Challenge (4)
“Teacher. I’m scared.”
Sylvie stared at Choi Ki-seok with a frightened expression.
“If the surgery goes wrong, it won’t be a big problem for me or the child, right?”
“I completely understand Sylvie’s concerns. However, she must survive the surgery so that the child inside her can grow healthily in the future.”
Choi Ki-seok smiled softly and continued speaking.
Regarding the surgical procedure and necessity, the general anesthesia performed today will not affect the fetus.
I explained it thoroughly when receiving the consent form, but I calmly persuaded Sylvie without getting annoyed.
When lying down on the operating table, even the world’s greatest hero would be scared.
Calming the patient’s mind is also one of the important tasks of a doctor.
“Thank you. Thanks to you, I became calm.”
“This is proof that Sylvie is a person with a big heart. I will do my best to ensure that both Sylvie and her child are healthy.”
“Please.”
“of course.”
Katarina nodded at Choi Ki-seok’s glance.
This means that now that the patient has been stabilized, treatment can proceed.
Soon, the process of connecting the patient monitoring device, selecting the patient position, and preparing the surgical tools continued one by one.
“There’s no need to be nervous.”
Katarina read Choi Ki-seok’s expression and began to cry.
“The treatment takes a lot of work, but it takes about 30 minutes.”
“It’s faster than I thought.”
“Because we are not inserting a catheter into an arterial line. Mr. Choi, check the ultrasound field of view, and Miguel, prepare and hand over the treatment tools in a timely manner.”
“yes!”
“All right.”
With a cool answer, the first step toward fetal balloon dilatation began.
Choi Ki-seok disinfected Silbi’s swollen belly and covered it with a cloth. In response, Katharina bent down holding the catheter.
In a typical balloon angioplasty, a catheter is moved through the femoral artery into the cardiovascular system, but today the process was different.
The catheter passes through the mother’s abdomen and goes straight into the fetus’ heart.
The risk of surgery was several times higher than that of regular balloon dilatation.
Fuuuuuk.
A catheter pierced the mother’s abdomen.
Ki-Seok Choi filmed the surgery video with the eyes of a dragon and at the same time captured the view of the ultrasound.
Ultrasound confirmed that the catheter had passed through the mother’s abdomen.
“Professor. The child is squirming. Can we continue with the treatment?”
“Let’s watch for a moment more. The general anesthesia has been properly completed.”
As Katarina said, the fetus’ movement stopped immediately.
“There are times when the amniotic fluid moves and the baby moves along with it. Keep that in mind.”
“All right.”
Choi Ki-seok nodded slightly.
Should I say Katarina? As Emma’s role model, her words and actions were trustworthy.
“Let’s narrow the ultrasound field of view a little more. Now we’re going to insert a catheter into the fetus.”
Following Katarina’s instructions, Choi Ki-seok adjusted the ultrasound field of view.
He received ultrasound training while attending medical school. His video handling skills are at the level of a professional.
Katarina raised her eyes at his unstoppable control of her vision.
‘If I keep doing this, I don’t know if I’ll catch up before the fellows?’
Katarina said to herself and burst into laughter.
Watching a doctor who may surpass oneself could be difficult for others.
Ki-Seok Choi’s amazing growth ability and sometimes transcendental kills.
It’s hard to avoid a feeling of self-destruction when you see this.
However, unlike ordinary people, Katarina was not jealous or envious of Choi Ki-seok.
How quickly and how high will this genius warrior rise?
Rather, it was a lot of fun to watch it from the side.
“Good view. I’ll keep going.”
Katarina took a long deep breath and inserted the catheter deep into the mother’s stomach.
When the catheter, which had avoided the umbilical cord, was placed near the fetal heart, Katarina paused for a moment.
The chest and heart of the fetus must be penetrated in just one go.
If catheter insertion fails, it could cause sequelae to the fetus.
A treatment room with a tense atmosphere.
The staff, who knew the importance of treatment, could not even breathe comfortably.
Eventually, Katarina’s hand, which had stopped, began to move.
Short, quick movements.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
The catheter passed through the fetus’ chest and succeeded in entering the left ventricle. Through ultrasound, we were able to clearly see the catheter inserted into the pounding heart.
“Successful.”
“Of course it should succeed.”
Katarina smiled and connected the catheter to the aorta.
Followed by balloon dilatation.
As the air pressure was adjusted, the balloon located on the aortic valve gradually inflated the body.
It seemed like the fetal balloon dilatation surgery was completed smoothly.
Bleep! Bleep!
Ki-Seok Choi turned his attention to the patient monitoring device at the sharp electronic sound.
The patient’s breathing was falling as steeply as a cliff.
Blood pressure was low at 80 mmHg systolic and 60 mmHg diastolic, and the pulse was rather fast.
The mother’s condition worsens in the blink of an eye.
The electrocardiogram graph, which was shaking unstablely, suddenly stopped moving.
Cardiac arrest occurred.
‘this!’
Choi Ki-seok used the eyes of Hippocrates on Sylvie and frowned.
Cardiac arrest occurred due to septic shock.
I was treated for cellulitis before surgery, but it seemed to have developed into septic shock during surgery.
“Professor. Is the balloon angioplasty done yet?”
“It still needs to be adjusted.”
Katarina clicked her teeth nervously, and Miguel stamped his feet with an expression of not knowing what to do. The treatment room fell into a state of panic due to a sudden emergency situation.
“Professor, please finish the balloon dilation. I will handle the rest.”
Shine poured from Choi Ki-seok’s eyes as he spoke.
[You must use the Salinda skill. All abilities are temporarily increased by one level.]
[You have chosen the low-mode pregnant woman CPR among the awakening CPR buffs.] I
have never performed CPR on a pregnant woman, but with the help of the skill, various information poured into my head.
Ki-seok Choi first made an emergency call to the obstetrics and gynecology department using the phone next to the rosette door.
And like lightning, he returned to the operating table.
“Sterilization nurse. Change the patient’s position. Turn the operating table diagonally 30 degrees. Dr. Miguel, please inject the patient with IV chelomine and prepare a defibrillator.”
“Huh? Why the sudden change in position…” ”
If you perform chest compressions while the mother is lying on her back, the uterus compresses the inferior vena cava and aorta. The patient’s condition may worsen.”
“yes!”
“okay.”
Choi Ki-seok, who changed the mother’s position, intubated her and placed her on a ventilator.
Followed by chest compressions.
puck! puck! puck! puck!
Every time Choi Ki-seok pressed the mother’s chest, her body fluttered like a fish. Nevertheless, Katarina completed the balloon dilatation procedure without a single complaint.
Her skill shined even brighter in emergency situations.
“I’ve administered IV medication and prepared the defibrillator. But…”
Miguel continued, stuttering.
“Is it okay to use a defibrillator on the mother? I think it will affect the fetus.”
“The mother must survive for the fetus to survive.”
Ki-Seok Choi spread jelly on one paddle of the defibrillator and then rubbed it on the other paddle.
“Everyone, please stand back. 200J!”
When I set the charging amount to 200J and pressed the charge button, the lamp came on and an electronic beep sounded.
“Charge!”
“Clear!”
thud!
As the electric current passed, the mother’s body began to flutter.
Nevertheless, the ECG monitor remained silent.
“200J!”
“Charge!”
“Clear!”
thud!
Despite repeated use of the defibrillator, there was no significant improvement.
Ki-Seok Choi bit his lip and alternately used chest compressions and a defibrillator.
I promised.
He said he would keep both Sylvie and the child healthy.
I couldn’t abandon that promise so vainly.
“The balloon angioplasty is over. Have you contacted the obstetrician/gynecologist?”
“Ha… ha… he must be coming now.”
As soon as Choi Ki-seok could answer, several gynecologists rushed into the rosette. In response, Katarina briefly summarized the current situation.
“If the cardiac arrest lasted more than 5 minutes, it would be better to perform a cesarean section right away. Since the mother is more than 24 weeks pregnant, there should be no problem. And once the fetus is released from the uterus, the mother’s blood circulation becomes more gentle.”
“All right.”
While Choi Ki-seok was performing CPR, a cesarean section was prepared.
As everyone understood the emergency situation, their actions were lightning fast.
“We will begin the cesarean section now. Continue chest compressions, but please stop using the defibrillator.”
“yes.”
“Meth.”
An obstetrician and gynecologist cut open the mother’s abdomen with a scalpel given to her by a sterilizing nurse.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
The abdominal wall that appears when the abdomen splits.
With the help of the obstetrics and gynecology staff, the surgeon opened the abdominal wall and split the uterine wall.
Next, the amniotic membrane surrounding the fetus was removed and the child was slowly taken out of the womb.
click!
The umbilical cord was cut and the baby came out into the world.
The obstetrics and gynecology staff removed foreign substances from the child’s nose and mouth and lightly patted his back. Then the child wriggled and let out a loud cry.
“Aaaah! Aaaah!”
The staff’s expressions brightened as they confirmed that the child was safe.
‘Sylvi. Can you see it? Your child was born safely. Now it’s your turn. Please cheer up.’
While Choi Ki-seok was performing chest compressions and shedding thick drops of sweat, obstetricians and gynecologists removed the umbilical cord and amniotic membrane debris and confirmed uterine contractions.
Taeeeeee. Taeeeeee.
“The EKG is moving again!”
Miguel raised his voice and pointed to the patient monitoring device with his index finger.
Just as he said, the electrocardiogram graph, which had been unmoving, was squirming little by little.
Good news while CPR and abdominal suturing are in progress.
After some time, the mother’s vitals returned to normal.
Even though there was an emergency, they killed two birds with one stone: the health of the mother and the fetus.
After the treatment was completed, Sylvie and the fetus moved side by side to the obstetrics and gynecology department.
The balloon dilatation surgery was completed successfully.
There was no longer any role for thoracic surgery.
Jiiiing.
Relief appeared on the faces of the thoracic surgery staff leaving the rosette.
If the treatment had been wrong, a major accident could have occurred that would have resulted in the loss of both mother and child.
“You worked hard, Mr. Choi. This time too, it was the best.”
Katarina looked at Choi Ki-seok and gave a thumbs up.
Ki-seok Choi, who successfully completed the fetal balloon dilatation surgery, moved to the lounge with Miguel. Katarina had her next surgery right away so she remained in the operating room.
Tiring!
[You have completed the hidden mission ‘Save the mother and fetus.’ A random skill book is provided as a reward.]
[Random skill book: You can acquire one of the skills confirmed through the eyes of Hippocrates.]
Ki-Seok Choi showed a mesmerized expression even after confirming the reward.
Perhaps because I put all my effort into CPR, I couldn’t afford to be happy even though I got a good item.
“You looked at me like shit?”
Miguel, sitting across from me, frowned.
“What do you mean?”
“Isn’t it right for you to follow my instructions? Why do I have to follow your instructions?”
Miguel started nagging.
It seems that he, who had a lot of experience, felt bad for following Choi Ki-seok’s instructions.
In an emergency situation, I was out of my mind and followed what was said, but now that I look back, I probably didn’t see it that way.
Choi Ki-seok used a random skill book with his words flowing through one ear.
Tiring!
[You used a random skill book. As a reward, you received the inconvenient thorn debuff skill.]
A bitter smile appeared on Choi Ki-seok’s lips as he checked the status window.
How many good skills have you discovered so far?
However, I ended up learning the vicious skills of the human in front of me.
‘Wait a minute…’
A strange look appeared in his eyes as he examined the skill.
Isn’t there an old saying, “Is this right?”
I thought that maybe the inconvenient thorn debuff skill might not be such a bad thing.
Ki-seok Choi wore the uncomfortable thorn debuff and stared at Miguel.
“Teacher, you can’t talk like that.”
“What? What did you just say?”
“If the teacher had given me instructions, I would have followed them. But the teacher just stamped his feet and couldn’t do anything. Am I wrong?”
“No… So at that time…”
“Don’t make excuses. I did all the CPR. The teacher just turned around and watched. He didn’t even say a word about whether he would help with the CPR.”
“….”
“Teacher, are you in a position to say something like that to me?”
Miguel kept his mouth shut and trembled as Choi Ki-seok bombarded him with facts.
Suddenly, as he looked at his status window, unusual information appeared.
[An inconvenient thorn debuff has been applied to the opponent.]
[Uncomfortable thorn: Stress temporarily increases by 200 percent. As stress rises, your stamina and ability to care for patients decreases. The debuff duration is one week, and if stacked, all abilities are reduced. When a maximum of 10 stacks are accumulated, a desire to retire occurs.]
[Current stack count (2/10)]
