Toward the goal (2)
Tread. Trudging.
Choi Ki-seok walked briskly down the hallway.
While on duty today, an unusually large number of emergency patients came to visit. Thanks to this, the patient was able to maintain a high level of physical strength.
“It’s today!”
Choi Ki-seok’s voice was bright.
A small Styrofoam box was placed in front of the hideout.
A lamb heart arrived today. An opportunity came to test the tips I heard from Kwon Il-soo yesterday.
I quickly finished setting up and placed the heart on the table.
The surgery to be practiced today is tetralogy of Fallot.
The level of mastery is already at level 3, but most of it was built with cow heart.
When surgery was performed on a lamb heart, the results were not very good.
[Visibility is most important in pediatric heart surgery. Children’s blood vessels are smaller and thinner than those of adults, so if you don’t look at the blood vessels carefully and treat them, you may end up touching an awkward area.] [If you
practice alone, try increasing the power of your optical glasses.]
I used the dragon’s eye, remembering Kwon Il-su’s advice.
The first step in tetralogy of Fallot surgery is to repair the interventricular septum.
However, today, unlike before, I examined the surgical area in zoom-in mode. When the surgical site was close-up, Choi Ki-seok started shaking without realizing it.
The surgical field of view was different from usual and felt awkward.
It felt like my face was being pressed into the surgical area.
I was scared because I couldn’t see anything except the surgical site.
‘are you okay.’
I consoled myself and tightened the suture needle with the needle holder. Then, a patch was placed on the directly damaged interventricular septum and suturing began with 5-0 prolene.
The suturing speed was slow.
Compared to other times, it is less than half. Even considering that it is a lamb heart, not a cow heart. But the suturing was more precise than ever.
Just like a tailor stitching a handmade suit.
“Whoa…”
Choi Ki-seok took a deep breath after treating the ventricular septal defect.
A faint smile appeared on the corner of his mouth.
This is the first time that a lamb heart has been sutured so neatly.
I proceeded to the next treatment with confidence.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
The thickened right ventricle was cut with a scalpel and the outflow tract of the stenotic pulmonary valve was opened.
The smell of blood filled the hideout.
The sound of surgical instruments rattling, etc.
Choi Ki-seok forgot all the senses around him and concentrated solely on performing the tetralogy of limb surgery.
How much time has passed?
On the table was placed a lamb heart that had come into its own.
Tiring!
[You have obtained the new Mastery Standard of Pediatric Heart Surgery.]
[The Standard of Pediatric Heart Surgery (1/1)]
[This value applies to all surgeries related to pediatric heart surgery. The skill level for all pediatric heart surgeries increases by 1 level.]
The notification sound rang loudly.
Choi Ki-seok raised one hand without saying a word.
Kwon Il-soo’s advice was correct.
Adjusting the surgical field of view more precisely is the point of pediatric heart surgery.
It is clear that if you get used to the sight, your speed will increase.
A ray of light appeared in the area of pediatric heart surgery where I thought I had hit a wall.
Choi Ki-seok cleaned up the hideout and visited the ward.
“hello.”
Ye-rim Lee greeted me warmly first.
“Yes, hello. Are you tired from staying up all night?”
“Can it be as difficult as Teacher Choi? It’s already been 60 days since I was on duty for 100 days.”
“It’s okay because I’m a first-year resident.”
“Super resident?”
When Lee Ye-rim asked back, Choi Ki-seok thought it was a mistake.
Super Resident is a nickname given to Kang Hana when she was a ward nurse.
Lee Ye-rim had no way of knowing.
“Hmm… a nurse I used to have called me a resident who went beyond a resident. That’s how I got the nickname.”
“I’m a resident who goes beyond a residency… I think I know what it feels like.”
Lee Ye-rim covered her mouth and laughed.
After Han Min-woo left for the branch, Lee Ye-rim regained her smile.
Also, according to what I heard a few days ago, they are planning to sue Han Min-woo in about a week.
Choi Ki-seok chatted with Lee Ye-rim and then headed to the conference room.
Meanwhile, I found Lee Young-ho being treated in the hospital room. Youngho Lee is intubating a nasogastric tube on a male patient in his 50s.
Choi Ki-seok secretly watched Lee Young-ho’s treatment.
It is Lee Young-ho who created a code blue in the past due to excessive nasogastric tube intubation.
“Inhale slowly. Swallow.”
Youngho Lee inserted a tube filled with gel into the patient’s nostril. Then, a little air was injected into the tube with a syringe and lung sounds were listened to with a stethoscope.
Even the follow-up treatment was clean.
The worries were unfounded.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
“Senior. Were you watching?”
“You don’t make mistakes anymore?”
“I told you. Now, inserting a nasogastric tube is just like gum.”
Youngho Lee proudly straightened his shoulders.
“Clean up and come to the conference room.”
“yes.”
After a while, the two people sat on the conference room chairs and faced each other.
“Finally, our Youngho has come to Pixton. I think he has won a thousand soldiers and ten thousand horses, right?”
Choi Ki-seok spoke half jokingly and half seriously.
In fact, most procedures other than surgery are the responsibility of interns. If interns do not work properly, there will be a major disruption in the management of hospitalized patients. A disease that was not present in the patient may develop.
In that sense, I couldn’t help but be pleased with the talented Lee Young-ho’s fixton.
“Hehe. I don’t think it’s that bad.”
“You are capable enough. You will grow further in the future.”
Choi Ki-seok took a pause and then continued.
“Since you kept your promise, now I have to keep my promise.”
“Then…”
“What I’m saying is that I will help you grow up well.”
Choi Ki-seok took out the stuffed toy and Ssamzie and placed them on the table. Then, various suturing techniques were performed on the plush doll using the surgical tools inside the bag.
Geek.
click!
‘oh my god. After all, he’s a senior.’
Lee Young-ho couldn’t take his eyes off Choi Ki-seok’s hand.
In addition, the desire to have the same skills as him arose.
“Here. Take it.”
Choi Ki-seok handed the sutured doll to Lee Young-ho.
“Just like I did, you should practice suturing with a doll every day. I learned it from teacher Kim Tae-sik, who came as a full-time instructor, and it was very helpful.”
“….”
“One more thing. I will send you two thoracic surgery papers by e-mail every day, so read them all and submit your thoughts.”
“Seo… senior. Isn’t it too tough?”
“If you want to be better than others, you have to practice more than others.”
“…yes.”
Choi Ki-seok chuckled, looking at the sullen Lee Young-ho.
His appearance overlapped with his past self. He, too, was fed up with the amount of assignments Song Myeong-jin gave him. But I believed that Lee Young-ho would be able to overcome it.
Since he has the secret skill of growth, which is a priest buff, once his skills reach a certain level, work will become easier.
Ki-seok Choi finished talking with Young-ho Lee and went to work.
After arranging the surgery schedule, briefing on inpatients and surgical patients, and confirming the case presentation materials, the time for the meeting arrived.
Talk. Talk. Talk.
After the meeting ended without incident, Jo Ji-hwan tapped the table with his index finger.
At that moment, tension appeared on the staff members’ faces.
“Today is a historic day for our thoracic surgery department. You probably know that the vice director of Changjin University Hospital in China recently observed the surgery, right?”
“….”
“They sent a letter yesterday. They said they would like to cooperate with our thoracic surgery department. They said they would come by plane tomorrow, so I plan to proceed with the contract right away.”
“Congratulations.”
As Hyukpil Jang clapped with a smile, other staff members also clapped.
“The members of the Saber team especially worked hard. If we cooperate with Changjin University, we will receive quite a lot of VIP patients from China in the future. This is an opportunity to get ahead of the thoracic surgery departments of other universities, so let’s all work diligently to sharpen our skills.”
“yes!”
“Also, the two of you…”
Jo Ji-hwan looked at Jang Hyuk-pil and Kwon Il-soo alternately.
“Please speed up the preparations for the heart clinic. It looks like the remodeling will be completed sooner than expected.”
“All right.”
The meeting ended with the two professors’ answers.
The meeting and rounds passed without incident.
Since he had some free time in his morning schedule, Choi Ki-seok immediately went to the cardiology ward.
“hello.”
I entered the hospital room and spoke to the patient lying on the bed.
The other person is Moon Min-kyung, a Saber surgery patient.
“yes.”
Moon Min-kyung answered with a sullen expression.
“I guess the guardian was away for a moment?”
“I went outside to smoke a cigarette. By the way, what are you doing today?”
“I want to talk to the patient.”
“I don’t really have anything to say…”
Moon Min-kyung said without making eye contact.
Judging by his attitude, it seems like he thought he was here to recommend surgery again.
“I looked into killaren treatment. It doesn’t seem like it’s that bad.”
“Do you really think so?”
“Yes. It’s a treatment that combines meditation with diet. I don’t think it will cause any harm to the patient.”
“That’s surprising.”
Moon Min-kyung looked at Choi Ki-seok and continued speaking.
“I thought you would laugh at me for saying it was a folk remedy.”
“Not all folk remedies are bad. When I was young, whenever I was bitten by a bee, I would apply something like soybean paste.”
Ki-Seok Choi smiled and looked at Min-Kyung Moon’s reaction.
The game starts now.
Now that you have created a comfortable atmosphere for conversation, the key is how you will tell the story going forward.
“If you don’t mind, there’s something I’d like to ask you.”
“Please speak.”
“During our conversation yesterday, I heard that someone passed away from heart surgery. Can I hear more about him?”
“Literally. I had a close friend from the neighborhood who died during heart surgery.”
“Do you know what illness he suffered from?”
“Perhaps… acute aortic dissection? I believe it was something like that.”
“Well… if it was an acute aortic dissection, he would have collapsed suddenly. Moreover, if there had been a delay in arriving at the hospital…”
Choi Ki-seok trailed off before continuing.
“Surgery is a very delicate thing. If you miss an important period, it often loses its meaning.”
“So you’re telling me to get Saber surgery?”
“That’s not true.”
Moon Min-kyung tilted her head in response to Choi Ki-seok’s answer.
This is an unexpected answer.
“Why?”
“Doctors can recommend surgery, but they cannot force surgery. Among the rules of medical ethics, there is a principle of respect for the patient’s autonomy. Even if it is not an ethical issue, I do not want to force a patient to perform a surgery that he or she does not want.”
“I can communicate with you, teacher.”
A smile appeared on Moon Min-kyung’s lips.
“By the way, the Killaren treatment.”
Choi Ki-seok changed the topic.
“You got the information from an Internet site, right?”
“Yes. That was the only time I got information. Oh, there is another article in the magazine.”
“I’m not opposed to Killaren treatment, but if you’re really thinking about it, I think you should think about it a little more.”
“….”
“Because it’s not good to judge based on only biased information. When I went to the site, there were only treatment success stories and no failure cases.”
“That… that’s right.”
“I can understand. You were afraid of surgery because of an acquaintance, and that’s why you thought about Killaren treatment.” ”
….”
“Actually, there are several methods a patient can choose from. If you have tried Killaren treatment and there is no effect, you can then undergo surgery. You can also undergo surgery first and then receive kylaren treatment. You can choose not to have surgery at all.”
“… Yes.”
“The important thing is that the patient ultimately makes his own choice.”
Choi Ki-seok gave strength to his last words.
Forcibly recommending surgery to a patient will only lead to a reaction. .
In that case, it is right to give them a variety of options and let them choose for themselves.
However, while subtly appealing that surgery is necessary.
“As a doctor, I am just informing you that now is a good time for surgery. The final choice will be left to the patient. That’s enough.”
Choi Ki-seok finished what he had to say and left the hospital room.
That’s the end of today’s work.
“Choi Ki-seok!”
I turned around when someone shouted.
It’s Noh Ki-hyung, the head of the plastic surgery department who hosted the suturing competition during my intern days.
“Hello, chief . .”
“Are you busy?”
“Not right now… but I’ll be scrubbing in an hour.”
“Follow me first.”
No Ki-hyung grabbed Choi Ki-seok’s gown and started walking. He then called someone on the call phone.
[Let’s borrow Kiseok for a moment. It’s because I don’t have any kids I can use right now.]
Nogi-hyung poured out his words at a rapid pace.
Eventually, when the call ended, his steps became even faster.
“I wonder what’s going on….”
“Haa… No time to explain… Sigh… Just… wow.”
The two ran down the hallway and entered the operating room.
After finishing scrubbing and entering the rosette, there was a patient lying on the operating table.
‘This is crazy.’
Ki-seok Choi looked at the man lying on the operating table and bit his lip.
The patient’s finger was cut off.
