during morning rounds.”
As Choi Ki-seok told Vera’s story, the atmosphere in the office became heavy.
“There’s no need to worry about this, is there?”
Matthew shrugged his shoulders and stared at Lucas.
“Send this patient to another hospital. Preferably our hospital’s rival, James Hopkins Hospital.”
“No power. You know who the chief of neurosurgery is at James Hopkins Hospital. One hundred percent of these patients will be rejected.”
“Of course it is. Because I have a reason to refuse.”
“Are you telling me to send it even though I know it will be rejected?”
“Cancer. Of course.”
Matthew nodded vigorously.
“I wonder if there is a need to have surgery to shave off my skin. If the surgery is successful, it is natural, but if it fails, I might be sued. Am I wrong?”
“….”
“Don’t think nonsense and take care of yourself for now. You don’t want to be the Head Chief, do you?”
“That story has nothing to do with this surgery.”
“Why doesn’t it matter? If the patient dies from this surgery, you might be pushed out as Head Chief.”
“My promotion is just my problem. It’s not something to be associated with a patient.”
The two people’s gazes met tightly.
“Yes. Do whatever you want. Because it has nothing to do with me anyway.”
Matthew frowned and leaned back on the sofa.
In the heavy silence, Lucas’ eyes were fixed on Ki-Seok Choi.
“Mr. Choi. “What would you do if you were in my shoes? Is it right to perform bloodless surgery for Moyamoya disease?”
