Holding the end of the intern (1)
“Professor, why?”
“I heard you bruised a patient earlier. It’s the first time I’ve seen you like that.”
Min-hyuk Min’s words rang ominously in my ears.
Choi Ki-seok used the Eye of Hippocrates on Song Myeong-jin just in case.
Physical strength: 3/10
Diagnosis: 8.5/10
Surgical treatment: 6.5(-2)/10
Medical treatment: 6/10
It was understandable that the physical strength was low. Among the doctors in the thoracic surgery department, I was the only one who always maintained more than half of his physical strength.
The problem is Song Myung-jin’s level of surgical treatment.
His surgical level dropped by two levels compared to usual.
Considering what Min-hyuk Min had just said, he seemed to have suffered some kind of mental shock.
“Are you tired too, senior?”
“I feel like I’m dying because I’m on duty for three days in a row. Wouldn’t it be better if you just beat me up? If I do that, I won’t be able to rest in peace.”
Min-hyuk Min said with a bitter expression.
Minjoo-hyuk is also in a bad state.
His stamina was currently barely maintaining 2.
Aortic surgery basically takes three to four hours, and once the surgery is over, you will be in a state of numbness.
“Are we the only staff by any chance?”
“No. There’s one more. He’s coming.”
By the time we arrived at the operating room, the last staff member had joined the group.
The last staff member was his medical school classmate Kim Geon-woo. Choi Ki-seok’s eyes were filled with astonishment as he looked at him.
“Are you going to have aortic surgery too?”
“Why? Did you get a call from thoracic surgery?”
Kim Geon-woo shrugged his shoulders, and Choi Ki-seok closed his lips tightly without saying a word.
Aortic dissection surgery is a risky surgery with a mortality rate of 10 to 20 percent. However, the staff, including Song Myeong-jin, are only second-year residents and interns…
The surgical environment is very harsh.
‘I need to come to my senses.’
Choi Ki-seok tapped both cheeks.
“Hurry to the rosette!”
Song Myeong-jin shouted urgently.
Usually, he gave a very brief briefing on the surgery, but today he skipped even that.
The situation was that urgent.
The staff scrubbed and entered the rosette with the patient.
“Anesthesia is going on.”
After the anesthesiologist finished general anesthesia, Song Myeong-jin disinfected the patient’s chest and abdomen widely with Betadine.
“We will now begin ascending aortic dissection surgery. Scalpel.”
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
When the scalpel cut into the solar plexus from the bottom of the patient’s neck, the solid sternum was revealed.
Afterwards, Min Joo-hyuk picked up a saw and started cutting into the patient’s sternum.
Drumming. Drumming.
The sound of bones breaking echoed through the operating room.
“what are you doing!”
Song Myeong-jin shouted sharply.
The saw slipped out of Minjoohyuk’s hand. It was a shame that Minjoo-hyeok was quick to fix the saw and almost caused harm to the patient.
“S-sorry.”
Min-hyuk Min started sawing again.
But when the sternum was almost completely split, the saw slipped out of my hand again.
At that moment, Song Myeong-jin’s eyebrows twitched violently.
“Doctor Min! Is the surgery a joke?”
“That… that…”
“The patient’s life is in our hands. Shouldn’t we focus?”
Song Myeong-jin’s voice rang loudly.
Amid heavy silence, Choi Ki-seok opened his mouth.
“Professor, I’m sorry, but may I ask you something?”
“…try it.”
“Professor Min seems to be very tired after being on duty for three days in a row. If it is okay with you, I would like to be your first assistant.”
Choi Ki-seok stepped forward cautiously.
The surgery was jarring from the start.
If this atmosphere continued, there was no way the surgery would work properly.
“What is Mr. Min’s opinion?”
Song Myeong-jin looked at Min-hyuk.
Min Min-hyuk looked at Song Myeong-jin and Choi Ki-seok in turn and opened his mouth with difficulty.
“It’s true that I’m helping the professor, but I think Ki-seok will do much better than me today.”
Perhaps it was the aftermath of a sawing mistake, Min Joo-hyuk answered with a dejected look.
“Okay. Then, Teacher Choi comes in as the first assistant.”
With Song Myung-jin’s suggestion, the positions of Choi Ki-seok and Min-hyuk Min changed.
Because of this, Choi Ki-seok was able to face Song Myeong-jin.
I wanted to make sure the surgery was successful because it allowed me to breathe with my teacher for the first time.
“I will continue with the sternotomy.”
Phudduddduk. Phudduddduk.
Choi Ki-seok took a saw, cut the sternum cleanly, and then attached a retractor to his chest. As Min-hyuk Min and Geon-woo Kim pulled the retractor he had attached to both sides, the field of view widened.
“Heparin!”
At Song Myeong-jin’s cries, the anesthesiologist injected cardiac arrest fluid.
“Connect the cannula (tube inserted into the body).”
Ki-Seok Choi inserted an arterial cannula into the patient’s femoral artery and axillary artery, and a venous cannula into the right atrium.
Shake! Drurr.
The heart-lung machine started working.
This marks the beginning of aortic dissection surgery.
[Use the dragon’s eye.]
[Automatically secures the optimal surgical field of view. Zoom-in mode and zoom-out mode can be used depending on the user’s intention.]
[Surgery scenes are filmed using video mode.]
Choi Ki-seok used his skills and completed preparations for assistance.
“Clamp (hemostatic forceps)”
At Song Myeong-jin’s cry, the disinfection nurse handed him a clamp.
Song Myung-jin blocked blood flow in the ascending aorta with a clamp. Then, the aorta where the dissection occurred was cut open with a scalpel without hesitation.
This is to examine the condition of the aortic valve at the site of rupture of the aortic intima and the degree of dissection.
‘Haa…’
Song Myeong-jin sighed inwardly.
Not only was the ascending aorta dissection, but there was also a problem with the aortic arch.
The aortic arch is a bow-shaped space located where the ascending and descending aorta meet and can be considered the waist line of the aorta.
“Professor? Are you okay?”
Song Myeong-jin nodded slightly at Choi Ki-seok’s worried voice.
Surgery resumed.
Song Myung-jin used artificial blood vessels to suture the torn lining of the aorta.
Ki-Seok Choi stood across from Myeong-Jin Song and helped him suture.
When bleeding occurred at the incision site, suction was applied and the sutured area was held firmly with a tool to prevent it from shaking.
An assistant with no flaws whatsoever.
With Choi Ki-seok’s help, Song Myeong-jin’s surgery became faster and faster.
‘Who is this bastard…’
Min Joo-hyuk clicked his tongue as he glanced at Choi Ki-seok.
The first assistant, commonly referred to as the first, is not something that just anyone can take on.
You must understand the surgical process as well as the surgeon and lead the overall flow of the surgery in coordination with the surgeon.
However, even though Choi Ki-seok was only an intern, he and Song Myeong-jin showed fantastic harmony.
Something unbelievable is happening right in front of your eyes.
Time passed and the anastomosis of the ascending aorta was completed. Now we have to leave for the second battlefield, the Aortic Palace.
“are you okay?”
Song Myeong-jin stared at Choi Ki-seok.
“I can’t help it.”
“Well, that’s a good thing. Let’s try a little harder.”
“yes!”
Choi Ki-seok answered bravely.
While assisting with surgery, I recovered a lot of my stamina through the effect of the patient wish item. This is because the amount of stamina recovery increased tremendously, possibly due to the high difficulty level of the first assist.
There is almost no difference between when I first entered the operating room and now.
“Professor. The gas tank exploded!”
Ki-Seok Choi bit his lip and stared at the aortic arch.
The wall of the aorta is largely composed of the intima, media, and adventitia.
However, due to various reasons, the inner membrane is torn and the space where blood flows through a membrane other than the original membrane, that is, a false space, is called a false space.
As the river burst, a flood of blood poured into the aortic arch.
Choi Ki-seok added gauze to the gash and then added gauze again on top of the wet gauze.
Then, the blood was sucked out using a suction device.
Although there were no instructions from Song Myeong-jin, the response was lightning fast.
Bleep. Bleep.
An ominous electronic sound was heard from the patient monitoring device. The anesthesiologist also reported that the patient’s condition was worsening.
“professor!”
Song Myeong-jin bit his lip at Choi Ki-seok’s shout.
“Attached a new blood pack. Hemostatic agent IV (intravenous).”
Min Joo-hyuk moved in an orderly manner under Song Myeong-jin’s instructions.
Since Choi Ki-seok was stopping the bleeding at the surgical site himself, he came forward.
Min Joo-hyuk squeezed out the blood pack as hard as he could, looking at the patient’s condition.
So that blood can be replenished to the patient as quickly as possible.
“Professor. The bleeding won’t stop!”
In response to Choi Ki-seok’s urging, Song Myeong-jin looked down at the patient in silence.
Only when the bleeding stops can the false cavity be sutured.
In this state, there was nothing even he, the so-called master, could do.
“Needle holder.”
Song Myeong-jin received a needle holder from a disinfection nurse and began suturing.
Choi Ki-seok read his intentions and removed the gauze covering the torn area.
Blood poured out like a fountain.
The aortic arch once again turned into a sea of blood.
It was virtually impossible to suture the false cavity, which was soaked in blood and invisible.
Sooooo profit. Sooooo profit.
Choi Ki-seok used suction with both hands, but even that had its limits.
As soon as I removed the hose from the inhaler, blood burst out.
“Professor. Oxygen saturation continues to drop.”
The anesthesiologist left the anesthesia room and informed Song Myeong-jin in detail about the patient’s condition.
Song Myeong-jin’s face became as hard as stone.
‘Damn it!’
Choi Ki-seok did not give up and tried to control the bleeding area.
If the patient had visited the hospital a little earlier and the condition of the dissection had been a little better, the false cavity would not have ruptured.
I felt regretful, but I held back.
For now, I decided to only think about saving the patient.
I continued to apply blood packs and use hemostatic agents, but the bleeding could not be stopped.
In the end, Song Myeong-jin decided to attempt suturing in a sea of blood.
Choi Ki-seok made him do suction near the burst river.
Because the torn area was so large, the sutures did not work properly.
The fantastic hand movements that were usually reminiscent of a conductor tended to stutter this time.
Thirty minutes of struggling with the bleeding area.
Finally, Song Myeong-jin let go of the needle holder.
There was deep pain in his eyes as he looked down at the patient. If someone even slightly touched him, he felt like he would burst into tears.
“9:30 p.m. Patient Yoo Ki-hwan table death.”
Song Myeong-jin’s words weighed heavily on the surgery.
“Professor. Isn’t it too early to give up yet?”
“….”
“Just a little more treatment….”
Choi Ki-seok blurted out his words with tears in his eyes.
It was difficult to bear acknowledging the patient’s death or seeing Song Myeong-jin’s sinking face.
Song Myeong-jin did not respond to Choi Ki-seok’s words.
I just shook my head, closed the surgical site, and cleaned up after myself.
After everything was cleaned up, Song Myeong-jin was the first to leave the operating room. And then I approached the guardians in the waiting room.
“teacher. What happened to my husband?”
The patient’s wife, Lee Mi-ran, stood up suddenly.
Other family members also stood up and anxiously waited for Song Myeong-jin’s answer.
“The patient…”
Song Myeong-jin could not easily open his mouth.
In the meantime, countless He has performed surgery on patients.
Although he has saved countless patients, some patients have lost their lives in his hands. Of course, even if the death of the patient is not entirely his fault. Notifying the guardian of the patient’s death
.
Song Myeong-jin thought that it was a death sentence that he had given himself.
Maybe that was why.
At this moment, it felt like
he was back in his intern days. “The patient… passed away.”
“Ah…”
Lee Mi-ran’s body shrank loudly. She stumbled.
After barely regaining consciousness, she walked up to Song Myeong-jin and grabbed his gown.
“You. Name? Why do you kill people even though you are a world-class thoracic surgeon? Huh?”
“….”
“I came all the way from the countryside to get treatment from you! why! why! Are you going to kill my husband?”
Lee Mi-ran screamed and shook Song Myeong-jin’s gown.
“I’m sorry.”
Song Myeong-jin bowed her head.
Mi-ran Lee held the gown and shook it, making his body shake like an aspen tree.
“Mom. Stop it.”
“Let go! Let go!”
The family tried to stop Lee Mi-ran, but her anger did not go away.
“You’re not even a doctor. Is it murder that kills people, or is it a doctor? If you have a mouth, answer me.”
Lee Mi-ran spoke rapidly, then sat down on the floor and began to cry. As
she cried, other family members also began to cry.
The waiting room quickly became filled with tears. Suddenly,
something
broke in Song Myeong-jin’s heart as he looked down at the patient.
