Variable (6)
“Mr. Choi. Why are you acting like this all of a sudden?”
Ethan asked with a worried look.
I couldn’t help but think it was strange that Choi Ki-seok was snapping his fingers without any context.
“Oh… no. An idea suddenly occurred to me.”
“Ideas? What ideas?”
“Because that’s a bit difficult to talk about.”
Choi Ki-seok scratched the back of his head with a embarrassed expression.
“Anyway, it saved me an hour. Actually, it was hard to watch Ethan look so downcast.”
“I’m sorry. I caused trouble without knowing. But it won’t happen again in the future.”
Ethan said in a confident voice.
“That’s good. Morgan and I will go get ready for the meeting.”
“Okay. I’ll see you later.”
Choi Ki-seok prepared for the meeting with Morgan at the Ui-guk. Routine tasks such as summarizing the hospitalized patient’s condition, scheduling the surgery, printing out printouts, etc. were completed in an instant.
“I still have time, should I have a cup of coffee?”
“It’s good.”
The two left the medical office and walked down the hallway.
[Code Blue. Code blue. Code blue occurs in gastrointestinal surgery. We inform you once again. [Code blue in gastrointestinal surgery!]
An urgent broadcast sounds.
Ride, ride, ride.
Ki-Seok Choi and Morgan ran down the hallway and inspected the hospital room, without worrying about who should go first.
“Mr. Choi. This way!”
Morgan waved from the hospital room at the end of the hallway.
When I arrived at the hospital room with my gown flying, I saw Jace lying on the floor. A lump of red blood was spit out a short distance away, and Jose and David were providing first aid to Jace.
Physical strength: 3/10
Main symptoms: Apnea / Tachycardia / Ascites / Jaundice / Hematemesis
Painful area: Liver / Heart / Esophageal varices
Diagnosis: Liver cirrhosis (end stage) / Acute ventricular tachycardia / Acute esophageal varices Bleeding
Current status: Emergency Progress
: Poor History
: None
Family history: None
Cautionary factors: I am a patient waiting for a liver transplant!
‘shit!’
Choi Ki-seok frowned and approached Jace.
“First, let’s put Jace in bed. David will go to the station to go to the ambulance bag and bring Hartmann’s epinephrine ampoule and an IV set. Jose will go back and report the situation. Morgan and I will handle the treatment.”
The three people moved in unison under Choi Ki-seok’s instructions.
There was no evidence of people interfering with each other’s treatment due to lack of division of roles.
puck! puck! puck!
Choi Ki-seok performed chest compressions and used his skills.
[You used the Must Save skill. All kill levels are temporarily increased by one level.]
[You have used the awakening CPR buff. The special buff lasts for 30 minutes.]
– When performing treatment related to breathing, the patient’s ability to receive breathing increases by 30%.
– When performing chest compressions, the blood circulation speed doubles and ribs are not broken.
– When a defibrillator is used, the patient’s cardiac recovery rate increases by 1.5 times.
“When I came to the hospital room to draw blood, Jace was lying on the floor. I tried to help him up, but he fell down again while vomiting blood…” “Ha… ha… ha… Get an ambu bag
and epinephrine.” came.”
David arrived in the hospital room just as Jose’s report was finished.
“How’s your breathing?”
“Still apnea.”
Morgan shook his head with a dark look on his face.
“I can’t even find a pulse. Just grab the line and let’s go to the intensive care unit.”
Ki-Seok Choi immediately grabbed the intravenous line and mixed epinephrine into Hartmann’s solution.
‘amazing. ‘It doesn’t sound like an emergency.’
Morgan was impressed as he watched Choi Ki-seok.
An urgent situation where the patient’s life or death is at stake.
Despite this, Choi Ki-seok’s treatment and instructions remained unwavering. So he, Jose, and David were very nervous and waited for Choi Ki-seok’s next instructions.
I thought Choi Ki-seok could save the patient.
“Jose cleans up the hallways and David runs around with the sap rack. You know that, right?”
Morgan, who received Choi Ki-seok’s gaze, nodded instead of answering.
The process of heading to the intensive care unit was a battle.
We had to navigate the large number of patients and staff in the spacious Mayjo Clinic, and CPR could not be stopped even for a moment. When we arrived at the intensive care unit, all four people were drenched in sweat.
“David, you can go back to the hospital room. Jose, connect the patient monitor, and Morgan, prepare the DF (defibrillator).”
Ki-seok Choi finished giving instructions and took charge of CPR on his own.
Considering the effectiveness of awake CPR, it was good to be involved in all treatment.
Jiiiing.
A mechanical sound came as the patient monitoring device was connected.
“Pulse is 250 and respiration is 10 per minute. The electrocardiogram is…”
“I’ll look at the electrocardiogram.”
puck! puck! puck! puck!
Ki-Seok Choi performed chest compressions and looked at the ECG monitor. The QRS zone and T wave were so irregular that they were difficult to distinguish.
Typical signs of ventricular tachycardia.
The problem is that there is no particular improvement despite first aid and medication.
“Mix with additional atropine. Morgan, is the defibrillator far away?”
“That’s enough.”
Morgan set the defibrillator’s charge level to 200J and pressed the charge button.
Weeeeeee. Weeeeeee.
The lamp lit up and an electronic sound sounded.
In response, Choi Ki-seok rubbed the gel evenly on the paddle in his hand.
“Everyone get out of the way. Clear!”
thud!
As the current flowed, the patient’s body jumped.
“Once again, 200J!”
“Charge!”
“Clear!”
thud!
Choi Ki-seok checked the patient monitoring device and started chest compressions again.
Pop. Pop. Pop.
Beads of sweat flowed from my face and fell onto the bed.
‘Hold on a little more. please.’
Choi Ki-seok prayed earnestly while killing him.
I could still remember it clearly.
On the first day he was hospitalized, he was so drunk that he made a mess of the hospital room. He took pictures of his daughter with moist eyes. He was secretly heartbroken over his son’s rejection of a liver transplant.
But Choi Ki-seok believed.
Jace is a person who can smile again if he successfully completes the liver transplant surgery and psychiatric treatment.
I can’t let him leave for the other world before starting a new life.
“Once again, 200J!”
“Charge!”
“Clear!”
thud!
Ki-seok Choi finished defibrillation and carefully checked the monitor.
The electrocardiogram changed.
The irregular and abnormal waves have recovered to some extent.
“Mr. Choi. Leave it to me now. Does it look too difficult?”
“It’s okay. I’ll do it.”
Choi Ki-seok resisted Morgan’s help and alternately attempted chest compressions and defibrillation.
After a while, the difficult struggle ended.
Fortunately, Jace returned to spontaneous circulation.
“Everyone worked hard.”
Choi Ki-seok leaned his back against a nearby pillar.
My breathing was short and my arms were shaking, but the joy of saving Jace was even greater.
“The one who suffered the most was Mr. Choi.”
“As expected, he is an ace gastrointestinal surgeon.”
Jose and Morgan approached and smiled.
“This patient is waiting for a liver transplant, right?”
“That’s right. My son refused a liver transplant, so I put him on the brain-dead waiting list.”
“If this continues, won’t something happen before the transplant?”
Morgan frowned and stared at Jace.
“I met the patient well.”
“Originally, Mr. Choi’s patients resemble their doctor, so they are all unusual. This includes Mike, who was hospitalized for an appendectomy, and the other patients as well.”
“After hearing it, it really is.”
Morgan nodded at Jose’s joke.
“Stop teasing me because I’m going to die from exhaustion. Jose’s vitals are back, so please take an emergency test and take a picture.”
“What prosecutor?”
“UGI (Upper Gastrointestinal Test). I heard from the patient’s wife that she hasn’t eaten anything since last night. There won’t be any problem if we do the test now.”
“Didn’t you do UGI when you were first hospitalized?”
Jose tilted his head.
As he remembered, Jace’s UGI test results were normal.
“There was hematemesis in the hospital room earlier. I think esophageal varices developed due to the delay in the liver transplant surgery.”
“Oh… that’s right! There was blood vomit. Mr. Choi doesn’t miss even the smallest details.”
“I’m your doctor. So please.”
Choi Ki-seok returned to the ward with Morgan.
Since the morning meeting had just ended, I participated in the rounds.
While making rounds, his eyes never left Smith talking to a patient.
[You have obtained the new mission ‘Get Smith’s Recognition.’]
[Mission Completion Conditions: You must meet the necessary conditions to receive Smith’s approval. You must obtain material items and increase some stats.]
[When completing the mission, you can use the Hier system and receive a unique gem.]
The material item required to complete the mission is the Dark Seal.
To obtain this, you must endure Smith’s debuff, the Invisible Hand.
That’s the result I got from observing Ethan.
‘Even if you know it, it’s not easy.’
Choi Ki-seok frowned and rubbed his chin.
To be debuffed, you must make a mistake in front of Smith. But I didn’t know how to make that excuse.
It’s like hitting a wall again.
Even though the rounds were over, my worries deepened.
* * *
That morning.
Choi Ki-seok finished his surgical scrubs and returned to the ward.
‘After all, it’s a scam.’
A faint smile appeared on his lips.
I felt tired since yesterday evening, but thanks to the patient’s wishes, I regained my stamina.
Drurr.
Choi Ki-seok opened the door to the pediatric hospital room and went inside.
“Hello. My name is Laura’s doctor Ki-seok Choi.”
“Nice to meet you. I’m Jessica.”
“I’m sorry for greeting you so late. I had to go straight to the operating room after rounds….”
“It’s okay. There must have been circumstances.”
Jessica waved her hand as if it was okay.
Ki-Seok Choi had a light conversation with Jessica and then looked at Laura.
Laura was a two-year-old girl who suffered from congenital megacolon.
Congenital megacolon.
This disease, also called Hirschsprung disease, is a disease that causes problems in the intestinal ganglion cells that are responsible for intestinal movement.
Because patients are missing some of these cells, they are unable to move food down there.
“When is my child’s surgery date set?”
“I won’t be able to tell you exactly until the results of the colonogram are released, but you can expect to see it within four days.”
“What about the surgical procedure?”
“After connecting the part of the intestine with intestinal nerve cells to the part that does not, a stoma is later created. You can think of it as a total of two stages of surgery.”
“…yes.”
Jessica’s eyes turned to Laura.
“For the past few days, his stomach has been bulging, he has been vomiting, and he has suffered from severe constipation. I brought him here just in case, but I had no idea it was such a serious illness.”
“….”
“Besides, I looked into it and found out that Laura’s disease is a congenital disease. If I had paid attention in advance, it wouldn’t have ended up like this….” “There is no need to
feel guilty. In some cases, the symptoms may be discovered late. .”
Choi Ki-seok calmly comforted Jessica.
“You know what I mean? It’s not because Jessica isn’t interested in Laura.”
“I feel at ease when you say that. My husband blamed me and I thought it was my fault too.”
“I’ll tell my husband separately when he comes later.”
“Yes. “Thank you.”
Jessica smiled for the first time.
Ki-Seok Choi finished talking with her and left the hospital room. As he was
checking on another patient he had handed over, someone placed a hand on his shoulder.
When he turned around, Rahul from India smiled. He was smiling.
“Mr. Choi, are you busy?”
