Level Up Doctor - Chapter 305
Challenge (1)
Ki-Seok Choi let go of the scalpel and looked down at the surgical site.
Two centimeter incisions were made between Kevin’s intercostals.
Inserting and fixing the nurse bar through this window is the key to the surgery.
The inserted nurse bar raises the concave ribcage, and through this, the deformed ribcage gradually regains its normal shape.
In addition, after today’s surgery, Kevin will undergo surgery to remove the nurse bar again in two years.
‘Believe me.’
A sharp light radiated from Choi Ki-seok’s eyes.
I will do my best to make Kevin smile when we meet again in the future.
“Please give me a nurse bar.”
“yes!”
Following Choi Ki-seok’s instructions, the intern handed him a nurse bar, and Choi Ki-seok held the nurse bar in his hand and stared at the incision.
The cold feel of metal woke me up.
From now on, we have to put this barbaric-looking piece of metal into Kevin’s chest.
And not just one, but two.
“What are you doing? Are you nervous?”
“That can’t be right. I was just simulating it for a moment.”
Choi Ki-seok answered leisurely and pushed the nurse bar into the incision.
If done incorrectly, the organs within the chest cavity may be damaged due to the nurse bar.
Choi Ki-seok couldn’t even breathe comfortably and moved his hands carefully. As the work progressed calmly, his hands were as motionless as fingernails.
As if a robot arm was moving.
The staff felt as if they were possessed by a ghost due to the meticulous treatment.
Isn’t inserting a nurse bar something simple, yet tedious and requiring detailed manual work?
However, newcomer Choi Ki-seok was doing this without hesitation.
I couldn’t help but be surprised.
“Whew… it’s over.”
The nurse bar inserted by Ki-Seok Choi reached the incision on the other side.
“Then, we will lift the sunken sternum with a nurse bar and fix it with a fixation plate.”
“okay.”
Robert answered coolly.
Ki-Seok Choi laid Robert and the nurse bar diagonally and made a fixing plate on the ribs to secure the nurse bar.
“Mr. Choi. Isn’t this too loose?”
Jeremy frowned while examining the nurse bar.
“In the first place, it cannot be fixed perfectly. If the sternum moves, the nurse bar moves along with it. Isn’t this good enough?”
“Of course. It’s great.”
Robert, who received Choi Ki-seok’s gaze, drew a circle with his thumb and index finger.
Continue inserting the second nurse bar.
Choi Ki-seok pushed the second nurse bar into the incision and crossed it diagonally with the first nurse bar.
This is a task that maximizes the power of the nurse bar to lift the sternum.
Afterwards, I joined forces with Robert to locate the nurse bar and fix it again.
But at that very moment.
Red blood flowed from the incision, and for a moment, Rosette’s mood froze like ice.
Everyone realized that this was not normal bleeding that occurred during treatment.
Cheeeeeeeek.
As Jeremy and the intern suctioned the blood, the surgical site was revealed again.
There are two bleeding sites.
One bleeding occurred late while installing the fixing plate, and the other bleeding location could not be identified.
It is a position that can only be described as the top of the nurse bar.
“The intern administers heparin (anticoagulant) and applies a blood pack. Jeremy uses a clamp (vascular forceps) to hold the blood vessel near the fixation plate. Continue to suction the bleeding area above the nurse bar.”
The staff became busy following Choi Ki-seok’s instructions.
“Damn it! Why is this happening!”
Robert frowned and stared at the surgical site.
He had witnessed Nusva surgery several times and even performed it himself. However, this was the first time such bleeding occurred.
I was scared by the amount of bleeding that could not be stopped.
“It won’t work. The surgery stops here.”
Robert continued in a stern voice.
“I’ll call Professor Katarina, so you just block the view.”
“Chief, let me check some more.”
“Are you sure? Is now the time to say such idle things? I know you feel responsible because you are performing the surgery, but now is not the time to be proud. If you keep doing this, the patient will die!”
“Mr. Choi. The Chief is right. Don’t be stubborn.”
Even Jeremy came forward and took Robert’s side.
Nevertheless, Choi Ki-seok’s eyes were calm and sunken.
As if it doesn’t really matter if an emergency happens.
“Give me five minutes. If we can’t find a solution in that time, I’ll do what the Chief says.”
“Ha… I don’t know. Just figure it out.”
Robert shook his head as if he had lost, and Choi Ki-seok did not take his eyes off the surgical site.
Entrusting a situation that you feel you cannot handle to a superior.
Entrusting a situation you cannot handle to a superior.
These two are the difference between heaven and earth.
If the former is a vague guess, the latter is a cool-headed analysis.
Choi Ki-seok chose the latter.
To others, it may have seemed like I was anxious to complete the surgery on my own, but that wasn’t the case.
I just wanted to objectively find the bleeding site.
Of course, it wasn’t that I didn’t know why Robert was stamping his feet.
Although it is extremely rare, there have been cases of aortic rupture during nurse bar surgery.
If this case had been an aortic rupture, it would have been impossible to prevent it with the strength of the staff here alone.
As Robert said, Katarina’s help was needed.
‘Let’s stay calm. ‘You just need to stay calm.’
Choi Ki-seok reconstructed the surgical area in dragon’s eye three-dimensional mode.
Hehehe.
The radiance visible only to his eyes floated over the rosette and began to become intricately intertwined like warp and weft.
When the dazzling work was completed, Kevin’s chest cavity was reconstructed into a 3D model.
He nodded slightly while examining the 3D image.
The second bleeding point for which the cause was unknown was the right atrium.
While moving the nurse bar diagonally, the end of the nurse bar created a torn wound in the right atrium.
“Chief. I found the bleeding spot!”
“You found it? Already?”
“Yes. There is a wound on the wall of the right atrium, not the aorta.”
“How
did you do that?…” “Heaven helped me. Since it wasn’t a ruptured aorta, we can stop the bleeding ourselves. Please bring the endoscopic equipment to the sterilizing nurse. From now on, we will begin the right atrium anastomosis.”
“yes.”
Geek.
Ki-Seok Choi inserted a needle holder connected to an endoscopic tool into the incision.
You can’t repeat the same mistake again.
The needle holder was carefully placed in Kevin’s right atrium to avoid damaging his chest organs.
During his surgical rotation and through his hands-on experience with VATS in thoracic surgery, his suturing progressed like a breeze.
Robert’s assistant, who came to his senses belatedly, also contributed strongly.
When the right atrium was sutured, the blood flowed like a stream.
“Jeremy, what about the bleeding on the fixation plate?”
“I think we’re done now. Let me remove the clamp.”
Click.
The blood vessel forceps that had been sealed were released.
Fortunately, the bleeding that was feared did not occur.
All bleeding was successfully prevented.
“I thought my liver was failing. Since there is no bleeding, I will continue with the second nurse bar fixation surgery.”
“yes!”
Nurse Bar surgery resumed with a brave answer from the intern.
The surgery was completed successfully in two hours.
As if it had been a midsummer dream when I was in a state of panic due to sudden bleeding.
Ki-Seok Choi used the Eye of Hippocrates on Kevin and sighed in relief.
The second surgery following the pulmonary artery stenosis surgery was also a great success.
“Thank you all for your hard work.”
“Thank you for your hard work.”
The staff left the rosette saying one word at a time.
Robert clicked his tongue as he watched Ki-Seok Choi walking ahead.
what. It’s all like this.
This is a first year residency?
* * *
Choi Ki-seok, who had completed the nurse bar surgery, was resting in the lounge with Jeremy. Robert and the intern immediately went up to the ward, saying they had some work to take care of.
“I understand why everyone calls Mr. Choi Mr. Choi.”
Jeremy cried.
“How can you stay calm in a situation like that? I wouldn’t be able to wake up from death.”
The moment he discovered the bleeding, Jeremy’s mind went blank.
It was abnormal bleeding.
Moreover, in one area, it was not even possible to pinpoint the exact location where the bleeding occurred. However, Choi Ki-seok calmly found the bleeding area and successfully sutured it.
Even Chief Resident Robert was flustered.
“It’s just my opinion, but I think training your mind is as important as the treatment. The surgery can change as much as you want depending on how the surgeon makes his or her mind.”
“I envy you because you have a strong heart. Will that happen if I get a heart transplant?”
“I guess that’s not it?”
Choi Ki-seok smiled and answered.
The biggest reward for this surgery is the frozen heart.
Thanks to the Frozen Heart passive, I was able to maintain my composure and use stereoscopic mode to find the bleeding area.
If I had to pick two skills that were most helpful in making him who he is today, they would probably be the Eyes of Hippocrates and the Frozen Heart.
i love you. Eyes of Hippocrates.
i love you. frozen heart.
“Are you going to wake up soon?”
“okay.”
The two left the lounge and visited the thoracic surgery ward.
Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
When I entered the medical office, a man I had never seen before was sitting on a chair.
The man wore a doctor’s gown and an employee ID necklace.
Choi Ki-seok and Jeremy stared at the man and then looked at each other as if they had made a promise.
Who is that person?
The eyes of the two people said that.
“Oh. Are you here? It’s Ki-seok Choi and Jeremy, right?”
The man pretended to know first.
“Yes, that’s true, but who is he…”
“My name is Miguel, who was recently assigned to MHC. For your information, this is my first year as a fellow.”
“Nice to meet you.”
“hello.”
Miguel smiled as if he was satisfied after receiving the greetings from the two people.
“Sit down, don’t freeze like that.”
“yes.”
The two men sat across from Miguel.
Amid heavy silence, Choi Ki-seok spoke first.
“Where did you work, by any chance? I don’t think I’ve ever seen you at Meijo.”
“I wasn’t at the main office, but I was still at the California branch. I heard that a Chinese guy on your team was sent to James Hopkins? So I came in as a pinch hitter.”
“Ah yes.”
Choi Ki-seok answered while hiding his true feelings.
Why did a fellow come to help train new residents?
With that question in mind, I used the eyes of Hippocrates on Miguel and was able to figure out the reason without difficulty.
“You don’t have to worry now that I’m here. The difference between the second year of residency and the first year of fellow is heaven and earth.”
Miguel continued speaking smugly.
“I heard a bit about Emma. I guess she’s on her way after finishing her Nusva surgery?”
“you’re right.”
“Like you, I also had a patient with pectus excavatum when I was in my first year of registration, but they didn’t give me a chance to have surgery. Well, I understand because there was no system like MHC at the time…” “….” “Surgery was a
breeze
. ?”
“There was nothing to chew on.”
Miguel’s eyebrows rose at Choi Ki-seok’s answer.
“Look at this guy. A resident with no downtime is joking around with a fellow who is like the sky.”
“….”
“Mr. Choi. Why aren’t you saying anything?”
“I couldn’t find anything to say.”
“Is talking a game of hide and seek? Is there anything you can’t find? Can’t I just say I’m sorry?”
“I’m sorry, but I don’t think I did anything wrong to warrant an apology to the teacher.”
“Hey. Team CPR is a complete mess. You treat your predecessor like complete shit.”
Miguel’s harsh words made Gi-Seok Choi’s forehead grow tendons. I
had to be kind to him for trying to discipline him as soon as he arrived to be able to look at him kindly.
“Jeremy. Why are you still?”
“Huh? “Is that what you mean?”
“If a classmate confronts a senior, you should say something harsh. Why are you staying so stupid?”
“That’s…”
When Jeremy hesitated, Miguel smiled darkly.
“You’re in the same boat as Mr. Choi. It’s frustrating, it’s frustrating.”
Miguel began to grind on the two people without stopping for a moment.
I thought it would be over if I held back for a moment, but I was wrong.
Miguel’s mental attack continued for nearly 30 minutes.
Tiring!
[I got hit with the uncomfortable thorn debuff. ]
[Uncomfortable Thorn: Stress temporarily increases by 200 percent. When stress rises, stamina and patient management ability decrease. The debuff lasts for one week and when stacked, all stats are reduced. Up to 10 stacks accumulate. A desire to retire arises.]
[Current number of overlaps (1/10)]
Choi Ki-seok smiled
bitterly after checking the notification. Just as explained, his frustration rose to the top of his head.
Amid the sermons and nagging, the door opened and Katarina appeared.
” Were you here?”
“Oh yes. professor. I was chatting with my teammates.”
Miguel stood up and continued.
“Maybe it’s because they received guidance from the professor, but they all seem like smart and good friends.”
“I’m glad you like it. “I have something to tell you, so let’s go to the lab.”
“Yes. Then, I’ll see you later.”
Miguel gave the two a friendly smile and left the medical office.
“Why is there such a thing?”
Jeremy, who was not expressing much emotion, wrinkled his face.
“This is the first time in my life I’ve seen a person like that.”
” I know. To the point where I suddenly want to see Mr. Wang?”
“The more I think about it, the more pissed off I get. Really!”
The two of them entered their prescriptions while chewing on Miguel.
Crashing.
The harsh sound of the keyboard and Jeremy’s irritated muttering to himself continued to be heard. It’s here.
It seems that Jeremy has really grown horny due to Miguel.
When I used the Eye of Hippocrates on him just in case, he was hit with the same uncomfortable thorn debuff as himself.
‘In that case…’
Choi Ki-seok opened the status window and said in an emergency. I set out to prescribe it.
What do I need now?
Follow me, follow me, follow me. The cute rabbit nurse in the hospital!