Level Up Doctor - Chapter 35
Back to Seoul (5)
“Why are you glaring at me with that scary face?”
“Ah… no. Nothing much happened that night, right?”
“It shouldn’t be anything special. But it seems like there’s a strange smell…”
Kang Hana sniffed and frowned.
“What smell?”
“It smells fishy. Don’t you know about the super intern?”
“······I don’t know. I’ll go take care of him.”
Choi Ki-seok ran around holding the chart.
It looks like the smell of blood was soaked in while practicing surgery on a cow heart. I felt like I would have to pay more attention to smells starting tomorrow.
The ward work began in earnest.
Arterial blood test, wound disinfection, urine line removal, etc.
Choi Ki-seok completed the ward work in the blink of an eye. Basic internship work was no match for him.
“This is the last pediatric ward.”
Choi Ki-seok stretched and entered the hospital room.
While all the young patients were sleeping, only one patient had his eyes open.
This is Hwang Jeong-woo.
“Hello Teacher.”
Hwang Jeong-woo waved his hand.
The guardian who was nearby also bowed his head and said hello to Choi Ki-seok.
“I heard from my mom yesterday. The teacher gave me a magic watch doll as a gift…”
“It did.”
“thank you.”
Hwang Jeong-woo smiled weakly.
He’s usually a cheerful guy, but today he was listless. No, maybe it’s even more so because it’s today…
Choi Ki-seok approached the bed and stroked Hwang Jeong-woo’s head.
Is it because I just went to the funeral?
When I was looking at Hwang Jeong-woo, I started crying for no reason.
“Today is surgery day, right?”
“yes.”
After a pause, Hwang Jeong-woo continued speaking.
“Doctor. But can I die during surgery?”
“Don’t be stupid. That will never happen.”
“But they say heart surgery is dangerous.”
Choi Ki-seok handed the Carlyle doll that was on the table to Hwang Jeong-woo, and Hwang Jeong-woo hugged the doll as if he was holding a treasure.
“If Jungwoo is in danger, Carlisle will help, right?”
“yes!”
Hwang Jeong-woo nodded vigorously.
Choi Ki-seok used encouragement to Hwang Jeong-woo.
[Encouragement skill used.]
[Patient and guardian’s confidence in immune regeneration ability increases significantly.] [
The effect lasts for a week.]
[A random additional effect is given to the opponent who has reached level 4 Rapo.]
[Surgery Afterwards, the probability of infection is greatly reduced.]
I cheered on Hwang Jeong-woo and left the hospital room.
From now on, treatment must be performed in the adult ward.
Choi Ki-seok quickly completed his work in the adult ward.
Patients praised his neat and accurate treatment.
Since various treatments were completed in one go and there was no pain during the process, I couldn’t hate Choi Ki-seok if I wanted to.
‘You’re finally here.’
Choi Ki-seok stopped in front of a hospital room.
To a doctor, every patient is important. But the patient in this room was especially special.
He is in the eye of the storm.
“Professor. What should I do with Kang Dong-ho’s consent form for surgery?”
“I’ll go now.”
Choi Ki-seok entered the conference room and spoke, and Song Myeong-jin immediately printed out the consent form and came outside.
For minor procedures, interns would receive consent, but for major surgeries, a higher-level doctor would be in charge.
“hello.”
When Song Myeong-jin and Choi Ki-seok entered the hospital room, Kang Dong-ho and his guardian greeted them first.
The two also bowed their heads.
“Good morning. How are you feeling?”
“It’s okay.”
“If you are having a hard time, don’t hold back and tell me. That way, we can take necessary action.”
“It’s really okay.”
Kang Dong-ho waved his hand.
While there was a moment of silence, Song Myeong-jin handed out a consent form for surgery and began to explain.
As per his usual personality, he gave a calm and thorough explanation.
The content was explained so easily that even elementary school students could understand it.
“And patient. I am in charge of performing this surgery.”
“It would be better if Professor Song did it for me.”
A smile appeared on Kang Dong-ho’s lips.
“You know my specialty is the heart, right?”
“But isn’t he good at everything he does? I asked someone else just in case, and they said he’s also really good at lung surgery.”
“As always, I will do my best.”
Song Myeong-jin did not add an explanation of Katabuta.
For now, it’s best to just try to keep the patient’s faith.
After the explanation and signing, Choi Ki-seok and Song Myeong-jin returned to the medical office.
“Teacher Choi. I couldn’t tell you earlier.”
“······.”
“I liked the paper evaluation I sent today. Please show at least the same quality in the future.”
“yes!”
Choi Ki-seok answered bravely. And after quickly finishing preparing for the meeting, I headed to the bathroom.
My lower abdomen was tingling and I couldn’t hold it in any longer.
“I need to make it a habit from now on.”
Choi Ki-seok passed the tissue he had been holding in his right hand with his left hand. And then I wiped the bottom with my left hand.
I decided to use my left hand as much as possible in my daily life.
Only then will the surgeon be able to perform surgery on both hands as soon as possible.
While I was leaving after running errands, I ran into Oh Hye-jeong in the hallway.
“sorry.”
Oh Hye-jeong put her hands together and prayed.
“what?”
“I keep making you prepare for the meeting. I tried to help you today, but I got tired after being on duty.”
“But you still have a conscience.”
“Tch. What on earth did you see me for?”
Oh Hye-jeong pretended to pout and turned her head.
“But if you’re really sorry, please do me a favor.”
“ask?”
“Later in the morning…”
Choi Ki-seok continued.
* * *
Choi Ki-seok left the hospital room and stared at the call phone.
Current time is 9:40 am.
The moment of decisive battle has finally arrived.
I hurried my steps and headed to the pediatric ward.
Oh Hye-jeong was chatting with a nurse in front of the station.
“You came up early.”
“I am a woman with a strict concept of time.”
“Is that kind of woman always forgetting to prepare for meetings and being late?”
“There’s a subtle twist. That’s why I said I’d change it as you said.”
Oh Hye-jeong grunted with her arms crossed.
Choi Ki-seok had a conversation with Oh Hye-jeong and entered the hospital room where Hwang Jeong-woo was.
“Okay, let’s go get cured with the teacher.”
Smiling brightly, he dragged Hwang Jeong-woo’s bed to the operating room.
Normally, this would be the job of Oh Hye-jeong, an operating room intern, but this time, Choi Ki-seok took on that role.
Because I wanted to go into Hwang Jeong-woo’s surgery, I briefly switched roles with Oh Hye-jeong.
When I entered the operating room, the staff was scrubbing for a while.
The main steps of today’s surgery were as follows.
Former Jeong Han-seok.
Jaehyeon Yoo, 4th year Chief Resident.
Min-hyeok Min, a second-year resident.
Among them, Ki-Seok Choi examined the surgeon, Han-Seok Jeong, with the eyes of Hippocrates.
Occupation and specialty: Full-time physician/cardiac surgery Physical
strength: 6/10
Diagnosis: 7/10
Surgical treatment: 5.5/10 Medical
treatment: 4/10
Reputation: 5
Active skill: None
Passive skill
[Sharp Sword Lv.2]
– When performing surgery on a younger patient, the surgery speed is doubled and the surgical outcome slightly increases.
– Grows up to level 3.
Rapport formation
– Hwang Jeong-woo (patient): Step 2? Faith
– Yang Ji-min (Guardian): Stage 2? faith
.
.
.
Title
[Meticulous Man]
– That person was truly amazing. Not a single speck of dust was missed.
– Surgery accuracy doubles.
The skill of the surgeon was satisfactory.
It seemed like the surgery would go well enough.
The skills of Yoo Jae-hyeon and Min-hyeok Min, who assisted with the surgery, were also above average.
“hello.”
Yoo Jae-hyeon and Jeong Han-seok nodded slightly at Choi Ki-seok’s greeting.
Minjoohyuk was the only one who frowned as if he was not pleased.
“Aren’t you Hyejeong, the operating room intern?”
“I decided to go in for this surgery only.”
“It’s not fun. It’s not fun.”
After finishing the conversation and scrubbing, Choi Ki-seok and the staff entered the operating room.
Today’s surgery is mitral valve reconstruction.
This is a surgery to help Hwang Jeong-woo’s mitral valve, which has a lesion, return to its proper function.
“Teacher. I’m scared.”
Upon entering the operating room, Hwang Jeong-woo’s delicate body was shaking.
Even though he received the encouragement buff, it seems he has difficulty overcoming his fear.
“It’s okay. The teacher will always be by your side.”
“really?”
“Okay. After the surgery is over quickly, let’s go see the magic watch with the teacher.”
“yes.”
Hwang Jeong-woo nodded.
Eventually, the anesthesia started and the staff took the place.
“From now on, we will begin mitral valve reconstruction for mitral regurgitation.”
Jeong Han-seok’s voice rang out in the operating room.
The curtain on the full-scale surgery has begun.
The staff in the operating room will be isolated from the outside world for the next four hours and will focus on the surgery.
“Meth.”
Jeong Han-seok finished disinfecting his skin and grabbed the scalpel handed to him by the disinfection nurse.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
Hwang Jeong-woo’s delicate skin was cut in half without mercy.
The area of resection is from the bottom of the neck, directly above the sternum, to the solar plexus area.
Pead deud deuk. Drumming.
Chief resident and first assistant Yoo Jae-hyun took a saw and cut Hwang Jeong-woo’s sternum.
The dull sound of bones filled the operating room.
When the sternum was cut open and the lungs were pushed aside, a bright red heart was revealed, beating powerfully.
Choi Ki-seok used the dragon’s eye to secure the surgical field of view. And I watched Hwang Jeong-woo’s heart in zoom-in mode.
The moment he saw Hwang Jeong-woo’s beating heart, Choi Ki-seok’s heart also began to beat violently.
‘I will definitely finish it safely.’
Choi Ki-seok made up his mind.
After the sternum was removed, connection to a heart-lung machine was started.
A heart-lung machine is a machine that replaces the roles of the heart and lungs during heart surgery.
It is commonly called bypass.
The pump replaces blood circulation, and the oxidizer replaces the lungs by converting carbon dioxide into oxygen.
The heat exchanger lowers the temperature of the blood, and the filter detects air bubbles and various foreign substances.
“Aortic blockage. Inject cardioplegia.”
At Yoo Jae-hyun’s instructions, the heart-lung technician injected cardiac arrest fluid and started operating the heart-lung machine in earnest.
Weeeeeee. Rattling rattling.
With the heart-lung machine running, the real surgery began.
Choi Ki-seok held a retractor and opened up the surgical site.
The surgical field of view must be opened to the surgeon.
A normal intern would have finished his work there, but Choi Ki-seok was different.
The surgical scene was observed in detail using the dragon’s eye.
Even though I am an intern, I may have something to help with.
“Meth.”
Jeong Han-seok took a scalpel and cut into the left atrium.
The pink flesh of the heart was peeled away, revealing the inside.
The surgical site, the mitral valve, the left atrium, and the left ventricle heart muscle beneath it were revealed.
“There are not many blood clots (blood scabs)…”
‘The damage to the mitral valve is greater than expected.’
Choi Ki-seok added in his mind what Jeong Han-seok swallowed while frowning.
Today’s surgery site: the mitral valve.
The mitral valve serves to prevent backflow of blood flowing from the left atrium to the left ventricle. It is made up of two cusps, so it is also called bicuspid.
However, Hwang Jeong-woo’s mitral valve was in worse condition than expected.
The mitral valve annulus was dilated and the posterior apex was partially prolapsed.
Not only that, but the posterior cord tendon was also ruptured.
“······.”
“······.”
There was a heavy silence.
Looking at Hwang Jeong-woo’s condition, he is in need of valve replacement surgery, not valve reconstruction.
However, valve replacement surgery involves inserting an artificial valve, which increases the risk of reoperation.
Not only that, you have to take anticoagulants for the rest of your life.
This is too harsh for a child who is only ten years old.
“teacher?”
The Chief stared at Jeong Han-seok in a long silence. It means to stop making decisions now.
“Continuing the surgery. This patient…”
Jeong Han-seok opened his mouth heavily.