Decision (4)
“Why are you so surprised?”
“Because it was unexpected.”
“The disinfection nurse is one of the core personnel of the Saber team. It would be a mistake to think that doctors are the only ones who assist the surgeon. So, Kang Hana, you are in charge of the nurse.”
“All right.”
“Then let’s stop talking about the staff.”
Jang Hyuk-pil erased the board and continued.
“I will tell you the schedule assuming that all the staff are here. First, we will select patients who fit the case at the main hospital and the local cardiology department.”
“It won’t be easy.”
Choi Ki-seok added a word.
It is very difficult to save patients with Saber surgery compared to CABG (coronary artery bypass grafting) or heart valve surgery.
Even when I was at Jinseong University in the past, I never encountered a case of Saber surgery or Batista surgery.
Moreover, in order to take the lead in the heart clinic, the surgery must be successful.
Finding patients who suit your tastes is even more difficult.
“I will find the patient, so you don’t have to worry.”
“….”
“And by the time we find a suitable patient, the staff is already complete. After that, we just need to perform about three preliminary surgeries and work in the heart clinic. Any questions?”
“I wonder if there is anything to prepare before the staff is assembled.”
“As expected of you.”
A smile appeared on Hyukpil Jang’s lips.
“As soon as the lab returns, I will send you a paper and video related to Saber surgery. Think about what the process is and what you should do.”
“yes!”
Choi Ki-seok answered bravely.
Afterwards, Hyukpil Jang talked with him some more and then left the ward.
‘It’s just around the corner.’
His eyes rested on the calendar.
Fierce competition in thoracic surgery will begin with the completion of heart clinic remodeling.
Who will be the final winner?
Jang Hyuk-pil, who has both political power and skills?
Or is it Kwon Ilsoo, who is strict and values principles?
Ki-Seok Choi shook his head while thinking about the distant future.
The politics of thoracic surgery are not important.
What is always important is treating patients and honing one’s skills step by step.
Other problems will come later.
“Eurachacha.”
I stretched out and left the conference room.
When we arrived at the station, Hana Kang was yawning with open mouth.
“Then a fly gets in my mouth.”
“Oh my! It’s a surprise.”
Kang Hana shook her head and glanced at Choi Ki-seok.
“You were surprised. And it’s rude to sneak a peek at a lady’s yawn.”
“is that so?”
Choi Ki-seok smiled and stared at Kang Ha-na.
Unlike usual, I felt strange.
In terms of martial arts novels, wouldn’t it be a setting where a local old man who used to laugh for nothing turns out to be a world-class expert?
I still couldn’t believe that she was an ace thoracic surgery nurse.
“Why are you staring at me like that?”
“…Just. Could you please spare some time?”
“You’re not going to do something like that by calling me alone this late at night, are you?”
“So… what on earth are you thinking?”
“That’s what Mr. Cho Regi thinks.”
“I was thinking of Sassa Sassa.”
When Choi Ki-seok took the joke, Kang Ha-na covered her mouth and laughed.
“Inyoung, I’m going to talk to Teacher Choi.”
“yes.”
Ki-Seok Choi visited the conference room with Hana Kang. And then I brewed some coffee beans that I had secretly hidden away.
“Wow. The coffee scent is subtle and luxurious.”
“This is coffee beans that only the manager drinks.”
Choi Ki-seok smiled, shaking the bag of coffee beans.
“Chief, can I drink as much coffee as I want?”
“It’s okay once in a while. It’s shameful to hide it like this and eat it in secret. And do you know what’s more important?”
“What is it?”
“This is it.”
widely!
Choi Ki-seok put down a cup of coffee in front of Kang Ha-na and in front of himself.
“Now that means we’re both accomplices.”
“Hey. I’m caught.”
Kang Hana looked down at her coffee cup with a charming voice.
Then he took a sip of coffee and looked ecstatic.
“Accomplice. I will.”
“I knew so.”
The two people looked at each other and smiled.
Amid a moment of silence, Choi Ki-seok spoke first.
“Teacher Kang. I heard you used to be a skilled disinfection nurse?”
“I may not say it myself, but when I entered the operating room, no doctor touched me.”
“Why didn’t you tell me?”
“Because I didn’t ask.”
I was left speechless by Kang Ha-na’s fastball.
“But who did you hear that story from?”
“Professor Jang.”
“Do you really think Professor Jang likes me? Honestly, it’s not my style.”
Kang Hana fiddled with the cup and drank coffee.
“Why did you quit the operating room?”
“…It’s complicated… actually.”
“….”
“I had an accident once before. The surgeon opened the chest while the wrong surgical tool was handed over to me, and blood burst out like a fountain.”
Kang Hana was unable to continue speaking and lowered her head.
I feel like I’m going to cry at any moment.
Choi Ki-seok moved to her side and patted her shoulder. I completely forgot that even she with a bright personality could have suffered trauma.
“I’m sorry. I asked you something pointless.”
After stabilizing Kang Hana, I made up my mind.
I won’t send her to the operating room again and I won’t let her join the Saber team.
I didn’t want to bring up Kang Ha-na’s old pain again.
“Teacher Choi. Actually…”
“….”
“It’s a lie!”
Kang Hana raised her head and stuck out her tongue, and Choi Ki-seok stared at her with a blank expression.
“There is no such thing as a medical accident. I am not a very skilled nurse.”
“What is it? You were surprised!”
“You’re having trouble sleeping, aren’t you?”
Kang Hana continued.
“Actually, I quit because the work was difficult. In thoracic surgery, the operating time is long and you have to be on your guard all the time. There are a lot of things to count. On top of that, there is nothing more meaningless than when a patient who is working hard to undergo surgery ends up dying on a table.”
“I know how you feel.”
Choi Ki-seok nodded slightly.
This is precisely the reason why doctors and staff involved do not want to apply for thoracic surgery.
The unfortunate thing is that the only way to escape the physical and mental fatigue that occurs while working is to stop working.
This cannot but be a sad reality.
“Mr. Kang.”
Choi Ki-seok took a pause and then opened his mouth.
“Actually, that’s why I asked to see you today. Soon, a saber surgery team will be formed with Professor Jang at the center. But I would like Professor Kang to take charge of the disinfection nurse.”
“….”
“I know it may feel mean to bring this up after hearing that you came to the ward because the operating room was difficult. But we need Dr. Kang on our team.”
Ki-Seok Choi finished speaking and stared at Hana Kang. She pursed her lips with a serious expression.
“Can’t I recommend someone else?”
“It can’t be done unless it’s Teacher Kang.”
Choi Ki-seok shook his head.
“Of course, the final decision is made by Teacher Kang, but I really want to work with Teacher Kang.”
“Haa…”
As Kang Hana sighed, the hot steam from the coffee swayed like a lantern in the wind.
The silence deepened.
“Tch. If Teacher Choi asks you this much, you can’t refuse.”
“What you mean is…”
“I will do it. You can do it. Disinfection nurse.”
“thank you!”
Choi Ki-seok was so moved that he grabbed Kang Ha-na’s hand and shook it.
“As expected, there is only Teacher Kang.”
“I just need to know.”
A smile bloomed on Kang Ha-na’s face as she saw Choi Ki-seok running wild like a colt.
It was only the first time I hesitated.
From the beginning, I was planning on giving in to Choi Ki-seok’s request.
It was still vivid in her mind.
This is how he jumped in to save himself when a truck hit him.
It is natural to help a lifesaver.
The only thing I’m a little afraid of is that if I live with him, my heart that I tried so hard to put aside will shake.
Jiiiing.
Ironically, the call phone rang.
Choi Ki-seok frowned after talking on the phone with the emergency room intern.
“Teacher Kang, I’m sorry. I think I should go down and have a look.”
“I was planning on getting up too.”
After leaving the conference room with Kang Hana, Choi Ki-seok headed straight to the emergency room.
“Is this you?”
When I arrived at the emergency room, I looked down at the patient.
The patient was a woman in her 50s, connected to a patient monitoring device, wearing a cervical fracture device, and unconscious.
“Yes.
It’s a T.A (traffic accident) that just came in. Basic treatment has been completed, but hemothorax is suspected…” After
listening to the intern’s words, I used the Eye of Hippocrates on the patient.
Physical strength: 2/10
Main symptoms: Difficulty breathing / Chest pain / Pain in
extremities Painful area: Chest / Arms and legs
Diagnosis: Hemothorax / Multiple fractures / Acute respiratory failure
Current status: Emergency Progress:
Poor Past
history: None
Choi Ki-seok further looked at the test results. .
The arterial oxygen partial pressure and inspired oxygen ratio were below 250, and traces of lung infiltration were also seen on X-ray.
Hemothorax and acute respiratory failure came together.
“Teacher. What happens to this person?”
Guardian Kim Yong-min, who was nearby, asked with a worried expression.
“You can live, right?”
“I think we should deal with it first and see how it progresses.”
Choi Ki-seok reassured his guardian and continued.
“First, bring a bronchodilator injection and a chest intubation set.”
“yes!”
While the intern was away, Ki-Seok Choi took the laryngoscope and started intubating the trachea.
First, the patient’s chin was pulled to open the airway, then the laryngoscope was held and pushed in until the vocal cords were visible. Afterwards, while viewing the vocal cords with a laryngoscope, the tube was slowly inserted and an oxygen mask was placed.
Drurr.
“I brought everything.”
An intern stood next to him, pushing a dressing cart.
A thoracentesis set and intravenous fluids were piled on the cart.
“Hey teacher.”
“why?”
“I know this is presumptuous, but would you be able to do it on your own?”
Intern Lee Dong-jun looked worried.
Chest tube intubation is a technique that can be performed safely only after the second year of residency. It is difficult for Choi Ki-seok, who has just started his 100-day duty, to cover it alone.
Isn’t the patient even in critical condition?
“Hey! What does the intern teacher know if he knows?”
Guardian Kim Yong-min suddenly raised his voice.
“If this person dies because the treatment time is missed, will the intern teacher take responsibility?”
“….”
“Are you going to take responsibility?”
Lee Dong-jun responded to Kim Yong-min’s large distance. became mute and Choi Ki-seok frowned.
There is something strange about Kim Yong-min’s reaction. It is
difficult to explain in words, but the atmosphere is different from the guardians I have seen so far.
“Teacher. Please treat this person quickly. After all, Dr. Choi is also a doctor at a university hospital, so I don’t think he has any skills.”
Kim Yong-min looked at Choi Ki-seok’s name tag and continued speaking in rapid fire.
“Guardian. Calm down.”
Choi Ki-seok soothed Kim Yong-min and placed an IV (intravenous infusion). He then put on surgical gloves.
Ssssssssssssssssssssssssssssssinging.
After disinfecting the area to be treated with povidone solution, he covered it with a sterile cloth with holes.
“Lidocaine . .”
“I’m ready.”
Choi Ki-seok injected anesthesia into the upper part of the ribs and prepared for a thoracentesis. Before inserting the chest tube, it is necessary to check the location of the blood and the suction material. Wooooow. The syringe pierced the
skin
.
When the body of the syringe was pulled, blood came out.
The thoracocentesis was completed without incident.
All that was left was the main game.
As Choi Ki-seok picked up the scalpel, Kim Yong-min and Lee Dong-jun stared at him with bated breath. The silvery sharp scalpel always has the power to make people nervous. There was.
Saaaaaaaaaaaaaaaaaaaaaaaaaaa.
As the scalpel passed, the patient’s skin split like paper.
“What are you doing? Kelly.”
“Oh. “I’m sorry.”
At Choi Ki-seok’s cry, Lee Dong-jun handed him the hemostatic forceps.
Choi Ki-seok slowly removed the intercostal muscle with the hemostat forceps.
Afterwards, he removed the kelly and pushed his finger inside the incised skin.
The feel of the pleura was intact on his finger. It was reported.
Pooooooooo!
The tube was boldly pushed into the pleura.
[The chest tube intubation was successful!]
[100 P.P. will be paid as a treatment reward
. A small amount of stamina is recovered through the vitality effect of the patient’s hope (+4). ]
Gurgling!
With the notification, bright red blood poured down the tube and into the drainage bottle. Only then did Choi Ki-seok sigh and fix the area where the chest tube had been inserted.
‘Not yet?’
His brow furrowed as he examined the patient.
Even though treatment was completed, the patient’s condition is still an emergency.
“For now, we have done everything we can. From now on, we have no choice but to wait until the patient returns to normal.”
“….”
“Guardian. Are you listening to me?”
“Oh yes. I understand.”
Kim Yong-min responded a beat late.
“Check the patient’s condition carefully and call me right away if anything happens.”
“Yes.”
Choi Ki-seok returned to the duty room.
Three hours later, the call phone rang and Lee Dong-jun’s urgent voice was heard. [
Sir, this is the emergency room. The intubated patient’s PaO2 (partial pressure of oxygen in arterial blood pressure) keeps dropping?]
“I’ll come down right away.”
Ki-seok Choi hung up the phone and hurriedly headed to the emergency room.
His thoughts were complicated the whole way.
The treatment was successful. It’s over, but why isn’t the patient getting better?
As soon as I arrived at the emergency room, I first checked the patient monitoring device.
‘Oh my!’
As Lee Dong-jun said, PaO2 (partial pressure of oxygen in arterial blood pressure) is below 60mmHg. Even though he is receiving mechanical ventilation through an oxygen mask, he is suffering from hypoxemia. It was perplexing because it was my first case. ‘Should I use antibiotics? No. It’s an
infection
. If this were to happen, a disease like pneumonia should have appeared when seen through the eyes of Hippocrates.’
Choi Ki-seok used his abilities again to examine the patient.
The condition was still an emergency, and hypoxemia was added to the diagnosis.
In the meantime, the condition had actually worsened. While he
was thinking, a pair of men and women approached.
“Sir. “I have something to tell you.”
“Yes. Please. But what about my relationship with the patient…”
“I am the eldest son and this is my second daughter.”
Park Jin-pyo revealed his relationship with the patient and introduced his younger sister, Park Ji-min, who was by his side.
“It’s not a story to talk about here, but I’ll go outside for a moment. Can we go out?”
“Okay.”
The three took a seat in a remote area outside the emergency room.
“Doctor. “Please save my mother. This is not an accident, this is murder!”
Park Jimin expressed his anger.
