Doctor Player Chapter 221
I was in a state where I needed clearer judgment than ever, but my head was dizzy and it was difficult to think clearly.
In the end, Raymond took a different approach.
I thought about the compensation I would receive after treatment.
‘Wake! 4 million pena tax free. Are you going to lose the profitable mining estate?’
The thought of the reward jumped my mind.
Yeah, it wasn’t the time to be like this.
He had to be ripped off to survive.
If King Oden is overcharged with 4 million penas, this anger will subside a little.
‘This one treatment will get me out of debt. Let’s enter the world of the super rich.’
In this way, Raymond sought a cool-headed attitude and calmly examined each body.
An important clue was immediately obtained.
‘Can’t you hear the right lung sound?’
Lung sound. It refers to the sound of the lungs heard with a stethoscope.
‘Usually, when pneumonia comes, you hear a rough breath because of inflammation? what?’
Raymond tapped the chest wall with his fingers. When I saw the sound of the percussion, it didn’t seem like the water was cold.
‘what? Are there any other abnormalities?’
Careful examination was performed, but there was no evidence of septic shock in other parts.
‘You have a problem with your lungs. But you can’t hear it at all? Isn’t it common pneumonia?’
Raymond called Count Hellien, who was most likely aware of King Auden’s condition.
“Is there a problem?”
“Since when did His Highness get worse?”
Count Hellien frowned and searched for memories.
“It’s been a while. His Excellency has been in poor health ever since he was an apprentice.”
“…!”
It was a story from a long time ago.
“You’ve been neglecting it until now?”
“At that time, when I got healed, I got better right away. So nobody really thought about it. It was from the war with the Droton Kingdom that the details got worse in earnest.”
“War?”
Raymond remembered that King Oden hadn’t fought in the early days of the war. I didn’t know why, but it was because of my health condition.
‘It’s been that long. It doesn’t match the symptoms of normal septic shock.’
Infectious diseases and septic shock are ‘acute’ diseases.
It develops in a short period of time and ends in a short period of time. What had been dragging on for such a long time was completely different from the aspect of septic shock.
‘What the hell is the cause? It must be a lung disease.’
Raymond thought of a number of diseases of the lungs that could cause this condition.
‘The judgment of a skill expert!’
For reference, the specialist’s judgment skill has risen to ‘fellow’ level, and the proficiency level has risen to C level.
The increase in intelligence was also +10, and one more useful effect was created.
The knowledge I knew was organized in my head as if drawn in a diagram.
Thanks to this, Raymond was able to judge more clearly.
‘no way?’
Raymond swallowed.
One diagnosis came to mind.
General weakness lasting a long time.
Shortness of breath that rapidly worsened.
Inaudible lung sounds.
septic shock.
The clues pointed to a disease.
‘I have to check.’
“The rod you brought with you the linden.”
“Yes Master.”
Linden handed over the stick, which had been neatly wrapped.
It was a stick brought in as a substitute for an ‘endoscope’.
‘If the disease I thought is correct, it can be confirmed with a bronchoscopy.’
The rod was sterilized again with disinfectant.
Before performing the test, Raymond took a deep breath.
‘I have to see it quickly and accurately.’
As we saw during the shut phone, bronchoscopy interferes with breathing.
Needless to say, especially when the condition of the lungs is not good like Oden.
The risk was high, but it had to be checked.
‘Use the Eye of the Sky magic!’
The view began to be shared with the tip of the stick.
Raymond moved the stick quickly.
It crossed the vocal cords and entered the prayer.
“Oxygen saturation also drops Master!”
Raymond gritted his teeth and used wind chime magic.
But it won’t last long.
Looking at Oden’s condition, the time given was only a few seconds.
Then Linden called out urgently again.
“Ma Master! Oxygen saturation keeps dropping!”
‘Damn it.’
Raymond was conflicted.
If done wrong, an arrest could occur during the examination.
But Raymond didn’t stop.
The identity of the disease had to be confirmed. so it could be cured.
anger towards the father.
huge reward.
I forgot everything.
I just moved my hand with desperate concentration.
And in time, I was able to confirm the findings of one disease.
“…!”
Raymond hurriedly removed the bronchoscope.
“master?”
“….”
Christine and Linden looked at Raymond in amazement.
However, Raymond bit his lip hard and couldn’t open his mouth.
‘It just… ….’
There was a ‘terrible’ thing in the right main bronchus.
bumpy surface. Completely digging the main bronchus.
Raymond groaned as he spoke of the nature of the disease.
“…lung cancer.”
* * *
Lung cancer!
It was the identity of the disease that King Auden was suffering from.
‘Because of cancer, I complained of lethargy for such a long time. Lung cancer in particular often causes electrolyte abnormalities.’
Raymond groaned.
‘Lung cancer has grown and completely blocked the main bronchus in the right lung. That’s why the right lung completely lost its function, and severe obstructive pneumonia came.’
As if putting a puzzle together, the symptoms I didn’t understand fit together.
But it wasn’t a situation I liked.
Raymond’s face became extremely heavy.
‘What can I do? It is not a condition that can be treated with a simple partial pulmonary resection. location is not good It must be the main bronchial tube.’
In terms of trees, the main bronchus was the base of the branch.
If cancer develops at the tip of the branch, surgery is simple. Just cut off the ends.
On the other hand, if it develops on the root side of the branch, all the branches below must be cut off.
In this case, one lung would have to be cut out.
‘Fortunately, the cancer doesn’t seem to have advanced much.’
The exact number is unknown because there is no CT PET, but it was not a size that is likely to have distant metastases.
‘You can’t just cut out one lung. It won’t last.’
There was only one way to do this.
‘I have to cut the part of the main bronchus where cancer has invaded and reattach the lower bronchus.’
In other words, after cutting off the root of the branch, take the branch at the bottom and attach it.
Then the lower lung can be saved.
But this also had a problem.
‘It’s a difficult operation. can i make it
Raymond thought with a stiff face.
Even a simple partial lung resection was not an easy task.
But to have to cut the bronchial tube and attach it to it.
The level of difficulty was unreasonable for him, who is still at the level of a ‘newcomer fellow’.
Even more problematic was Auden’s condition.
‘Can even a sword master survive such a difficult operation in such a shocking situation?’
In principle, it was right to try anyway.
Because if you leave it like this, you will surely die anyway.
But now it was not a normal situation.
What if I die during surgery?
He could have covered up some sin.
Galman and Sofia will try to protect you, but you won’t be able to avoid a difficult situation.
‘What can I do? Do I still have to go ahead with the operation?’
Raymond clenched his fists.
Then the quest came to mind.
[Recover the worst truth!]
(Medicine Quest)
Medicine Grade: Five Mess
Difficulty: Good
Quest Description: The worst truth is suffering from a serious illness. At this rate, death would be certain. You will miss your chance for revenge. Use your abilities to uncover the truth and seize your chance for revenge!
Conditions for Clearing: Saving the Truth
Quest Reward: Depending on the result of treatment
Bonus: Getting a chance to take revenge on the truth
Raymond let out a laugh.
this system.
I knew his heart all too well.
‘So who wants to die comfortably?’
Raymond remembered what Christine had said.
‘I have to repay the grudge properly by saving my life.’
After reuniting with Auden, I realized one thing.
If Oden dies like this, there is no way to repay his grievance.
‘Is there such a thing as guilt?’
Raymond wondered how King Auden would react if he came to his aid and came back to life.
Of course, I didn’t want to accept Auden’s apology. Because that doesn’t mean it won’t heal.
Even if I received an apology, I did not have the heart to forgive.
There was only one thing I wanted.
‘I’ll make you regret it.’
Yes, I will make King Auden regret it.
your own foolish behavior.
So I wanted to laugh coldly at him who regretted it. Then it seemed that the anger of the past would be relieved a little.
‘That’s why I can’t allow such an easy death.’
Concluding, he said.
“I will proceed with the operation. Please prepare immediately.”
* * *
Anesthesia was administered after administration of sleeping pills.
In addition, to assist with oxygen supply, the recently developed artifact ‘Wind Mask’ was worn.
‘It would be nice to do mechanical breathing with an artificial respirator, but it’s still impossible in terms of technology. I have no choice but to hope that he can endure it with the physical strength of a sword master.’
In fact, a normal patient would not have been able to endure it. I believe in the physical strength of the sword master and go ahead with the surgery.
Standing on the field, Raymond returned to his usual form.
I decided to forget everything else and focus only on saving patients.
I decided not to think about failure.
‘The key to this operation is to cut and connect the airways blocked by cancer.’
It was a sleeve resection.
Naturally, it was much more difficult than a normal resection.
Then Christine said.
“I will open it.”
Now, the disciples are in charge of the operation. I started to play the role of a proper ‘assist’.
Christine calmly cut between her ribs with a scalpel.
Afterwards, the bones were opened with a specially made iron tool.
Lyndon, who served as an assistant next to me, informed me of my vitals.
“Oxygen is supplied smoothly with the wind mask! Oxygen saturation is 91%!”
As a reference, as their skills gradually increased, the disciples started to develop their own fields.
Christine is the surgical part.
Hanson is a non-surgical, internal medicine part.
Linden was the support part.
If the three students grow up like this, Christine might become the mother of surgery, Hanson the father of internal medicine, and Linden the father of nursing.
Anyway, Raymond took a breath as he looked at the blood vessels and lungs exposed between the bones.
Now, the real operation began.
‘Using Seojeon’s hand movements and Seojeon’s experience!’
[Stats]
Sense: 80 → 96.5
For reference, Seojeon’s experience was to become a first-time fellow and rise to B-grade.
My fingertips became more sensitive.
A sensory level approaching 100!
Indeed, he had dexterity worthy of the title of ‘monster’.
Indeed, the hand movements that are difficult to imagine for a ‘fellow’ class began to unfold.
‘First blood vessels first.’
Clap!
Specially designed steel forceps clamped the pulmonary artery and vein to the right lung.
Without hesitation, the blood vessels were cut and the right upper lobe, where the cancer was located, was resected.
