Level Up Doctor - Chapter 221
Return (4)
“Clip 30 and 4.”
At Leon’s cry, the disinfection nurse handed him a clip.
Leon tied off the brain aneurysm using two clips. But this time too, proper ligation could not be performed.
“30 times and 5 clips.”
Leon continued to change clips and attempted ligation.
It was like that.
If you can’t tie it with one clip, you can use two.
Simple but clear judgment.
Leon came up with an idea that other staff members could not.
Not only does he have a good memory, but he is also excellent at handling situations.
Click! Click!
After several attempts, the cerebral aneurysm was finally ligation.
“It’s enough now, right?
Leon’s eyes were smiling as he looked at the staff.
“It’s Leon, after all. I can’t keep up.”
The first assistant shook his head.
He was a three-year resident and was one level higher than Leon.
“Now that you know, senior, you can apply it. Lastly, we will check to see if there is a microscopic cerebral aneurysm.”
Leon busily examined the Willis circle, and the first assistant and Choi Gi-seok helped him.
Thanks to Leon’s meticulousness, a 3 mm cerebral aneurysm was discovered near the PCA (Posterior Cerebral Artery). Found.
The surgery was completed by tying a preventive clip to the microscopic cerebral aneurysm.
Jeeeeeeee.
The staff came out of the rosette all at once.
Tiring!
[You have completed the cerebral aneurysm surgery scrub mission. As a reward, you will receive 500 P.P.
and a soul. Provides 50 stacks of tears.]
[The linked mission ‘Beyond Leon’ has been created. Obtain the Brain Aneurysm Surgery Rank A in the training room. A special reward is provided upon completion.] Amidst the alarms ringing in succession, Choi Ki-seok
‘s My eyes were fixed on Leon.
‘There’s still a long way to go.’
* * *
The next morning.
Ki-Seok Choi was receiving the handover from the doctor on duty at the medical office.
There were three people
on duty this morning: Ki-Seok Choi and Larry Nicolai.
“Last night was absolute hell. “I heard there were so many patients that I couldn’t even rest for a moment.”
Claire, who was on duty, continued with a tired look on her face.
“There are two patients in the hospital. Who wants to take it?”
“The only one who has free time right now is Mr. Choi.”
Nikolai nodded with a nod . He pointed to Choi Ki-seok.
“Are you going to be okay? Should I leave it to the new Mr. Choi? The patients’ condition is not very good. If you manage it wrong….”
“Don’t worry. Because you can do well.”
“…Okay. Instead, if you feel anything strange about the patient, please tell us or Leon right away.”
Claire handed over the patient admitted yesterday to Ki-Seok Choi and began handing over.
As I mentioned earlier, Claire’s duty was hell.
She was called to the emergency room more than ten times. Two of them were hospitalized.
On the way, there was a patient from a car accident, so they had to undergo emergency surgery. Considering that Nikolai, who was on duty before, had seen three patients, the comparison experience was extreme. ‘
This guy is also a poor soul.’
Choi Ki-seok used the eyes of Hippocrates on Claire and clicked her tongue.
She had the title QOP (Queen Of Patient). The name of the title sounds plausible, but the effect was the same as Fanta. It
means a doctor who attracts patients from heaven. “ It’s
just like Claire. Ten patients is standard.”
“Don’t make fun of me. I’m really serious.”
Claire made a sullen expression.
After the handover, Ki-Seok Choi and Larry Nikolai started preparing for the morning meeting.
“How is the patient with cerebral infarction?”
Nikolai spoke first.
“He’s fine now. Since you passed the patient over, I even practiced a ventricle puncture.”
“You did a ventricle puncture? “You?”
“Why? Can’t you do it?”
“It doesn’t make sense based on common sense. You just started working in neurosurgery yesterday. How could you…”
Nikolai blinked in disbelief.
“If you really don’t believe me, ask Leon. Anyway, I practiced well by handing over the patient.”
Choi Ki-seok said sarcastically and finished preparing for the meeting.
He clearly drew a line with Nikolai because of what happened yesterday.
From now on, Nikolai is his enemy. In the past, he
was foolish enough to open his heart even to people who were hostile to him. Not now.
It is right to return malice with malice.
Isn’t it impossible to maintain a peaceful and harmonious relationship with everyone in the first place?
After a while, the morning meeting and rounds ended without incident.
Choi Ki-seok looked at the patient’s chart at the medical office. After taking a quick look, I headed to the pediatric neurosurgery ward.
“Hello. My name is Vera’s doctor, Ki-seok Choi.”
He entered a hospital room and greeted the guardian.
“Nice to meet you. I’m Tina.”
“Have you had breakfast?”
Tina weakly shook her head in response to Choi Ki-seok’s question.
Soon, the two people’s eyes were fixed on Vera.
Vera was a 3-year-old girl suffering from Moyamoya disease.
Moya. Moya disease is a disease in which stenosis and occlusion occurs near the anterior cerebral artery or middle cerebral artery.
If not treated in time, it can lead to decreased intelligence or nerve paralysis, and even death in severe cases.
“Mr. “What happens to our Vera next?”
“First, we will perform cerebral angiography and MRI sometime today. Through tests, we will find out where the blood vessels are blocked, and we will have to have surgery soon.” ”
After all, I have to have surgery.”
Tina cried.
In the gloomy atmosphere, Vera started to turn and cry.
“It hurts. “My head hurts.”
“It’s okay. Our good boy. It’s okay.”
Tina held her in her arms and comforted her, but Vera didn’t stop crying.
So Choi Ki-seok reduced Tina’s pain with Pain Killer.
“How are you now?”
“My head doesn’t hurt.”
Vera whimpered and stared at Choi Ki-seok. “The
more I looked at such a cute child suffering from a rare disease, the more my heart ached. I wonder how sad the
parents would feel if they, as doctors, suffered this much.
“There is a library at the clinic, so I brought children’s books in the afternoon. I will come. It would be good to read it to your child.”
“Thank you. Sir.” After giving Tina an encouragement skill,
Choi Ki-seok
talked a little more and returned to the doctor’s office.
His hands tapping on the keyboard became faster.
“An additional anti-convulsant was prescribed, and the PCO2 (partial pressure of carbon dioxide) was set at 35-. “I guess I can keep it at 40mmHg, right?”
I recalled the surgical manual and prescribed pre-operative care. And this time, I visited the neurosurgery intensive care unit.
A middle-aged man, Carter, was lying on the wall against the wall.
He was Choi Ki-seok’s new patient.
Carter was Yesterday, I underwent emergency surgery due to a car accident, and the diagnosis was acute subdural hemorrhage.
‘As expected…’
I frowned as I looked down at Carter.
Acute subdural hemorrhage is a serious condition with a mortality rate of 60 percent even if the surgery is successful. It’s a disease.
In fact, Carter did not regain consciousness after yesterday’s surgery. What’s heartbreaking
is that there is no treatment that can be given right away. All we can do
now is monitor the progress and hope that Carter wakes up…
Choi Ki-seok is looking after Carter . After checking, he left the intensive care unit.
Perhaps because the condition of the new patient he was in charge of was bad, his heart was heavy.
After checking all the patients in charge, he returned to the ward.
However, as he was about to enter the medical room, he heard a sharp cry.
“Here! A person has collapsed!”
Choi Ki-seok rushed to the scene, his gown flying
. A patient was lying in the middle of the hospital room.
His eyes rolled over, revealing the whites of his eyes, and his body trembled like an aspen.
Foam flowed from his mouth.
“Everyone, please remain calm. ”
Choi Ki-seok calmed down the people around him and approached the collapsed patient. Using the Eye of Hippocrates, he was able to determine that the man was an epileptic patient and was having a seizure. ‘Why on earth?
‘
One question crossed my mind.
Epileptic seizures are not as dangerous as they seem. Usually, the seizures stop within 5 minutes and the patient gradually regains consciousness. But this patient was different. The
condition was an emergency.
“Mr. Choi . What’s going on?”
Hearing the commotion, Larry came into the room late.
“There’s a patient having a seizure. Go to the station and get me some tongue depressors and gauze.”
“Why?”
“I’ll explain why later.”
Larry nodded at his urgent words.
“Hey. “Shouldn’t we at least do CPR?”
“That’s right. If this person dies after just watching like this, how will you take responsibility?”
“Just because he collapsed doesn’t necessarily mean he needs CPR.”
Choi Ki-seok answered firmly.
“Ha… ha… ha…. Here. Take it.”
“Thank you.”
Ki-Seok Choi secured the patient’s airway with the tool Larry gave him.
Sometimes the airway is blocked when a seizure occurs, and this was the patient’s case. When he
secured the airway with a tongue depressor, the patient’s seizure stopped. It slowly stopped.
Choi Ki-seok, along with Larry, laid the patient down on the bed and observed the progress.
“Hmm… What happened? Why are there so many people around?”
The patient, who had regained consciousness, looked around and tilted his head.
“The patient had a seizure and lost consciousness for a moment. I administered simple first aid.”
“Ah… another seizure… caused a nuisance.”
“No. Is there anything that makes you uncomfortable?”
“Yes. Thanks.”
After examining the patient, Ki-Seok Choi returned to the office with Larry.
“Mr. Choi. you are good? Aren’t you lying when you say you have no experience in neurosurgery? Like the success of the brain puncture in one attempt and the treatment today.”
“Why would I lie?”
“Of course, that’s true, too.”
Larry nodded and continued.
“When I look at Mr. Choi, I feel like Leon for some reason. Overlapping. “Because Leon is also a special person like Mr. Choi.”
“Compared to Leon, I still have a long way to go.”
Choi Ki-seok was able to vividly recall Leon’s appearance yesterday.
Even though he was only in his second year as a resident, he perfectly performed the brain aneurysm surgery.
If I trained in thoracic surgery, I wanted to be recognized like Leon.
“I envy talented people. No matter what happens, you do it with ease. If only I had half the talent they both had…”
Larry sighed, feeling grounded.
“By the way, did you hear the news during the day?”
“What news?”
“They’re holding a vote to elect the head chief next month. . what. It may have nothing to do with us.”
“Who would you like to be?”
“I like Manager Matthew better. When scrubbing, they loosen up the staff a little more. Manager Lucas said, Wow! I don’t want to even talk. Who do you think is better?”
“Well. I’ve only been at the neurosurgery clinic for two days. “We’ll have to wait a little longer.”
“Okay. That’s true.”
Larry nodded and stared at the wall clock.
“Why doesn’t time pass like this today?” *
* *
That evening,
after work was over, Ki-Seok Choi went around the observation room for surgery and saved a video of the surgery.
There are three neurosurgery surgeries that have been filmed so far.
Although the number is still far short of the number, we will be able to record most surgeries in just one month. I
entered the dormitory and laid down on the bed.
Since I was working on a new mission called ‘Beyond Leon’, I immediately started recording. Accessed the training room.
Tiring!
[You have entered the training room more than 800 times. PVP mode will be unlocked as a reward.]
[Do you want to run PVP mode?]
I was dazed by an unfamiliar alarm.
‘PVP mode?’