Level Up Doctor Chapter 185

What you need (6)

Unlike in the morning, Mike’s condition is an emergency.

This means surgery is needed.

“First, take blood and get an abdominal CT scan.”

“All right.”

Following Choi Ki-seok’s instructions, Jose moved quickly.

After the two left, Choi Ki-seok looked into surgeons who could perform surgery.

The results were all failures.

The number of residents has decreased due to seminar attendance, and those that remain are either off or undergoing emergency surgery.

So I called Ethan, my last resort.

[Mr. Choi. What’s going on?]

“Doctor. Mike is complaining of severe stomach pain. His fever is rising little by little.”

[Hmm… Mike, isn’t the surgery tomorrow? Can’t you hold on until then?]

“I don’t think it will work as it is now.”

[Fortunately, everyone was at a seminar…]

Ethan clicked his tongue.

“When will you return after the seminar?”

[No matter how fast it goes, I think it will take another 2 hours. Oh. Emma, you said you were off today, right? Please ask Emma. Because Emma has experience performing appendectomies.]

“Emma is in bed with body aches. I don’t have the energy to perform the surgery.”

[Phew… I’m tired.]

Ethan’s sigh rang in my ears.

While there was a moment of silence, Choi Ki-seok entered the medical office and stared at the monitor.

“The test results are back now. The white blood cell count is elevated and the appendix is the most swollen it has been since the abscess was removed. If we don’t have surgery, there will be a perforation.”

[I’ll change the manager for a moment.]

“I understand.”

[Mr. Choi is the Chief of Gastrointestinal Surgery.]

“Yes, Chief.”

[Have you looked into all the surgeons who can perform surgery?]

“Not a single one.”

Choi Ki-seok reported on the remaining soldiers in the hospital and their conditions. Even after he finished speaking, the head of gastrointestinal surgery remained silent for a long time.

Even he couldn’t find a hole to escape.

“Chief. I will perform Mike’s surgery.”

[Mr. Choi, you?]

the manager asked in a surprised voice.

[Have you ever had an appendectomy before?]

“I’ve had it performed only once.”

[The microphone is a little different from the typical case. He was a child and had already had an abscess removed with a drain. Access will be difficult. I’m going now, so just take my vitals.]

While we were talking, Jose and Mike returned to the hospital room.

Choi Ki-seok headed back to the hospital room.

“My stomach hurts so much. I can’t take it any longer.”

Mike rolled over and cried.

Sweat was beading on his frowning forehead.

“Teacher, what’s wrong with our microphone?”

Just then, Mike’s mother, Julia, came into the hospital room after work.

“Please treat my child quickly. Do you think you came to Mayjo Clinic to receive treatment like this?”

Jose didn’t know what to do with her angry attitude. Then he looked at Choi Ki-seok outside the hospital room as if asking for help.

“Professor. Did you hear the conversation just now?”

[Sigh… I heard it.]

“If I wait for the professor, I’ll end up being sued for delaying the surgery.”

[….]

“I will also take care of Mike’s house. Please trust me and leave it to me.”

[That seems to be the only way now. If you have any problems, call me right away. Even if it’s during surgery.]

“Yes, I understand.”

[God bless you.]

Choi Ki-seok hung up the call and looked down at his phone.

‘What’s needed for surgery is skill, not luck.’

Haven’t you honed your skills countless times in preparation for emergency situations like this?

Drurr.

I opened the door and entered the hospital room.

“This is Mike’s doctor, Choi Ki-seok. I’m sorry. I’m a little late because I had to check the test results.”

“Doctor Choi! Our Mike is in so much pain. Please take action quickly.”

“Julia. Mike needs surgery right away.”

As Choi Ki-seok began to explain in detail, Julia’s face darkened.

“You don’t have to worry too much. Appendectomy is a simple surgery that is usually completed within 30 minutes to an hour.”

“But you don’t know what if.”

“I’m worried that once you do it, there will be no end to it. For now, please trust the Meijo’s soldiers.”

Ki-Seok Choi comforted Julia and gazed at Jose.

Jose, who was quick-witted, read what he meant and brought the consent form for the surgery.

Eventually, the explanation of the surgery and the signature of the guardian were completed.

Choi Ki-seok moved to the operating room, dragging Jose and the bed.

“I guess you found a surgeon that can perform surgery? I thought you didn’t have one.”

“Why isn’t there? In fact, it was there from the beginning.”

When Choi Ki-seok pointed at himself with his index finger, Jose looked like a surprised rabbit.

“Mr. Choi is the surgeon?”

“Yes. No one else. At least not now.”

Ki-Seok Choi looked down at the microphone as he spoke. The sight of him tossing and turning, moaning, pierced my heart.

“Mike. Do you trust me?”

“…yes.”

“Hold on a little longer. The teacher will make it less painful any time soon.”

Mike nodded instead of answering what he said.

Weeeeeee.

We finally arrived at the operating room.

Jose secured the rosette by talking to the operating room nurse, and Choi Ki-seok called his classmates who were resting.

Fortunately, Morgan was able to stand the scrub.

“Mr. Choi’s routine is really varied.”

Morgan burst into laughter when he arrived at the operating room.

“What do you mean?”

“In the afternoon, you rescued a suicidal patient, and in the evening, you performed an appendectomy. It seems like there’s always exciting things going on around you.”

“I can’t say no.”

“Have you ever had an appendectomy?”

Morgan changed the topic.

“Don’t worry, it’s there.”

“I know that Korean veterans are quite late in buying their first houses. That’s a big deal.”

“My life as a doctor was originally a series of odd events. Let’s go quickly.”

Gourd. Gourd. Gourd. Gourd.

Choi Ki-seok scrubbed his hands and arms with a brush dipped in povidone solution.

As I did so, I went through the process of appendectomy in my head.

The surgery itself is extremely simple, but it is done to prevent unexpected mistakes.

Didn’t Kim Jeong-hyeok from the orphanage also suffer aftereffects from a botched appendectomy?

Moreover, Choi Ki-seok is performing his first appendectomy today.

Until now, I have been telling white lies to reassure people around me.

‘Since I’ve had CABG (coronary artery bypass grafting), it’s the same as having had an appendectomy.’

Choi Ki-seok strengthened his resolve and entered the rosette with his colleagues.

Some time passed after the anesthesiologist administered anesthesia.

Mike, who had been complaining of pain, was soon sound asleep.

“From now on, we will begin laparoscopic appendectomy.”

Choi Ki-seok’s shout spread throughout Rosette.

“Laparoscopic surgery? Mr. Choi, are you crazy?”

“No. It’s completely normal.”

“But you’re going to do laparoscopic surgery? At our level, it’s right to do laparotomy.”

Morgan raised his voice.

Laparoscopic surgery not only has a narrow surgical field of view, but also must be performed with unfamiliar laparoscopic instruments. This is not a surgery to be performed by a resident who has not even decided on a specialty.

“If you think about the patient, a laparoscope is right. Do you want to cut open a child’s abdomen like this?”

“That’s the story of veterans who have accumulated years of experience.”

“I can do it.”

The gazes of the two people clashed tightly.

“…I can’t help it because the surgeon is so stubborn. But please know that this surgery is 100% Mr. Choi’s responsibility.”

“There is no such thing as a sergeant who performs without responsibility.”

Under Choi Ki-seok’s gaze, Jose disinfected the patient’s abdomen and covered it with a cloth.

“Meth.”

Choi Ki-seok received a scalpel from a sterilizing nurse and made a small incision in the patient’s lower right abdomen, below the navel and above the pubic bone. Afterwards, a trocar was inserted into the incision site.

The trocar acts as a kind of passageway, into which a tool specifically designed for laparoscopic surgery is inserted to perform the surgery.

“Camera port forceps bobby.”

The necessary tools were placed one after another into the trocar.

Soon, an image of the abdominal cavity appeared on the monitor in front of me.

Choi Ki-seok carefully moved the camera port and found the swollen appendix.

It was a good thing I went ahead with the surgery.

If I had waited for the chief of gastrointestinal surgery, the appendix would have ruptured and spread to the peritoneum.

“Let’s remove the appendix septum first. Hold the septum with Morgan’s forceps.”

“okay.”

Morgan looked at the monitor and grasped the appendix membrane with laparoscopic forceps. Meanwhile, Choi Ki-seok operated the electric cautery and damaged the appendix membrane.

Chii Iik.

The partition slowly fell apart with a burning sound.

The two worked together to perform an appendectomy.

Morgan held the end of the appendix, and Choi Ki-seok cut it with an electric cautery.

The treatment was completed in less than 5 minutes.

“What are you doing? Not taking it out?”

“Can I just grab it and take it out?”

Choi Ki-seok nodded slightly.

Morgan held the excised appendix with forceps and pulled it out of the trocar.

Empty!

The ripe appendix fell on the grain tray.

“You said you weren’t confident before the surgery, but you did well.”

“Do you think it’s worth it?”

Choi Ki-seok and Morgan looked at each other and smiled.

The surgery seemed to be completed successfully as the trocar was removed and the final sutures were placed.

However, while the disinfection nurse was counting supplies, the anesthesiologist informed me of the bad news.

“The patient’s vitals are dropping. Respiration rate is 8, blood pressure is 40 mmHg, and pulse is 50.”

“Why? The surgery was completed safely?”

“Mr. Choi, what should we do now?”

Morgan and Jose stared at Choi Ki-seok.

Ki-Seok Choi gestured to stay still and then used the Eyes of Hippocrates.

Physical strength: 3/10

Main symptoms: Dyspnea / Tachycardia

Affected area: Whole body

Diagnosis: Psychogenic shock

Current status: Emergency

Progress: Poor Past history

: Appendicectomy

Family history: None

Precautions: You are awake during surgery!

‘crazy!’

Choi Ki-seok bit his lip without realizing it.

Awakening during surgery.

This is when a patient wakes up and feels external stimuli even after receiving general anesthesia. This is a fairly rare case and this is my first time experiencing it.

[You have used the encouragement skill.]

[The patient’s confidence in immunity and regeneration ability increases significantly.]

[You have used the Pain Killer skill.] [

Reduces the patient’s physical pain by 70%.]

“Please bring a blanket and something to support your legs. .”

Choi Ki-seok poured out his skills like lightning and gave instructions. Eventually, Jose returned to the operating room, covered Mike with a blanket, and lifted his legs up with an icebox.

“Morgan, can you please put on the oxygen mask?”

“okay.”

While Morgan was taking care of him, Ki-Seok Choi continued talking to Mike. If you are awake during surgery, you will definitely be listening to what is being said.

“Mike. It’s okay. There’s no need to worry. The surgery was completed successfully and you will be able to move soon after the anesthesia wears off.”

“….”

“And since you bravely survived the surgery, the teacher will give you a gift. Shall we buy Mike his favorite toy?”

“teacher. “What are you doing now…”

Choi Ki-seok put his index finger to his lips to stop Jose from coming forward.

Right now, stabilizing Mike is the top priority.

Even if other people look at him strangely.

Time passes nervously. The words rang out in the rosette:

“Sir! The patient’s vitals have returned to normal.”

“Okay.”

Only then did Choi Ki-seok sigh and remove the oxygen mask attached to the microphone.

It was fortunate that

he was awakened when the surgery was completed.

If the awakening occurred during the surgery, no matter how bad it was. I guess I didn’t react properly.

Weeeeeee.

Rosette and the operating room doors opened one after another.

“Doctor Choi! What about our microphone?”

“The surgery was completed successfully. “I will watch you in the SICU (surgical intensive care unit) today and then move you to a regular hospital room tomorrow.”

“Thank you. If something’s wrong with Mike…”

Choi Ki-seok comforted her as she cried. Then he personally dragged the bed and headed to the intensive care unit.

“Mike, you held up well.”

He gently stroked Mike’s head.

It may have been an illusion, but Mike I felt like I was smiling.