Challenge (2)
[You used the rabbit nurse item. Harmful effects on the target disappear.]
Whiiiiing.
With the notification, the green light emitted from Choi Ki-seok’s body surrounded Jeremy.
Jeremy’s face slowly unfolds.
The violent sound of the keyboard and the irritated self-talk disappeared like a touch. As a result of looking through the eyes of Hippocrates, Jeremy’s uncomfortable thorn debuff was nowhere to be seen.
The rabbit nurse is very effective.
So much so that I wanted to kiss the item.
“Mr. Choi.”
Jeremy, who was entering the prescription, turned his gaze to Ki-Seok Choi.
“why?”
“I’m sorry for getting on your nerves for no reason. I feel bad for you too. I feel like I’m only showing off my feelings too much.”
“It’s okay. I’m sure there’s no one on earth who can listen to that human’s bullshit and remain sane.”
“Well…”
Choi Ki-seok’s joke made the atmosphere much more cheerful.
“By the way, I need to meet Charles and Emma and talk about this problem. If this continues, we will be bullied by Miguel throughout our training. Did you see me farting at the professor?”
“That’s right. Measures are needed.”
After a moment of silence, the phone rang.
“This is thoracic surgery resident Ki-Seok Choi.”
[….]
“Yes. I will go now.”
“Call the emergency room?”
“No. The obstetrics and gynecology department has requested a joint consultation. I will go and come back.”
Choi Ki-seok left the medical office and visited the obstetrics and gynecology ward.
As I entered the hospital room at the end of the hallway, the gynecologist raised his hand and greeted me.
“Nice to meet you, Mr. Choi.”
“Nice to meet you, Elina.”
“The patient who requested collaboration is Vivian here. She was hospitalized because of severe pelvic inflammatory disease. The condition is improving, but strangely, she has been complaining of chest pain for the past few days.”
Elina looked down at Vivian.
Vivian is fifteen years old this year and looks younger than other children her age.
She was small in stature and her breast fat did not disappear at all.
“Okay. Hi Vivian.”
“Oh yes. Hello.”
Vivian answered while shrinking.
Her eyes were frozen and her voice was weak.
Is there some problem?
“How do you feel uncomfortable in your chest?”
“It’s… my chest feels like a rock has been placed on it. From morning until I go to bed.”
“Is it even difficult for you to breathe?”
“Yeah. It’s just… frustrating.”
“Have you ever suffered from heart disease?”
“no.”
Vivian shook her head.
“The teacher needs to listen to heart and lung sounds with a stethoscope. Would you like to pull up your clothes for a moment?”
“No!”
Vivian’s shrill voice spread throughout the hospital room, causing several startled patients to shake their bodies.
The resistance was surprisingly strong.
“Vivian. There’s no need to be shy. Dr. Choi is just trying to see a doctor.”
“But you can’t! Never! Please have Teacher Elina take care of it.”
“Dr. Choi takes a much better look at chest pain than you do. Stop being stubborn.”
Elina tried to persuade her, but Vivian did not give in.
The unexpected fiery appearance of Vivian, who was thought to be timid.
Choi Ki-seok intuitively realized that there was a problem with her.
“I’m sorry Mr. Choi. I had no idea Vivian would turn out like this.”
“It’s okay. There’s no need to fly across the sky to listen to heart sounds. Instead, I’ll just do an electrocardiogram and check your blood pressure.”
“Yes. Please do so.”
Choi Ki-seok measured Vivian’s blood pressure with a blood pressure device placed on the table.
But it is that moment.
widely!
The moment Choi Ki-seok’s hand touched Vivian’s arm, Vivian started the game and slapped his hand away.
“Don’t touch me!”
The harsh words made the atmosphere in the hospital room freeze again.
Choi Ki-seok and Elina looked at each other and clicked their tongues as if it was absurd.
“Vivian. What are you doing to the teacher who came to treat you? You can’t be so rude.”
“S-sorry.”
Vivian lowered her head at Elina’s point.
Tiring!
[Special mission ‘Unsaid Things’ has been created. If you solve Vivian’s problem, you will receive a special reward. However, the mission must be completed within one day as of now.]
[Mission timer 00:01:00 elapsed / Remaining time 23 hours 59 minutes]
Choi Ki-seok checked the status window and scratched the back of his head.
The time attack mission I received for the first time was difficult.
“I keep feeling sorry for myself. Is it okay if I check your blood pressure?”
“of course.”
Elina checked Vivian’s blood pressure and reported it to Ki-Seok Choi.
Of course, Vivian did not appear as violent as she did to Choi Ki-seok.
“Systolic 110mmHg, diastolic 70mmHg.”
“It’s normal among normals. Then, I’ll check the EKG results and call you.”
“Yes, Thanks.”
Ki-Seok Choi left the hospital room after using the Eye of Hippocrates on Vivian.
Although she said she felt chest pain, she did not have cardiovascular disease.
That means there are other problems besides that.
‘I guess we’ll have to fight again.’
The steps back to the thoracic surgery center were heavy.
* * *
That afternoon.
The CPR team gathered in the conference room after finishing their work.
The team members were sitting side by side at the table, with Katarina and Miguel standing on the podium.
“Everyone may have exchanged greetings, but I would like to take this opportunity to formally introduce you. This is Miguel, who will help you with your training on behalf of Mr. Wang.”
“This is Miguel from the California branch. If you have any questions about patient care or treatment, feel free to ask me any time. Please take care of everyone.”
match. match. match. match.
When the introduction was over, there was a round of applause and Miguel returned to his seat.
“Okay. Shall we end the introduction here and get into the real story?”
Katarina continued speaking while looking at her teammates.
“Honestly, there hasn’t been any proper team activities so far. All we’ve done is case presentations and suturing practice. But it’ll be different from now on. Since you guys have gotten used to hospital life, let’s start some real team activities.”
“If this is a full-fledged team activity….”
“The four of you will take charge of the patient and perform the surgery.”
“And the house?”
Charles’ voice rose slightly.
“Yes. One surgery is completed only with the power of team CPR. Isn’t that a true team activity?”
When Katarina pressed the remote control, a patient’s chart appeared on the screen.
“The patient’s name is Gulliver. He is 60 years old and was diagnosed with mitral valve stenosis through a test performed at the MHC outpatient clinic. Currently, the patient’s mitral valve is in a thickened state, calcification is in progress, and a blood clot was discovered.”
“Then PCI (percutaneous cardiovascular balloon angioplasty) or reconstruction would not be possible.”
“You guys should decide that, right?”
Katarina answered vaguely and flipped through the screen.
Images of cardiac catheterization, echocardiography, and cardiovascular angiography appeared one after another on the screen.
Choi Ki-seok’s brows narrowed as he watched the video closely.
I wanted to have valvuloplasty if possible.
Valvuloplasty places less strain on the patient’s heart and does not require the use of anticoagulants.
However, in this case, the valve was damaged to the extent that plastic surgery was impossible even if teacher Song Myeong-jin came forward.
“Isn’t it nice to see everyone’s eyes sparkling?”
Katarina smiled and continued.
“Gulliver is the first patient that Team CPR takes on. You will be responsible for dividing the roles between the four of you. If you have any information about the surgery or any other questions, please ask me or Miguel.”
“….”
“For your information, the surgery date was set a generous two weeks later. It’s a difficult case compared to other teams, but you guys can do well, right?”
“yes!”
“No problem.”
The four people responded bravely.
After Katarina left, the CPR team’s full-scale discussion began.
“Let’s take a closer look at the patient’s case. What I’m most curious about is the part about replacement surgery.”
Emma cried.
“Is plastic surgery impossible after all?”
“Wow. You were thinking the same thing as me?”
Charles burst out laughing at Emma’s words, and Jeremy also added his opinion if he thought the same thing.
The orientation of team CPR staff is all patient-centered.
Accordingly, it was heartwarming to consider plastic surgery rather than replacement surgery.
“Are you all crazy? This patient can’t have plastic surgery.”
Miguel, who had been silent, poured cold water on him.
“The valve is completely damaged. If you overdo the plastic surgery, you will have to have the surgery again soon.”
“But wouldn’t we all be able to think about the best way together?”
“Emma. You have a pretty face, but why do you sound so frustrated?”
Miguel clicked his tongue.
“Once again, plastic surgery is impossible. Trust my judgment as a first-year fellow.”
“I also agree with Mr. Miguel.”
“…Mr. Choi, you too?”
Jeremy raised his eyes in surprise.
“The MVA (Mitral Valve Area) is only 1.5 square centimeters. The condition of the valve annulus and leaflets is not good and the cord tendon is not elastic.”
“….”
“I think replacement surgery, not plastic surgery, is best for the patient now.”
“Oh, Mr. Choi, do you know how to take care of patients?”
Despite Miguel’s praise, Choi Ki-seok’s expression remained calm.
They say compliments make even whales dance, but there are some clues.
It is a question of who praises and in what way.
In that sense, Miguel’s praise is of the lowest order.
“I don’t think there’s any need to insist on plastic surgery. The patient’s age is also important.”
“Okay. This surgery will be a replacement surgery.”
“agree.”
Charles and Emma Jeremy spoke in unison.
“The artificial valve will be a tissue valve, right?”
Everyone nodded as if they agreed with what Emma said.
There are two types of artificial valves: mechanical valves and tissue valves.
Mechanical valves have the advantage of being durable and can be used for a lifetime, but they have the disadvantage of requiring lifelong use of anticoagulants.
On the other hand, tissue valves have the advantage of requiring a relatively short period of anticoagulant treatment and having fewer side effects after surgery.
However, tissue valves have a short lifespan, so they have the disadvantage of requiring reoperation after about 10 years.
“Now that we have decided on the type of valve, we just need to divide up the roles. Wouldn’t it be better for our team’s proper name, Mr. Choi, to do the surgery?”
“I agree too.”
“me too.”
When Charles steered the mood toward Choi Ki-seok, everyone followed suit.
“Okay. There’s no reason to refuse.”
Ki-Seok Choi’s exciting answer follows.
This completes the rough picture of the team surgery.
Tiring!
[Team mission ‘Successful mitral valve replacement surgery’ has been created. If the surgery is successful, all team stats will increase by one level.]
Choi Ki-seok, who checked the status window, laughed to himself.
The number of tasks to be handled these days has been increasing.
Master Song Myeong-jin’s new surgery mission, Yasada’s 12-task mission, and the mission given by Kwon Il-soo, as well as two new missions received today.
Should I say that my mission uniform exploded?
However, I believed that if I survived this process well, I would be able to grow further.
Choi Ki-seok organized the details with his colleagues and left the conference room.
The place where his steps were headed was the obstetrics and gynecology ward.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
When he opened the door to the hospital room and entered, Vivian looked at him with a frightened expression.
“Vivian. Would you like to talk to the teacher?”
