Level Up Doctor Chapter 183

What you need (4)

‘Let’s see.’

I opened the status window and checked the mission.

[You have obtained the new mission ‘Get Smith’s Recognition.’]

[Mission Completion Conditions: You must achieve the necessary conditions to receive Smith’s approval. You need to obtain material items and increase some stats.]

[Dark Seal: 0/1]

[Reputation raised to level 4: Current value 5/5 complete!]

[Jonathan’s Praise: 1/1 complete!]

[Patient’s Truth Smile: 1/2]

[When you complete the mission, you can use the Hier system and receive a unique gem.] There are

two remaining material items.

The dark seal and the patient’s sincere smile.

‘The problem is the dark seal…’ As

I walked down the hallway thinking, my call phone trembled.

“This is general surgery Ki Seok Choi.”

[This is Mary.]

“It’s been a while.”

A smile appeared on Choi Ki-seok’s lips.

Her voice suddenly reminded me of Rambo.

Mary is a gastroenterology resident who once got into an argument over a patient with intestinal obstruction.

[I called the medical office, but no one answered?]

Mary said in a sharp voice.

He was implicitly revealing that he did not want to talk to Choi Ki-seok.

“Because my motivation was in scrubs.”

[I’m treating a pediatric patient in the emergency room, and I need your cooperation.]

“I’ll come down right away.”

Choi Ki-seok hung up the phone and headed to the emergency room.

Mary was comforting a crying pediatric patient in bed.

“Is it this kid?”

“Yes. I suspect intestinal intussusception. The abdominal X-ray and ultrasonography have been completed and I am waiting for the ultrasound results.”

“It’s intestinal intussusception…”

Choi Ki-seok stroked his chin and looked down at the pediatric patient.

Intestinal intussusception is a phenomenon in which one part of the intestine becomes entangled inside another intestine. In most cases, the end of the small intestine became entangled in the intestines.

“Keuuuuuuk.”

While we were talking, the child became nauseous.

Clear-colored vomit flowing from the slightly open mouth.

Choi Ki-seok took out gauze from the dressing cart and wiped the area around the child’s mouth and the sheet.

“I don’t think fluid alone will be enough. To prevent intestinal distension and vomiting, I need to decompress with a nasogastric tube.”

“I’ll get ready.”

Mary left the room, and Choi Ki-seok gently pressed various parts of the child’s abdomen.

There was no reaction elsewhere, but when pressure was applied to the right upper abdomen, the child shuddered.

Choi Ki-seok frowned and put the stethoscope to the area where the tumor was.

Grumble. Grumble.

Bowel sounds were significantly reduced compared to normal children.

‘Then…’

The eyes of Hippocrates were used for the final diagnosis.

The diagnosis was intestinal intussusception, as Mary and he had expected, but the condition was non-emergency and the outcome was poor.

This means that this is not a case that requires surgery.

“I brought a nasogastric tube.”

“thank you.”

Ki-seok Choi received a set of nasogastric tubes and finished inserting them in an instant. Insertion is much more difficult for children than for adults, but for him, it’s just a 50-step difference.

He practices difficult techniques in the training room.

Simple treatment couldn’t stop him.

“Have the ultrasound results come out?”

“It just came out.”

Ki-Seok Choi and Mary stood side by side and stared at the monitor.

“There is a donut-shaped mass here. It is correct that the small intestine and intestines are twisted.”

He pointed to an area with his index finger and Mary nodded.

“I think this is enough for conquest. What do you think?”

“Yes. I don’t think surgery is necessary.”

Amid a moment of silence, Choi Ki-seok spoke first.

“Is today different from last time? Are you obediently listening to me?”

“Can’t you do that?”

Mary continued speaking with an expression of disapproval.

“Ninety percent of intestinal intussusception can be treated with reduction surgery. The reason I called Mr. Choi was just in case.”

“Of course, of course. By the way, there is something that hasn’t been settled between us yet.”

“calculate?”

When Mary tilted her head, Ki-Seok Choi pretended to hold a machine gun.

Mary’s face turned bright red as she realized the meaning.

“Uh… you can do it anytime.”

“Are you sure you’re going to do it?”

“…Looking at the situation.”

Mary’s voice suddenly quieted down.

“I’m definitely looking forward to that day. Then I’ll be leaving.”

Choi Ki-seok said hello and headed to the ward. However, while walking down the hallway past the station, I ran into Ethan. His expression was still dark due to the influence of the invisible hand.

“Mr. Choi are you busy?”

“No. There is nothing to do right now.”

“Then talk to me for a moment.”

The two people settled down in the lounge.

“I think you have something special to say, right?”

“You’re quick to notice. That’s right. There’s something I’d like to discuss.”

Ethan paused for a while before continuing.

“I’m not in a good mood these days. So after thinking about it, I came up with something.”

gulp.

Choi Ki-seok swallowed dry saliva at Ethan’s sad tone.

Somehow I don’t have a good feeling.

I wonder if I can’t overcome the invisible hand and give up my career as a doctor.

“That’s right… I’m thinking of using Friday and Saturday off this week. What do you think?”

“….”

“Mr. Choi? Why aren’t you saying anything?”

“Oh. I’m sorry.”

Choi Ki-seok scratched the back of his head with an embarrassed expression.

My mind went blank due to the strange answer. When I said I was going to quit my job as a doctor, I was thinking about how to persuade her, but everything disappeared in an instant.

“Shall I say that again?”

“No, I heard everything. I think it’s a good idea. If you’re not feeling well, getting some rest is one way.”

“Wouldn’t the Head Chief think of me as a pathetic bastard? That I’m so distracted that I’m trying to get some rest?”

“That won’t happen. I heard that you won’t be coming to work this week due to personal reasons.”

“Really? That’s good. I have to tell the manager quickly.”

Ethan breathed a sigh of relief.

‘How much has your confidence dropped to the point where you’re noticed just because you’re using an offline account?’

Choi Ki-seok swallowed his sorrow inside.

“Ethan. I have a question. Can I ask you one thing?”

“say.”

“Do you know the people here well?”

Choi Ki-seok opened the notebook and handed it to Ethan, and Ethan looked at the notebook closely.

“Out of these people, there is only one person I am close with. The rest of us just say hello?”

“Then can you tell me who the person you are friends with is?”

“Is finding out other people’s personal information your hobby?”

“No, I have something important to do.”

All of the people listed in the notebook possessed the Dark Seal. It was necessary to obtain their information and find common ground.

“You’re not trying to do anything really weird, are you?”

“You know I’m not that kind of person. I’ll ask you to do it just this once.”

“okay.”

Ethan nodded.

The explanation that followed was close to personal information.

The age of the surgeon in question, family relations, hobbies, reputation within the country, etc.

There was nothing particularly helpful.

“But if you look closely, there’s one thing that’s bothering you?”

“What?”

“The people that Mr. Choi wrote in his notebook, coincidentally, are all very talented. Carly is a recognized fellow in gastrointestinal surgery, and Roland is an ace resident in hepatobiliary and pancreatic surgery…” Ethan finished the brief explanation and returned the notebook

.

“Thank you, Ethan. I think I know something thanks to you.”

“I think I know… That’s an ambiguous answer, not like Mr. Choi, right?”

“Because the situation is so ambiguous.”

The two people looked at each other and smiled.

“By the way, have you seen Emma?”

“I was on duty yesterday. I’m off today and tomorrow.”

“So I haven’t seen you all day. Well, I guess I’ll have to tell you about that later.”

Ki-Seok Choi finished talking with Ethan and returned to Uiguk.

Come to think of it, Emma didn’t send him an email yesterday. I said I would organize her papers for her when she was tired.

You handle your own affairs.

Emma’s single-minded personality is also very similar to her own.

Choi Ki-seok, who returned to the medical office, entered patient orders and took care of the backlog of chores.

It doesn’t seem like much has been done, but when I check the time, two hours have passed.

It feels like time has evaporated.

Knock. Knock. Knock.

“Can I come in?”

“Yes. Please come in.”

As soon as I finished answering, a doctor I had never seen before appeared.

N.

P (neuropsychiatry) clade.

Choi Ki-seok checked the initials engraved on his chest and shook Clad’s hand.

“Hello, this is Jace’s doctor, Ki-seok Choi.”

“Neuropsychiatry clad.”

Clad was tall and thin.

The face was shaped like an inverted triangle, and the slit eyes gave off a sharp aura. If he weren’t wearing a gown, you’d almost believe he was a neurotic patient rather than a doctor.

“Have you seen the doctor?”

“I just finished and am on my way back.”

Clad continued, fiddling with his glasses.

“When I talked to her, it turned out that it wasn’t just her liver that was damaged. She was suffering from severe emotional disorders after her daughter died. She was drinking heavily to deal with it.”

“….”

“If I had received treatment earlier, I wouldn’t have come to this point.”

Clad frowned.

“So what happens next?”

“We plan to undergo a combination of psychological and behavioral therapy. You will need to receive treatment consistently for several months.”

“Do I also need medication? This is a patient scheduled for a liver transplant…”

“Medication is also necessary. However, if surgery is necessary, I don’t mind delaying it a little longer.”

“I understand. Thank you for your hard work.”

“Yes. Please keep a close eye on the patient. If there is any psychological disturbance before the surgery, problems may arise.”

After saying hello to Clad, Ki-seok Choi displayed Jace’s chart on the monitor.

An abdominal CT scan showed ascites and fibrotic liver tissue, as well as dilated blood vessels around the umbilicus. Even during the biopsy and endoscopy, only sad news was heard one after another.

There is no answer other than liver transplant.

Choi Ki-seok left the medical office and visited Jace’s hospital room.

Jace was talking with his wife Julie.

“Hello Teacher.”

Julie said hello first, and Jace stared at Ki-Seok Choi with an expressionless face.

“Hello. I’m here to inform you of the test results. As I said last time, a liver transplant is absolutely necessary. And that too as soon as possible.”

“How is liver transplant surgery performed? I heard there are several types…”

Julie asked with a worried look.

“Liver transplant surgery is largely divided into brain-dead liver transplantation, which involves transplanting the liver of a brain-dead person, and living donor liver transplantation, which involves transplanting the liver of a living person. In Jace’s case, the latter is needed.”

“Then can I give you my liver?”

“I’ll have to do a detailed examination, but…”

Ki-Seok Choi paused and used the Eye of Hippocrates on Julie.

“It seems impossible. “Isn’t Julie a hepatitis B carrier?”

“Oh my! “How did you know that?”

“Hmm. I heard it from my son the other day.”

Choi Ki-seok said vaguely, but Julie didn’t raise any questions.

“I’m a hepatitis B carrier, but I’m fine. “I have never suffered from liver problems.”

“There are many carriers with normal liver function. Some people suffer from hepatitis without knowing it and suffer aftereffects. The important thing here is that there is a very small chance that the type B virus in Julie’s liver will disappear.” “Are

you saying I can’t have a transplant?”

“Yes, absolutely not.”

“Then the only one left is William…”

Grumble.

Julie As soon as he finished speaking, William came into the hospital room.