uses the second (6) [Need to be saved] skill.
All abilities are temporarily increased.]
[The cold and brave effects of Frozen Heart are being applied.]
I used the skill and pictured the surgical procedure in my head.
Ring-shaped surgery is a surgery that removes blood vessels that are curved like a ring and anastomoses or sutures them.
However, the surgical method varies slightly depending on where the blood vessel is banded.
The first area to be operated on is the aortic arch.
Two blood vessels extending from here return to the back of the esophagus and are putting pressure on the esophagus.
“Pinch.”
In response to Kwon Il-su’s cry, a disinfection nurse delivered tools.
Kwon Il-soo gently pulled out the blood vessel from the back of the esophagus with pincers, as if comforting a child.
The treatment was clean even though the heart’s vibrations were transmitted to the hands.
After several attempts, two abnormally formed blood vessels appeared.
The blood vessels formed a complete ring.
“I will use Mosquito (vascular forceps).”
Click!
First assistant Min Byeong-seok grabbed the area above both blood vessels with Mosquito.
Kwon Il-soo nodded and cut the connected part of the blood vessel with a scalpel.
Cheeeeeeeek.
Choi Ki-seok sucked the blood with a suction device. Then, he lifted the forceps with one hand and grabbed Min Byeong-seok and the cut blood vessel.
Kwon Il-soo helps to perform the anastomosis comfortably.
“….”
“….”
Suddenly, my eyes met with Min Byeong-seok.
There was a look of extreme displeasure in his eyes.
“Teacher Min. Don’t forget that I called Kiseok.”
“…All right.”
Min Byeong-seok nodded slightly at Kwon Il-soo’s words.
Surgery again.
Kwon Il-su cut the two blood vessels that had been cut in half again and shortened them. Then he started tying the ends of the two blood vessels.
thud. thud. thud.
Even though the heart was beating, the single anastomosis proceeded smoothly.
‘It’s pretty good.’
A smile appeared on Kwon Il-soo’s lips.
I liked Choi Ki-seok’s assistant.
First of all, the balance between the blood vessels that Min Byeong-seok is holding on to and the blood vessels that he is holding on to is very good.
Even if the size of both blood vessels is matched well, the single anastomosis is more than halfway completed.
That’s not all.
Ki-Seok Choi was cleverly guiding Il-Soo Kwon to achieve uniformity in suturing.
The area to be sutured next was subtly taken with forceps.
What is surprising is that the suture area he thinks matches the area taken by Ki-Seok Choi.
‘This bastard. what?’
Min Byeong-seok glanced at Choi Ki-seok.
At first, I thought Reggie, who was a year apart, was being arrogant.
I don’t know what the Saber team was like, but the Norwood team had a limited area of support based on seniority.
I was planning on watching Choi Ki-seok do it and scolding him if he made a mistake, but I didn’t get the chance.
Assistant to the surgeon and assistant to the first assistant.
Choi Ki-seok faithfully accomplished both.
click!
The suture was cut by Choi Ki-seok’s scissors.
The first vascular ring surgery was completed.
Next, the vascular ring located in the pulmonary artery must be returned to normal.
“It’s real from now on. Everyone, come to your senses.”
“yes!”
The staff responded in unison to Kwon Il-soo’s words.
The blood vessels extending from the pulmonary artery were located between the esophagus and airway.
If you made a mistake, it could have left an aftereffect on your bronchial tubes.
Ki-Seok Choi tensed his spirits and stepped up to assist.
I was always thinking about how the surgical process progressed and what tools I could use to increase efficiency.
In addition, I tried to delve into the minds of the surgeon and first assistant.
This is because we can provide more perfect assistance.
Click!
Min Byeong-seok grabbed the upper part of the pulmonary artery ring with Mosquito.
“Professor. My blood pressure is dropping.”
Kwon Il-soo frowned at Choi Ki-seok’s report.
Since I couldn’t make a decision right away, I watched the patient’s condition further. Unfortunately, my blood pressure continued to drop.
“Professor. If things continue like this…”
“Wouldn’t it be better to use a heart-lung machine?”
Ki-Seok Choi and Byeong-Seok Min said a word each.
“If this patient uses a heart-lung machine, recovery will be slow. Place vasopressors intravenously and complete the surgery as quickly as possible.”
“All right.”
When vasopressors were administered, the patient’s blood pressure gradually rose.
Meanwhile, Kwon Il-soo, Min Byeong-seok and Choi Ki-seok became one and performed the surgery in an instant.
Just as performing a single anastomosis in the aortic arch was a simple exercise.
Click!
Min Byeong-seok released the vascular forceps.
Then, blood flowed to the anastomosis site and the blood vessels twitched.
Blood pressure returned to normal even though no additional vasopressors were administered.
The vascular ring surgery was completed successfully.
“Let’s finish the rest.”
Kwon Il-soo picked up the scalpel and Min Byeong-seok and Choi Ki-seok assisted.
Both tracheal stenosis removal and tracheoplasty procedures were completed successfully.
Jiyiing.
The rosette door opened and the Norwood team staff came out to the operating room at once.
The expressions of all the staff brightened.
This is because of the relief that the surgery that saved the patient was completed successfully.
“Professor. I will go to the outpatient clinic.”
“Yes. You had a hard time.”
Kwon Il-soo sent Min Byeong-seok away first and took a seat in the lounge with Choi Ki-seok.
“Your skills have improved even though we haven’t seen each other?”
Kwon Il-soo chuckled and drank the can of coffee that Choi Ki-seok handed him.
“I don’t know. Maybe it’s an illusion, but I feel like I’ve been standing still lately.”
“Standing in place is also exercise. If you do it, your muscles will develop.”
Kwon Il-soo paused before continuing.
“And as you know, your skills do not increase steadily, but rather increase vertically in an instant. If you practice the same amount as you, that period will be much faster than other people.”
“Thank you for your words.”
Choi Ki-seok’s expression relaxed at Kwon Il-soo’s words.
The words of a pediatric heart surgery expert were full of power. Even though it was a simple consolation, it had the ability to lift people’s spirits.
“What do you think of Team Norwood?”
“It seems like a great team. I felt like the staff was united around the professor.”
“Stop talking nonsense. If that was going to be the case, I wouldn’t have added you to my team.”
“By any chance… did you put me in to evaluate the Norwood team?”
In response to Choi Ki-seok’s question, Kwon Il-soo nodded slightly.
“Before we begin the actual surgery, I want to diagnose the team’s problems. If you were the one who had the surgery with me today, you would be able to tell a proper story.”
“…Can I be honest with you?”
“I wish you would.”
“There are two main things I felt.”
Choi Ki-seok continued calmly.
One of them is that the execution is too focused on Kwon Il-soo. There is no doubt about Kwon Il-soo’s skill, but there were definitely sections where the first assistant could have taken an active role and shortened the time.
Nevertheless, the first assistant played only a simple supporting role.
It is only a first assistant, and there is no significant difference from a second assistant.
One remaining problem is communication.
The Norwood team had very little communication during the surgery.
When Kwon Il-soo gives instructions, other staff members follow suit.
This method has the advantage that treatment can be carried out quickly.
On the other hand, the downside is that the staff’s autonomy and efficiency are low, and if Kwon Il-soo makes a mistake, he cannot control it.
“In the end, it’s all my problem.”
Kwon Il-soo frowned and rubbed his forehead with one hand.
We practiced as a team every other day for about three weeks.
I was so frustrated with the lack of progress, but listening to Choi Ki-seok’s words taught me something.
Even the way he watched himself while the staff practiced asking trivial questions.
Everything was just right.
“I would like to say one last thing. The professor’s abilities are much higher than those of the other staff members. However, I think it is unreasonable to demand the professor’s level from other staff members. I think it would be better to be a little more generous.”
Choi Ki-seok even said something that could be considered somewhat rude.
Kwon Il-soo is not a person so petty that he cannot accept bitter criticism.
If that were the case, we wouldn’t have been able to create a place like today.
“Thank you. It helped me organize my thoughts.”
Kwon Il-soo smiled and nodded.
Tiring!
[The rapport with Kwon Il-soo has risen to level 3 trust.]
A notification flashed through my mind.
“Professor. I have a question. Can I ask you one thing?”
“then.”
“I’m curious about how to practice pediatric heart surgery. I’m doing it with a lamb heart, but I’m not making much progress…” “It’s
private practice…”
Kwon Il-su paused before continuing.
“Visibility is the most important thing in pediatric heart surgery. Children’s blood vessels are smaller and thinner than adults, so if you don’t look at the blood vessels carefully and treat them, you will end up touching an unintended area.”
“….”
“If you practice alone, try increasing the prescription of your optical glasses.”
“Lupe degree?”
“Yes. It may be scary at first because you can only see the surgical area, but once you get used to it, it will be okay.”
“thank you.”
Choi Ki-seok bowed his head.
A ray of hope appeared in the pediatric heart surgery practice that seemed difficult.
After chatting with Kwon Il-soo, I visited the thoracic surgery outpatient clinic on the 3rd floor.
Knock. Knock. Knock.
When I knocked, I heard a voice telling me to come in.
“What are you doing at this hour?”
Hyukpil Jang tilted his head as if he was surprised.
“I have some good news, so I’m here to tell you.”
“Can I look forward to it?”
“Yes. We found a patient with a Saber surgery case.”
At Choi Ki-seok’s words, Jang Hyuk-pil suddenly stood up.
“Are you sure?”
“The patient’s name is Min-kyung Moon, and she suffers from heart failure and left ventricular aneurysm. She is currently hospitalized in the cardiology ward.”
“Do you know the patient number?”
“It’s 11857.”
In response to Choi Ki-seok’s answer, Jang Hyuk-pil hastily tapped on the keyboard.
Jang Hyuk-pil stared intently at the monitor, and Choi Ki-seok waited for his answer.
“It’s perfect for the first case. Well done.”
Jang Hyuk-pil tapped Choi Ki-seok on the shoulder.
The two immediately went to the cardiology ward.
Min-kyung Moon was sitting on the back of the bed watching TV, and her guardian, Cheol-hwan Kim, was reading a magazine.
“Hello. My name is Jang Hyuk-pil, assistant professor of thoracic surgery.”
“hello.”
Min-kyung Moon nodded slightly.
“The doctor in charge just said that. The thoracic surgeon will come to see you in a little while. He appeared like a ghost.”
“Hahaha. I hear that often.”
“By the way, aren’t you the teacher who was on TV? I think I saw you when I came out to the garden this morning.”
Moon Min-kyung busily changed the topic.
“I appeared on it about six months ago.”
“Ah, I get to meet the person I saw on TV in real life. It’s an honor.”
“No, he’s not that great of a person.”
A smile appeared on Hyukpil Jang’s lips as he answered.
It’s a good sign that the patient recognizes you.
With this kind of response, it will be easy to get over it when recommending Saber surgery.
“How are you feeling?”
“It’s not very good. My chest feels tight and it’s difficult to breathe. It’s gotten worse these days.
” “That’s right. There will be some improvement with internal medical treatment, but that’s not the fundamental treatment.”
Jang Hyuk-pil turned the topic to Saber surgery.
What kind of surgery is Saber surgery and what is the general progress after the surgery? He explained it kindly.
The patient and guardian nodded and listened to what he said.
“If it’s okay, I would like to move the patient to the thoracic surgery ward and proceed with the surgery. What do you think?” “
No.”
Min-kyung Moon said exactly. “I’m not going to get surgery.”
Moon
Min-kyung’s bombshell announcement made Jang Hyuk-pil and Choi Ki-seok’s eyes widen.
What is this patient?
