Afterwards (6)
A rosette observation operating room.
Kim Tae-sik, who flew in from Korea, was busy looking around and admiring the soldiers sitting around him.
Clara, the first female cardiothoracic surgeon at James Hopkins.
Yasada came from Japan and served as the head chief of the MHC Thoracic Surgery Department.
Gerard, the best cardiothoracic surgeon in the UK.
Charlotte, an eccentric French cardiologist, etc.
Soldiers that you may or may not encounter once in your life were spread out throughout the observation room. I thought that the phrase ‘good eyesight’ might be used at a time like this.
He looked around like a child visiting an amusement park for the first time and then turned his attention to the monitor.
The live demonstration of the new surgery was ten minutes away.
Even though I wasn’t performing the surgery myself, my heart was pounding for no reason.
This may be because Song Myeong-jin and Choi Ki-seok, who worked together at Uijin University, performed the surgery.
‘Kiseok was training in a place like this.’
Kim Tae-sik wanted to applaud Choi Ki-seok’s survival skills.
It means training without being discouraged among world-class practitioners with completely different cultures.
Even during training, being recognized by them was not something that anyone could do.
But Choi Ki-seok achieved it.
In terms of experience and skills, perhaps he is now Choi Ki-seok’s junior.
Suddenly a thought crossed my mind.
“Sir, do you think this surgery will be possible?”
Jeong Seol-hwa, who was sitting next to him, asked a question.
Jeong Seol-hwa also took leave and visited MHC to observe the surgery. Choi Ki-seok didn’t seem to know that fact yet.
“If you have dilated cardiomyopathy and heart failure, there is no answer other than heart transplant. “But I don’t know if partial transplantation is possible.”
“Are you surprisingly cold? “Did you forget that your son is first?”
“Of course I support Kiseok in my heart. However, judging surgery based on common sense is a different matter. Even though Professor Song and Ki-seok are excellent writers…”
Jeong Seol-hwa bit her lip, unable to continue speaking.
“what. “Are you worried about Kiseok in the end?”
“I don’t know.”
As Jeong Seol-hwa blushed and avoided eye contact, Kim Tae-sik held his stomach and laughed. I’ve been watching them for a long time, but they seem like a good pair.
“If I hadn’t been confident, I wouldn’t have been able to call the doctors and do a live demonstration.”
“….”
“Let’s believe it for now. “Professor Song and Ki-seok.”
“yes.”
The two people exchanged glances and nodded slightly.
At that moment, the surgical staff was entering the rosette.
* * *
Trap. Trudging.
Choi Ki-seok headed to the operating room with hectic steps.
The teacher’s live demonstration of new surgery was in five minutes.
The shareholders’ meeting took longer than I expected, so I was worried that I wouldn’t be able to make it on time.
‘It ended better than I expected.’
A bright smile appeared on his face as he looked around the general meeting.
I haven’t been happy with the CEO’s business direction centered on Parker for a long time.
Although MHC is semi-independent from Meijo, it is clearly a hospital affiliated with Meijo. However, MHC kept trying to deviate from Mayjo’s direction of being patient-centered.
At the center were the Parker gang.
Now that they’ve kicked out Parker, they won’t be able to push their business as they want in the past.
While thinking about this and that, I arrived at Rosette A, where the surgery was being performed.
In front of the rosette, teacher Song Myeong-jin and other staff were conducting a briefing.
“Forgive me for being late. “The work was done later than expected.”
“It can’t be helped if you’re busy.”
Song Myeong-jin laughed it off as if it was no big deal.
Choi Ki-seok planned to reveal to his teacher and other colleagues that he was the majority shareholder of Mayjo after the surgery.
This is because there would be no help in reporting this shocking news before surgery.
Buck. Buck. Buck. Buck.
After the briefing, the staff all went to scrub.
While scrubbing the brush, he glanced at his teacher.
The teacher’s expression was calm as he went on a surgical outing for the first time in nearly two years.
I could not feel the slightest pressure of performing a new surgery live in front of thoracic surgeons all over the world.
“Are you worried about me?”
Song Myeong-jin read his gaze and burst into laughter.
“Ah… no. “How dare I worry about you, professor?”
“It wasn’t the facial expression, was it?”
“….”
“Honestly, I’m so excited about this moment. I never thought it would feel like this to pick up a scalpel again. “It makes me want to overturn my retirement announcement.”
“Then are you coming back?”
“We’ll have to wait and see.”
While we were talking, the scrub was over.
The staff entered the rosette all at once and began preparing for the surgery.
The operating room for observation was unusually crowded with people, who came from all over after hearing that the teacher was demonstrating a new surgery.
This is a glimpse into the influence of a teacher.
If Choi Ki-seok had announced new surgery, he would never have been able to create a picture like this.
“Ahhh. Can you hear me clearly?”
As Song Myeong-jin, wearing a microphone, looked up at the observation operating room, Yasada drew a circle with his thumb and index finger.
This is a signal that there is no problem with the sound.
After a while, preparations for the surgery were completed and the staff stood in their respective positions.
Since Choi Ki-seok was the first assistant, he was located across from Song Myeong-jin.
How long has it been since I saw my teacher face to face in Rosette?
An overwhelming feeling welled up deep in my heart.
“My name is Song Myeong-jin, and I am the deputy director of MHC.”
Song Myeong-jin looked up at the observation room and prayed before the surgery.
“Today’s surgery is a partial heart transplant for dilated cardiomyopathy and heart failure. It is generally known that this disease cannot be cured without heart transplant surgery.”
“….”
“However, if the surgery demonstrated today is commercialized, we expect that about 50 percent of patients who were previously waiting for heart transplants will be able to be replaced with this surgery.”
Song Myeong-jin paused before continuing.
“In that sense, we named this surgery the Hope Surgery. In addition, I initially planned this surgery, but Ki Seok Choi here completed it. Strictly speaking, it can be said to be Ki Seok Choi’s work.”
“Kyo… Professor!”
“Teacher Choi stay still. “I’m just telling the truth.”
Song Myeong-jin, who had warned Choi Ki-seok, looked down at the patient.
“Then we will begin Hope’s surgery now.”
A live demonstration of Hope’s surgery began as loud shouts spread through the rosette.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
After the second assistant finished disinfecting and spraying, Song Myeong-jin held the scalpel in his hand and cut down the patient from the neck to the solar plexus.
Accordingly, Choi Ki-seok made an incision in the sternum with a chainsaw and, with the help of staff, fitted a retractor to the incision.
Eventually, the retractor opened to the left and right, securing the surgical field of view.
“I’ll connect the cannula.”
Ki-Seok Choi inserted one cannula into the right atrium to induce venous circulation, and inserted the other cannula into a lower extremity vein to induce arterial circulation.
It rattled. Drurr.
The pump made a loud noise and the heart-lung machine started working.
“Hope surgery starts with CABG, just like a regular heart transplant. CABG will follow the usual method of dissecting the internal thoracic artery and performing a Y graft at the stenosis site.”
After finishing his explanation, Song Myeong-jin held a scalpel in his hand.
He cut through the muscle layer with a scalpel and tried to find the hidden internal thoracic artery.
After several operations, the dissected internal thoracic artery was elongated next to the muscle.
“Mr. Choi. We will perform the bypass anastomosis together with you. “I will connect the grafted blood vessel to the aorta, so Dr. Choi can anastomose the remaining end to the bypass.”
“It’s a surgery that the professor is demonstrating, but I’m the one who steps forward…”
“The main character of this surgery is not me, but Professor Choi. “The sergeants here are all known as top sergeants, so it is important to make a mark on them in advance.”
“…All right.”
Under Song Myeong-jin’s instructions, Choi Ki-seok had no choice but to proceed with the transplant blood vessel anastomosis.
First, the long blood vessel was fixed beyond the stenosis area.
Then, the blood vessels were tightly sewn with a simple interrupted anastomosis.
The soldiers of the world had their eyes wide open, but there was no fear.
CABG was already familiar to me like breathing.
As the teacher and student performed the anastomosis at the same time, CABG was over in the blink of an eye. The surgery usually takes five hours, but it was completed in two hours.
“….”
“….”
Choi Ki-seok and Song Myeong-jin, who completed CABG, exchanged looks.
The eyes of both people were smiling brightly.
We were able to clearly see into each other’s thoughts and feelings without having to speak.
Because the time the two spent together was never shallow.
“From now on, we will begin partial heart transplantation, which is the highlight of Hope surgery. “My original plan was to excise the part of the myocardium that was not functioning properly and connect the artificial graft and blood vessels to the heart.”
“….”
“However, there were disadvantages in that the surgery time was long and connection was difficult, so we changed the surgery method according to Dr. Choi’s suggestion.”
Song Myeong-jin explained and held up a scalpel.
Accordingly, Ki-Seok Choi used an electric cautery to support the area of the myocardium that was not functioning properly and create an ablation line.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
Song Myung-jin began to exercise restraint.
The movements of his hands were light and there was not even the slightest tremor.
It was the result of constant efforts to regain the old skills.
“Please prepare the transplant.”
At Song Myeong-jin’s words, the disinfection nurse took out the artificial heart transplant that had been stored in the refrigerator.
“Prior to surgery, we decided on the resection site and used 3D printing to create an artificial heart transplant based on this. In this case, surgery time can be greatly reduced by connecting only the junction between the major blood vessels and the heart. “Mr. Choi.”
“yes.”
Choi Ki-seok carefully held the artificial heart transplant in his hand and fitted it to the heart.
Choi Ki-seok’s face hardens for a moment.
Song Myeong-jin, who read the unusual expression, frowned as he figured out the problem.
While producing the graft using 3D printing, a problem occurred with the graft.
The artificial graft was much smaller than the heart junction.
So these two didn’t fit together.
“There was a problem producing the artificial graft. The graft is smaller than the abutment. “If the graft had been larger, it would have been possible to correct it through resection.”
“….”
“Then how does the surgery work? “Is this going to end like this?”
Clara asked a silly question, and the other sergeants pricked their ears as if they were curious about Song Myeong-jin’s answer.
How will Song Myeong-jin and the staff overcome this crisis?
“You look down on MHC Thoracic Surgery too much, Clara. “Do you think so too, Mr. Choi?”
“of course.”
Choi Ki-seok nodded vigorously and started fixing the graft.
He made the graft himself in the training room. Fitting the joints and angles wasn’t that difficult.
While everyone was holding their breath, Ki-Seok Choi placed the modified graft on the heart area.
The graft and heart junction fit together like puzzle pieces.
“If a problem arises during Hope surgery, it can be resolved in this way. Unlike a regular heart, artificial grafts can be modified as many times as desired. Did you get the answer? Clara.”
“…yes.”
“Then we will continue with the surgery.”
Song Myeong-jin began the graft anastomosis with the help of Choi Ki-seok.
First, major blood vessels were connected with simple interrupted sutures, and then both ends of the heart and graft were treated with continuous sutures.
“As expected, it’s Dr. Song.”
“You’ve been using the scalpel all this time, right? “I can’t believe it.”
The surgeons who were watching Song Myeong-jin’s surgery were amazed and said one thing at a time.
As Asia’s best thoracic surgeon, he met Choi Ki-seok’s assistant, so it was natural that the surgery would proceed with flying colors.
“This concludes the live demonstration of Hope’s surgery.”
With Song Myung-jin’s words, everyone’s eyes turned to the patient monitoring device.
Contrary to concerns, Vital was extremely peaceful.
“professor.”
“Teacher Choi.”
Ki-Seok Choi and Myung-Jin Song looked at each other with tears in their eyes.
It was a moment of hope for countless patients who had been desperately waiting for heart transplant surgery.
