Level Up Doctor - Chapter 235

The rescue team said (6)

“General anesthesia is over.”

Matthew nodded at the anesthesiologist’s words.

“The brain tumor resection surgery will begin now.”

“yes.”

Carl, the second assistant, disinfected the patient’s head, which he had prepared first, and covered it with a cloth.

“Meth.”

Matthew carefully cut the patient’s scalp with the scalpel given to him by the sterilizing nurse.

Afterwards, Choi Ki-seok began making holes in the incision site with a drill.

Drurly.

A mechanical sound echoed through the rosette.

After a while, three holes were created near the incision site.

This hole could be said to be a map through which the skull plate would be removed.

“Keep going.”

While Matthew resected the skull along the hole, Ki-Seok Choi set up the microscopic microscope.

‘I won’t do anything to find fault.’

I made up my mind.

Matthew set a trap by manipulating the surgery schedule, but if he kept his wits about him, he could overcome this crisis.

Although this is my first brain tumor surgery, I can already perform similar brain aneurysm surgery on my own.

“I will lift your skull.”

As Carl kept the skull he had cut off, he could see the patient’s head at a glance.

“Mr. Choi. During the briefing earlier, where did you say the brain tumor is located?”

“The tumor was three centimeters in size and was located in the brainstem.”

“Then where is the brainstem?”

“It is located in the middle of the brain and at the lowest part of the brain. It also plays a role in connecting the brain and spinal cord and is composed of the midbrain, pontine cerebellum, and the mesencephalon.”

“It looks like you studied anatomy hard. So you understand that this is the main game, right?”

“yes.”

Choi Ki-seok answered bravely.

Surgery on the brainstem region is several times more difficult than surgery on other brain regions.

This is because you have to delve deep into the brain to secure your vision.

If this process is not smooth, aftereffects such as nerve paralysis and cerebral hemorrhage may occur.

“Okay. Then shall we go? Forceps.”

Matthew picked up a rescue tool and started digging into the brain.

Ki-Seok Choi used the dragon’s eye, pretending to look through a microscopic microscope. Then, the patient’s brain was carefully examined in zoom-in mode.

Using the dragon’s eye’s zoom-in mode, I was able to get a much better view than a microscopic microscope.

‘let’s go.’

Holding the forceps in both hands, I navigated the nerves and blood vessels of the brain.

Working with Matthew to secure the surgical field of view.

His movements were unstoppable and he sometimes went ahead of Matthew.

This is thanks to the ability to secure a perfect field of view by alternating between zoom-in and zoom-out modes.

My vision changed frequently and I felt dizzy, but I held on to it.

If I could save the patient, if I could hit Matthew, I could endure much more than this.

‘what? What about this guy?’

Matthew took his eyes off the microscope for a moment and stared at Choi Ki-seok.

This is Choi Ki-seok, who has been at the neurosurgery clinic for less than a month.

He is assisting at a level comparable to that of a fellow.

Even if we are still only at the stage of securing visibility, this level is beyond common sense.

Anyone who undergoes brain surgery has no choice but to be cautious.

Even if just one nerve is touched incorrectly, the patient can become paralyzed.

Nevertheless, Choi Ki-seok showed no hesitation in his movements from the start of the surgery.

The reason why Parker, the head of the emergency medicine department, covets him.

I felt like I knew that now.

How much time has passed?

By navigating through the complex brain, we were able to access the brainstem, the surgical site.

The tumor was located near the ventricle, and fortunately, a complete resection was possible.

“Starting excision now. Scalpel.”

Matthew looked at the microscope and began to excise the tumor.

This is a process of cutting a wide area around the tumor to prevent metastasis to surrounding areas.

Meanwhile, Ki-Seok Choi secured visibility for Matthew and held the tissue around the tumor tightly.

Unlike other soldiers, his neat assistant is good with both hands.

Thanks to this, Matthew’s kill speed gradually increased.

However, as the resection was nearing its end, red blood flowed from the area near the third ventricle.

This is an area a little away from the surgery site that Matthew has not touched yet.

“Chief! You’re bleeding.”

“Suction! I can’t afford it right now!”

“yes!”

Ki-Seok Choi used a suction device to suck the blood flowing from the third ventricle.

Although the amount of bleeding wasn’t much, the fact that the bleeding wouldn’t stop was unsettling.

“The bleeding won’t stop.”

“What? What kind of stupid thing is that? Keep suctioning. If that doesn’t work, use a bobby (electric cautery).”

Matthew raised his voice at his report.

“All right.”

Choi Ki-seok used an electric cautery as instructed, but the effect was temporary.

Blood was slowly flowing out from the area where the earthquake occurred.

“What should I do now? Electric cautery doesn’t help either.”

Carl, who was next to him, looked at Matthew and whispered.

Choi Ki-seok looked down at the bleeding area for a while and picked up a piece of cotton with forceps.

Then I applied pressure to the bleeding area with cotton.

The cotton turned red due to bleeding.

‘Why on earth is this happening?’

Carl tilted his head at the basic compression method using cotton.

In his opinion, it seemed like a good idea to use Bobby one more time.

Empty!

As Choi Ki-seok continued to apply pressure with cotton, the severed brain tumor fell on the bench.

“Whew… did you stop the bleeding?”

“yes.”

“What? I thought I told you to use Bobby.”

Matthew frowned as he watched Choi Ki-seok remove the cotton.

“I used direct pressure because the bleeding did not stop with pressure.”

“Who did you learn that from?”

“This is a method that appeared in the paper that Director Lucas gave us to study. It said that if bleeding occurs when the tumor resection is not completed, direct pressure is better than bobby.”

Choi Ki-seok pointed to an area with forceps and continued speaking.

“Chief. Don’t we need to remove the tumor on this side as well?”

“That’s pretty cool. I never thought we’d even check for a hidden tumor. But there’s no need to excise it. Some tumors are better off not being excised.”

“Then can we just leave it like this?”

“It’s not neglect, it’s just not doing an excision. This can be solved with radiation therapy.”

“All right.”

Choi Ki-seok realized once again that Matthew was a skilled surgeon.

In fact, if it weren’t for that, I wouldn’t have even been able to rise to the position of manager at Mayjo.

“Then let’s finish.”

“yes!”

The staff responded loudly to Matthew’s words.

Eventually, the brain tumor surgery was completed with the skull covered and the scalp sutured.

Tiring!

[Basic Brain Surgery Mastery has been created (1/1)]

[Basic Brain Surgery Mastery increases proficiency in all surgeries related to brain surgery.]

[Soul Tear stack has increased (170/700)]

[Patient Hope The effect greatly restores stamina.] [

Provides

300 P.P. as an additional bonus .]

A notification rings incessantly.

Choi Ki-seok left this behind and looked down at the patient. His expression was still as hard as stone.

Jiiiing.

After the surgery, the staff left the operating room all at once.

“Mr. Choi. Would you like to talk to me?”

“Chief, I’m sorry, but I’d like to check the patient’s condition a little more.”

“The surgery was completed successfully. But there’s still something to check?”

“yes.”

“Do whatever you want.”

Matthew left first, blowing the cold wind.

Choi Ki-seok asked Michael for an emergency brain CT and returned to the medical office.

After a while, the test results appeared on the monitor.

A blood clot occurred near the middle cerebral artery.

It is not at a level that requires surgery right away, but if left untreated, problems could arise later.

Especially considering that the patient is a VIP.

Ride, ride, ride.

Choi Ki-seok prescribed the anticoagulant warfarin and several other prescriptions to prevent blood clots.

Only then did his stiff expression relax.

* * *

That afternoon.

Matthew was taking care of some errands in his office.

Knock. Knock. Knock.

When I heard a knock on the door telling me to come in, Lucas appeared.

“Matthew. Do you have an idea or nothing?”

“Are you just going to barge in and get angry?”

“I don’t think so? I heard you used Mr. Choi as the first assistant for today’s brain tumor surgery?”

“Oh, that’s the story. Let’s sit down and talk about it.”

The two people sat on the sofa and stared at each other. There was a sharpness in the gaze towards the other person.

“If you had seen the surgery schedule, you would understand me. It was an unavoidable situation.”

“Understand? I can’t help it?”

Lucas raised his voice and continued speaking.

“Now, are you thinking of me as a fool? You suddenly put Leon in for the hemangioma surgery. If the level of surgery that took place today was the same, it would have been right for Leon to assist.”

“….”

“In other words, your actions are nothing more than an attempt to annoy Mr. Choi. Am I wrong?”

“Yes. Wrong.”

Matthew continued calmly.

“I just wanted to test Mr. Choi’s limits, just like Leon did in his first year as a resident.”

“During Leon’s time, we at least announced the assistance in advance, but not this time.”

“Lucas. Calm down. The surgery was completed successfully and nothing happened. In addition, we were able to confirm Mr. Choi’s potential.”

“Just because the outcome is good doesn’t mean everything is good. What would you have done if the VIP patient had died?”

“That’s something to think about at that time. There’s no need to worry about it.”

bang!

Lucas slammed his fist on the table.

“Matthew, I’m not in the mood for jokes right now. I can only see this as Mr. Choi’s further targeting of me. Do you want me to fail the bloodless surgery?”

“Maybe so. We’re competing for Head Chief, aren’t we?”

Lucas’ face turned bright red at Matthew’s confession.

“Is the Head Chief that important? More than a patient’s life? More than your friendship?”

“Yes, it’s important. I want to see more from higher up.”

“I was foolish to think you were a lifelong friend.”

Lucas suddenly got up from his seat.

“From now on, you and I will be enemies. The Head Chief will never give in.”

“That’s what I was hoping for. It’s no fun getting a job like Head Chief easily.”

“okay. Just wait and see.”

Boom!

Lucas slammed the door and left the office.

“You ignored that friend too much.”

Matthew leaned back on the sofa and took a sip of coffee.

Given the situation, there was nothing he could do.

Choi Ki-seok’s skills . I wanted to check.

I thought that if I just gave this much reason, I could ask about today’s incident.

But Lucas accurately pointed out his intention hidden behind it.

“Well, you wouldn’t be my opponent.”

After drinking coffee, I went to my seat. I went back and typed on the keyboard.

The chart of a VIP brain tumor patient who had just undergone surgery appeared on the monitor. After the

surgery, the patient had a brain CT scan and received prescriptions for cerebral thrombosis.

Choi Ki-seok was the first to take action.

“There are real foxes. ”

Matthew’s face was distorted.

Brain tumor patients often suffer from cerebral thrombosis after surgery. This is because the bleeding that occurs during surgery hardens and blocks the cerebral blood vessels.

However, Choi Ki-seok had already completed the patient’s care perfectly.

He was taken to the emergency room . The plan to send it to the medical department was in vain.

‘Is there any other way?’

Matthew rested his chin on his hand and was lost in thought.