When the second (6)
chest cavity of One Hundred and One Nights was exposed, Lee Young-ho and Choi Ki-seok opened the patient’s surgical site with a lung spatula (a type of retractor).
[You used the dragon’s eye. Provides the optimal view required for surgery. You can use zoom-in mode and zoom-out mode as needed.]
Choi Ki-seok looked down the esophagus in concentration.
The esophagus being operated on today is largely divided into three parts.
There is the cervical esophagus, which ends at the clavicle, the thoracic esophagus, which extends to the diaphragm, and finally, the abdominal esophagus, which connects to the stomach.
The surgical site is the thoracic esophagus.
‘It won’t be easy, right?’
Choi Ki-seok’s brow furrowed.
The condition of the patient’s mid-thoracic esophagus and lower thoracic esophagus was particularly poor.
Due to the bleach, the mucosa and fascia were corroded, and some areas showed minor bleeding.
The condition was much worse than the test results.
“Whew… let’s begin.”
Park Yong-il sighed softly.
“Meth.”
Park Yong-il took a scalpel and cut away the wrinkled and narrowed area of the mucous membrane.
Accordingly, Choi Ki-seok continued to pull the retractor with his left hand.
At the same time, with the forceps held in his right hand, Park Yong-il held the tissue for resection.
Chwiiiiiik.
In case of bleeding, the blood was quickly suctioned with a suction device.
The surgery went smoothly thanks to his assistance, which was unusual for a first-year resident.
“Mezen (scissors to cut tissue).”
Park Yong-il removed all the corroded parts and examined the esophagus.
The esophagus is largely divided into the mucosa, fascia, and nerves, but fortunately, there was no damage to the nerves.
“Now we will begin suturing. 4-0 vicryl (absorbable suture).”
Park Yong-il tightened the suture needle with a needle holder and sutured the excised area. As a professor in charge of outpatient treatment, his hand movements were light and thorough.
Choi Ki-seok helped Park Yong-il by using clamps and forceps alternately.
‘Look at this guy?’
Park Yong-il’s eyebrows twitched.
I finally realized it.
This means that Choi Ki-seok’s hand holding the tissue to be sutured is not shaking at all.
Because of that, it felt like time had stopped.
Rather, it is his hands that show a slight tremor.
Looking back on the assistantship process that has flowed smoothly so far, it was by no means a first-year assistantship.
Now I think I understand why Choi Ki-seok is so talked about and why so many people covet him.
Meanwhile, Choi Ki-seok helped Park Yong-il and carefully examined his esophagus.
The diagnosis, seen through the eyes of Hippocrates, was clearly esophageal perforation.
Nevertheless, the perforation site has not yet been found.
If the surgery is completed like this, you may need to undergo a reoperation in the future.
[The bravery effect of the Frozen Heart is activated automatically.]
[Brave: The ability to analyze the cause and come up with a treatment method is doubled.]
[Switch to zoom-in mode according to the user’s instructions.]
Ki-seok Choi is the heart I cleared my throat and looked at the esophagus again in zoom-in mode.
The performance of zoom-in mode surpassed that of optical glasses, Lupe.
When I used the zoom-in mode like this, I even felt like I was a little person jumping into the surgical field.
“Caesar.”
click!
Park Yong-il cheerfully cut the suture.
“This is the end of the esophageal reconstruction surgery. From now on, the lower thoracic esophagus will be resected.”
“professor.”
“why?”
“There is a tiny perforation in this area.”
Ki-Seok Choi pointed to the end of the central esophagus with a Mosquito (a type of vascular forceps).
“Sir. Can’t you see anything?”
Youngho Lee, who was holding the retractor open, tilted his head.
He prides himself on having good eyesight, but he could not find the perforation site that Choi Ki-seok mentioned.
“Hmm…”
Park Yong-il muttered and stared at the area.
But it is that moment.
Drops of blood formed from the area that Choi Ki-seok pointed to. This means that the nerve layer is damaged due to perforation and blood flows out from the arterial blood vessels.
“How did you notice these tiny perforations?”
“I guess I got lucky.”
“Kiseok, you seem to be particularly lucky. 5-0 vicryl.”
Park Yong-il smiled and began suturing.
With this, all treatments related to the mid-thoracic esophagus were completed.
All that remains is to resect the lower thoracic esophagus.
Park Yong-il performed an esophagus resection, and Choi Ki-seok controlled the bleeding using a suction device and an electric cautery.
Empty!
The surgery ended with the incised esophagus placed in the biopsy tray.
“Youngho, call the colorectal surgery department. I called you earlier, so you will know when I tell you that the thoracic surgery is over.”
“Huh? Why is colon surgery suddenly…”
“The lower thoracic esophagus was cut. We need to remove part of the colon and replace the cut esophagus. That’s not our job, it’s the job of colon surgery.”
“All right.”
Lee Young-ho left the operating table, and Choi Ki-seok helped Park Yong-il close the chest cavity.
Afterwards, the patient, who was lying on his side, was made to look up at the ceiling.
The surgical posture of thoracic surgery was changed to that of colonic surgery.
‘what the. ‘Reggie, it’s your first year, right?’
Park Yong-il clicked his tongue as he watched Choi Ki-seok. His actions may not seem like a big deal, but they are actions that cannot be performed unless one is fully aware of the entire operation.
If you know the surgical positions of other departments, how detailed will you be about the surgical procedures of your own department?
“Gauze sutures. No more than a sponge count.”
The disinfectant nurse’s voice was particularly refreshing.
The colorectal surgery staff who received the call at the right time came to Rosette.
“i look forward to.”
“Thank you for your hard work.”
After the greetings and handover, Choi Ki-seok left the rosette with his colleagues.
[Surgery assistance has been successfully completed.]
[5 reinforcement stones are provided as a reward. You have obtained
200 P.P. ]
[You have formed a new rapport with Yong-il Park.]
NEW [Yong-il Park (Medical Worker): Step 2 – Faith]
* * *
Two hours have passed since the surgery was completed.
Ki-Seok Choi, who was preparing for the conference,
examined a patient with esophageal stricture using E.M.R (electronic medical records)
.
The colon surgery operation was completed successfully, and the patient is being monitored in the intensive care unit.
“I’m glad.”
Choi Ki-seok smiled and entered the prescription.
Even if the colorectal surgery department assisted with the surgery, the patient is clearly a thoracic surgery patient.
The doctor is himself.
“A week of N.P.O
(
fasting) and sitting (having the patient sit) and what else?”
I placed an order while looking through the manual.
Jiyiing.
Just as I was about to take a breather, the call phone rang.
Now I wonder if Jeong Seol-hwa called, but it was Yoon Ji-hye who called.
“Yes, Professor.”
[Are you busy now?]
“No. It’s okay.”
[I wanted to know how the vice president is.]
“Where is the professor? If you are in the lab, I will go and find you.”
[It’s in the lab, though. There is no need to go through the trouble of coming to see me.]
“No. I would like to visit you and ask you something. If it is not inconvenient, I would like you to go to the lab…” [
Okay.]
“Yes. I will go right away.”
[Hey… Ki-seok.]
Before hanging up the phone, Ji-hye Yoon spoke in a voice as loud as a mosquito.
“yes.”
[When you come… bring me some late-night snacks.]
Yoon Ji-hye’s timid request made me burst into laughter.
Choi Ki-seok answered that he knew, then bought a late-night snack at a convenience store and went to the lab.
Knock. Knock. Knock.
When he knocked and entered, Jihye Yoon greeted him warmly.
“Have you finished preparing the materials yet?”
“It’s a book published by my alma mater. I need to prepare thoroughly.”
“If it takes a long time, you can have me or other residents do it…”
Once you reach the professor level, things like organizing papers and collecting data are usually left to residents. In fact, most thoracic surgery professors were following such practices.
But Jihye Yoon wasn’t like that.
“I don’t like leaving my work to others.”
Jihye Yoon flatly rejected the offer.
Choi Ki-seok sat on the chair across from Yoon Ji-hye and prepared a late-night snack.
“How much did it cost to buy snacks?”
“You don’t have to give me money. Instead, buy me something delicious and expensive later.”
I had a late-night snack with Jihye Yoon, joking.
She must have been hungry, so she ate her food in a hurry.
Although he appeared to be eating calmly, the amount he ate was similar to that of an intern who was obsessed with eating.
It’s a lie to say that you eat well and don’t gain weight.
After snack time, the real conversation began.
Choi Ki-seok meticulously relayed Park Soon-jae’s progress, and Yoon Ji-hye listened quietly.
“There won’t be any problems before surgery.”
“Yes. At least until now. But Professor, Vice President, are you really going to do the surgery?”
Choi Ki-seok changed the topic.
What would it have been like if he were in the same situation as Yoon Ji-hye?
He probably suggested that he would perform the surgery himself even before Park Soon-jae made the suggestion. The more important the person is to you, the more you will want to fix it with your own hands.
But that’s just my personal opinion.
Other doctors may have different thoughts.
If the patient is an acquaintance, the burden of a failed surgery is beyond imagination.
“I have to do it.”
Jihye Yoon sighed and continued.
“I contacted Director Cho about the surgery, and he said it was right for me to do it. Hospitals should listen to the patient’s interests…” “
Is that what Director Cho said?”
Choi Ki-seok snorted and continued.
“I can’t feel the sincerity as much as a fingernail. I think he just wants to impress the Vice President.”
“Don’t talk like that carelessly.”
“….”
“I’ll just ignore it because it’s me. If it was in front of other people, it would be a big problem.”
“I know.”
“You know?”
“I’m saying this because I trust the professor.”
Yoon Ji-hye’s cheeks turned red at his words.
“For no reason is this… a strange sound.”
“I’m serious. By the way, when the surgery date is set, please make sure to have me as an assistant.”
“why?”
“It will definitely be helpful in Professor Yoon’s surgery.”
Choi Ki-seok spoke confidently.
It’s not that Ji-hye Yoon doesn’t have skills, but she feels pressured by the fact that she’s performing surgery on an acquaintance. In other words, if she maintains her composure, the surgery will not fail.
If he goes in as an assistant and the cold effect of the frozen heart is exerted, Jihye Yoon will be able to perform the surgery comfortably.
“If I really want to.”
“thank you.”
There was a moment of silence, and Choi Ki-seok began to cry.
“I have one more question.”
“What?”
“What kind of person is Professor Jang in Professor Yoon’s opinion?”
“Professor Jang told you to join the Saber team?”
“yes.”
Choi Ki-seok nodded slightly.
After the elevator incident, Jihye Yoon maintained a chain of trust relationship.
According to this relationship, Yoon Ji-hye never betrays him first. In other words, the information about Jang Hyuk-pil heard through her mouth is accurate.
“Professor Jang… is a person with great skills and full of ambition.”
“Does this mean it’s trustworthy?”
“At least I’m not the type of person who speaks twice with the same mouth. However,”
Yoon Ji-hye paused before continuing.
“If you think that you are a useless person, you will be discarded. For example, let’s assume that my position in the medical department is diminished because the vice president’s surgery fails. Then Professor Jang won’t take my side.”
“It was Professor Jang who brought Professor Yoon to Uijin University. “And yet?”
“That’s also a paving stone for me. In order to reduce Professor Song’s surgical part, it was best to take me with him. Now that Professor Song is gone, there’s no need to protect me.”
“He’s a scary person.”
“In that respect, he’s exactly like Manager Cho.” Ji
-hye Yoon continued.
“But that doesn’t mean you have to look at Professor Jang negatively. There is no If you have enough use value, you can receive beauty.”
“That’s true, too.”
Choi Ki-seok agreed with Yoon Ji-hye.
In the past surgery with Jang Hyuk-pil, he was even able to do a thoraco-thoracic massage even though he was an intern.
“Are your thoughts organized now? ”
“Yes. Actually, I was worried about whether I should join the Saber team or the Norwood team, but after listening to the professor’s story, I made up my mind.” “Then
which one appeals to you more?”
Jihye Yoon asked with shining eyes.
