Crisis and Opportunity (1)
“Hello, Deputy Director of Medical Services.”
As I entered, the head nurse of the operating room greeted me.
“It’s been a while, Catherine. Are you ready for what I asked for?”
“Of course. But what are you doing in the operating room? I heard you have stepped down from the front line…” “
Today is a special day.”
Song Myeong-jin passed the station with a grin on his face, and Choi Ki-seok followed.
After finishing scrubbing, the two people entered the rosette.
A man was lying on the operating table.
“Professor. What about this?”
“That’s right. It’s a Fresh Cadaver (a body frozen and preserved without embalming). I specially prepared it to teach Dr. Choi the new surgical method. Shall we spend some private time together today?”
“I’m good.”
Choi Ki-seok answered bravely.
“We won’t use a heart-lung machine, but I think it’s practical. First, let’s get Cadaver into a state just before saber surgery. Choi will do the surgery, and I’ll assist.”
“No matter what…”
“It has to be done by Dr. Choi. Ultimately, Dr. Choi will be the one to complete this surgery.”
“…I will repay your trust with results.”
“Hehe. When you say that, it seems like I’m putting too much pressure on you. Teacher Choi just needs to do his best as usual.”
“All right.”
Choi Ki-seok used a skill while answering.
[You have used the Dragon’s Eye skill. Automatically provides the optimal surgical field of view.]
[Video mode: on / Stereoscopic mode: off]
“Okay, shall we begin the surgery?”
Song Myeong-jin disinfected the body’s chest with povidone cotton and then covered it with a cloth.
Soon, Choi Ki-seok’s scalpel cut open the body from the neck to the solar plexus.
Jiyiing. Drumming.
Song Myeong-jin cut the sternum in half with a chainsaw and spread it sideways using a retractor.
There, the lungs were slightly pushed aside and the heart was revealed.
“The patient actually suffered from coronary artery stenosis. It will be like real-world practice.”
“yes.”
Choi Ki-seok calmly examined the coronary arteries in the heart.
Coronary arteries are also called cardiac arteries and provide oxygen and nutrients to the heart muscle.
Arteries tend to be between 1.5 millimeters and 2 millimeters long.
Some arteries are hidden in muscles and some are hidden in heart fat, making them difficult to access.
“Professor. There is a stenotic artery in this myocardial area.”
“Good find.”
“I will use the internal thoracic artery as the bypass vessel.”
Ki-Seok Choi used a scalpel to stretch the internal thoracic artery hidden in the fascia and remove part of it.
‘As expected, it’s Mr. Choi.’
Song Myeong-jin smiled with satisfaction at his neat blood vessel collection. Even though it was practice through a cadaver, Ki-Seok Choi’s performance was unstoppable.
Indeed, it was not a lie to say that CABG was successful at Uijin University in the past.
Wouldn’t Choi Ki-seok be able to complete the new surgery?
My heartbeat accelerated with anticipation.
“Then I will give you treatment.”
Cheeeeeeeek.
Song Myeong-jin made a small hole in the aorta with an electric cautery, and Choi Ki-seok connected the collected blood vessels to the hole.
This is a process that allows blood to flow through the transplanted blood vessels.
Although it doesn’t mean much right now because it’s a cadaver surgery.
“I’ll keep going.”
Ki-Seok Choi stretched one end of the internal thoracic artery and placed it on the lower part of the stenosis.
Followed by End to side anastomosis.
With the completion of blood vessel connection, coronary artery bypass surgery was successfully completed.
“If this is the case, I guess I should make a schedule to go home right away, right?”
“That’s too much praise.”
“Teacher Choi can be proud of his skills, because he is someone I have recognized.”
Song Myeong-jin paused and then continued speaking.
“I would like to explain the new surgical method in detail. Let’s assume that this patient also suffers from heart failure. What does Dr. Choi think is the scope of Saber surgery?”
“I think this is it.”
Ki-Seok Choi pointed to a part of the left ventricle with forceps.
Another word for Saber surgery is left ventricular volume reduction and reconstruction.
Its main role is to increase activity by cutting part of the myocardium that cannot function as a pump.
“What if the range ends here?”
Song Myeong-jin used the forceps to point much higher than where Choi Ki-seok pointed out.
“I think a heart transplant is necessary at this level. If the area that the professor pointed out is resected, not only will reconstruction be impossible, but the heart will not function properly.”
“This is the goal of new surgery.”
Song Myeong-jin’s answer was firm, and his eyes did not waver at all.
Choi Ki-seok sensed that his teacher would never compromise on the scope of the surgery.
“I’d like to hear the method you came up with.”
“The method I came up with is this: cut out the part of the myocardium that is not functioning properly and then transplant cells and blood vessels there.”
“Cell and blood vessel transplant?”
“That’s right. Since a heart transplant is burdensome, we are going to do a partial transplant. If we do a partial transplant after resection, the part will grow and take on a new function.”
“That… I don’t think it will be easy.”
Choi Ki-seok continued speaking.
“That’s right. In terms of surgical difficulty, partial transplantation is much more difficult than heart transplantation. In the case of heart transplantation, only the major blood vessels need to be connected, but in partial transplantation, even the smallest blood vessels must be connected. In addition, the aspect of patient management after transplantation is likely to be difficult. . But…”
“But?”
“I think it’s well worth the challenge.”
A strange look appeared in Song Myeong-jin’s eyes.
Patients suffering from the waiting period and cost of heart transplant.
For them, new surgery will be a ray of light.
“I know very well that new surgery won’t be easy. But if new surgery doesn’t cover this range, it means nothing.”
“What you said, Professor, is correct.”
“It’s good to talk. To be honest, I thought Dr. Choi would suggest reducing the scope of the surgery.”
“Is that possible? Aren’t the professor and I of the same mind?”
Song Myeong-jin burst into laughter at Choi Ki-seok’s joke.
“Now I’ll get the supplies ready.”
Song Myeong-jin headed to the freezer.
As he returned, he held a plastic container in his hand.
The container contained tissue and blood vessels donated by other patients.
“Let’s start the transplant surgery. Are you ready?”
“Yes. Let’s start right away.”
Choi Ki-seok carefully cut the targeted myocardium with a scalpel.
I had no intention of calling it cadaver practice. Because caution in practice guarantees success in actual combat.
Song Myeong-jin also read Choi Ki-seok’s intentions and provided meticulous assistance.
The expected bleeding site was captured with vascular forceps, and the heart was fixed to facilitate resection.
“The transplant is going in.”
Ki-Seok Choi opened the door to renal surgery with vascular anastomosis.
Meticulous work to connect the ends of existing blood vessels and transplanted blood vessels.
Even though the surgical treatment reached 8 stages, the anastomosis was not easy and connecting the tissues was also challenging.
Before he knew it, his face was covered in sweat.
“Whoa…”
Choi Ki-seok straightened his back and stared at the wall clock.
Two hours have passed since the start of renal surgery.
Nevertheless, even if I borrowed the effect of hyper-awakening from the tears of the soul, even if I borrowed the effect of hyper-awakening from the tears of the soul, it seemed that the surgery would not be easy.
“Let’s stop here for today.”
“Professor, I can do more.”
“I know how Mr. Choi feels, so let’s end this. If you are too motivated, burnout is bound to happen.”
“…All right.”
“This rosette is a kind of practice room, so you can come and practice at any time. If you run out of cadaver and implant supplies, let me know at that time.”
“yes.”
The two finished cleaning up and left the rosette.
Tiring!
[The important mission ‘Heart to Heart’ has been created. If you complete and commercialize Song Myeong-jin’s new surgery, you will receive a special reward.] [
You have completed the achievement one step closer to new surgery.]
[300A as a reward.
Provides P.]
[As a reward, special effects practice will be added to the training mode.]
Alarms ringing in succession.
Choi Ki-seok checked the status window and clenched his fists.
The high will of the teacher and the hearts of the suffering patients.
I will never forget these two things.
* * *
The next morning.
Choi Ki-seok put on a gown and headed to the thoracic surgery ward.
It was my first day at MHC, but I couldn’t afford to spend it comfortably.
There were so many things I wanted to do and things I needed to do.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
When I opened the door and entered the medical room, I saw Charles and Jeremy practicing suturing together.
“good morning.”
“It’s not good at all. It tastes like death.”
Charles pursed his lips and pointed at the suture model.
“I’m having a hard time because of this. I have to stand on duty as I am on duty and practice suturing as I practice suturing. Isn’t that too harsh?”
“I’m jealous, Mr. Choi.”
Jeremy added a word to Charles’ words.
“It’s hard and tiring, but it will definitely help. I guarantee you.”
Choi Ki-seok comforted the two people and used encouragement skills.
During his time at Uijin University, he practiced grueling suturing with models and dolls. Thanks to this, I was able to learn high-speed lifting skills and raise my ambidextrous skill level.
Practice will be of great help to both of you.
“By the way, you weren’t the one who cursed at me yesterday, right? Your ears have been itching since you left the conference room?”
“At least it’s not us, right?”
Charles chuckled and continued.
“I saw you suturing with my own eyes. What can I say? Even Professor Katarina clicked her tongue.”
“Well, I’d appreciate it if you didn’t take offense.”
“Are you by any chance not Dr. Choi but Dr. Straight?”
“I got caught. Then I’ll show you the power of the Supreme Magician.”
When Choi Ki-seok moved his hands flashily and imitated the main character in the movie, Charles burst out in a cool laugh.
“By the way. Why did you come to work today? Isn’t it off?”
“You need to come out, too. There’s a lot of work to do.”
“You still haven’t gotten over your habits from Meijo.”
While the conversation was paused for a moment, Emma came into the medical office.
“I didn’t tell you that. Emma was also exempt from suturing practice.”
“Emma too?”
Ki-Seok Choi stared at Emma as Charles spoke.
“Yes. It’s not as good as yours, but they said it’s at a level where model practice isn’t necessary.”
“Compared to Mr. Choi, we still have a long way to go.”
Emma blushed as if she was embarrassed, and Choi Ki-seok used the eyes of Hippocrates on her.
Her surgical procedures are at a similar level to those of doctors who have completed residency training at level 6.
Like Choi Ki-seok, isn’t her hobby also suturing?
It appears that he developed his skills through consistent hobbies during his surgical rotation.
“Emma. Are you tired? Are your eyes red?”
“I guess it’s because I stayed up late yesterday reading the surgical manual. My eyes are so stiff.”
As soon as Emma finished speaking, Jeremy gave her artificial tears from his gown.
So Emma used artificial tears and gave them back to him.
“I think I’ll buy something now. Thank you. “Jeremy.”
“This is it.”
Jeremy received artificial tears with a shy face.
I can’t believe my friend, who looks like a foreign bandit in size and appearance, is so shy…
Choi Ki-seok couldn’t hold back his laughter at his unexpected charm.
