Toward Meijo (3)
Choi Ki-seok just nodded without answering.
As I faced Jo Tae-ho, past bad memories ran through my head.
Among them, the most infuriating thing is that Nam Kang-jun was used to induce intramuscular injection into intravenous injection. If the injection had not been carefully observed, a terrible accident would have occurred to the child.
“Are you mute? Why don’t you speak?”
“I don’t want to talk to you.”
“Bland bastard.”
Jo Tae-ho smiled and continued.
“Have you seen the patient being treated collaboratively?”
“I listened to heart and lung sounds, took an electrocardiogram, and checked the results. There were no special problems.”
“Then what is the reason for the chest pain?”
“For now, it can only be seen as a psychological factor. Getting burns on your face is shocking. Try seeing a psychiatrist.”
“Hmm… I don’t know if I can trust what first-year Reggie says.”
“You, who say such things, are in your first year as a doctor. And have you seen the patient properly?”
“what?”
Jo Tae-ho frowned at Choi Ki-seok’s point.
“There was no need to consult a thoracic surgeon for this patient. Just by asking the patient why his chest hurt and how he was feeling these days, it was enough to know that it was a psychological problem.”
“….”
“Honestly, you are not qualified to be a doctor. A person like you has no interest in patients and only thinks about his own greed.”
“Kid. You speak well.”
The gazes of the two people collided tightly.
Some patients passing by in the hallway even walked to avoid the two people.
“You idiot, I don’t know, but in the end, the people who succeed are people like me. People who were born with a silver spoon and only walk the flowery path.”
“I guess that’s not necessarily true?”
Choi Ki-seok continued speaking calmly.
“You will definitely taste bitterness. Anyone can tell by your way of thinking and the things you have done.”
“To my ears, it sounds like the scolding of a have-nots?”
“Of course. Because your ears are sick.”
“This bastard. Really!”
Jo Tae-ho approached him and grabbed him by the collar. However, Choi Ki-seok used Tyrant’s Descent and easily defeated Cho Tae-ho’s hand.
widely!
“Lee Iik…”
Jo Tae-ho rolled his eyes, clutching the hand that had been hit.
“It is a big mistake to think that you can stay in our hospital for the rest of your life.”
“We’ll have to wait and see.”
Choi Ki-seok left the plastic surgery ward with a portable EKG in tow.
He regards his meeting with Jo Tae-ho as a misfortune.
* * *
That afternoon.
The Saber team gathered in the operating room for a long time.
Today is the heart surgery day for VIP patient Zhang Wangyu from China.
“I will give you a brief briefing before going into surgery.”
Hyukpil Jang continued speaking slowly.
The disease that Jang Wang-yu suffers from is heart tumor.
The tumor is benign as it is a primary tumor that has not metastasized to other organs. The tumor was located in the left ventricle and was affecting the mitral valve and pulmonary interventricular septum.
“Compared to Saber surgery, the level of difficulty is lower, but don’t relax. If there is a problem with this patient, the director will go crazy.”
“yes!”
“Then let’s go in.”
The team members joined hands to fight and scrub.
Gourd. Gourd. Gourd. Gourd.
Ki-seok Choi pushed hard on his arm with the povidone-covered brush.
I liked this moment better than the two days I rested at home.
The tension that makes the hair on your arms stand up, the desire to make the patient healthy, the bond between team members, etc.
It reminded me of the various emotions and thoughts that come with living as a doctor.
‘let’s go.’
Choi Ki-seok used his active skill and entered the operating room.
[Use the Must Save skill. When treating an emergency patient, all abilities temporarily increase.]
[The cold effect and bravery effect of Frozen Heart are in effect.]
[You used the Dragon’s Eye. It provides an optimal surgical field of view, and zoom-in and zoom-out modes can be used selectively.]
[Video mode begins filming.]
The staff’s movements continue in order.
“There were no vital issues and the patient was anesthetized normally.”
“great.”
In response to Shin Areum’s report, Hyukpil Jang drew a circle with his thumb and index finger.
“We will now begin surgery to remove the heart tumor. Scalpel.”
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
The white blade cut the patient’s skin.
“I’ll make an incision in your sternum.”
Choi Ki-seok took a chainsaw and cut the sternum in half. Then, Lee Young-ho and both ends of the retractor were pulled to open the surgical site.
“Inject cardiac arrest fluid.”
Meanwhile, Taesik Kim, the first assistant, connected the arterial cannula and the venous cannula and looked behind the curtain.
“Yes. I’m going in now.”
Anesthetist Shin Ah-reum answered sonorously.
As the cardioplegia was administered, my heart, which had been beating vigorously, stopped as if it were a lie.
“Okay then. Shall we get started? Scalpel.”
Hyukpil Jang held a scalpel in his hand and cut the left atrium in half.
The tumor was attached to the end of the left atrium and was so large that it protruded outside the heart.
The areas affected by the tumor are the mitral valve between the left atrium and left ventricle and the pulmonary vein just above the left atrium.
Dark red blood clots were clustered around the tumor.
“It’s more serious than I thought?”
Taesik Kim finished suctioning and frowned.
“Isn’t this a foul? Is the condition several times worse than what was confirmed by the inspection?”
“Agree. Catheter.”
Jang Hyuk-pil placed a catheter with a special device on the area where the blood clot occurred.
Weeeeeee. Weeeeeee.
The machine attached to the front of the catheter rotated with a mechanical sound.
At the same time, the hard clots were broken into small pieces and Kim Tae-sik suctioned them with a suction device.
After about 15 minutes of work, all the blood clots in the left atrium disappeared.
“Meth.”
Jang Hyuk-pil began full-scale tumor resection.
He removed only the tumor without disturbing the heart as much as possible. As it was a delicate task, the entire staff held their breath to help him.
Shake!
The cut tumor tissue fell on the bench.
As the work continued, cold sweat increased on Jang Hyuk-pil’s face.
It eventually got to the point where Kang Hana had to wipe away the sweat.
‘Is there nothing we can do about it?’
Choi Ki-seok swallowed his sorrow as he watched Jang Hyuk-pil struggling.
He was working as an outpatient at a cardiology clinic and was even forming a saber team.
The resulting physical and mental fatigue is beyond imagination.
As a result of examining the condition with the eyes of Hippocrates, Jang Hyuk-pil’s physical strength was 2 and the diagnosis was overwork.
“Whew… I think I’ve finished 60% of the way through this?”
Jang Hyuk-pil let out a heavy breath.
All tumors in the heart were removed.
From now on, the atrial septum and mitral valve affected by the heart tumor must be reconstructed.
“Professor. I have something to tell you.”
Choi Ki-seok’s words caught the attention of the team members.
“what?”
“It looks like the tumor has infiltrated the diaphragm. I think this area will need to be removed as well.”
“Can’t you see?”
Kim Tae-sik adjusted the lupe, touched it, and examined the diaphragm. Nevertheless, the area of infiltration mentioned by Ki-Seok Choi was not visible.
Hyukpil Jang also could not find the site of infiltration.
“Then let me give it a try…”
Choi Ki-seok held the forceps in his hand and slightly flipped the edge of the diaphragm.
Then, several tumors the size of millet appeared.
For a moment, there was a heavy silence in the operating room.
If Choi Ki-seok had not discovered the infiltrated area, something terrible would have happened.
“Are you clairvoyant?”
“No. I didn’t have much to help you with today, so I looked closely at the surgical site and luckily I got caught.”
“Anyway, good job. Keep holding on.”
Hyukpil Jang removed the newly discovered tumor and completed the procedure with a simple interrupted suture.
Beep. Beep.
Suddenly the phone rang.
While Choi Ki-seok opened both sides of the retractor, Lee Young-ho ran and answered the phone.
“Professor. An emergency patient has arrived in the emergency room. A ruptured abdominal aorta is suspected…”
“Rupture of the abdominal aorta?”
Hyukpil Jang’s face crumpled.
Abdominal aortic rupture is an emergency of emergencies.
If surgery is not performed immediately, the patient will die.
“I called the thoracic surgery department in the emergency room, but I was told that there was no surgeon currently available for surgery. So I had no choice but to call Rosette.”
Youngho Lee added additional explanation.
“Professor. Then I’ll go down to the emergency room.”
“Taesik is that you?”
“There is no other way now. And if it is Ki-seok….”
Kim Tae-sik continued, staring at Choi Ki-seok.
“I will be able to sufficiently assist the professor.”
“Okay. Taesik goes down to the emergency room and Kiseok goes first. Youngho calls the ward and asks for just one intern to come down.”
Jang Hyuk-pil quickly started to control traffic.
Soon, Hwang Ji-young, who had been working in the ward, came into Rosette. The surgery resumed with two interns pulling the retractor.
‘Whoa…’
Choi Ki-seok took a deep breath and stood where Kim Tae-seok was standing.
Jang Hyuk-pil was standing across from him, and when he lowered his gaze a little, he could see the patient’s surgical site straight ahead.
This is the first assistant’s perspective.
“There is no need to be nervous. The remaining treatment is not that difficult. First, we will deal with the atrial septal defect, and then the mitral valve reconstruction.”
“yes!”
“5-0 prolene. Patch.”
Hyukpil Jang applied a patch to the damaged atrial septum and began suturing it.
Choi Gi-seok firmly held the atrial septum with forceps, and sometimes helped Hyuk-pil Jang with suture (passing a suture needle through the tissue to leave a suture).
The length and timing of cutting the sutures are also perfect.
Even compared to Kim Tae-sik, he was not inferior at all.
“Professor. Are you okay?”
Kang Hana looked worried.
“It looks like you’re not in very good shape.”
“Among the thoracic surgery staff, is there anyone who doesn’t have a hard time?”
“That’s true, but… you seem to have been especially harsh today…”
Kang Hana trailed off.
I have been watching Jang Hyuk-pil for a long time, but this is the first time that the stitching has been as slow as today. Even the needles are having a hard time, and the hands that tie the knots often go astray.
It was a shame that Choi Ki-seok helped so meticulously, otherwise the surgery would have taken even longer.
“Thank you for your concern. But it’s okay because the surgery is almost over.”
Jang Hyuk-pil smiled weakly.
After a while, the atrial septal defect treatment was completed.
“Now all that’s left is the mitral valve? If it’s in this condition… I guess I’ll have to do replacement surgery, right? Scalpel.”
Jang Hyuk-pil was handed over to Kang Ha-na.
“Professor. Can’t we do plastic surgery instead of replacement surgery?”
“Plastic surgery on this patient? That’s impossible. The valve leaflets and valve annulus are messed up, so it’s better to put an artificial valve on.”
Hyukpil Jang shook his head.
He also prefers plastic surgery over replacement surgery, but there are cases, like now, where it is unavoidable.
“The condition of the valve annulus and leaflets is poor, but the papillary muscles and cord tendon are surprisingly intact. I think I can do it with the professor’s skill and my assistance.”
Choi Ki-seok confidently expressed his opinion.
The moment I saw the surgical site, I felt it right away.
He said that other people would definitely choose replacement surgery, and that he had succeeded in plastic surgery. I could do it.
Confidence that I felt for the first time enveloped my whole body.
“Anyway, stubbornness should be recognized. Got it. I’ll try plastic surgery first, but if it fails, it’s replacement surgery.”
“Thank you.”
“5-0 prolene.” It’s a snap.
The sound of the needle
holder tightening spreads through the rosette.
