Last minute (4)
“Vopressors again!”
According to Jo Ji-hwan’s instructions, vasopressors were administered again.
Although the patient’s blood pressure returned to normal thanks to the medication, there was a cold atmosphere in the operating room.
If the patient’s blood pressure continues to drop in this way, it is impossible to continue the surgery.
You never know when something bad may happen.
Just right. Just right. Just right.
Choi Ki-seok clicked his teeth as he glanced at the surgical staff.
I realized it the second my blood pressure dropped.
What is the problem and what should be done to solve it.
This is because the answer was in the papers I had been reading.
However, I haven’t decided how to act now.
“I think this is the case the manager mentioned.”
While the surgery was paused for a moment, Choi Ki-seok looked at Jo Ji-hwan and said something.
“case?”
Jo Ji-hwan’s eyes widened.
I’ve never had Choi Ki-seok do a case study before, so why did this case suddenly pop up?
“Yes. Wasn’t this case the paper you gave me to read before going to internal medicine?”
“….”
“The paper states that hemostasis with electrocautery during lobectomy may, in very rare cases, cause hypotension in patients because the cautery stimulates the vagus nerve.”
Jo Ji-hwan looked blank for a moment at Choi Ki-seok’s explanation. But that only lasted for a moment, and a smile quickly appeared on my face.
“Did everyone hear what Kiseok said?”
“….”
“While I was thinking about how to explain this case to you guys, Kiseok already gave me the right answer.”
Jo Ji-hwan continued calmly.
“As I just said, when you stop the bleeding with an electric cautery, there are very rare cases where the vagus nerve is stimulated. In this case, instead of using a cautery, just hold the bleeding area with a clamp and suture it. Do you understand?”
“yes!”
The staff answered in unison.
‘I can’t help it.’
In fact, he didn’t want to help Jo Ji-hwan.
Rather, I hoped that the surgery would fail and ruin his face. However, the reason I couldn’t do as I wanted was because of the patient.
If he keeps his mouth shut, the patient suffers harm.
If you abandon a patient like that for your own gain, what difference is there between you and Jo Ji-hwan?
The surgery went smoothly as the use of the cautery was discontinued.
There was no case where my blood pressure dropped like before.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
The portion of the right upper lobe containing the cancerous tissue was resected and a utility incision was extracted into one area.
The highlight of today’s surgery is over.
“biopsy.”
“yes.”
I received the biological tissue removed by the disinfection nurse.
“I’m going to an outpatient clinic, so you can take care of the finishing touches.”
Jo Ji-Hwan stood up from the console. And while I was leaving the rosette, I said something to Choi Ki-seok.
“I learned something interesting in internal medicine.”
“Ah yes.”
“Are you more excited about the future?”
Jo Ji-hwan’s eyes formed a half-moon shape.
When low blood pressure occurred one after another, Choi Ki-seok very naturally informed him of the cause of the problem.
“I looked at the paper and there was a case like this.”
If Choi Ki-seok had come out like that, his pride would have been greatly damaged.
Because it is humiliating for a professor and head of cardiothoracic surgery to listen to an intern’s thesis case and then proceed with the surgery.
However, Choi Ki-seok attributed the entire previous situation to Jo Ji-hwan.
In short, it established prestige.
Jo Ji-hwan looked at Choi Ki-seok one more time before leaving the rosette.
How much time has passed?
Lobectomy using robotic surgery was successfully completed.
Although it was a relatively short surgery that lasted three hours, the burden on the staff was even greater as the manager participated in the middle.
The staff members leaving the rosette stretched out coolly, including everyone.
“Didn’t you go under Professor Song?”
Minwoo Han spoke.
“yes that’s right.”
“But Manager Cho gave you a case study homework? The picture is a little strange, isn’t it?”
“I think so too.”
Choi Ki-seok pretended not to notice and escaped the question. And I took a breather in the lounge with the staff.
When I looked at my colleagues with the eyes of Hippocrates, everyone’s stamina was reduced by 2 to 3.
Only Choi Ki-seok showed no change in physical strength.
This is thanks to the synergy effect of the reverse treatment group and the patient hope item.
Although nothing special was done in the operating room, the recovery rate was higher when assisting with surgery rather than simple treatment.
Jiyiing.
Suddenly the call phone rang.
When I took the call phone out of my gown and checked it, I saw a number I had never seen before.
“Yes. This is Choi Ki-seok, a thoracic surgeon.”
[teacher. This is the neonatal intensive care unit. Please do an ABGA for patient Lee Joo-hee.]
“Can Kang-jun order it? I just finished the surgery and I have to go back to the hospital soon.”
[I know that. Phew….]
The nurse who called sighed in relief.
[Teacher Nam has already stabbed me twice and failed. I only have one usable blood vessel left, but I still have to have faith. Who else would do newborn ABGA if not Dr. Choi?]
“Okay, I’ll be there right away.”
Choi Ki-seok left the room and moved to the neonatal intensive care unit.
Drurr.
As I went inside, I saw a man and a woman standing side by side on a bed in the corner.
This is Nurse Moon Mi-joo, who called Nam Kang-jun.
“Teacher Choi. I know you’re busy, but please.”
Moon Mi-joo spoke in an earnest tone, and Nam Kang-jun, who was next to her, made an expression that clearly made him chew shit.
His pride must have been hurt because he was called in after failing to kill him.
“are you okay.”
Choi Ki-seok nodded slightly and looked down at Lee Joo-hee.
Lee Joo-hee is a 5-month-old girl who is a thoracic surgery patient scheduled for surgery soon.
Physical strength: 3/10
Main symptoms: Cyanosis / Anoxic seizures / Chest
pain Painful area: Heart
Diagnosis: Tetralogy of Fallot
Current status: Emergency
Progress: Poor
History: None
The moment I checked the child’s condition, my chest hurt.
It’s hard to believe that such a severe disease could come to a child who was just born.
Did you cry because ABGA failed one after another?
The child’s eyes turned red.
“Can you do it?”
“It’s not a matter of doing it or not. You have to do it at all costs.”
“Is that okay? I’m doing ABGA on a 4-month-old child, not just a child. Do you think you can handle it?”
Nam Kang-Jun sarcastically said. However, Choi Ki-seok calmly examined Lee Joo-hee’s blood vessels.
The radial artery, which was class A, had already been used by Nam Kang-jun, and there were already injection marks on the brachial artery. When I asked about it, I was told that the brachial artery was a sign of Moon Mi-ju’s failure.
After careful consideration, Ki-Seok Choi chose the dorsalis pedis artery on the top of the foot.
“It’s okay, it’s okay. Our Joohee is a good girl. Hey, try something. She’s about to cry.”
“Am I the babysitter?”
“Have you already forgotten that ABGA failed? Don’t you think about how much it hurt him?”
Nam Kang-jun frowned at Choi Ki-seok’s criticism. And soon he made a funny expression and caught the child’s attention.
The opportunity is now!
Choi Ki-seok tied a tourniquet to Lee Joo-hee’s ankle and wiped the area where the injection was to be administered with an alcohol swab.
Fuuuuuck!
The needle pierced the skin without hesitation.
[Vampire title effect applies.]
[Blood collection probability is applied at 100 percent and the patient’s pain is reduced by 50 percent.]
Choi Ki-Seok neatly completed the ABGA blood collection.
“Nonsense.”
Nam Kang-Jun clicked his tongue as he looked at the syringe filled with blood.
Choi Ki-seok was able to draw blood that even the ace nurse in the neonatal intensive care unit had failed to do.
According to the original plan, he would have failed to draw blood and all responsibility would have been passed on to him.
This completely ruined it.
“As expected, Teacher Choi is the best. As they say, he is the first intern.”
Moon Mi-joo smiled brightly.
“If you have a patient who has difficulty drawing blood, please call me at any time. Now, you go to the LAB (examination room).”
Choi Ki-seok left the syringe to Nam Kang-jun and left the intensive care unit.
Noise was heard from the waiting area of the intensive care unit.
When I turn my head, I see a young woman and a male employee in a suit arguing.
Looking closely, the male employee was wearing an employee ID card and was holding a receipt in his hand.
He seemed to be an employee of the administrative department.
“I understand the situation, but please pay at least part of the amount by this month. Understood?”
“…yes.”
The young woman nodded.
Her calm appearance lasted only for a moment, and she began to sob as soon as the administration staff left.
It was not once or twice that I saw someone crying while working at the hospital, but my heart ached every time I saw someone crying.
“Hmm.”
Choi Ki-seok deliberately cleared his throat and approached the woman.
“Hello, I’m Choi Ki-seok, a thoracic surgery intern.”
“Ah yes.”
The woman wiped away tears by covering the receipt with the back of her hand.
The patient’s name written on the receipt is Lee Joo-hee.
“Are you Joo-hee’s mother?”
“How can you do that….”
“Because it’s written on the receipt.”
Choi Ki-seok continued speaking slowly.
“I was worried because I saw you crying as I was passing by. I wonder if your name is…”
“It’s Jihee Kim.”
“Oh, I’m sorry. I was in the internal medicine department last month and couldn’t remember the name of the guardian. If there is anything difficult or uncomfortable, please let me know. I will do my best to help in any way I can.”
“it’s okay.”
When Jihee Kim waved her hand, the hospitalization fee was slightly visible.
“By the way, the cost of treatment ended up being more than you expected. If you don’t mind, can I take a closer look at the receipt?”
“…Please.”
Ki-seok Choi looked at the receipt that Ji-hee Kim presented.
Lee Joo-hee’s hospitalization lasted nearly two months.
Although I was receiving special treatment due to Tetralogy of Fallot, the treatment costs were still high.
Lee Joo-hee almost lived in the neonatal intensive care unit.
In addition, even if you are registered as a serious patient, you must pay the entire non-benefit cost of 10% of the salary yourself.
That’s not all.
The future treatment costs, including the cost of the Tetralogy of Fallot surgery, will be high.
“It must be a huge burden.”
“…Yes. I tried to ask the social work team at the hospital for a favor, but they said there was nothing they could do to help me right now…”
Kim Ji-hee started crying again, and Choi Ki-seok bit his lip as he looked at her like that.
“It would be nice to have that person.”
Jihee Kim’s complaints reached my ears.
Choi Ki-seok was able to roughly guess what kind of situation Kim Ji-hee was in.
However, he did not ask specifically about the circumstances.
Now is not the time.
Jiiiing.
The call phone trembled amid heavy silence.
“Cheer up. I’ll see you again next time.”
Choi Ki-seok received a phone call as he was leaving the neonatal intensive care unit.
It was a call to quickly come to the operating room.
His heart became heavy as he suddenly remembered Lee Joo-hee writhing on the bed.
* * *
That afternoon .
The long and difficult work and time are over. Although
interns work almost 24 hours a day, they tend to have some free time after work.
Nam Kang-jun finished the necessary treatment and went down to the cafe on the first floor.
Jo Tae-ho sat down first and had coffee. He was drinking.
“You came first.”
Jo Tae-ho greeted Nam Kang-jun by nodding his head.
He then ordered Nam Kang-jun a drink.
“Let’s get to the point. “You’re a thoracic surgery intern this month?”
“Uh.”
“Kiseok, you bastard. “Try some shit,”
Jo Tae-ho said and took a gulp of coffee.
Every time he thought of Choi Ki-seok, he got irritated.
He didn’t like the fact that he ignored his words at a drinking party or that he won the suture competition. It was
n’t just that.
There were various incidents during that time . While going through this, the hospital staff thought of Choi Ki-seok as a star.
He was a guy who had been begging under them even during medical school, but how dare he…
“Is there a need for that? “Your uncle is the director of thoracic surgery.”
“I don’t know. “Seeing that there hasn’t been any reaction so far, I’m sorry.”
“Kiseok is fucking the bastard…”
Nam Kang-jun stroked his chin.
I already wanted to do something to the obnoxious guy.
I couldn’t do it because there was no way. Just.
“Do as I tell you.”
Jo Tae-ho looked around and lowered his voice. Even though he was talking seriously, his expression did not change at all.
“Are you serious?”
Nam Kang-jun shook his head when he heard the story.
“That was too harsh. I think so. There’s no need to go that far…”
“There is no other way than this. If this is the case, that bastard will go to the goal with one blow.”
Jo Tae-ho looked at Nam Kang-jun’s expression and continued.
“Aren’t you hanging out with Seolhwa and Kiseok a lot these days?” ”
….”
“And then you, Kiseok, hit that bastard. The story will be taken away.”
Nam Kang-jun frowned at Jo Tae-ho’s words.
Jo Tae-ho had hit a dark spot in his heart.
“Do as I tell you. Then everyone will be happy. First of all, Ki-seok will be relieved to be kicked out of the baby hospital, and you can become friends with Seol-hwa again.” “….”
”
And if I open a hospital outside, who will I support? “Are you the only one I can trust?”
Nam Kang-jun lowered his head at Jo Tae-ho’s sweet whisper.
When he looked up again, his eyes were burning hot.
“Fuck. There’s nothing I can’t do.”
