Return (2)
“You want to do it yourself?”
Leon opened his eyes wide and asked again.
“I don’t think this is something a brain puncture technician would do from the first day of training.”
“I have to learn it anyway, so I think it would be a good opportunity to do it. I think it will be more reassuring if Leon watches over me.”
“Do you know how to puncture?”
“yes.”
“Okay, then let’s do it together.”
“thank you.”
The two went to the hospital room together and talked to the patient.
‘As expected, that bastard…’
Choi Ki-seok used the eyes of Hippocrates on the patient and frowned.
The patient suffered from both cerebral infarction and ventriculitis.
As a result, the intracranial pressure was abnormally high and there were abnormal signals in the vitals.
Should we say this is evidence that Nikolai intentionally hid his ventriculitis?
“Nice to meet you. My name is Ki-Seok Choi and I will be your patient’s attending physician.”
“hello.”
“The patient now needs a procedure called a ventricle puncture. A ventricular puncture is a procedure where a small needle is inserted into the patient’s head, which can reduce the pressure within the head cavity.”
When Choi Ki-seok explained the need for a brain puncture needle, Oliver nodded as if he understood.
Soon, the three people moved to the treatment room.
Unlike general paracentesis, brain paracentesis required more tools.
Amidst great tension, the patient lay down on the operating table in the treatment room.
“Leon. Let’s begin.”
“is it so.”
Two people put on surgical gloves and took a seat.
Ki-Seok Choi was between the dressing cart and the patient, and Leon looked at Ki-Seok Choi and the patient from the back of the dressing cart.
square. square.
Choi Ki-seok organized the hair in the area where the puncture was to be performed. Then, I injected the local anesthetic that Leon gave me subcutaneously.
‘Can I do well?’
Leon’s gaze rested on Choi Ki-seok, who was being treated.
I knew full well that he was no ordinary resident.
There are stories I heard from colleagues in the general surgery department and stories I heard from other people.
However, brain puncture had a much higher risk than other punctures.
If the puncture is done incorrectly, the patient may become paralyzed.
The risk of cerebral hemorrhage, brain damage, and infection could not be ignored.
His classmates, who came to the neurosurgery department first, barely started learning after a month.
But Choi Ki-seok was different.
As soon as I arrived at the neurosurgery clinic, I showed off my courage and said I wanted to make a paracentesis.
‘I shouldn’t fail.’
Leon couldn’t shake off his worries easily.
Building a reputation is hard and difficult, but destroying it only takes a moment.
The same goes for Choi Ki-seok.
Applicant Chief, first Hire system user this year, etc.
If this puncture fails and the patient suffers aftereffects, all the achievements will be in vain.
“Leon.”
“Uh, um, yes?”
“I’m the one taking care of it. But aren’t you more nervous than me?”
“That’s right, but…”
“Don’t worry too much. If you can’t puncture, you wouldn’t have come to the neurosurgery. Please give me a scalpel.”
Choi Ki-seok made an incision at the puncture site using the scalpel given to him by Leon.
Eventually, his gaze rested on Kocher’s point.
Kocher’s point is the safest place to perform a ventricle puncture.
It was located 2.5 centimeters lateral to the midline and 1 centimeter from the coronal suture.
When Choi Ki-seok pointed to Kocher’s point with his index finger, Leon nodded.
“A drill.”
Choi Ki-seok held the drill in his hand and took a deep breath.
I never dreamed that I would be using a drill to make a hole in a patient’s skull.
I felt a little bit of pressure, but it soon disappeared like dust.
The passive effect of Frozen Heart made him calm.
Jiyiing.
A small hole appeared in the patient’s skull along with a loud noise.
“16 gauge needle.”
I took the needle and carefully pushed it into the hole.
All you have to do is advance about 4 centimeters toward the midline and the external auditory canal.
Fuuuuuk.
While the puncture was being performed, I felt something puncturing my fingertip.
The needle entered the ventricle.
Tiring!
[You have successfully performed brain puncture.]
[You have successfully performed the first special mission neurosurgery procedure. As a reward,
we provide 500 P.P. and 10 servings of pet food.]
“Well done. There is no fault.”
Leon checked the puncture site and looked satisfied.
“Intracranial pressure is also dropping.”
“Because the treatment went well.”
“We suspect ventriculitis, so we will treat it with antibiotics.”
At Choi Ki-seok’s words, Leon drew a circle with his thumb and index finger.
‘what the. ‘Is this okay?’
He couldn’t help but be amazed as he watched Choi Ki-seok move the patient’s bed.
Contrary to concerns, Ki-Seok Choi succeeded in performing a brain tap immediately.
It was so embarrassing that I was so anxious and broke out in a cold sweat while watching him.
‘He might grow faster than me. ‘I need to be a little nervous, right?’
Leon broke his neck and followed Choi Ki-seok.
* * *
That afternoon.
Choi Ki-seok was looking through a neurosurgery manual at the medical office.
There is still only one patient in charge, and the scrub schedule is set for tomorrow.
At least I was able to enjoy some free time today.
Drurr.
The door opened and Larry came inside.
“You had a hard time. Was scrubbing hard?”
“I’m dying. My legs hurt, my back hurts, there’s nowhere that doesn’t hurt.”
Larry slumped down in his chair.
He was in scrubs in the morning and had just returned to the medical office after helping with a seven-hour surgery.
“What surgical scrubs are on you?”
“Spinal nerve surgery. I had a joint surgery with an orthopedic surgeon and it wasn’t a big deal. From what I heard, Mr. Choi said he had a ventricle puncture in the morning?”
“that’s right.”
Larry made a shocked expression at Choi Ki-seok’s calm response.
“Are you saying that brain puncture is nothing to someone who was promoted early? Janet and I were so happy after having a successful puncture.”
“Leon taught me so well.”
“I also learned from Leon?”
Choi Ki-seok couldn’t say anything in response to Larry’s answer.
Jiyiing.
The phone rang in awkward silence.
“This is neurosurgeon Ki-Seok Choi.”
[This is the emergency room. Please only look at one patient. There was no problem on the examination, but the patient kept complaining of headaches.]
“Yes. I’m going down now.”
Choi Ki-seok hung up the phone and stood up.
“Emergency room call?”
“That’s right. I’ll take a look.”
“You are studying the manual here. It would be better for me to go since I came first.”
“First of all, if I can’t handle the patient, I’ll call you. It’s you who’s tired, not me.”
Ki-Seok Choi patted Larry on the shoulder and headed to the emergency room.
The patient’s name is Brown.
He was ten years old and was holding his head with a painful expression.
Beside him, his mother, Sylvia, stamped her feet.
“Is this the patient?”
“Yes. He accidentally hit his head on the floor while playing on the bed. I took an X-ray and a blood test, but there were no suspicious diseases.”
The emergency medicine doctor scratched the back of his head.
“Doctor. Isn’t my child having a cerebral hemorrhage? Don’t we need to get a CT or MRI?”
Sylvia continued speaking rapidly.
“I know you’re worried about your child, but I’ll do the interview first. Brown?”
“…yes.”
“Where are you most uncomfortable?”
“It feels like someone is poking me here with a needle. It hurts so much.”
Brown pointed to the temporal area with his index finger.
“What else?”
“I feel sick. I want to throw up.”
“Now, teacher. Would you like to look straight at your finger?”
When Choi Ki-seok held out his index finger, Brown stared at his index finger.
“Is it difficult for you to see your fingers? It seems like you have two fingers.”
“Maybe it is, maybe it’s not, I don’t know for sure.”
“Doctor. Just get a CT or MRI.”
Sylvia, who was watching the two people, came out.
“You can’t find out what’s in your head just by asking.”
“Guardian. I am currently undergoing treatment. Please do not interfere with the treatment any further.”
When Choi Ki-seok came out strongly, Sylvia kept her mouth shut.
‘what? this person?’
Since he was from the East, I couldn’t tell his exact age, but it was clear that he was younger than me. However, the way he spoke a moment ago contained an irresistible charisma.
It’s amazing.
‘The symptom is a typical subarachnoid hemorrhage…’
Ki-Seok Choi used the Eye of Hippocrates while examining Brown’s eyes with a light.
The moment I saw the diagnosis that came to mind, I almost burst out laughing.
I finally understood everything.
“I need to talk to Brown for a moment.”
Choi Ki-seok took the child and moved to the bed in the corner.
“Brown. Does your head hurt a lot?”
“Yes. It hurts like I got hit by a hammer.”
“Is that strange? I said earlier that it felt like I was being pricked with a needle.”
Brown’s body shook at Choi Ki-seok’s words.
“It feels like being pricked with a needle or being hit with a hammer. Either way, it hurts so much.”
“Just be honest with the teacher.”
“Huh? What?”
“You didn’t hurt your head. Are you just faking it?”
At Choi Ki-seok’s words, Brown’s eyes shook as if there had been an earthquake.
Perhaps because he is a child, he is unable to completely hide his lies.
“Oh… no. My head hurts so much.”
“If you try to fool the doctor, it won’t work. And if you keep pretending to be sick, you will have to get tested and have surgery.”
“Soo… surgery?”
“Don’t you know how scary head surgery is? Opening the head with a knife and drilling into the skull with a drill.”
Brown trembled at Choi Ki-seok’s exaggerated acting.
“G… Really?”
“Teacher, like no one else, lies. So, can you tell me why you pretended to be sick?”
“That’s the truth. I broke my mom’s favorite flower pot while playing with my younger brother. I thought I would get scolded if I got caught, so I said it hurt.”
Choi Ki-seok smiled softly and stroked his head.
“If you say you’re sick, do you think breaking a flower pot will be overlooked?”
“…yes.”
“I don’t know anything else, but you shouldn’t fool around with feigning illness. Have you seen how worried Mom is?”
Brown nodded instead of answering.
“Then promise me you won’t cheat again, teacher, and I’ll let you skip today’s incident.”
“really?”
“Yes. Just for today.”
Choi Ki-seok made a promise with Brown and called Sylvia.
Meanwhile, Brown headed to the bathroom.
“Teacher. Are we, Brown, very serious?”
“There is no need to worry at all. There is no need for tests.”
“Why? I looked up the symptoms and they are exactly the same as subarachnoid hemorrhage?”
Sylvia held out her cell phone.
“It’s just that the symptoms look the same.”
Choi Ki-seok relayed the same story he shared with Brown to Sylvia. Then, Sylvia slumped her shoulders as if she was feeling tired.
“In short, you came to the hospital because you were faking an illness.”
“That’s the bottom line. How scared you must have been of breaking the vase to pretend to be sick? It would be better to get over today’s incident.”
“Whew… that’s right. Faking an illness is a hundred times better than being really sick.”
While they were talking, Brown returned to their side.
He was busy looking at the two with anxious eyes.
“Brown. The doctor says you need surgery? They have to open your head completely?”
“yes?”
Brown opened his mouth wide at Sylvia’s words.
Meanwhile, Sylvia hit Brown on the head with her fist.
“You know your mom was worried, right?”
“…sorry.”
“I’ll just skip it because I’m seeing the teacher today. But if you do this again, I’ll get really scolded.”
“Yes. I won’t do that again.”
“Should we train Brown to be an actor at this point? He was good at acting in a painful way that made you feel realistic.”
“I’ll think about it.”
Choi Ki-seok and Sylvia looked at each other and smiled.
