Crisis and Opportunity (6)
“Surgery… Is this really true?”
Ethan’s voice trembled without realizing it.
“Yes. From now on, it will be difficult to accompany Ethan. It would be better for Ethan to go to the filming set.”
“I understand. I’ll stop…”
Ethan Choi Ki-seok, who quickly left the ward dragging the bed, couldn’t take his eyes off his back.
Fall patients, first aid, and even emergency surgery.
From the first day of the trip, accidents were occurring one after another. It seemed like it wouldn’t be easy to accompany Choi Ki-seok.
Ethan stood blankly for a while and then returned to the filming set. And I watched the other actors’ acting closely.
The supporting actors have just entered the first scene.
“I thought I was going to die while I was on duty yesterday. The patients came like a swarm of bees and I couldn’t even get a good night’s sleep.”
“You’ve never had any luck on duty since before. The interns were told to go away.”
Ethan couldn’t take his eyes off the actors playing.
Their lines were short and didn’t even have much weight. However, this short acting was enough to fully feel the hardships of hospital life.
Perhaps this is the living power of acting.
Ethan now seemed to understand why viewers criticized his acting.
Poor acting hinders the viewer’s immersion.
If the actor fails to act as a doctor, viewers will realize that the character in the play is not a doctor. Naturally, we realize that the situation in the play is not real and we distance ourselves from it.
‘Well… if my acting as the main character was poor, I would have said everything.’
A bitter smile appeared on Ethan’s lips.
As time passed, the scene arrived where Ethan and Lavigne faced each other in the medical office.
Ethan’s hands were already soaked with sweat.
The filming crew’s eyes were on my entire body like daggers.
If you can’t overcome the acting in this drama, people won’t look for you anymore.
‘are you okay. you can do it.’
Ethan recalled the time when he accompanied Choi Ki-seok and tried to be like him as much as possible.
“Ethan. Just don’t be nervous. You’ll do well, right?”
“Yes, of course.”
“Shot goes in.”
At the words of the cinematographer, Ethan and Lavigne adjusted their posture and looked at each other.
“How do you feel about starting residency again?”
“I’m not sure yet. I guess I’ll have to live a little more to find out.”
“People are not perfect. Anyone can make mistakes. Besides, it wasn’t your fault in the past.”
“No. I was the patient’s doctor. All responsibility lies with me.”
Ethan spoke his lines smoothly.
The main character in his drama is Jin.
In the past, Jin worked as a doctor, but unexpectedly sent a patient to the other world and disappeared for a year. Then, he receives a call from his teacher Owen, played by Lavigne, and starts living in the hospital again.
This is the first part of the drama.
With the lines coming and going like ping-pong, Ethan suddenly couldn’t type them.
I was worried about Kevin, the fall patient.
Did the little patient with the sunken chest receive proper surgery?
“jin.”
“….”
“Jin. Can’t you hear me? What on earth are you thinking?”
Ethan showed no reaction to Lavigne’s words.
“I lost again, I lost again.”
“It looks like our handsome protagonist forgot his lines. I wish he could eat his lines like that and not gain weight.”
“This drama is also a disaster.”
Some staff members mocked Ethan, but Ethan didn’t even hear them.
His entire mind was focused on Kevin for a moment.
“jin!”
Ethan belatedly came to his senses due to Lavigne’s shouting.
“Sorry… I’m sorry. On the way to the ward, I ran into a child who had undergone emergency surgery. The surgery should have been completed by now…”
Lavigne looked surprised at Ethan’s impromptu remark, and some staff members looked upset. showed.
“Emergency surgery? What kind of patient was this?”
Lavigne skillfully received Ethan’s ad lib.
“This is a pediatric fall patient suffering from pectus excavatum. He received emergency treatment because of a severe rib fracture, and emergency surgery was performed because delayed blood vessel damage and diaphragm damage were suspected.”
Ethan followed exactly what Choi Ki-seok said earlier.
“Hahaha. As expected, it was a good thing I called you. My feelings for the patient haven’t changed at all.”
The scene ended with Lavigne’s cool smile.
‘Did I do something wrong again?’
Ethan glanced at the mesmerized staff and scratched the back of his head.
Unusual silence on set.
This usually happened when I was acting out.
“Ethan. What happened to your acting just now?”
The drama director asked a question with surprised eyes.
“I was accompanying the MHC resident teacher to work earlier. I think that came out in today’s scene. I’m sorry. I wasn’t ad-libbing.”
“I didn’t mean that… I said you did a good job.”
“Huh? I did a good job?”
“It was very good. Good. Good!”
The drama director continued speaking while giving a thumbs up.
“The main character survived because of this ad-lib. If the scene had gone the way it was before, it would have only shown that the main character is still unable to sort out his mind. But….” “….” “
Ethan
’s ad-lib helped the main character to care for the patient. “Your personality stood out.”
“Okay. Good job. I was surprised too.”
Ravin joined the conversation, putting his hand on Ethan’s shoulder.
“As expected, is it worthwhile to ask Mr. Choi?”
“Ravin. Did I really do well?”
Ethan was still confused by the compliment he received for the first time on set.
Even in my dreams, I was harassed by the staff for not being able to act. But I never thought I would receive praise in real life. I never imagined a day like this would come.
“Okay, let’s cheer up and get into the next scene.”
“yes!”
Ethan’s voice was filled with excitement.
* * *
Department of Thoracic Surgery.
Team CPR personnel were talking with serious expressions.
“I need surgery for this.”
Choi Ki-seok pointed to the inspection video that appeared on the monitor.
“I broke my 10th and 11th ribs. There was no sign of hemothorax when I received first aid, but now I have a hemothorax and even a laceration (torn wound) on my diaphragm.”
“There’s still almost an hour left before the meeting starts. Is there anyone available for surgery?”
“I’ll do it.”
Choi Ki-seok’s answer immediately caught the attention of his colleagues.
“Diaphragm restoration is not a procedure at our level. Are you going to do that?”
“So we’re just going to watch Kevin die?”
Choi Ki-seok and Charles’ gazes clashed tightly, and Jeremy and Emma’s gazes looked nervous as they watched.
Charles spoke first in the suffocating silence.
“Jeremy, please intubate Kevin with a chest tube. After the intubation, we will intubate and go up to the operating room. Emma will help Mr. Choi and enter the operating room. I will get permission for the surgery from the professor. When the guardian returns, I will receive a consent form.”
“Wasn’t my family also against it?”
Choi Ki-seok tilted his head and asked.
“Not really. I was just wondering how you would react if I objected.”
“Bland bastard.”
“Do you understand that now? Anyway, this is your patient and you volunteered for the surgery, so finish it well.”
“Don’t worry. Let’s go.”
Choi Ki-seok went to the operating room with Emma.
Thanks to Charles’ work, preparations for the surgery were completed in an instant.
Yasada’s consent to the surgery was given by the guardian, and the mobilization of supporting staff was completed at once.
Buck. Buck. Buck. Buck.
Ki-Seok Choi thought of Kevin while scrubbing with his colleagues.
This is Kevin, who is scheduled to have nurse bar surgery in two days. But I never thought rib fractures would occur.
Because of the rib fracture, the nurse bar surgery was automatically extended.
In addition, the aftereffects of a rib fracture will have a significant impact on future nurse bar surgery.
‘I have no choice but to use that method.’
A sharp light radiated from Choi Ki-seok’s eyes.
Jiiiing.
After the scrub, the staff and Kevin entered the rosette at the same time.
The surgeon for this surgery is Ki-Seok Choi, the first assistant is Emma, the second assistant is Jeremy, and the third assistant is an intern.
“Patient blood pressure 105 mm/Hg 60 mm/Hg heart rate 87 beats per minute body temperature 37 degrees. Vitals are normal.”
The intern who connected Kevin to the patient monitoring device came forward to report.
“Okay, sir.”
“Whatever you want to say…”
The disinfection nurse caught Choi Ki-seok’s gaze and blinked.
“Please prepare for VATS (Video-assisted Thoracoscopic Surgery).”
“Aren’t you going to have a thoracotomy?”
“This is a pediatric patient. If a thoracotomy is performed, recovery is slow and a scar will form. The child is already suffering from pectus excavatum, and I do not want to leave a scar.”
“I know that, but Dr. Choi does VATS…”
The disinfecting nurse was speechless.
“Sir, you saw me playing VATS with Head Chief Yasada. Even though I was an assistant at the time, I can do it too.”
“….”
“And as the surgeon, I will take responsibility for all the results.”
“…Okay, I’ll do as Dr. Choi says.”
The disinfection nurse glanced at Choi Ki-seok, who was busy preparing VATS tools.
‘He’s a strange person.’
Ki-Seok Choi is a rookie who has just entered the field of thoracic surgery.
However, his actions and tone gave off a sense of skill, as if he had been rolling on the floor of a thoracic surgery clinic for a long time.
How can we explain that sense of discrepancy?
“Emma isn’t against VATS?”
“Of course you should do VATS if you can. It’s the best way for patients.”
“It’s nice to talk to Emma.”
“I know.”
Emma smiled and started preparing for surgery.
“The anesthesia is over.”
Ki-Seok Choi nodded at the anesthesiologist’s report.
“From now on, we will begin hemothorax and diaphragm restoration surgery caused by a rib fracture.”
“I’m going to disinfect.”
Jeremy disinfected Kevin’s chest extensively and then covered it with a cloth. Accordingly, Choi Ki-seok took a scalpel and made an incision in Kevin’s 6th intercostal area.
“I will insert a trocar and secure the view with a thoracoscope.”
As Emma finished the foundation work required for the surgery, the surgical site appeared on the monitor.
“The posterior part of the 11th rib is covered with a hematoma. There are lacerations on both sides of the diaphragm.”
“I confirmed it. There are adhesions on the diaphragm and pleura. We will insert an additional trocar and treat the adhesions first.”
Ki-Seok Choi pushed the long VATS surgical tool into the trocar.
“Jeremy will secure the surgical field of view, and Emma will use an electric cautery to treat the adhesions. Then, I will remove the adhesions with forceps.”
“all right.”
“okay.”
Three people took action at the same time.
The first treatment of the first surgery with team CPR staff.
Under Choi Ki-seok’s guidance, the work to separate the adhesions proceeded smoothly.
“End of separation. Now we will remove the hematoma.”
Ki-Seok Choi pushed the long forceps inside the trocar. Then, the posterior part of the diaphragm was carefully touched with the tip of the forceps.
The hematoma in the posterior area began to peel off like a tomato skin.
“I’ll pour you some saline solution.”
With Emma’s assistance, the process of removing the hematoma went much more smoothly.
All that remains now is to restore the damaged diaphragm.
“3-0 prolene.”
Geek.
Choi Ki-seok tightened the suture needle with a needle holder and began preparing for suturing.
Although this was my first VATS surgery, the principle was not much different from laparoscopic surgery performed in general surgery.
I was confident I would finish it safely.
“Then we begin to restore the diaphragm.”
The VATS-specific needle holder was inserted into the trocar.
