Decision (6)
CABG is usually performed by dividing the chest and making an incision in the sternum. However, MIDCAB only removes part of the area between the ribs on the left chest.
The advantage is that the scar after surgery is small and the patient recovers quickly.
However, the difficulty of surgery increases further as visibility is difficult.
This is why Park Soon-jae said that Yoon Ji-hye has guts.
“I’ll just go to the ward.”
“That’s right. I held on to a busy person for too long.”
“no.”
Choi Ki-seok bowed his head and left the VIP room.
Eventually we arrived at the intensive care unit.
The first patient we examined was Lee Ji-ae, who was being treated for esophageal stricture.
Today again, Lee Ji-ae stared at Choi Ki-seok with lifeless eyes.
“Isn’t it hard to sit all day without even eating properly?”
“….”
“Hold on a little. Your condition is gradually improving. I’ll send you to a general ward in about a week. From then on, you’ll be able to eat things like porridge.”
Lee Ji-ae moved her lips at Choi Ki-seok’s words. It looks like he wants to say something.
“What are you saying, Jiae?
I was glad to see your first reaction, so I walked over and listened.
“Don’t worry.”
A faint yet strong voice struck his ears.
Although Choi Ki-seok was hurt, he straightened his back with a nonchalant expression.
“You said you wanted to be alone . ? Got it.”
After checking Lee Ji-ae’s condition, we found the bed where Ko Jeong-ok was.
Go Jeong-ok was fast asleep wearing ECMO.
After examining it with the eyes of Hippocrates, the condition was still poor for emergency progress.
Still, there was hope in the presence of PaO2 ( The point is that the oxygen partial pressure of arterial blood pressure is gradually increasing. If
you maintain this current pace, you will be able to achieve spontaneous circulation within four days.
“Mr. Did anything special happen during your visit yesterday?”
Choi Ki-seok moved to the station and spoke to nurse Yoon So-ra.
“Don’t even talk. I got scolded for not letting people with torn eyes come in. Later, they even called security because they tried to force
their way in.” So-ra Yoon frowned and continued.
“You may be tired, but please continue to pay attention. I’ll make a proper late-night snack later.”
“Hehe. Then the story is different. But Mr. Choi. Can’t you just let him in? They say he’s almost like a husband…”
“Absolutely not.”
Choi Ki-seok shook his head firmly.
The person Yoon So-ra was talking about was Kim Yong-min.
According to the patients’ children, Kim Yong-min was the one who instigated Go Jeong-ok’s car accident. He is the culprit.
It was to collect a large amount of life insurance money.
Choi Ki-seok also saw the possibility as high, so he deliberately prevented him from visiting. It would be a disaster if he acted harshly during the visit and the patient died as a result. Choi Ki-seok urged Yoon So-ra one more time
. Then I headed to the ward.
Trapped.
I entered the conference room and busily tapped on the keyboard.
I was entering the patient’s prescription before drawing up the surgery schedule. After typing the prescription
for a while, I took my hand off the keyboard.
The moment Choi Mi-soon’s chart came to mind, my heart became heavy. .
I was diagnosed with lung cancer, but I am planning to do a fine needle aspiration test to determine the exact stage (progress stage) and cancer tissue. I
hope the results are not serious…
Choi Ki-seok placed the order and called the operating room to quickly schedule the surgery. Got it.
Drurrrrrrr.
The conference room door opened and Yoon Ji-hye came in.
“Hello, Professor.”
“Hello.”
Yoon Ji-hye raised her hand in greeting as usual and sat down next to him.
When I peeked at her face, I saw that her face was more dull than usual. .
There were also dark circles under her eyes.
Choi Ki-seok used the eyes of Hippocrates on her just in case.
Is it because of the burden of performing surgery on her teacher?
Physical strength: 3.5
Surgical treatment: 6.5 (-1)
Her physical strength was not very good and surgical treatment was not necessary. He went down a notch.
“If you don’t mind, would you like to come down and have a cup of coffee? I think there’s still room.”
“Is that so?”
The two took the elevator to go down to the first floor. But as the empty elevator stopped on every floor, people flocked in.
“There. Let’s go a little further inside.”
“We have to get down quickly.”
The elevator quickly became chaotic.
‘Why…’
Choi Ki-seok noticed that Yoon Ji-hye’s expression was darkening. It seemed
like she was showing signs of claustrophobia. [Use the Tyrant’s Descent. Temporarily increases agility and strength.]
”
Professor. “This way.”
After using the skill, he made Jihye Yoon stand in the blind spot. Then, he stood in front of her and pushed hard against the wall of the elevator with both arms. This
was to create space for Jihye Yoon so she wouldn’t feel stuffy.
Taeeeee!
[It’s the 4th floor.]
Information With a sound, the elevator door opened.
The elevator was already full, but a large middle-aged woman tried to get in.
“Let’s go inside. I’m busy!”
“Uh-huh. “Don’t push me.”
“Ma’am. “I can’t take any more, so please take the next one.”
People inside complained, but the woman finally got on the elevator.
The elevator was as crowded as bean sprout soup.
However, only Ji-hye Yoon was able to secure a comfortable space in it.
Ki-seok Choi Because I created space with my might.
“Professor. Are you okay? “If you can’t stand it, I’ll just get off on the next floor.”
“Gwa… It’s okay,”
Jihye Yoon answered shyly with her head down.
It wasn’t a bad feeling that she was being protected by Choi Ki-seok. Although the elevator was full of people. It seemed like they had a special space just for the two of them.
“Whoa… I lived.”
“Why is it so crowded today?”
The two people got off the elevator with the grumbling people and took a seat at the cafe on the first floor.
“I’m in good condition . You don’t look very good.”
Choi Ki-seok spoke first.
“Is anyone on the thoracic surgery staff in good condition?”
“That’s right, but…”
“You don’t have to worry too much about the surgery today. Because I’m confident that I’ll do well.”
Ji-hye Yoon nodded vigorously.
Other people would have believed what she said, but Ki-seok Choi was different.
It was hard to erase the feeling that Ji-hye Yoon was trying to force herself to be strong.
“I trust you, too, professor. The vice president of the Korean Association of Thoracic Surgery must have come to get the surgery.”
Ki-seok Choi spoke and used a skill.
[Use the encouragement skill. The target’s immunity, resistance, regeneration, and self-confidence are greatly increased. With a chain of trust relationship, Special effect spirit is granted to the target.]
[Spirit: Kill speed and accuracy increase slightly.]
Ki-seok Choi smiled slightly after checking the notification.
It was worth visiting the cafe with Ji-hye Yoon.
As for spirit, she is now one level lower. It may be able to complement the surgical treatment.
Jiyiing.
Just then, the vibrating bell rang.
Choi Ki-seok returned to his seat with coffee and toast.
“Please eat this too.” “You left without having breakfast, right?”
“How did you know that?”
“I heard you hungry in the elevator earlier.”
As Choi Ki-seok said, Yoon Ji-hye’s cheeks turned the color of a ripe peach.
“You have to eat a good breakfast to perform well in surgery.”
“…Thank you.”
After finishing her meal, Ji-hye Yoon looked at Ki-seok Choi.
It felt strange.
Just being with him made the burden of the surgery disappear as if it had been washed away.
‘I shouldn’t be like this…’
She said. ‘s eyes were slightly shaking.
Lately, my desire to lean on Choi Ki-seok has grown.
After losing that person, I promised myself that I would not give my heart to anyone and that I would live alone…
“Why are you doing this? What’s on my face?”
“Oh… no. Just.”
Yoon Ji-hye continued speaking carefully, avoiding Choi Ki-seok’s gaze.
“But why are you so nice to me?”
“….”
“Among the Uiguk staff, you’re the only one who cares about me.”
” Ah… that?”
Choi Ki-seok scratched the back of his head.
In fact, when he looked at Yoon Ji-hye, he was reminded of himself wandering around the country in the past.
A complete loner.
He knew very well what that feeling was like, so he couldn’t leave Yoon Ji-hye alone.
“Actually…”
“Actually?”
“Professor Yoon looks like my first love.”
Choi Ki-seok jokingly made up the remark, and Yoon Ji-hye burst out laughing.
“Are you serious?”
“Yes.”
“ “I guess things didn’t work out with your first love?”
“It ended as a one-sided love. Well.”
“I think it’s really difficult for one person to like another person. It’s even more difficult to form a relationship.”
Ji-hye Yoon chuckled and got up from her seat.
“Shall we stop?”
“Yes.”
After the conversation, the two returned to the ward. The
thoracic surgery morning meeting continued .
Inpatient patient report and surgical patient briefing by Young-ho Lee. With the presentation of the case, the meeting ended without incident.
“I have a few things to say before going on rounds.”
Jo Ji-hwan tapped the table to set the mood.
“First, Professor Yoon.”
“Yes, Manager.”
“Today, I will be doing MIDCAB to the Vice President. You said so. But yesterday evening, I received a call from the Korean Thoracic Surgery Clinic. “Some executives said they wanted to observe the surgery.”
“Observe?”
Jihye Yoon asked in surprise.
“Yes. Take this opportunity to show off Professor Yoon’s aortic surgery skills. But…”
“….”
“If something untoward happens, you’d better be prepared. There is a difference between bragging and embarrassment.”
Jo Ji-hwan smiled brightly at Yoon Ji-hye.
An expression that did not match what he had said earlier. This was a clear threat and pressure.
“And… Teacher Choi.”
“Yes.”
“Yesterday. “You used ECMO on a patient who came in with respiratory failure, right?”
“That’s right. Since breathing did not return with regular mechanical ventilation, I called Professor Park and put ECMO on him.” “Do
you know what precautions to take when using ECMO?”
“You have to watch the patient carefully because it can put a strain on the central nervous system and lungs. “I know you do.”
“No, no. Don’t do that.”
Jo Ji-hwan frowned and continued.
“The thing to watch out for when using ECMO is the cost.”
“If it’s the cost….”
“If the patient dies after using ECMO, the insurance company reduces the insurance fee. So take care of your patients.
paper.
go. I hope you write it down.”
Jo Ji-hwan put emphasis on a few words.
“… I will be careful.”
“Then let’s end the meeting with this and go on rounds.”
Jo Ji-hwan left the conference room and the staff followed.
* * *
“Now let’s live. “I think so,”
Choi Ki-seok muttered to himself and leaned back on the sofa in the lounge. Then, I quenched my thirst with coffee and stared at the wall clock.
Current time: 1:00 PM.
Soonjae Park’s MIDCAB surgery is in two hours.
“Unlucky.”
Choi Ki-seok’s brow furrowed.
By coincidence, members of the Korean Thoracic Surgery Association decided to come to observe.
As a result, Yoon Ji-hye’s burden grew even greater.
I hope the surgery will be completed without any problems…
Jiyiing.
The call phone interrupted my thoughts.
[teacher. This is the emergency room. Go to the rooftop of the annex right now.]
“The rooftop?”
[After about ten minutes, Doctor Heli comes. I think he’s a patient that needs to be seen first at the thoracic surgery department.]
“I understand.”
Choi Ki-seok hung up the phone and quickly ran to the roof of the annex.
When we arrived at the rooftop, emergency room personnel, stretcher cars, and other treatment equipment were waiting.
Ki-seok Choi was shaking his legs uncharacteristically while waiting for the helicopter.
I was nervous.
If emergency surgery is performed on a transported patient, there is a high probability that he will be an assistant. That means Ji-Hye Yoon’s assistance in MIDCAB surgery goes beyond the water.
“There it is!”
A staff member pointed to the sky.
Doo doo doo doo. Doo doo doo doo doo.
A helicopter was flying with a roar.
