Forced breakthrough (3)
“General anesthesia is over. The ABGA (arterial blood gas analysis) results performed before entering the operating room are PH 7.400, PCO2 41.1mmHg PO2 19.8mmHg B.
E. 1.2.”
“The electrocardiogram and echocardiogram performed together showed right ventricular hypertrophy.”
The anesthetist and Emma’s reports followed.
“Confirmed. The patient appears to be suffering from hypoxia. Please put an oxygen mask on the patient and connect him to a heart-lung machine.”
“yes!”
The staff moved in perfect order under Choi Ki-seok’s instructions.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
The staff exchanged looks as the heart-lung machine started working.
The moment when pulmonary artery stenosis surgery begins.
The staff kept their mouths shut and looked determined.
Knowing very well the weight of today’s surgery, Rosette’s mood was bound to be heavier than ever.
“From now on, we will begin pulmonary artery stenosis surgery, pulmonary valve correction, shunt surgery, and right ventricular muscle removal surgery.”
Swish swish swish.
Emma disinfected the patient’s chest and covered it with a cloth, and Ki-Seok Choi was handed a scalpel by the disinfection nurse and cut down the patient’s solar plexus to the chest.
The feeling of tearing apart a drum remained in my fingertips.
It’s a feeling I’ve felt countless times in the training room and in actual combat, but today it felt oddly unfamiliar. Because it was a surgery that was carried out in an unreasonable manner, he seemed to feel pressured without realizing it.
‘are you okay. If you just do what you normally do….’
Choi Ki-seok finished the skin incision, instilling confidence in himself.
Carl and Emma then used retractors to open the patient’s chest. In that state, when the lungs were slightly exposed to the side, the heart, the surgical site, was revealed.
thud. thud. thud. thud.
The heart, which looked a little cuter than that of an adult, was beating vigorously.
“Honestly, I’m scared. I have to touch that thing.”
“There is no need to be nervous. The principle of surgery itself is no different from that of adults.”
“That’s true, but…”
Despite Choi Ki-seok’s answer, Karl’s expression did not ease easily.
“First, let’s take a close look at the surgical site.”
“yes.”
“great.”
Ki-Seok Choi and the staff began carefully examining the surgical area.
As shown in the examination, the condition of the pulmonary artery was not good.
The pulmonary artery is an artery that carries blood that travels around the body and returns to the heart to the lungs. Jamie’s pulmonary artery was narrowed and blood flow was not smooth.
This includes both the left pulmonary artery and the right pulmonary artery.
“Mr. Choi. What are you going to do?”
“We will remove the enlarged right ventricle first. Afterwards, we will perform pulmonary valve correction shunt surgery one by one.”
“Okay. Let’s do our best.”
Rosette’s mood brightened at the sound of Robert’s spirited voice.
“Meth.”
Ki-Seok Choi calmly removed the right ventricle.
Jamie’s right ventricle was significantly thickened due to the pressure difference caused by poor pulmonary artery blood flow.
As the surgery began, Rosette became quiet.
Only the sound of surgical instruments and the heart-lung machine occasionally breaks the silence.
‘good. come!’
A smile appeared on the lips of Ki-Seok Choi as he was removing the right ventricle.
This slightly hazy feeling is a sign of the oneness of everything and everything.
When you watch a surgery video over and over again, you feel like you are becoming one with the surgeon, and now is the time.
The object of everything and everything is Clara.
Although she has a reputation for being an evil woman, her skills are truly remarkable.
Now, Clara’s neat treatment was coming to life at Choi Ki-seok’s fingertips.
Empty!
After some time, the thickened right ventricle fell onto the curved plate.
Ki-Seok Choi completed the kill just like Clara.
“It’s beyond your expectations?”
“Thank you for the compliment, but there is a long way to go. I will continue to correct the pulmonary valve.”
“Are you going to go for replacement surgery or plastic surgery?”
“Of course I should go for plastic surgery.”
There was no hesitation in his answer.
“If you undergo replacement surgery, the patient must take warfarin (anticoagulant). Moreover, he or she will have to undergo surgery again when he or she becomes an adult.”
“But shouldn’t this require replacement surgery?”
Robert’s eyes flickered slightly as he looked down at the pulmonary valve.
“What do other people think?”
“I think replacement surgery would be better for me too.”
“I… I don’t know.”
Second assistant Carl agreed with Robert’s opinion and Emma abstained.
“Are my colleagues’ positions leaning in my direction?”
Robert’s eyes turned to Choi Ki-seok.
“Still, I would like to proceed with plastic surgery. If you think about the patient’s future, I think it is right to go even if it is a difficult path.”
“…There’s nothing we can do. Do we have the strength? We have to do whatever the surgeon tells us to do.”
“Mr. Choi, do as you wish.”
“Thank you both. 5-0 Prolene.”
Choi Ki-seok expressed his gratitude and held the needle holder in his hand.
Gigigigigeek.
With confidence, I set out to reconstruct the valve annulus.
The valve annulus can be seen as a kind of door frame, and Jamie’s valve annulus was completely messed up. Every time blood flowed, the valve annulus tattered feebly.
This is bound to create a pressure difference…
seuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
Ki-Seok Choi removed part of the valve annulus with a scalpel and fixed it with a specially made ring. When I touched the reconstructed ring with forceps, it felt solid.
It has sufficient strength to withstand blood flow.
Next, the valve leaflet and sagging tendon cord were reconstructed with devilish skill.
‘what? This?’
Robert stuck out his tongue as he helped dispose of Choi Ki-seok.
I couldn’t believe what was happening before my eyes. Choi Ki-seok was performing plastic surgery that even he, a cardiac surgery fellow, could not do.
For a moment, I thought this was all a dream, but the sensations were so vivid.
The fishy smell of blood penetrating into his nostrils, the sound of rattling surgical tools, the loud vibrations of the heart-lung machine….
Robert realized too late that Yasada had not entrusted the surgery to Choi Ki-seok for nothing.
Additionally, Choi Ki-seok’s involvement in the work was not simply throwing eggs at rocks.
It was a full-throated effort by the head chief.
“….”
“….”
While assisting, Robert accidentally made eye contact with Choi Ki-seok.
His eyes were sunken into a cold light. Paradoxically, he was also filled with a passionate passion to save the patient.
Eyes filled with heterogeneous sensations.
Robert had seen eyes like this before.
This was the look in the eyes of Oliver, who was once called the best thoracic surgeon in the United States.
“Robert, please concentrate. The pace is half a beat late.”
“Oh sorry.”
click!
Robert hurriedly cut Choi Ki-seok’s stitches.
As time passed, the pulmonary valve angioplasty was completed successfully.
When the blood flow was tested, the valve appeared to be stable, unlike before.
‘So far so good.’
Choi Ki-seok nodded slightly.
I completed the valvuloplasty surgery with Clara becoming one with me.
In addition, there was no doubt about the outcome as it received the effect of a sharp blade.
But the game starts now.
In the saved video, there was no shunt surgery.
No pulmonary artery branch stenosis was also present.
In other words, from now on, you will have to go through the surgery entirely on your own strength.
“Mr. Choi. This is an emergency. Pulmonary blood flow is rapidly increasing. Vitals are rising abnormally.”
The staff was excited by the anesthesiologist’s report.
Bleep! Bleep!
The patient monitoring device began emitting ominous electronic sounds.
“Why not? The surgery was perfect.”
“It hasn’t even been that long since the surgery. It’s not at a level where side effects from the heart-lung machine are likely to occur.”
Robert and Emma looked nervous.
Soon, all the eyes of his colleagues were fixed on Choi Ki-seok.
No matter what anyone says, the surgeon for this surgery is Choi Ki-seok.
As he was the focal point of the surgery, everyone had no choice but to place high expectations on him.
‘are you okay. Kiseok, let’s think about it slowly.’
Ki-Seok Choi thought of the papers he had read and came up with a solution.
There is definitely an answer somewhere. The papers I’ve read from when I was at Uijin University until now amount to a truckload.
“Mr. Choi! Make a decision quickly!”
A worse anesthetist came out of the curtain and urged him on.
As his vitals and blood flow rose vertically, Choi Ki-seok’s leash became increasingly tight.
“Give me just a moment more.”
Unlike the urgent situation, Choi Ki-seok’s voice was still calm.
I have learned from numerous experiences that if you panic, you will actually have a negative impact on others.
“Mr. Choi! If you really don’t know, just do CPR.”
“Not yet. Just a little more.”
“It’s really frustrating!”
Carl stamped his feet and stared at the patient monitoring device.
Nevertheless, Choi Ki-seok just looked down at Jamie with sunken eyes.
The surgery went off flawlessly.
So why on earth did this situation happen?
As my doubts deepened, the papers I had read flashed through my mind.
A strange experience for the first time.
Tiring!
[The special effect of the Heart Conductor skill, Insightful Eyes, has been activated.]
[Visual Eyes: There is a 30% chance that a solution to an emergency situation will come to mind. The specific methods and diversity of solutions are proportional to the papers you have read. The number of activations is once per day.]
With the notification, I felt like lightning struck my head.
“The reason pulmonary blood flow increased is because the valve surgery went well.”
“Huh? What do you mean all of a sudden?”
“The blood flow suddenly increased, causing symptoms of acute heart failure and high blood pressure. Give me one ampoule of IV nitroglycerin, along with dobutamine and a diuretic.”
“yes!”
Following Choi Ki-seok’s instructions, Emma quickly began administering medication.
The surgery was temporarily suspended amidst the tense atmosphere.
The staff only looked at the patient monitoring device and hoped that the patient’s progress would improve.
After twenty minutes, Jamie’s condition returned to normal.
My unstable vitals became as quiet as a cradle.
“Whew… I took ten years.”
Robert continued speaking with a sigh of relief.
“Mr. Choi. Are there any cases like this during pulmonary artery stenosis surgery? This is my first experience.”
“It’s my first time too.”
The staff looked surprised at his answer.
“Then how did you know how to treat it?”
“It reminded me of a paper I saw a while ago. I was lucky I thought of it at the right time.”
Choi Ki-seok relaxed his stiff expression.
Is it because I received help from the Heart Conductor skill?
Even though there was no teacher in the operating room, I had the illusion that I was practicing surgery with a teacher.
“I’ve got the vitals, so let’s keep going. Everyone just needs to keep doing what they are doing now.”
The staff responded loudly to his words.
Soon, shunt surgery and pulmonary artery branch stenosis surgery were resumed.
Ki-Seok Choi, with the help of his colleagues, took action without fail.
The hand holding the scalpel and needle holder was lighter than ever. As I overcame emergency situations well, I gained confidence in providing treatment.
I wanted to restore Jamie to health.
I wanted to give a blow to Benson, who postponed the surgery due to the EOB evaluation.
As the emotions deepened, the treatment became faster and more accurate.
Even though Clara’s oneness with everything is over, Choi Ki-seok’s later surgery has reached a level comparable to hers.
click!
The cheerful sound of scissors rang out.
The pulmonary artery stenosis surgery, which lasted nearly six hours, ended with the cutting of the last knot.
As a result of examining with the eyes of Hippocrates, Jamie’s condition and progress are good.
The surgery was, in a word, clean.
So much so that even if the god of medicine appears, he cannot catch the pod.
match. match. Clap, clap.
After cleaning up and going up to the observation room, the staff members who were observing stood up and applauded.
It feels like the sound of applause that cannot be heard is ringing in my ears.
Choi Ki-seok bowed lightly to them and left the operating room.
The first stage, which was held despite everyone’s concerns, ended successfully.
