Level Up Doctor - Chapter 284

Half way through (5)

“I didn’t know the Head Chief would come to visit.”

Katarina blinked and stared at Yasada.

“Is it because it’s Mr. Choi? The resident’s treatment was not a high-level treatment, but balloon dilatation…” “

I can’t say it’s not.”

“I think you have high expectations for Mr. Choi.”

“That friend made me look forward to it. As a dedicated professor, I don’t think your thoughts would be much different from mine, right?”

“I agree.”

Katarina nodded.

It has been less than a month since the new residents began living at MHC.

Among them, Choi Ki-seok’s performance was unrivaled.

Amazing suturing skills, removal of a broken wire from the first secondary PCI of VATS, etc.

He heard from his colleagues and staff that he had already surpassed his residency status.

“According to the medical director, he even performed CABG in Korea.”

“CABG? No matter how open the American medical community is, they do not entrust CABG to residents. Even more so in Korea….” “I

was part of the Saber team, so I guess there was support from the team.”

“Wow. It’s getting more and more surprising.”

Katarina fixed her eyes on Choi Ki-seok on the monitor.

What exactly are his limits?

“By the way… I’ll have to be more careful with James Hopkins from now on. You know what I mean?”

“yes.”

“It would be so unfair to lose a well-trained resident.”

“There is no shame.”

“It’s not your fault. Who knew Clara would end up like this? Just don’t fall for the same fool again.”

“The professors are already paying more attention to the care of their team members. Individual interviews will also begin today.”

Katarina paused before continuing.

“Head Chief, I have one question.”

“what?”

“I recently heard that the vice hospital director was planning to start cruise treatment as part of medical tourism. Will that agenda really be passed?”

“The board of directors decided unanimously. There will be an official announcement soon.”

Yasada frowned.

Cruise medical treatment.

This is the first medical tourism product attempted by MHC.

The cruise ship passes through the Hudson River on a 2-day, 1-night course. During this process, MHC staff conduct health checkups on prominent figures overseas or domestically.

“Then I guess we’ll have to take out the staff at certain times.”

“That’s exactly what I hate! If we were already dying because we didn’t have enough manpower, then mobilizing the staff for medical tourism… If we wanted to do something like that, we should have stayed at Meijo, not MHC.”

“I also think it would be unreasonable to provide cruise care at MHC. That’s why I thought the bill wouldn’t pass.”

“Ever since that person became the vice hospital director, MHC has been running like shit. The outpatient care robot Sherlock is the same.”

Yasada, who was grumbling, looked up at the monitor.

“Mr. Choi has begun treatment.”

* * *

‘Okay. ‘You’re doing great.’

Ki-Seok Choi stared at the monitor and carefully inserted the guide wire.

Perhaps because I had done PCI once, the work wasn’t that difficult.

Don’t take your eyes off the monitor and don’t rush the insertion.

The core of PCI is these two things.

As long as this is followed, the guide wire will not damage the blood vessels.

“The wire has reached the esophagus.”

“Okay. Confirmed. The esophageal stricture is about 4 millimeters in diameter.”

“Then how do we prepare the balloon catheter?”

“20 millimeters in diameter and 7 centimeters in length.”

“okay.”

Ki-Seok Choi inserted the balloon catheter that Charles received along the guide wire.

With light hand movements, the balloon catheter was placed in the esophagus without any problems.

So far, everything is going smoothly.

What will happen from now on will be the biggest problem.

“Mr. Choi.”

“….”

“Mr. Choi. Why aren’t you saying anything? We need to inject contrast dye.”

“Oh, sorry. I was checking for stenosis.”

Choi Ki-seok looked down at the patient and then turned his attention to the monitor.

Stamina: 3/10

Main symptoms: Difficulty swallowing / food regurgitation / chest

pain Painful area: Esophagus

Diagnosis: Achalasia

Current status: Poor Progress

: Non-emergency Past history

: Reflux esophagitis

Family history: None

Cautionary elements: Extreme contrast dye side effects!

It was like that.

The patient suffers from side effects from contrast media.

This was the reason why Choi Ki-seok was worried about the relatively low difficulty of balloon dilatation.

A contrast agent is a substance that allows the area to be seen clearly during a radiological examination. However, there were some patients who showed a sensitive reaction to this contrast agent.

Unfortunately, Jerome fell into that case.

Common side effects of contrast media include difficulty breathing and edema, and in severe cases, there have even been cases where patients died from anaphylactic shock due to kidney dysfunction.

Moreover, it made Choi Ki-seok even more nervous.

It is a phrase that refers to the extreme side effects of contrast media discovered through the eyes of Hippocrates.

“Mix Ray Beast and saline solution 1:1 and inject.”

After finishing the instructions, Ki-Seok Choi looked down at the patient again.

I was frustrated and anxious.

He was the only one who knew that Jerome had side effects from the contrast dye.

Neither Jerome himself nor the staff at MHC knew.

That’s why I’ve been feeling dumb and heartbroken until now.

‘It will be fine. Because the previous treatment was enough.’

Choi Ki-seok received Charles’ autograph and injected contrast dye.

gulp.

My uvula was shaking from dry saliva.

The moment a white shadow filled my esophagus, tension enveloped my entire body.

Sweat ran down my spine.

My eyes shifted anxiously between the monitor and the patient monitoring device.

“Why are you so nervous, unlike you? The treatment is over.”

“I’m not feeling well today.”

Ki-Seok Choi sighed in relief while examining the patient.

Thanks to the administration of various oral medications and injections before the test, no contrast agent side effects occurred.

Jerome’s vitals were like a calm sea.

The unfortunate incident that had been feared was avoided.

In an instant, I felt like my stiff body was melting away.

“I’m going to start expanding.”

Ki-seok Choi looked at the pressure gauge and expanded the balloon located in the esophagus. Inflation was maintained for approximately one minute at three atmospheres and this was repeated for three minutes.

After the treatment was completed, the esophagus widened.

This is because as the balloon inflated, it pushed out the narrowed part of the esophagus.

“Treatment is complete. We will perform another contrast scan to monitor for complications.”

“All right.”

Charles coolly began preparing for the examination.

Second angiography completed without problems.

The staff looked relieved and prepared to finish. However, only Choi Ki-seok looked at the monitor with a serious expression.

“What’s wrong again? The dilation was done properly and there was no esophageal perforation.”

“wait for a sec.”

Choi Ki-seok still couldn’t take his eyes off the monitor.

Charles was right.

Esophageal angiography showed no esophageal perforation, a side effect of balloon dilatation.

Nevertheless, the throbbing heart that I felt before the treatment still persisted.

There is something that is not over yet. My sixth sense was sending me that signal.

What on earth is wrong with Jerome’s esophagus?

As my thoughts deepened, a solution flashed through my mind.

“I’m sorry, but please give me a little more time.”

After using Dragon’s Eyes, Choi Ki-seok looked at the monitor and opened the three-dimensional mode.

Weeeeeeeee.

Tinnitus ringing in my ears.

Shaky vision.

A moment passed and Jerome’s esophagus appeared vividly, as if it were right before my eyes.

This is my first time using the three-dimensional mode in real life and the video it shows.

Choi Ki-seok was mesmerized for a moment by that power.

‘what the. ‘This is not the time.’

I looked closely at Jerome’s esophagus in zoom-in mode.

Then, a small hole located at the top of the esophagus came into view.

Although it was not a perforation, it was an area that had the potential to develop into a perforation.

I have now realized the reason why Hippocrates’ eyes could not catch this, as well as the signal sent by my sixth sense.

“Let’s do one more simple treatment.”

“Treatment? There has to be a problem to deal with it.”

“Just trust me. Please prepare an EZ clip and a rubber band.”

After receiving tools from the disinfection nurse, Choi Ki-seok began further treatment. First, the EZ clip was installed on the endoscopic tool and placed on the relevant area.

‘Hey. ‘Why are you doing this?’

Charles let go and watched Choi Ki-seok.

Esophagography confirmed that there was no problem with the patient.

However, I could not understand Choi Ki-seok’s insistence on treatment.

“Charles. See here? There’s a little groove.”

Choi Ki-seok’s index finger pointed to a part of the monitor.

“Where? I can’t see?”

“Take a good look.”

Charles was staring at the monitor with arrogance. Embarrassment immediately appeared on his face.

“What… what is this!”

“Jerome suffered not only from achalasia but also from reflux esophagitis. It was probably a wound that occurred at that time. It was so small that it didn’t show up on angiography.”

Choi Ki-seok skillfully performed endoscopic suturing.

First, the opened tissue was pulled and attached with a clip.

Next, the air in the tissue was sucked in, the hole was filled with esophageal tissue, and the suture was completed with rubber band ligation.

‘Phew… it’s over.’

After defeating him, when he used the Eye of Hippocrates on Jerome, his condition returned from bad to normal.

This is thanks to preventing esophageal perforation.

Tiring!

[You have successfully completed the standard mission balloon dilatation procedure. As a reward, 300 P.P

and one Limit Stone are provided.]

[Endoscopic Surgery Mastery has been created.]

[Endoscopic Surgery Mastery (1/1): Increases the proficiency of all surgeries performed with an endoscope. These include thoracoscopy, laparoscopy, and robotic surgery. The ability to respond to unexpected situations also increases.]

[Your physical strength is greatly restored through the Patient Hope (+10) effect.]

[You have succeeded in achieving the general achievement The Power of Knowing First. As a reward, you will receive 400 P.P

and your reputation will increase by one level.]

Notifications pouring in.

With a pleasant smile, I went to clean up after myself.

* * *

That afternoon.

Ki-Seok Choi was taking a break in the lounge after finishing his round.

‘Then shall we begin?’

I opened the status window and stared at the limit stone in the item window.

There are about 60 limit stones collected so far, and the time has finally come to try to break through the skills.

Skills that can break through the current skills must be kept alive and ambidextrous.

Of the two, he placed more emphasis on the skill that must be saved.

By using the Super Awakening effect of the Soul Tear, my suturing skills could be improved to a certain extent.

[Would you like to attempt a skill breakthrough using the Limit Stone? Fifty Limit Stones are consumed.]

Whiiiiing.

As I nodded, a blinding light enveloped my vision.

After a while, the ‘must save’ skill changed to ‘must save’.

[Must Save MAX]

– When treating a patient with high emergency patient difficulty, all stats temporarily increase by one level. –

You can use special modes such as

awakening CPR, awakening T.A patient treatment, awakening obstetric treatment, etc. to your colleagues. The buff lasts two hours.

– A new effect, sharp blade, has been added.

– Fierce Blade: All kill accuracy and speed are doubled. When recovering a patient through treatment, the patient’s recovery speed increases by three times. The duration of the sharp blade is one hour.

“If this is enough…”

Choi Ki-seok smiled with satisfaction after checking the explanation.

When the skill was surpassed, the buff duration was increased by one hour and a new effect, Fierce Blade, was added.

It may be difficult to see a significant effect in general work, but it will be a great help during surgery or scrubbing.

Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr

Suddenly, the lounge door opened and Wang Jinpyeong sat down across from him.

He watched Choi Ki-seok for a while and then opened his mouth with difficulty.

“W… were you here?”

“Ah. Yes, I was taking a short break.”

“I couldn’t tell you because Mr. Choi was undergoing balloon dilatation surgery, but I have something important to tell you. Actually, I…”

Wang Jin-pyeong continued talking, avoiding his gaze.

“I decided to go to James Hopkins.”