Sewon Hospital (2)
“Tracheal intubation and 100m IV lidocaine. How are your vitals?”
“My heart rate dropped a lot.”
“Then give me one ampoule of epinephrine.”
Chief resident Daniel Lee moved quickly under Choi Ki-seok’s instructions. Meanwhile, fellow Hyeon Lee started setting up the robot surgery, and the anesthetist and intern sterilization nurse moved faster.
“Did you put on the defibrillator patch?”
“Ah… I haven’t done it yet.”
“This is a patient who has already experienced side effects from surgery once. It’s no wonder when a cardiac arrest occurs. “Be fully prepared.”
“All right.”
Shim Yong-jun completed the preparation for the surgery by attaching a defibrillator patch to his chest and administering the anticoagulant heparin.
“From now on, we will begin surgery for acute coronary artery dissection and coronary artery thrombosis caused by PCI side effects.”
Weeeeeee.
The robotic arm, which had been silent, turned to the patient.
“Hyuna. “How many incision techniques can be used when performing MIDCAB?”
“There are major left anterior small incisions, sternotomy incisions, and sternoside incisions.”
“What is the most appropriate incision method for this patient?”
Lee Hyun couldn’t say anything to his surprise question.
“sorry. I do not know.”
“For this patient, left anterior small incision is the most effective. Internal thoracic artery dissection is easy and there are few complications due to dissection.”
As before, Ki-Seok Choi performed the surgery and gave instructions to the staff. Simply showing the surgery did not mean subordinates would digest everything.
The important reasons hidden in trivial actions.
Only by explaining these things was I able to fully learn.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
During the conversation, a transverse incision about 7 centimeters long was created under the patient’s left nipple.
“I will prepare the endoscopy.”
Lee Hyun installed a port in the incision.
There are a total of five ports, two of which have cameras inserted into them to secure the surgical field of view, and the remaining three contain surgical tools.
Jiyiing.
Choi Ki-seok secured the surgical field of view by pedaling.
In the case of robotic surgery, the Dragon’s Eye optimization mode does not activate. This is because the surgical site is viewed through a camera rather than through the patient’s own eyes. So securing visibility was even more important.
“Is this okay?”
He nodded after checking the surgical site.
“Hyuna. “Shunt (small needle).”
“yes.”
At his words, Lee Hyeon connected the shunt to the robot arm, and Choi Ki-seok pushed it into the port, moved it to the coronary artery, and placed it at the site of the blood clot.
When the shunt was inserted, a gap was created between the blood clots, and blood flowed through the gap.
‘Just hold on until the surgery is over.’
widely. widely. widely.
As I stepped on the pedal to turn the surgical field of view, the dissected coronary artery came into view.
Part of the lining of the coronary artery was torn, and a stream of blood was flowing through the gap.
It appears that the bleeding that occurred here caused a blood clot and blocked the coronary artery.
Weeeeeee.
Ki-Seok Choi inserted a robotic arm equipped with a cautery device into the port and supported the intima by pressing it against the blood vessel wall.
Then, the inner membrane burned and stuck to the blood vessel like rice cake.
I lightly touched the cauterized inner membrane, but there didn’t seem to be any major problems.
“From now on, it’s coronary artery bypass surgery.”
Choi Ki-seok started dissecting the internal thoracic artery with a scalpel.
The surgery is performed by a robot arm, not by the surgeon’s hands.
The surgical field of view is checked through an endoscope rather than through the surgeon’s eyes.
Except for these two, there was no difference between MIDCAB and CABG.
‘and. ‘Is this a dream?’
Daniel Lee could not keep his mouth shut as he watched Choi Ki-seok’s treatment.
I have assisted in robotic surgery several times, but I have never seen a doctor who uses a console as well as Choi Ki-seok.
Not only did he secure the optimal surgical field of view by stepping on the pedals, but he also handled the robotic arm as if it were his own arm.
There was a time when I was into comics called mecha comics, and Ki-Seok Choi seemed like the main character of those robot comics.
There was no hesitation in controlling the console.
Suddenly, I made eye contact with intern Yongjun Shim, and he seemed to have the same feelings as Daniel Lee.
Is it possible to treat a senior robot like this?
Shim Yongjun’s eyes clearly said that.
“Anesthesia teacher.”
“yes.”
“The internal thoracic artery dissection has been completed and will be connected via bypass. “Please control the patient’s body temperature as blood pressure may drop or arrhythmia may occur.”
“All right.”
At Choi Ki-seok’s request, the anesthesiologist placed a warm blanket where the patient lay and raised the rosette’s temperature.
Choi Ki-seok, who confirmed the treatment, cut the patient’s pericardium with a scalpel.
Unlike before, careful handling.
If the incision was made directly, the depth of the incision could be felt with the hand, but this was not possible with robotic surgery.
It was natural for his actions to become more cautious.
Ki-Seok Choi completed the parallel incision and created a bypass in the dissected internal thoracic artery and the occluded coronary artery. Leaks were checked with ethylene solution, but the sealing was flawless.
After using the Eye of Hippocrates to close the surgical site, the patient’s condition returned to good.
His choice to choose MIDCAB was not wrong.
“Everyone worked hard. “Let’s go down and have a cup of coffee.”
“yes.”
Choi Ki-seok took the lead and the staff followed.
‘A surgery that took six hours was completed in three hours? ‘You’re a monster, you’re a monster.’
Daniel Lee, who was leaving the rosette, checked the wall clock and was impressed once again.
* * *
The group, who had successfully completed the esophageal perforation and MIDACB surgeries, was drinking coffee at the cafe on the first floor. The staff’s expressions were bright, considering they had operated on emergency patients one after another.
This is because Choi Ki-seok completed the surgery at an amazing speed.
“As expected, you are the manager. “My eyes feel refreshed while helping with the surgery.”
“I was surprised too.”
Daniel Lee and Hyun Lee stared at Ki-Seok Choi with longing eyes, but Ki-Seok Choi took a sip of coffee with a shy expression. Regardless of whether the person was a superior or a subordinate, I was still not used to receiving compliments.
The reason I did my best to perform the surgery was for the sake of the patient.
“I’m glad you enjoyed it. By the way…”
Choi Ki-seok paused before continuing.
“You guys had a hard time too. “He must have been busy doing his own thing.”
“no. “If the manager calls you, I will run to you at any time.”
“Okay, stop.”
“Hey… I have one question.”
Daniel Lee changed the topic.
“What?”
“I’m curious about how you trained, Manager, to have such outstanding skills as you do now. “Do I have to go to Meijo to become like the manager?”
Daniel Lee’s eyes were hot as he asked the question.
After watching Choi Ki-seok’s surgery, he had a desire to become like Choi Ki-seok.
Choi Ki-seok was cool.
Despite being the head of the department, he personally visited the emergency room to examine patients and brought them back to normal with his unbelievable skills. He was trustworthy and respectable, like a genius doctor in a drama.
“I was just about to tell you that. “I know you guys are busy with chores because there are no people around, but if you want to improve your skills, you need to set aside time and practice.”
“Water lilies?”
“okay. Just as everyone in the world has pros and cons, thoracic surgeons also have pros and cons. So, we need to increase our strengths and complement our weaknesses. “First of all, Hyeon.”
Choi Ki-seok’s eyes turned to fellow Lee Hyun.
“You need to study more about the esophagus section first. You know it too. “If it had been another university hospital, you would have been the one performing the surgery on the patient with esophageal perforation, not me.”
“…yes. “I know it very well.”
“There is no lung surgery in any thoracic surgery. There is only pulmonary esophageal surgery. Even if you specialize in lung surgery, you must have the basics for the esophagus.”
“I’ll keep that in mind.”
“I have a question. How many times have you built a house before?”
“Not that many. Since I am still in training as a fellow, the professor more often conducts the work.”
“As expected, that was the problem.”
Choi Ki-seok nodded slightly.
“I watched you throughout the surgery, and I never saw you take initiative. Do you know what that means?”
“Hmm… I’m not sure.”
“In short, it means you have no confidence. If you don’t trust yourself, you have no choice but to look at what those around you think. “I know that because I will schedule visits to the house at least four times a week from now on.”
“Yes… four times?”
“It is correct to say ‘Only four times?’ rather than four times.”
Choi Ki-seok spoke passionately about the weight of being called a surgeon and the rewards that can be obtained when overcoming it.
“I will follow the director’s wishes.”
After hearing the explanation, Lee Hyun nodded.
To be honest, I was afraid that the number of house trips would increase. This is because you must take direct responsibility for the failure of the surgery. However, I changed my mind because I felt that Choi Ki-seok truly wanted me to grow.
No one has ever given me this advice.
Moreover, isn’t the senior professor trying to manipulate himself by using his knowledge to do whatever he wants?
I can’t be swayed by that forever.
I wanted to improve my skills and stand proudly as a great thoracic surgeon.
“Next is Daniel Lee.”
“yes. Manager.”
“What you need to improve is….”
Choi Ki-seok specifically mentioned the tendencies of the staff he identified during the surgery.
It was customized advice that only he, who could perfectly understand and perform almost all thoracic surgery and had the time to observe the staff, could provide.
While talking, Choi Ki-seok used the active skill ZZUL on three people. This is a skill I gained while volunteering as a medical worker in South Sudan and was specialized in training juniors.
[ZZUL Lv.1]
– By interacting with fellow staff, you can improve their abilities. Abilities that can be improved include all stats and attitude that can be viewed in the status window.
– ZZUL is not possible against opponents whose stats are higher than yours.
– Leaves a growth mark on up to 5 staff members, and the stat increase of staff with this mark is tripled.
– As the level increases, the ability level increase increases.
He left a mark of growth on the three and even delivered their respective missions.
[Lee Hyun: Succeeded in performing surgery 4 times a week/Mission completion period: 1 month]
[Daniel Lee: Suturing practice and reading thesis/Mission completion period: 3 months]
[Shim Yong-jun: Ward patient management/6 years]
[I hope the relevant staff will successfully complete the mission. If so, they will be given a special reward.]
“Let’s go up slowly. “Other people must be busy.”
“yes.”
Choi Ki-seok smiled happily as he went up to the ward.
It seems like only yesterday that I was training under my teachers Song Myeong-jin and Yasada, but now I was raising my own students.
It feels like a world away from home.
* * *
That evening.
After work hours were over, Choi Ki-seok was driving home from work with Jeong Seol-hwa.
“Does returning to Korea really hit home?”
“sympathy.”
Jeong Seol-hwa nodded vigorously at his words.
It was rush hour so the roads were congested. As the car kept getting stuck at the red light, the time it took to get home was getting slower and slower.
“How was your day?”
“There was no outpatient treatment, so I didn’t do anything. I talk to the cardiology staff and read books in my spare time. “What about honey?”
“What about esophageal perforation and MIDCAB surgery?”
“The hazing ceremony is spectacular from the first day. Sewon Hospital was in big trouble. “Now that the legendary Fanta has arrived, we will be overflowing with emergency patients.”
“I can’t deny it.”
Choi Ki-seok chuckled and continued.
“What do you want for dinner?”
