Doctor Player Chapter 356
‘It’s a problem caused by a lack of circulating blood volume, so even if I use medicine, I can’t recover.’
There are two ways to medically raise insufficient blood pressure.
Infusions or vasopressors.
But neither method helped now.
‘Berserker magic? special heel? no. After all, they both play a similar role as vasopressors. I can’t solve the problem caused by the lack of blood itself.’
Raymond thought impatiently.
We still have a long way to go before harvesting the liver.
Until then, the patient could not stand it.
‘Isn’t that a bad thing after all?’
As I have experienced many times, there are patients who sometimes do not do their best.
It is likely that this case was the case.
‘I thought it would be difficult in the first place.’
Raymond thought hard.
Yeah this wasn’t his fault. It’s a liver transplant. It was a mess from the start.
But Raymond gritted it.
‘no. But I can’t just give up like this.’
Maybe not.
In the end, it was likely to end in failure.
However, I had to try to save the patient somehow until the last moment.
Because that’s your duty as a healer.
‘I’ll definitely save it and make it my biggest hukou!’
I was determined to find a way.
“Master blood pressure drops more! 60/30!”
There was no time.
A lot of thoughts went through Raymond’s head, and an idea suddenly popped into his mind.
‘Wouldn’t it be okay if I pierce the road and circulate the blood?’
The root cause of the shock now was the interruption of blood circulation in the veins.
The blood that should have entered the heart through the portal vein and hepatic vein was not entering.
then?
It was enough to circulate blood to the heart through another route.
‘I just need to insert a tube outside the body and circulate some of the blood toward the heart!’
The femoral vein in the leg and the central vein in the neck are connected with a tube and circulated through a machine.
Veno-Venous Bypas is a method actually used on the modern Earth. There was a possibility of recovering from shock using this method.
‘But the problem is the method.’
Fortunately, it was possible to insert a tube to connect the femoral vein in the leg to the central vein in the neck.
The problem was the power source to circulate the blood.
There was no pump to circulate the blood.
‘With magic?’
But I shook my head.
With Raymond’s skills, it was possible to circulate them for a short period of time.
The problem is that the magic must be maintained throughout the operation.
that was impossible
‘It’s difficult to get help from other wizards without medical knowledge.’
Blood must be drawn from the body and circulated continuously at an appropriate rate.
If it is too fast, shock or pulmonary edema will be aggravated, and if it is too slow, blood clotting may occur.
You need to spread your magic as appropriately as possible and at a constant speed.
It was difficult for ordinary wizards to do such a thing without basic medical knowledge.
Also, it was difficult to maintain such a delicate magic expression without shaking for a long time.
‘If I can’t do it properly, I’d rather not do it.’
It was a lip-smacking moment.
A method flashed through my mind.
‘there is! Someone who can do this perfectly.’
After coming up with an idea, Raymond immediately went into action.
“Linden! Insert a central tube into the femoral vein and the central vein and connect them!”
“You want me to connect?”
“Yeah, do it right away!”
Linden made a puzzled face, but nodded.
After disinfecting the entire body outside the surgical field, Linden came into the field and inserted the tube.
hooked!
A large tube was inserted into the femoral vein and the central vein of the neck.
Now, this kind of insertion technique was easily done by students. I inserted it without difficulty and connected it through the connector.
“What should I do now?”
“Release the clamping on the tube.”
“But Master. then….”
Linden made a troubled face.
After the blood flows into the coffin, there is no power source to circulate the blood, so it will harden as it is.
Because the blood that does not flow is unconditionally hardened. Of course, anticoagulant drugs were placed in the coffin, but that was only meaningful when the blood was circulating.
But Raymond was adamant.
“are you okay. Open the coffin.”
Linden eventually complied.
The moment the coffin was opened and the two veins connected, Raymond shouted.
“Summon the Wind Spirit!”
With a cry, cute wind fairies the size of fingers were summoned.
[Wow! They called me again!]
[Okay! good…Kyaaaaaaa!]
The sylphs screamed in surprise at the sight of the surgery unfolding in front of them.
[I thought he was a kind person!]
[Cruelly killing people is bad!]
The sylphs misunderstood that Raymond was trying to brutally kill people by digging into their stomachs.
“No, it’s not like that. I’m trying to save this patient.”
[You mean to save him?]
“Yes, surgery is a treatment. It is to open the stomach and cure bad diseases.”
The sylphs tilted their heads, but fortunately they readily agreed.
[Come to think of it, it seems that ancient people used to do this kind of treatment. I remember seeing it a long time ago.]
[Yeah, but why did we call?]
“Because we need your help to save this patient.”
[Our help?]
The sylphs’ eyes twinkled.
“Yes, circulate the patient’s blood through the tube. From the legs to the neck.”
-okay! But isn’t it free?
Raymond nodded as if it were natural.
“I’ll let you smell the beef to your heart’s content later!”
[Wow! The smell of beef!]
[Good! good! We’ll do our best!]
The sylphs jumped wildly, not knowing what to do with joy.
Linden, who was assisting, put on an expression of end times.
‘…Why the hell do wind spirits like the smell of beef? Nonsense. It’s a scam.’
In any case, the sylphs followed Raymond’s instructions perfectly, befitting wind spirits.
It circulated blood through the tubes at perfect speed, like a medical pump.
“Blood pressure rises again! 90/50!”
“Please check your blood pressure and adjust the dose of the vasopressor!”
“Yes Master!”
Leaving Mary with additional vitals control, Raymond focused on harvesting the liver.
The extraction had to be completed as quickly as possible.
‘I have to shorten the time as much as possible.’
Because of her advanced age, her ability to endure surgery was limited.
The problem is that the proper transplantation hasn’t even started yet. After the extraction was completed, the liver that had been removed had to be attached to the body.
The liver was removed with maximum concentration.
rattle.
Before long, the liver was completely removed!
‘Now it’s time for a liver transplant. What about the disciple?’
Raymond looked away.
Just then, the door to the next room opened.
It was Christine!
A box was in her hand.
It was a box containing reagents to preserve the resected liver without damage.
“I have removed the donor’s liver.”
Raymond let out a sigh of relief.
I was worried, but it seemed like the surgery was over without any major problems.
“You worked hard.”
“no. Thanks to Master.”
Christine shook her head.
There were no problems during the operation.
There was a big hurdle. It was a very dangerous situation where the surgery would fail, but thanks to Raymond, it was over.
‘I believe in you, disciple.’
I was able to grab a hand that trembled with just one word.
“Mary, I’ll be the first assist now.”
Christine stood in the surgical field after disinfecting her hands and body.
Now Christine is the first assist. Mary will perform the operation as a second assist.
It was the beginning of a full-scale liver transplant operation.
‘We have to connect the blood vessels and bile ducts.’
The progress of liver transplant surgery is as follows.
After fixing the liver in position, it connects the major blood vessels and bile ducts.
‘It’s not difficult to fix it. The problem is connecting blood vessels. The problem is that I don’t have a surgical microscope.’
A surgical microscope is used when performing vascular anastomosis surgery in the modern world.
Of course, Raymond also implemented a microscope in the past, but the implementation of a surgical microscope that can be used during surgery has not yet been achieved.
‘I have to do it with magic.’
There was magic to replace it.
Hawk eye!
It was a magic that could magnify and observe narrow areas.
The problem is that the usage time is limited.
‘Eye of the hawk consumes a lot of mana. I won’t be able to use it much.’
After leveling up, Raymond’s mana stat approached 100.
But even so, the hawk’s eyes eat up mana so badly that you won’t be able to use it for even 10 minutes.
It was an incredible amount of time to anastomose blood vessels.
‘We need to reduce mana consumption.’
Fortunately, Raymond had a way.
‘Use medicine magic recombination!’
It was a skill he had acquired while awakening to ‘Medical Magician’ the other day.
Magic that transforms existing magic and develops it into medical magic!
[The hawk’s eye magic has been reorganized into medical magic!]
[Skill points are consumed 200 points!]
The hawk’s eye magic spell was analyzed as if it were a super-genius wizard.
Among them, Raymond took out the necessary spells, twisted and transformed them, and created new magic.
[Seojeon’s Eye]
Classification: Medical Magic
Rating: Rare
Proficiency: D
-You can see the field of view according to the appropriate magnification during microsurgery!
– You can get additional information when your skill level goes up!
to the appropriate magnification.
At that phrase, Raymond’s eyes lit up.
‘Because the magnification of Hawk Eye is unnecessarily high.’
For example, even in a situation where 10x magnification was sufficient, it was a problem to enlarge the image at an excessively high quality and high magnification.
Thanks to this, the mana consumption was enormous, and there was a side to the surgery that got in the way.
On the other hand, if you use this magic, you will be able to secure your field of vision at just the right magnification and perform the operation. Mana consumption is also significantly reduced.
‘let’s go.’
Raymond started the anastomosis in earnest.
He magnified the magnification with his eyes and moved his hand minutely.
The first start was a venous anastomosis.
The upper hepatic vein leading to the liver from the top was ligated with a vascular suture thread.
‘Not in a hurry. Calm down.’
A quiet silence fell over the operating room.
It was a sharp tension that I couldn’t even breathe.
In that silence, Raymond moved his hand minutely.
A specially designed vascular suture needle pierced the back wall of the donor’s hepatic vein.
Then, the recipient’s hepatic vein, which had been cut in advance, was pierced, and the thread was carefully pulled to fit the cross section.
Seeing Raymond’s delicate movements, Christine gulped.
