Living as a beginner (3)
I was nervous because I thought the teacher was coming, but a familiar face appeared.
Beomgyun Ahn.
The intern who joined the gastrointestinal surgery department with Choi Ki-seok is commonly known as Jjak-ton (Jjak-gung intern).
While Choi Ki-seok was in charge of the operating room, An Beom-gyun was in charge of overall work in the ward.
“Is your brother here?”
“Oh. But you’re amazing. Have you already finished taking care of the ward?”
“I just did it because I came first.”
Choi Ki-seok said with an expression that said it was no big deal.
The reason Ahn Beom-gyun is older than Choi Ki-seok is because he obtained a general practitioner license and worked as a public health doctor.
“Are you finished preparing for the meeting?”
Choi Ki-seok answered with a smile.
Since preparations for the meeting had been completed, the two had a comfortable conversation.
To an intern, a hospital is a jungle crowded with senior doctors, nurses, patients, and their guardians.
The only people I can rely on here are my fellow interns.
Eventually, the teachers came to the conference room one by one on time.
Ki-Seok Choi and Beom-Gyun Ahn were busy greeting each other.
“Are you the first person in our department?”
Myungwoon Jeong looked at Kiseok Choi and said something.
Judging from the fact that he spoke to me first, he clearly caught my eye during the internship exam.
“i look forward to.”
“Do your best.”
Myeong-woon Jeong patted Ki-seok Choi on the shoulder and sat down.
“The meeting starts now.”
Jaeho Kim, a fourth-year resident, led the meeting.
He looked at the list, called the patient, and the attending doctors briefly summarized the patient’s condition. Then, Choi Ki-seok listened carefully to the story and then displayed the inspection videos on the projector.
The meeting ended in 30 minutes and the morning rounds continued immediately.
“Hyung. Good job.”
“You too, cheer up.”
After breaking up with Ahn Beom-gyun, Choi Ki-seok headed to the operating room.
* * *
Central surgical preparation room.
Choi Ki-seok stared at the monitor while waiting for surgery. A male patient in his 50s entered the B rosette.
The patient’s name is Yang Kyeong-il.
I was diagnosed with stage 3 stomach cancer through a gastroscopy biopsy.
TNM stage is T2 N1 M0.
Here, T refers to the degree of wall invasion of the tumor, N refers to the degree of metastasis to the lymph nodes, and M refers to the degree of metastasis to distant organs.
Yang Gyeong-il is type A, which has a relatively high 5-year survival rate among the three types.
Today’s surgery is total gastrectomy and gastroduodenal anastomosis.
This is a surgery to remove the portion of the stomach containing cancerous tissue and connect it to the duodenum.
“What’s wrong with your expression? Anyone who sees it will think you’re having surgery.”
Myungwoon Jeong, the surgeon, and other assistant teachers entered the preparation room.
“no.”
“I’m not saying no. Just looking at it… I got scared. If you’re going to faint during surgery, be sure to fall backwards. The patient will get hurt.”
Myungwoon Jeong told a serious joke.
Soon, Ki-Seok Choi and other staff took turns scrubbing (an act of disinfection before surgery) and entered the operating room.
“The patient’s name is Yang Kyeong-il, right?”
“yes.”
“You are fifty-two years old this year.”
Yang Kyung-il nodded slightly at Choi Ki-seok’s words.
This is a time-out procedure to check the patient before surgery.
After checking the patient, the anesthesiologist began anesthesia.
An anesthesiology intern was standing next to him, watching the anesthesia process.
I could clearly feel a sense of kinship from that appearance.
Soon, Ki-Seok Choi, the final assistant, was positioned in front of the patient’s left armpit, and the third assistant was positioned in the patient’s right armpit. Myungwoon Jeong, the surgeon, and the second assistant each took their seats next to him.
The operating room disinfection nurse prepared to hand over surgical tools near Jeong Myeong-woon.
“From now on, we will begin total gastrectomy and gastroduodenal anastomosis.”
Myungwoon Jeong disinfected the patient’s abdomen widely and held a scalpel in his hand.
The blade shined sharply, reflecting the surgical light.
Buuuuk.
The scalpel cut open the patient’s abdomen.
The skin and subcutaneous fat were separated one by one, revealing the abdominal cavity. When the thin and transparent peritoneum was cut, the stomach, the site of today’s surgery, appeared.
gulp.
Choi Ki-seok swallowed dry saliva.
In the past, during my third year as a thoracic surgery resident, I performed simple surgical operations, including thoracotomy. However, it was limited to the chest.
This is my first time observing a digestive surgery.
But the more I watched the shogi, the more I felt a strange sense of excitement. I also felt a strong urge to pick up the scalpel myself.
Choi Ki-seok once again confirmed that he has a surgical constitution.
The curtain on the full-scale surgery has begun.
Ki-Seok Choi was opening the incision site with a retractor (a tool that opens the incision site).
This is to allow the surgeon to see the organs broadly.
In the meantime, he did not take his eyes off Jeong Myeong-woon’s movements.
Myungwoon Jeong had the highest level of surgical treatment among the doctors he had seen.
If you follow the surgery until the end, you will definitely gain something.
So he even activated the Eye of Hippocrates and took action.
Resection proceeding smoothly.
The fishy smell of blood spread throughout the operating room, and the sounds made by surgical tools awakened the silence.
‘That’s it.’
Choi Ki-seok’s eyes were fixed on the upper wing print.
Microscopic cancerous tissue was present there.
Chijijijijik.
Myungwoon Jeong used an electric cautery to excise cancerous tissue and stop the bleeding at the same time.
Time flew by thanks to the meticulous treatment.
The cancerous tissue in the pylorus area disappeared completely. In addition, cancer tissue was removed even from the lymph node metastasis area revealed in the examination.
The surgery is now complete by connecting the stomach and duodenum.
Most of the staff breathed a sigh of relief, but only two did not.
They are Myeong-woon Jeong and Ki-seok Choi.
Myungwoon Jeong did not easily perform the anastomosis and additionally examined other parts of the stomach.
‘Is this the doctor’s feeling?’
Choi Ki-seok was inwardly impressed.
Stamina: 4/10
Main symptoms: Vomiting blood / Heartburn / Deep abdominal pain
Painful area: Stomach
Current status: Emergency
Progress: Poor
[The passive level is low, so further details cannot be determined.]
Even though the surgery was almost successful, the patient’s condition is still poor. It was bad.
It means there is still a problem.
The only thing is that while Choi Ki-seok understood the problem through the eyes of Hippocrates, Jeong Myeong-woon recognized the problem through experience.
Choi Ki-seok’s gaze shifted to Jeong Myeong-woon.
Now, his judgment determines the patient’s fate.
Amidst the sharp tension, a light that only Choi Ki-seok could see emanated from Myung-woon Jeong’s eyes.
The active skill, Hawk Eyes, was used.
“Look here.”
Soon, Myungwoon Jeong pointed to the upper torso area with his index finger.
There was a very small hole there.
Stomach perforation due to stomach cancer.
It was an acute perforation that did not appear on the examination. If the abdomen had been closed without resolving the perforation, reoperation would have been done quickly.
“······.”
“······.”
The faces of the assistant doctors who confirmed the perforation darkened.
“Come to your senses! How many times do I tell you that surgery is not something the surgeon does alone!”
Jeong Myeong-woon gave a harsh shout and began additional treatment.
After a while, the surgery was completed successfully.
As a result of using medical mode, the patient’s condition changed to good.
While Ki-Seok Choi was cleaning up, he stared at the back of Myeong-Woon Jeong leaving the operating room.
He looked cool for the first time.
* * *
My first day as an operating room intern.
Choi Ki-seok was busy without a second glance.
His job was not only to scrub, but also to move patients who had completed surgery to the ward or intensive care unit.
“Eurachacha.”
I stretched and left the central surgery preparation room.
I just finished assisting a long surgery.
When I looked at the clock, it was already past work time.
As he was leaving the operating room after saying hello to the teachers, a disinfection nurse caught Choi Ki-seok.
“Intern, what is your shift today?”
“Pong.”
Pong is a slang term meaning a day off. Conversely, when holding a party position, the expression party is used. An intern’s work is usually a repetitive cycle of pong-pong-pong-pong-pong-pong-dang.
“You know that the operating room is on standby for emergencies, right? If you get a call, come within 30 minutes.”
“yes.”
Ki-Seok Choi was on his way to the dormitory and stopped by a cafe to buy coffee. Then I stood at the window and looked out.
“Want.”
What I was thinking inside came out of my mouth.
Ki-Seok Choi recalled the surgery he had with Myeong-Woon Jeong.
At that time, Myungwoon Jeong found traces of acute stomach perforation that other assistants could not find.
During surgery, Luper wears surgical glasses, but even when wearing glasses, the ability to understand the field of vision varies from doctor to doctor.
Myungwoon Jeong was a good example of this.
[Eagle Eye Lv.4]
– During surgery, accurately identify the surgical site and surrounding lesions.
– As the level increases, the field of view becomes wider and more three-dimensional.
– Grows up to level 5.
I wanted Jeong Myeong-woon’s skills.
This technology could not simply be used in general surgery, but in all surgical fields.
In particular, it will exert greater power in thoracic surgery, which requires detailed observation.
While I was thinking about this and that, a notification crossed my mind.
Tiring!
[The special mission ‘Learn the Eye of the Hawk’ has been created.]
[Special rewards are given for the skills acquired upon completing the mission.]
Ki-Seok Choi smiled and drank the remaining coffee.
