Never-ending challenge (2)
After connecting the heart-lung machine, median sternotomy was performed.
As Choi Ki-seok cut the area from the neck down to the solar plexus, Charles cut the patient’s sternum with a saw.
Drumming. Drumming.
“This is my first time trying this myself. It feels really bad.”
“You’ll have to get used to it from now on.”
“Well, I guess so.”
After the sternum was cut, a spatula (a type of retractor) was attached to the patient’s chest.
“It’s hard to see the surgical site because of the bleeding. Let’s start with suction.”
“okay.”
Cheeeeeeeek.
As Charles and Jeremy sucked in the blood, the aorta and its surroundings slowly emerged.
“It’s a pain in the ass. It’s the Dvaki Type I type.”
Jeremy frowned.
Debackey type I was a case where the dissection started in the ascending aorta and invaded the aortic arch and descending aorta, making it a difficult type to operate on.
“Don’t be scared. You just have to hold on until the professor comes. Clamp.”
Ki-Seok Choi used blood vessel forceps to tie the upper part of the torn blood vessel.
Thanks to this, the amount of bleeding was noticeably reduced.
“What are your vitals?”
“80/50 mmHg in the right upper arm and 120/70 mmHg in the left upper arm. Pulse is 46 beats per minute in both radial arteries. Respiration rate is 28 beats per minute. Body temperature is 37 degrees.”
“Thank goodness. You’re still okay.”
Ki-Seok Choi breathed a sigh of relief upon hearing the intern’s report.
“What are you going to do now?”
“First, we have to cut out all the torn blood vessels and connect artificial blood vessels to them.”
“It’s a mountain beyond a mountain. We can do blood vessel anastomoses ourselves.”
“Meth.”
Choi Ki-seok, ignoring Charles’ complaints, neatly cut the torn blood vessel for anastomosis. The surrounding blood vessels and aorta suffered no damage from the delicate movement.
“Anesthetist. Please administer hypothermia therapy.”
“All right.”
At Choi Ki-seok’s words, the anesthesiologist began hypothermia therapy.
Hypothermia therapy is a method of lowering body temperature by laying a cooling mat on the operating table and inserting a special cooling tube into the blood vessel.
When aortic replacement surgery is performed, blood flow to organs that receive blood from the aorta is blocked.
This can cause damage to the patient’s brain and spinal cord, and hypothermia therapy is used to prevent this.
“You know the timing of hypothermia therapy very well. If Mr. Choi didn’t say anything, I was going to say it first.”
“Treating the aorta is meaningless if there is damage to the brain and spinal cord. Besides, since you are the attending physician, you should pay more attention.”
“It’s reliable.”
The anesthesiologist smiled.
After hypothermia therapy was completed, full-scale artificial blood vessel replacement surgery began.
“4-0 Prolene.”
Geek.
Choi Ki-seok tightened the suture needle with the needle holder and then looked down at the surgical site. Charles and Jeremy were holding the artificial blood vessels and existing blood vessels with forceps.
‘I can do it.’
The anastomosis was firmly placed and the anastomosis was performed.
First, the end of the artificial blood vessel was connected to the end of the torn blood vessel.
Although his blood vessels were thin and thin, he was no match for the person who had trained hard over the past few years.
At first, his hand movements seemed sluggish, but his speed and accuracy gradually improved.
Even more surprising.
The point is that even though Jeremy’s hands were shaking slightly, he proceeded with the anastomosis as if he had expected it.
‘what the. ‘I don’t know even if I know it.’
Charles stuck out his tongue as he watched Choi Ki-seok.
Inwardly, I was satisfied with the treatment so far.
So I thought it would be a good idea to wait for Katarina, but that wasn’t necessarily the case.
Knowledge about aortic dissection may be lacking, but one thing was certain.
There is no flaw in Choi Ki-seok’s anastomosis.
click!
The botched artificial blood vessel replacement surgery has come to an end.
“Let me wipe your sweat.”
“thank you.”
The disinfection nurse wiped the sweat from his face and neck with gauze.
“Are there now only aortic valve replacement and descending aorta replacement?”
“that’s right.”
Choi Ki-seok nodded and looked down at the surgical site.
Dry lips and slightly trembling hands.
Even though I was under the effects of the frozen heart, my heart started pounding.
I couldn’t help but be nervous.
In the case of descending aorta replacement, if performed incorrectly, the patient’s nerves could be damaged, resulting in paralysis.
Choi Ki-seok felt like leaning on someone for the first time in a long time.
But at that very moment.
Jiiiing.
The rosette door opened and Katarina hurriedly approached the staff.
“What about the patient?”
“I just finished taking care of the bleeding area and performing ascending aorta replacement surgery.”
“Already done with replacement surgery?”
Katarina looked like a surprised rabbit.
I was going to praise him for just stopping the bleeding, but I didn’t realize that 30% of the treatment had already been completed.
She composed herself and examined the patient’s aorta.
Bleeding was perfectly controlled, and the artificial blood vessel anastomosis was completed cleanly. In the worst case scenario, the patient could have died due to aortic rupture, but the new researchers achieved one thing.
“Good job. It exceeded my expectations. Stop being an intern and everyone take a position down one by one.”
“All right.”
Following Katarina’s instructions, Ki-Seok Choi changed positions to first assistant, Charles to second assistant, and Jeremy to third assistant.
“We will now proceed with descending aorta replacement surgery. 5-0 Prolene.”
Katarina took action in earnest.
Even though I was out of breath from running, there wasn’t even a gap the size of a fingernail in the anastomosis.
Resection of a 6-cm endothelial flap and anastomosis of the intercostal artery.
From the connection of the artificial blood vessel to the descending aorta and the elephant trunk surgery essential for the process… it
was truly worthy of being called the best female doctor at MHC.
As time passed, the aortic dissection surgery was completed successfully.
When Choi Ki-seok examined the patient with the eyes of Hippocrates, the patient’s condition appeared to be in excellent condition.
“80 minutes of circulatory arrest and 100 minutes of aortic blockage are excellent. It’s all thanks to you all for holding on well.”
“Thank you for your effort!”
“Are you hungry? Let’s have a snack at the medical office.”
Katarina left the rosette first, followed by the staff.
Her delicate back instantly seemed to Choi Ki-seok as sturdy as a giant.
I was honestly relieved when she showed up at the right time.
The fact that I don’t need any more surgery.
The fact that I can escape the weight of being a surgeon.
‘There’s still a long way to go. ‘I need to work hard.’
Ki-Seok Choi reflected on himself and strengthened his resolve.
* * *
The next day.
The morning meeting and rounds ended successfully.
Since I had some free time, I went around the ward and checked on the patients.
Kevin, who suffered from a rib fracture, was still not doing well.
I thought it would take a little more time to get the nurse bar surgery.
On the other hand, Jerome, who had undergone balloon dilatation for esophageal dystrophy, was in good condition.
I thought it would be no problem to make a discharge plan soon.
Lastly, Jamie, who suffers from Williams Syndrome, was scheduled for surgery tomorrow.
The surgeon is Benson.
He is an expert in pediatric cardiac surgery and a professor at Team Heartbeat.
Choi Ki-seok was supposed to participate in his surgery as a second assistant.
“What are you thinking like that?”
When I heard a familiar voice, I turned around and saw Yasada standing there.
“Oh… it’s nothing.”
“It doesn’t seem like it’s nothing, right? By the way, I heard that yesterday’s duty was very flashy…” “
Yes. I was so out of my wits that I thought I was going to die. I experienced a code black for the first time in my life and had to undergo aortic dissection surgery.”
“There are so many things to do. It seems like not only me and Dr. Song, but even the God of Medicine is watching over you. Otherwise, wouldn’t this be possible?”
Yasada laughed.
“I just got a call and the deputy hospital director was looking for you. Come on.”
“Are you talking about Deputy Hospital Director Parker?”
Deep wrinkles appeared on Choi Ki-seok’s forehead.
As soon as I heard the name Parker, I felt uncomfortable.
Why on earth does that snobby person want to see me?
“I have to go see an outpatient doctor right now…”
“Just turn your patient back to me for a moment. Don’t worry, just go.”
“All right.”
Choi Ki-seok went that way and went to the office of the vice hospital director.
Knock. Knock. Knock.
When I knocked, I heard a voice telling me to come in.
When I entered the office, Parker was sitting on the sofa drinking coffee.
“hello?”
“Welcome, Mr. Choi. It’s been a while since we last saw each other, right?”
Parker grinned and pointed to the sofa across from him, and Choi Ki-seok sat down and looked around the office.
Parker’s office was luxurious.
Luxurious carpets were spread on the floor, and paintings with an old-fashioned feel were hung on the walls. All the furniture, including the work desk, seemed to say, ‘I’m expensive.’
“How is the office?”
“This is my first time seeing such a gorgeous office.”
“I take it as a compliment. Let’s watch some more. I’ll make you a cup of coffee.”
Eventually, Parker placed the coffee beans he personally brewed in front of Choi Ki-seok.
“The coffee smells really good.”
“Of course it should be. It’s a specially imported product.”
Choi Ki-seok took a sip of coffee and nodded slightly.
The taste wasn’t anything special, but I felt like the deep scent was spreading throughout my body.
This coffee had the power to disarm people.
‘You can’t do this!’
Ki-Seok Choi pinched his thigh and shook away the dazed feeling.
Parker’s office was like a tiger’s den. If I didn’t come to my senses, I didn’t know if I would get bitten in one big place.
“You might be wondering why I called you, right?”
“Yes. I kept thinking about that the whole way. It’s not often that I get a call from the vice hospital director.”
Parker nodded as if he was satisfied with Choi Ki-seok’s answer.
“There’s no need to be so nervous. I didn’t call you here to eat you.”
“….”
“To put it bluntly, the reason I called you is… to compliment you.”
“A compliment?”
Choi Ki-seok tilted his head and asked back.
“You take such good care of your patients, but you’re completely blind to what’s going on outside. Just look at this.”
When Parker held out his cell phone, a NewTube video appeared.
“This… this?”
The place where the video was filmed and the people who appeared seemed vaguely familiar.
“Yes. This video was filmed in our emergency room yesterday when a code black occurred. The patient who was treated was so amazed that he filmed it.”
Parker’s explanation continued.
The title of the video is Real Doctor.
Many people are currently watching this video.
“I don’t think this is a video that will go viral. Isn’t that obvious?”
“That decision is up to the person watching the video, not you. And it was a video posted last night, and it already has over 1 million views. They say the patient in the video is the one who received the New Tube Diamond Button.”
“….”
“What’s more important is that you are the subject of this video. In fact, the angle of the video is focused on you triaging patients.”
“…okay.”
Choi Ki-seok belatedly realized the reason why Carter called him.
“Dia Button Newtuber has 10 million subscribers, so he’s just going to get 10 million views. There is a high probability that it will become an issue in the future. Mr. Choi. Very good job. Thanks to you, MHC’s status has risen to the next level.”
“Thank you, but I was just doing my job.”
“I knew you would say that,”
Parker continued, taking a sip of coffee.
“Anyway, I watched the video and saw your performance. I thought I couldn’t just ignore it. So I thought I’d give him a small compensation.” ”
What do you mean by compensation?”
Parker smiled at Choi Ki-seok’s question.
“That’s right….”
