What to do (1)
Pediatric thoracic surgery outpatient clinic.
Kwon Il-soo looked at the wall clock.
The current time is 5:40 PM and it is time to finish the outpatient visit.
“Phew…”
I sighed and drank my coffee.
I only saw the afternoon treatment today and there weren’t that many patients. Nevertheless, my body felt heavy, as if it were made of lead.
It’s probably an aftereffect of observing Saber’s surgery in the morning.
“Is heaven helping?”
Kwon Il-soo muttered, thinking of Jang Hyuk-pil.
Jang Hyuk-pil’s saber team overcame the crisis of a power outage and performed a successful surgery. Not only was the way they responded to the power outage outstanding, but they also demonstrated excellent teamwork.
[Professor Kwon. I need to be nervous.]
Jo Ji-hwan’s words after the surgery were clear to my ears.
What if the Norwood team fails to operate on the case?
The balance between both teams will be lost in an instant, and the Norwood team will be left out in the cold.
Kwon Il-su rubbed his chin and was lost in thought.
Is there a shortcut to get ahead of the Saber team?
Knock. Knock. Knock.
A knock was heard and the patient and guardian came inside.
The patient’s name is Na Jae-hyun, he is 1 year old, and this is his first time attending a pediatric thoracic surgery outpatient clinic.
“hello teacher.”
“Yes, hello. Please sit over here.”
At Kwon Il-soo’s gesture, guardian Jang So-ra sat across from him with the patient in his arms.
“What brings you here?”
“Well… I think the child needs surgery.”
“Surgery?”
Kwon Il-soo frowned and asked back.
Sometimes, among the guardians, there are people who volunteer to become doctors.
They often explain diseases and even prescribe prescriptions as if they were doctors.
In short, he is the tired type.
“Well… Actually, my child suffers from hypoplastic left heart syndrome. He was originally receiving treatment at the cardiology department at Jinseong University Hospital, but they said surgery was not possible there.”
Jang So-ra’s voice trembled slightly.
“I was embarrassed and asked, and he said there was no doctor who could perform the surgery. Then, he recommended Professor Kwon of Uijin University Hospital.”
“I see.”
Kwon Il-soo nodded slightly.
Although Jinseong University is one of the Big 5 hospitals, it is not strong in pediatric thoracic surgery. Moreover, if Norwood is the only way to treat a patient, you have no choice but to be even more cautious.
“You must have been through a lot of hardship.”
“…yes.”
Jang So-ra bit her lip tightly as Kwon Il-soo comforted her.
It’s like he’s barely able to hold back his rising emotions.
“Then let’s see the doctor.”
Kwon Il-soo listened to the child’s heart and lung sounds with a stethoscope.
In the case of heart sounds, abnormal third and fourth heart sounds were heard strongly. In the case of lung sounds, various tones that can be heard in patients with congestive heart failure were heard.
Next, a medical examination was conducted and examinations registered in the Department of Radiology were examined.
The patient clearly had hypoplastic left heart syndrome.
It is also more severe than a typical case.
“Doctor. Can my child have surgery?”
“Of course it is possible. And there are two surgeries that guardians can choose from. One is pediatric heart transplant surgery and the other is Norwood surgery.”
“Please explain in detail!”
Jang So-ra’s voice rose slightly.
Kwon Il-soo continued.
The advantage of heart transplant surgery is that it provides a fundamental treatment for the disease. However, the disadvantages are the burdensome surgical cost, long waiting period, and various indications that occur after surgery.
On the other hand, Norwood surgery can be performed without a waiting period, but has the disadvantage of having a high mortality rate.
“I recommend Norwood surgery.”
“….”
“Jaehyun is in no condition to receive medical treatment and wait for a heart transplant. It is better to have surgery as soon as possible.”
“is that so?”
Jang So-ra looked down at Na Jae-hyeon with a worried expression.
Na Jae-hyeon continued to wave his hand in the air, whether he knew what she was thinking or not.
“Anyway, is surgery possible?”
“Yes. There is no need to wander around looking for a hospital anymore. All that is needed now is the judgment of the guardian.”
“I understand. I will discuss it with my husband and come back to you.”
Jang Jang-ra said hello and left the hospital room.
‘at las!’
A smile appeared on Kwon Il-soo’s lips.
Finally, we found a case patient for Norwood Surgery.
If the surgery is successful, the interest in the Saber team can be regained at once.
In the first place, the difficulty level of the two surgeries differs by more than two times.
It is natural that a lot of attention is paid to difficult surgeries.
Kwon Il-soo drank the remaining coffee and got up. But then there was a knock on the door and a familiar voice.
“Can I come in?”
“Come on in.”
An unexpected person visited the clinic.
This is Seo Ji-hoon, who recently returned from military service.
“What’s going on?”
“I’m sorry for coming to see you at the end of the treatment. I had something I really wanted to tell you, so I came despite my shame.”
“Sit down first.”
Kwon Il-soo sat down again and stared at Seo Ji-hoon.
The evaluation of Seo Ji-hoon was generally generous. In the past, when I heard people called me geniuses, I heard that they worked as interns and that even after choosing thoracic surgery, their surgical skills and skills were outstanding.
In particular, Park Yong-il, a full-time pulmonary doctor, liked Seo Ji-hoon.
“You seem to be busy, so I’ll tell you straight.”
Seo Ji-hoon paused before continuing.
“I hope you’ll accept me on the Norwood team.”
Kwon Il-soo clicked his tongue in response to Seo Ji-hoon’s confident request.
Have you ever seen such an absurd guy?
* * *
Choi Ki-seok left the food alley and headed to the hospital.
The whole time I was asking
‘Why?’
The question never left me.
The reason why his teacher Song Myeong-jin found him by delaying his flight.
I was very curious about that.
Ki-Seok Choi opened the status window while walking.
The first thing that caught my eye was the newly acquired stat, team ability.
[Affiliation: Team Saber]
[Team Level: 1.5/5]
[Cohesion: 3/5]
[Skill Level 2/5]
Team abilities were located under the affiliated team and the explanation was simple.
Looking at these numbers, you can see that the Saber team still has a long way to go. If an unexpected situation occurs during surgery and the patient’s condition is poor, the success rate of the surgery can be considered low.
The next thing we looked at was the dragon’s eye, which had risen to level 3.
Now the dragon’s eyes have a special effect, Mula Ilgi.
[Multiple Oneness: Temporarily absorbs the abilities of the surgeon or other staff. It activates with a 30% chance when you focus on a surgery video saved with Dragon’s Eye.] ‘
Ah…’
The reason why I was able to provide assistance at the level of Jang Hyuk-pil during the day.
This is because the unity of all things was activated by chance.
If you utilize everything in the future, you will be able to perform well.
“Professor. Are you getting off work?”
While looking at the status window, I said hello to Park Yong-il, whom I met at the front gate.
“It’s been a while since I went in early. By the way, I heard that Saber’s surgery was successful. Even though there was a power outage, it was completed safely?”
“Yes. The staff worked hard.”
“It’s a great team. It would be nice if we could have a trustworthy team member in the lung esophagus field…”
“Wouldn’t that happen soon?”
“Well, considering Manager Cho’s personality…”
Park Yong-il trailed off.
There was silence for a moment, but Choi Ki-seok spoke first.
“The uterine cell patient’s surgery was today, right?”
“I remember it well. I entered Rosette around the time Saber’s surgery was over.”
Park Yong-il briefly told Choi Ki-seok the surgical process.
Originally, Ki-Seok Choi hoped to become a surgical assistant for this patient.
This is because it is a very rare case and he was the first to receive treatment in person.
However, the schedule overlapped with Saber’s surgery, so it was canceled.
“This should be enough of an explanation. If there’s anything missing, check the surgery report.”
“thank you.”
“And I have written a paper on this patient. It will probably be published in the Journal of the Thoracic Surgery Association at the end of next year. I added your name as a co-researcher, so don’t feel bad about it.”
“Yes. Thank you for your hard work.”
After parting ways with Park Yong-il, I quickly headed to the hideout.
When we arrived at the hideout, Song Myeong-jin was looking around inside.
“Professor. I’m sorry. I ran into Professor Park on the way…”
“Don’t worry about it. I deliberately delayed my flight long enough. By the way, I guess you’re bringing a woman to the hideout?”
I was caught off guard by Song Myeong-jin’s question.
“I’m sorry. After the professor left, I started dating my classmate. I didn’t mean to because there was no space for the two of us to be together…” “There’s no need to make excuses. I didn’t mean it in a
bad way.”
Song Myeong-jin approached and lightly tapped Choi Ki-seok on the shoulder.
“Now that I see that Mr. Choi is also a man?”
“Ah. Yes. I have everything to run too.”
Song Myeong-jin held his stomach and laughed at Choi Ki-seok’s joke.
“What is your girlfriend doing?”
“I specialize in circulatory medicine. When I told him I was going to thoracic surgery, he said he would like to take on my patients in internal medicine.”
“You have a good lover.”
“Yes. But I wonder why you came looking for me.”
“It’s not that big of a deal. I was curious after seeing Mr. Choi assisting today.”
Song Myeong-jin’s eyes became sharp.
“I want you to tell me honestly. How far can you go to Mr. Choi’s house?”
Song Myung-jin got to the point.
I met with Choi Ki-seok yesterday and talked about various things. However, when asked about his skills, he declined to comment in detail, saying he still has a long way to go.
“I can say this from my own mouth, but if you are at my level, you can guess the skill of the surgeon just by looking at his assisting skills. From what I see, Dr. Choi seems to be capable of performing most surgeries. Isn’t that right?”
“Compared to Professor Song, I am still new.”
“Of course. Of course, it would be difficult to compare it to myself.”
Song Myeong-jin joked and urged the answer.
After much thought, Choi Ki-seok opened a status window. We also looked at the surgical mastery and listed surgeries that can be performed at home.
Song Myeong-jin groaned and nodded throughout the story.
“Okay, then let me see it with my own eyes.”
“If you want to see it in person…”
“I stopped by the butcher shop earlier and picked up a beef heart. Let’s do the surgery I’m most confident in.”
Song Myeong-jin took out the Styrofoam box hidden in the corner.
It’s that moment.
Tiring!
[The sudden mission ‘Test of the Teacher’ has been created. A special reward will be given upon completing the mission.]
The moment I checked the notification, I came to my senses.
“Can you do it?”
“yes!”
Choi Ki-seok answered bravely.
The reason why I didn’t meet Song Myeong-jin and tell him about my skills.
That’s because I didn’t want to wrinkle in front of the pupa. If the situation was like this, there was no reason to refuse.
I laid out a surgical cloth on the table and laid out the necessary tools.
It only took one minute to prepare.
“What surgery do you want to show me?”
“It’s aortic dissection surgery.”
“It looks like you haven’t forgotten what happened that day.”
“yes.”
In the past, Ki-Seok Choi and Myung-Jin Song underwent aortic dissection surgery together. The surgery went smoothly, but the patient’s condition worsened and he died after arriving at the hospital late.
Choi Ki-seok chose aortic dissection surgery to erase some of the pain from that time.
Even though the surgery I am most confident in is CABG.
“If you’re ready, let’s begin.”
“All right.”
I took a deep breath and held the vascular forceps in my hand.
The hand holding the forceps trembled slightly as I performed my first stroke in front of my teacher. But thanks to my frozen heart, the tremors soon subsided.
There are many skills that help him, but the most useful ones are the Eye of Hippocrates and the Frozen Heart.
“Isn’t it burdensome?”
Song Myeong-jin stared at Choi Ki-seok.
“There must be a sense of burden. With one cut of the surgeon or one needle, the patient and guardian go back and forth between heaven and hell.”
Choi Ki-seok actually smiled at Song Myeong-jin’s words.
This is truly a teaching worthy of a teacher.
“Now let’s get started.”
Ki-Seok Choi clamped the ascending aorta of the bovine heart with vascular forceps.
Click!
The sound of forceps spread cheerfully.
