Towards Meijo (4)
Jang Hyuk-pil performed annuloplasty.
In order for a heart valve to move normally, the valve annulus and valve leaflets must do their job. If we compare it to a door, the valve ring can be seen as the door frame and the valve leaf can be seen as the door itself.
Fuuuuuk.
The needle pierced the valve annulus.
A needle that shakes momentarily. Ki-Seok Choi used forceps to help the needle pass through the valve annulus.
‘Was it too much to ask?’
Choi Ki-seok’s eyebrows twitched.
Jang Hyuk-pil’s condition was getting worse.
I thought my physical strength would be enough to sustain me until mitral valve reconstruction, but that seemed to be a miscalculation.
[Good job. Thank you.]
I suddenly got that feeling from the gaze of Jang Hyuk-pil, whom I met.
“Let’s keep going.”
Jang Hyuk-pil incised the valve ring and sewed up the weak, sagging part. The pace was unusually slow, but none of the staff complained.
“Professor. The surgery took longer than expected. I think it should be completed within at least 30 minutes to avoid any side effects.”
Anesthetist Shin Areum said something.
The longer a heart-lung machine is used, the more burden it places on the patient.
Inflammation can occur throughout the body, and heart and lung function decline. Therefore, when using a heart-lung machine, the faster the surgery time, the better.
“30 minutes is too short?”
Hyukpil Jang smiled bitterly and started suturing.
click!
The annuloplasty was completed with Choi Ki-seok placing sutures.
Now all that remains is valve leaflet surgery and restoration of the papillary muscle and cord tendon.
Compared to the time remaining, there is a long way to go.
“How does it look like the valve annulus was done, but the rest can be done with plastic surgery?”
“Yes, you can.”
“Then, shall we take a look at Kiseok’s skills after a long time?”
Jang Hyuk-pil’s eyes stared at the operating room for observation.
The operating room for observation was empty.
Originally, Jo Ji-hwan should have come to observe, but he had to leave due to an urgent meeting. This means that you can flexibly entrust the work to Ki-Seok Choi.
“Shall we go?”
“yes!”
Choi Ki-seok nodded vigorously.
“Shall I go?” is a signal used by Jang Hyuk-pil when entrusting him with an important responsibility.
In today’s case, on the surface it appears that Jang Hyuk-pil is performing the surgery, but in reality, it also means entrusting the surgery to Choi Ki-seok.
Geek.
I used the skill while holding the suture needle with the needle holder.
[Use high-speed collection. The speed of surgical treatment and suturing is more than twice as fast.]
Ki-Seok Choi boldly pierced the valve leaflet with a suture needle. As the valve leaflet was pierced, a strange feeling was left on my hand.
It is a pleasure that can only be felt when you massage it.
‘I’ll finish it in 30 minutes.’
There was a burning desire in Choi Ki-seok’s eyes.
He passed the suture thread through the suture needle and made a connection on the tattered valve annulus on the other side.
Valve leaflet surgery began in earnest.
Choi Ki-seok moved his hands constantly. First, the connection between the valve annulus and the valve leaflet was firmly fixed, and the tattered shape of the valve leaflet was corrected.
‘what the. ‘You’re crazy.’
Jang Hyuk-pil clicked his tongue while helping Choi Ki-seok.
Unlike skin suturing, heart valve suturing requires much more delicate manual skills.
This is because if done incorrectly, the heart valve may rupture.
However, Choi Ki-seok sutured the heart valve like suturing the skin.
His hand movements are casual, but his speed is unrivaled.
What’s even more surprising is that when I touched the sutured area with forceps, the suture tension was intact.
The second thing that surprised me was Choi Ki-seok’s judgment.
To be honest, I had no intention of having mitral valvuloplasty.
The plan was to only perform valve annulus and valve leaflet surgery and then persuade Choi Ki-seok to perform artificial valve replacement surgery.
‘It was really possible.’
Jang Hyuk-pil’s gaze was fixed on Choi Ki-seok’s hand.
Ki-Seok Choi was adjusting the height of the damaged cord tendon (the part that attaches to the papillary muscle and prevents the valve from being pushed into the left atrium) by pulling on the papillary muscle.
That is the core of this plastic surgery.
Rather than focusing on the tendon, which is difficult to repair, the surrounding muscles help the tendon.
The change in thinking is surprising.
click!
The suture was cut with scissors.
“Phew… I guess I somehow got the timing right.”
Ki-Seok Choi sighed in relief and looked at the clock.
Fortunately, mitral valve reconstruction was completed in 20 minutes.
If the surgical site is closed quickly, the side effects of the heart-lung machine can be prevented.
“Please ask Shin Se-jin to finish it.”
“All right.”
Ki-Seok Choi followed the reverse order of the surgical procedure and closed the suture area.
Perhaps because the core treatment was completed, the speed of the follow-up was beyond imagination.
“There is nothing wrong with suture gauze curtain ball counting.”
“The heart-lung machine is turned off.”
The voices of the staff were heard one after another.
Eventually, everyone’s attention focused on the patient monitoring device.
In suffocating silence, the numbers on the patient monitoring device slowly rose. As the patient’s vitals maintained normal levels, the staff’s faces brightened.
“Thank you all for your hard work.”
Choi Ki-seok smiled and said something.
[The first heart tumor surgery was performed successfully. As a reward, 2000 P.P.
is provided.]
[The Saber team’s surgical proficiency increases by one level.] [A
new passive skill, Sixth Sense, has been formed.]
[The soul’s activation stack has increased.]
[Soul activation (40) /700).]
Notifications went off non-stop.
* * *
Cafe on the first floor of the main building.
Hyukpil Jang, Kiseok Choi, and Youngho Lee were drinking coffee.
Only Hwang Ji-yeon, who received a ward call, was absent.
“It was a lot of hard work. Thanks to you, I overcame a difficult moment.”
Jang Hyuk-pil smiled and patted Choi Ki-seok on the shoulder.
No matter what anyone says, Choi Ki-seok is the number one contributor to today’s surgery.
He filled in Kim Tae-sik’s vacancy and even completed mitral valve surgery on his behalf. Even if you look in Korea, or even the world, there is no first-year student with this level of ability.
“No. The professor had a harder time. He was in bad shape.”
“I’m saying this now, but I resisted the urge to run out of the operating room several times.”
Hyukpil Jang took a sip of coffee and continued speaking.
“Anyway, isn’t the suturing speed a joke?”
“Practicing with a teddy bear in the past was a big help.”
“Hmm… I still can’t believe it. Suturing a teddy bear and suturing a heart valve are completely different levels…” “
I think I got a lot of luck.”
Choi Ki-seok answered calmly.
The awards for today’s surgery are the high-speed surgery skill and the unique gem.
The speed of surgery was shortened by high-speed surgery, and problems that could arise from it were corrected with a unique gem.
This is a gem that doubles the strength of the suture obtained after a successful first CABG surgery.
I feel it now, but these two have great synergy.
“Then if I work hard, I can do like my senior?”
Youngho Lee, who had been quiet, joined the conversation.
“of course.”
“Hehe. Thank you.”
While we were talking, one person joined us.
This is Kim Tae-sik, who emptied his rosette midway through surgery for an aortic rupture patient.
“Did the surgery go well?”
“Yes. It ended safely. The patient came to the emergency room early and the rupture was not serious.”
“I knew you could do it, teacher.”
A smile appeared on Choi Ki-seok’s lips.
Kim Tae-sik is the originator of his high-speed surgery.
So, I didn’t have the slightest worry that Kim Tae-sik would fail the emergency surgery.
“It was a lot of hard work.”
“Thank you. By the way, Professor, did you successfully complete the VIP surgery?”
“Of course. Although Kiseok worked hard instead of me.”
Hyukpil Jang explained what happened when Taesik Kim was away.
“I didn’t know Kiseok could get to that level. If I could, I’d like to see a video of the surgery.”
“So do i.”
Choi Ki-seok scratched the back of his head with an embarrassed expression in response to the two people’s compliments.
There was silence for a moment, then Choi Ki-seok opened his mouth.
“Hey… Professor. I have something to tell you.”
“What?”
“I told you about Meijo Hospital last time, but it looks like the time to leave Medical University will be pushed forward.”
“how much?”
“If the schedule allows, I’m thinking about next week. I think I’ll have to take the USMLE and TOEFL tests at the end of this month and then go to Minnesota early next month.”
“What? So quickly? Did you want to leave Uijin University that much?”
“That’s not true. It’s just that…”
“That’s okay. It’s a joke, don’t take it seriously.”
Hyukpil Jang waved his hand.
“I know it’s no use holding on. I’ll tell the manager, and I understand he’ll quit next week.”
“thank you.”
Choi Ki-seok nodded.
I fell in love with it during the period when the Saber team was in full swing.
I just feel sorry for Hyukpil Jang and the other team members.
“Just help me with Saber’s surgery this week.”
“Okay, but have you found someone to replace me?”
“Of course. I had a hard time recruiting him.”
“I wonder who that is….”
“If you think about it carefully, you’ll find the answer, right?”
Jang Hyuk-pil continued speaking with a naughty smile.
“You two finish your work well, and Taesik, come to the lab with me.”
“yes.”
Choi Ki-seok headed to the ward with Lee Young-ho.
“Senior. You’re doing this too much!”
Youngho Lee frowned.
The emotions I had been holding back burst out from deep inside my stomach. I had barely suppressed it until now, but the moment I heard that Choi Ki-seok was leaving next week, I exploded.
“Isn’t it against the law to go to Meijo like this, even though you said you would teach me techniques and techniques?”
“sorry.”
“Honestly, I came to the thoracic surgery department after seeing my senior…”
In a situation where there was no room for excuses, Choi Ki-seok simply patted Lee Young-ho on the shoulder without saying a word.
“Youngho.”
“….”
“Even if I have two mouths, I have nothing to say. Even if you are disappointed in me and curse at me, I will accept it. But, even if I am not by your side, our relationship does not end. I still think you are capable. “I want you to become a thoracic surgeon and I will help you grow.”
“Really…?”
Choi Ki-seok nodded and continued speaking.
“Even after I go to the U.S., I will continue to send papers, so I will read them and send comments. It may be cumbersome, but I will also take videos of them practicing suturing and send them to them.”
“….”
“Then I can tell you what you are lacking, right? I promise to help you as much as I can in America as well.”
“…yes.”
Lee Young-ho’s expression softened somewhat, as if his sincerity was conveyed.
“If you don’t keep your promise, I will really hate you.”
“Damn. Don’t worry.”
While we were talking, we arrived in front of the elevator.
“I’m only saying this now, but honestly, I’ve had that feeling for a long time.”
“What does it feel like?”
“It seems like the senior will leave Korea one day, one way or another. There is no future for thoracic surgery in our country. If you have the skills and opportunities, there is no need to stay in our country.”
“Is that really true? I believe that if like-minded people come together, there is room for change.”
Choi Ki-seok paused before continuing.
“And I have also had a feeling from you for a long time…”
“What feeling?”
“I think you are cool. I feel like I can become a thoracic surgeon and help me and perform surgeries that I was unable to do.” ”
Ah. This doesn’t make sense. How can I beat my senior?”
“Really? No matter how you look at it, it’s the worst, right?”
Lee Young-ho laughed at Choi Ki-seok’s joke and changed the topic.
“You and Ji-yeon were in the break room this morning. What did you talk about?”
“We didn’t talk about anything, right? He said he couldn’t do ABGA, so I gave him some tips.
Choi Ki-seok frowned as he thought of Hwang Ji-yeon.
In retrospect, her actions are quite questionable. Because I now realize the identity of the discomfort I felt in the morning.
“How was Jiyeon’s medical school days?”
“It’s a delay. Oh, don’t even talk about it.”
Youngho Lee stuck his tongue out.
