Knot (7)
After finishing their rounds, Kim Han-cheol and Shin Ji-hoon were drinking coffee at the cafe on the first floor.
The topic of discussion for the two was definitely Choi Ki-seok, who took office today.
“I don’t like it. really.”
widely!
Kim Han-cheol nervously put his cup down on the table.
“A guy who was the same age as me became the head of the thoracic surgery department. “How does the world work?”
“Professor, what else can you do if you just have to endure it? He is currently the only triple board thoracic surgeon. Moreover, according to the rumor, the hospital director Jo Ji-hwan pinned that friend?”
“what. Hospital director Jo Ji-hwan?”
Kim Han-cheol’s eyebrows rose to the sky.
“yes. I understand that the hospital director has said that publicly. “I think he’s saying this to tell you not to touch Manager Choi.”
“Why on earth does the hospital director say that he knows the inside of a ten-way street but doesn’t know the inside of a person one way…”
Kim Han-cheol trained under Cho Ji-hwan in the past and greatly admired his political acumen.
Jo Ji-hwan behaved as if he would remove his gallbladder to his superiors, and was as strict as Taesan to his subordinates. He used a knife to pick out who would benefit him.
There was a time when I thought he might be better suited to be a politician than a doctor.
However, Jo Ji-hwan has changed in recent years.
To be precise, after becoming the hospital director, he showed a different side from before. It showed that they cared about patients rather than political relations within the hospital.
If Jo Ji-hwan had not changed his mind, the position of head of thoracic surgery would have been his…
Kim Han-cheol could not shake off the feeling of being exiled.
“I think you should give up on getting promoted at Sewon Hospital. “If Hospital Director Jo Ji-hwan takes care of Manager Choi, we have no chance of winning.”
“You have to guess the long and the short.”
“Is there any way?”
“doesn’t exist. So, I have to start making it now. You also know that falling has no wings. “The higher your reputation, the easier it is to put it down.”
While the conversation was paused for a moment, Shin Ji-hoon started crying.
“professor. “I actually like the professor and follow him a lot, but… is that really necessary?”
“What do you mean?”
“Chief Choi is a good person. He is one of the few doctors who knows how to think about his patients. This means that I am not a friend who should be disparaged just because he is young. “Does it honestly make sense for a triple board thoracic surgeon to provide medical service in South Sudan, a conflict zone?”
“I thought you were on my side, but it seems you weren’t.”
“I don’t mean to take sides…”
“That’s the end of the unpleasant story!”
Kim Han-cheol stood up first.
* * *
A conference room filled with silence.
Choi Ki-seok smiled bitterly as he looked at the residents and interns sitting across from him.
Let alone skill, physical strength was not a thing.
The Chief’s health was the highest at 4, and the rest could not get beyond 2 or 3.
At that level, it’s barely beyond the state of being half-asleep.
It was difficult to handle highly difficult techniques.
Moreover, I was always tired at the Department of Thoracic Surgery at Uijin University, which had 1.5 times more people than here, and I could fully understand how the juniors here felt while working.
“Everyone has a look of fatigue on their faces.”
“Oh no.”
“it’s okay.”
The residents answered quickly.
“You’re the youngest, right? The name?”
“This is Shim Yongjun.”
“Call a Chinese restaurant and order black bean noodles. “Let’s start today by eating a hearty meal.”
“Ah… I understand.”
While Shim Yong-jun was ordering, the residents were still busy keeping an eye on Choi Ki-seok. In addition to his position as a manager, there was anxiety in his eyes that he did not know what kind of person he was.
“It’s been a while since you had Jjajangmyeon, right?”
“Ah yes.”
“It was like that when I was training. One time, I ordered Jjajangmyeon without knowing what was going on and got scolded for it. “If you go into emergency surgery, the noodles will all swell, so it’s taboo to order any type of noodles, right?”
Choi Ki-seok thought about the past and burst into laughter.
“Let’s get to the point now. This is what I felt during my training, but working in thoracic surgery is too harsh. I’m always short on sleep, and there’s no one to come to the emergency room, so I can’t even take care of my sleep properly. “There is no other hell like this.”
“….”
“In that sense, I would like to improve the working environment of you, the mainstay of our ward.”
It is the resident’s responsibility to manage hospitalized patients.
Professors and fellows did not have the time to attend to the wards because they were busy performing outpatient treatment and surgery.
So, if the residents are in poor condition, the level of care for patients in the ward naturally drops.
“Have you thought about your working style?”
“…It’s a bit awkward to say this, but honestly, I don’t think there is an answer.”
Chief Resident Daniel Lee began speaking cautiously.
“To begin with, there aren’t too many people in our department. Other departments sometimes accept ten interns, but we only have one Yongjun right now. “There are no first-year residents, so Hae-cheol, who is in his second year, is having a hard time.”
“….”
“Thank you very much for caring about us, but…”
Daniel Lee lowered his head and trailed off, but it was clear what he wanted to say.
“I guess people are the most important thing. “I wonder
when this damn thoracic surgery clinic will be crowded with people…” Choi Ki-seok clicked his tongue and continued.
“So I was thinking, I’ll be on duty twice a week. “That much will be enough for you guys to take care of your off time.”
“And… the manager is on duty?”
Daniel Lee’s voice rose.
The chief is on night duty on behalf of the residents?
It was a story that went far beyond common sense.
What if the sun rises in the west for several days in a row?
“It’s not possible. “The manager cannot be on duty.”
“The reason is?”
“That…”
He scratched his cheek in embarrassment at Choi Ki-seok’s counter-question.
“Because you are the manager. “I think it’s strange that the director does what residents do.”
“Isn’t the manager a doctor?”
“That’s not true…”
“I am responsible for being on duty on Mondays and Wednesdays. So, make a new work schedule. This is an order. Understand?”
“yes!”
“All right.”
While I was chatting with the residents, Jjajangmyeon arrived.
Ki-Seok Choi looked closely at the residents while eating Jjajangmyeon. At first, I noticed him, but once I picked up one chopstick, the crab emptied the bowl as if it were hiding its eyes.
Growing children were not the only ones allowed to chew and eat rocks.
The same was true for thoracic surgery residents.
As the meal was coming to an end, Daniel Lee started crying.
“It seems like the manager has something special.”
“In some aspects?”
“What can I say? “I feel like he has no sense of authority and is trying to genuinely care for us.”
Daniel Lee spoke carefully.
The hierarchy among doctors is as clear as that of soldiers. Not to mention the number of years of residency, the higher the position is to fellow or professor, the more divine the person becomes.
This is because superiors hold the power over the life and death of subordinates.
Would it be so bad that a senior would even assault a junior?
However, Ki-Seok Choi treated the residents kindly even though he had the title of triple board thoracic surgeon.
It couldn’t have been so unconventional that it could have appeared on a program called this kind of incident.
“A doctor is fundamentally a person who treats patients. “Even though they all have positions, they can all be considered colleagues.”
“….”
“But you shouldn’t try to match me too much.”
The residents burst out laughing at his joke.
“Change in our hospital and our department is only possible if you and I work together. So, let’s all do well together.”
Choi Ki-seok used his skills while offering warm consolation.
[You used encouragement. The emotions of the person receiving encouragement brighten. Immunity, resistance, and stamina regeneration increase slightly.]
Hwii-ing.
As the light emitted from his body enveloped the residents, their expressions brightened.
“Now that I have a full stomach, I go to work.”
“yes. I really enjoyed the meal.”
“Thank you, Manager.”
* * *
That afternoon.
Choi Ki-seok was resting against the backrest in his office.
Since there was no outpatient treatment, there was nothing to do right away. So, I accessed the training room, practiced surgery, and thought about ways to develop thoracic surgery.
“The biggest problem is the lack of personnel. “Is there any way?”
Talk. Talk. Talk.
He frowned and touched the table with the tip of his pen.
Lost in all sorts of thoughts, he soon left his office and headed to the medical office.
“Are you here? Manager.”
Yongjun Shim, a second-year resident, stood up and said hello.
“What are you doing?”
“Entering chart.”
Ki-Seok Choi watched what Yong-Jun Shim did from behind.
The patient suffered from dilated cardiomyopathy and was scheduled for HOPE surgery a few days later.
After performing a live surgery with his teacher Song Myeong-jin, Hof surgery received enthusiastic support from the thoracic surgery community, and now there is no thoracic surgery that does not perform Hoff surgery.
Tiririririn.
Suddenly, the phone rang, and an unusual expression appeared on Sim Yong-jun’s face as he spoke.
“emergency room? what?”
“Well… they say a child who ate nitrogen snacks was just brought in. While I was eating snacks, I swallowed nitrogen, and I guess that nitrogen got stuck in my throat. A person nearby removed the nitrogen using the Heimlich maneuver, but it appears that the damage to the esophagus was severe. “I ’m going down now…”
“I’ll go, so you take care of your business.”
Ki-Seok Choi interrupted Shim Yong-Jun and stood in front of the door.
“Ha but…”
“But what is the but.” Do as you are told. “I take responsibility.”
After leaving the hospital, he quickly went down to the emergency room.
“Where is the patient who said he suffocated on a nitrogen snack?”
“It’s over there. “Please follow me.”
An emergency medicine intern found him and looked surprised.
Who would have imagined that the head of thoracic surgery would come down to the emergency room?
“teacher. “Please save my child.”
As he stood next to the patient’s bed, his guardian grabbed him by his gown.
“Guardians, calm down. “In times like these, we need to be strong-minded.”
Choi Ki-seok stabilized the guardian and used the Eye of Hippocrates on the child.
Physical strength: 3/10
Main symptoms: Fever / Hypovolemic shock
Affected area: Esophagus / Bronchi / Stomach / Mediastinum
Diagnosis: Esophageal perforation / Sepsis / Mediastinitis
Current status: Emergency Progress
: Poor Past history
: None
Family history: Paternal lung cancer Death
Precautions: None.
Esophageal perforation appears to have occurred when a nitrogen snack got stuck in the throat.
In the case of esophageal perforation, if the golden time is exceeded, the mortality rate rises to 50%. Considering the current situation, the patient did not receive treatment in time.
“Chief. The patient’s blood pressure is 90/60 mmHg, pulse is 130, tachycardia, respiratory rate is 15, and body temperature is 37 degrees. “A chest X-ray and esophagography suggest esophageal perforation.”
“It’s not suspicious, it’s an esophageal perforation.”
After hearing the intern’s report, he intubated the patient, placed an oxygen mask on the patient, and continued speaking.
“Get an operating room. right now!”
