Level Up Doctor - Chapter 175
Competition (3)
Before performing the full-scale surgery, Ki-Seok Choi examined the other staff members with the eyes of Hippocrates.
Jose and Emma had stats that exceeded their years of experience.
The problem is Paul, the surgeon.
His health was low at 3.
Not only that, the surgical value, which was level 9, had been lowered to 6. I thought it was strange, so I was carefully examining the stats and came across an unfamiliar title.
[RUSTED MAN]
– Rusty heart and rusty hands will never be the same as before. Will there be a future for those who are intoxicated by the glory of the past?
– Surgical treatment level decreases significantly.
A bitter smile appeared on Choi Ki-seok’s lips.
Skill is not an eternal value. It may rise or fall depending on your efforts.
Paul belonged to the latter group.
I don’t know the exact circumstances, but as a surgeon, my level has fallen because I didn’t put in the effort.
‘Should I be nervous?’
Choi Ki-seok sharpened his mind.
Paul’s surgical level was the same as his.
In other words, Paul is not a surgeon that the staff can trust and rely on.
“Stomach cancer surgery begins now.”
Paul’s shout spread throughout the rosette.
Ki-Seok Choi disinfected a wide area of the patient’s abdomen with povidone cotton and covered it with a cloth.
“Meth.”
Buuuuuck.
A sharp blade cut into the patient’s abdomen.
The skin, fascia, muscle layer, and peritoneum split one after another, revealing the stomach, the surgical site.
Paul frowned and carefully examined the patient’s organs.
This is to rule out any possibility of metastasis.
“There are no special problems and we can just follow the plan.”
“I have the same thoughts as you, Professor.”
Emma added a word to Paul’s muttering.
“Meth.”
Paul cut the part connecting the stomach and duodenum, and Ki-Seok Choi quickly started suctioning.
“We are starting the lymph node dissection now. Everyone, keep your wits about you!”
“yes.”
The atmosphere in the operating room changed dramatically under Paul’s instructions.
Lymph nodes are immune organs distributed throughout the body. When cancer cells form here, the cancer cells spread to other organs through the lymph nodes.
What if the lymph nodes containing cancer cells are not properly removed?
An unfortunate event occurs where cancer spreads to other organs.
[You used the dragon’s eye. Observe specific areas in detail in zoom-in mode.]
Choi Ki-seok stared at the lymph nodes, forgetting to even blink.
The lymph nodes that need to be removed are the D1 and D2 lymph nodes.
It was located in the above small bay area and Taiwan area.
“Scraper.”
Paul used a scraper to remove the lymph nodes attached to the small area.
The beginning of full-scale treatment.
Emma helped remove Paul’s lymph nodes, and Ki-Seok Choi focused on observation while performing simple procedures.
The treatment went smoothly.
Lymph nodes invaded by cancerous tissue piled up on the dressing cart managed by the disinfection nurse.
“D-2 All of the lymph nodes were removed. It’s been a while since I had the surgery, so my whole body aches.”
Paul sighed and got up.
Then the nurse behind him wiped his sweat with gauze.
“Then shall we move on to the D1 lymph node? Scrapper.”
The moment Paul put the scraper in his hand, Ki-Seok Choi opened his mouth for the first time.
“Professor. I have something to tell you.”
“What is it?
” I think you forgot about the lymph node dissection at the bottom of the lesser part of the abdomen. I think it would be a good idea to look at it one more time.”
Choi Ki-seok pointed out Paul’s mistake.
In the past, he used direct language out of consideration for the patient, but now it is different. After political power has increased, the relationship between not only the patient but also the doctor has become important. ” Does
that mean I made a mistake?”
Paul’s eyebrows twitched.
“That’s absolutely ridiculous. And Mr. Choi. Suppose I made a mistake. Even so, how could you, who just entered the hospital, notice my mistake?”
“Professor. Mr. Choi said…”
“Emma is out!”
Paul raised his voice.
The tension of the Rosette staff focused on Choi Ki-seok.
How will he overcome this crisis?
“Professor and I. There seems to be a verbal misunderstanding between us.”
“Misunderstanding?”
“Yes. I didn’t say that the professor made a mistake, but that he clearly forgot what he was supposed to do. “Emma.”
Choi Ki-seok’s gaze turned to Emma.
“You clearly saw Emma too,
right?” “What?”
“The professor placed a scraper on this lymph node to treat it.”
Choi Ki-seok placed his index finger on the bottom of the small part of the abdomen . He pointed to the lymph node.
“This is…”
“Has it metastasized here?”
Paul and Emma’s eyes widened.
Where Choi Ki-seok pointed, there was a lymph node where the cancer had spread.
It was an area that was difficult for Surgeon’s vision to reach and was located above. It is a place that is even more difficult to find by pressing slightly.
“Professor. Isn’t what I said correct?”
“…Yes. You are right. I thought the work would be difficult, so I put it off for now, but I completely forgot about it.”
Paul looked at Choi Ki-seok with a look of confusion on his face.
‘What is it? Who on earth is this guy?’
I thought I had completely removed the D2 lymph node, but Ki-Seok Choi discovered a hidden lymph node that had metastasized cancer. A fresh-
faced resident who had been at Mayjo for less than a week. It was also
surprising
that he indirectly pointed out his mistake.
Paul gritted his teeth without realizing it.
He looked like his classmate and rival, Smith, and Choi Ki-seok.
“We’ll remove the remaining lymph nodes as well. “Scraper.”
Paul removed the D1 lymph node with a scraper.
Next, a total gastrectomy was performed to remove two-thirds of the stomach.
What remained was the Billos type 2 surgery, which can be said to be the highlight of the surgery.
The gastrojejunostomy anastomosis.
Ki-Seok Choi played the role of second assistant and watched Paul’s suturing closely.
His suturing skills were amazing.
Unfortunately, in a bad way.
He had a hard time starting from the beginning and even tying a knot seemed difficult.
His physical strength was already low . However, during the surgery, my stamina fell further.
Due to my low stamina, my surgical treatment level sank to 5. I was at
a level worse than Choi Ki-seok.
It is fortunate that Emma has strong support .
Emma helps Paul when he has difficulty with acupuncture . It came into play whenever the ligated area wasn’t working properly.
‘I’m so frustrated I’m dying.’
Ki-Seok Choi was alone, dumb and heartbroken.
He felt like he wanted to switch places with Paul and perform the surgery himself.
“Phew… It’s finally over.”
Paul sighed and looked at the clock.
‘It’s over.’
Choi Ki-seok barely suppressed the urge to say something.
It took five hours to complete the last stage of the surgery, Billos 2.
Considering that he was a professor and that he had to check the sutures and close the abdomen, the operation was too slow.
“Saline solution . .”
Paul received saline solution from the disinfection nurse and poured it over the surgical site.
Gurgling.
Saline water faintly flowed through the sutured gap.
“Damn it. The sutures were perfect. “Scalpel.”
Paul held the scalpel with a chewed-up expression, and Ki-Seok Choi stared at Paul, biting his lip.
Special measures are needed.
The increased surgery time is a burden on the patient. There is also a guarantee that no accidents will occur during additional treatment. There was none.
Choi Ki-seok opened the status window and stared at the stored buff.
[Master’s surgery: If hemostatic suture removal is performed during surgery, the patient’s progress improves twice.] This
is a buff he obtained after rescuing a patient from a fall during his residency at Uijin University.
It’s a pity, but it’s time to send the buff.
No matter how you use it, if you can help and save the patient, you’re doing your part.
Whieeeeeeeee.
When the buff was used, Paul’s body emitted a glow that only Choi Ki-seok could see.
Gigigigi . . Snap.
Paul began refining his suturing technique.
Although his suturing skills did not improve, he passed the final saline test with ease. It was
purely thanks to the buff.
The long and difficult surgery came to an end as the abdomen was closed.
“Everyone worked hard. I have some business to run, so I’ll leave first.”
Paul encouraged the staff and headed toward the Rosette entrance.
Weeeeeee.
“My skills aren’t dead yet.”
Choi Ki-seok clicked his tongue at Paul’s muttering to himself before the door closed.
That person What do you say?
* * *
Paul looked down at his hands and smiled.
This surgery was one of the most difficult surgeries among stomach cancer surgeries.
A sense of pride came over him when he successfully completed the difficult surgery.
Plop. Plop. Plot.
Paul just did it with K Rosette. We moved to the observation room and sat down to watch Smith’s surgery.
Smith is operating on a patient with gallbladder cancer.
Smith’s patient has stage 3 gallbladder cancer.
The cancer cells have spread to the gallbladder and lymph nodes, as well as some adjacent tissues of the colon. Difficulty of surgery was about twice as high as the stomach cancer surgery he had just completed.
‘Please fail. Please!’
I put my hands together and prayed earnestly.
I hoped that there would be even the slightest crack in Smith’s well-trodden life as a doctor. Only
if there was a slight crack would he be able to glare at the head chief of general surgery.
Paul lowered his head while watching the surgery with his heart pounding. The surgery was perfect.
The
removal of the gallbladder and liver lymph nodes was flawless, and the colon that had been cut with cancerous tissue was also successfully reattached. It was
truly a surgery worthy of the nickname
“monster.” “Damn it!”
Boom!
Paul was in front of him. I kicked the bench and left the observation room.
I will definitely find a way to
take Smith down from the position of head chief.
* * *
General surgery lounge.
Choi Ki-seok is drinking coffee and talking with Emma.
“Mr. Choi. I was really surprised earlier.”
“What is it?”
“I found the hidden D2 lymph node. “Did you see it from that angle?”
“Actually, I encountered a similar case when I was interning in Korea. So, I was watching very intently.”
Choi Ki-seok said roughly.
If he said he used the dragon’s eye, he would be treated like a crazy person.
“I, too, was surprised by Emma.”
“….”
“It was an illusion to assist surgery.”
Choi Ki-seok gave a thumbs up to Emma.
Her contribution was great for the successful completion of this surgery.
If she had been given careless assistance, a major accident would have occurred during or after the surgery.
“Thank you for the compliment.”
Emma blushed both cheeks.
“I’m curious, what kind of person is Professor Paul?”
“There’s nothing special, but I don’t get along with Director Smith. I heard that the two of you were fellow classmates and had a falling out when you were fellows.”
“….”
“Actually, this surgery was done because of Chief Smith.”
“Because of the Chief?”
“Yes. Professor Paul usually only performs surgery on early stomach cancer. But recently, during a meeting, the manager provoked the professor. They say there is no progress because they only do easy surgeries.”
“I had the surgery because I was angry…”
Choi Ki-seok quietly rubbed his chin.
Suddenly, he remembered Paul’s title of RUSTED MAN.
If he does well, I think he will know why the two fell apart. ….
While there was silence, Emma took a sip of coffee and crossed her arms. A
trademark move that emphasized her voluptuous breasts.
Ki-Seok Choi hastily looked away from her breasts. Shouldn’t someone tell him about this?
“Emma What do you usually do when you rest?”
“Me? “There are things I like to do, but I don’t really want to talk about them.”
“I guess it’s a unique hobby?”
“…Yes.”
“When you say that, I get more curious. Just tell me. I will definitely guarantee confidentiality.
Ki-seok Choi put his hand to his mouth and pretended to zip up the zipper.
“I… I shouldn’t say it…”
“Ah. You can’t make people curious like this and then just shut up.”
“…Promise me you won’t laugh and I’ll tell you.”
“I, Ki Seok Choi, swear that I will never laugh after hearing about Emma’s hobbies. Is that okay?”
Emma nodded slightly at Choi Ki-seok’s oath.
“Well… actually my hobby is…”
“What about your hobby?”
“It’s a suture.”
Choi Ki-seok burst into laughter at Emma’s shy answer.
I never thought I would hear this answer from someone else.
“Uh… I decided not to laugh.”
“I’m sorry. I couldn’t hold it in.”
“Oh, really. Mr. Choi is bad!”
Emma’s face turned bright red.