Level Up Doctor - Chapter 80

One Hundred and One Nights (1)

When I arrived at the hideout, I saw a Styrofoam box placed in front of the door.

Even though Song Myeong-jin went abroad, the butcher continued to send him beef hearts.

This is because Song Myeong-jin asked for a favor.

“Nice to meet you today too.”

Choi Ki-seok smiled and took the box and went inside.

Preparing for surgery didn’t take long.

A task I have been working on for nearly a year, I can now do with my eyes closed.

The surgery we will practice today is aortic dissection surgery.

This was the first surgery where I assisted Song Myeong-jin as first assistant and let the patient leave on the operating table.

Click!

Ki-Seok Choi blocked blood flow in the ascending aorta with vascular forceps. Afterwards, the aorta was cut in half using a scalpel.

Cheeeeeeeek.

When the blood flowing from the aorta was suctioned with a suction device, the inside of the aorta was revealed.

Although the cow’s heart was fine, surgery was performed on the assumption that it was damaged, as shown in the video.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.

His hand movements were like lightning.

In particular, the skill of suturing the torn lining with artificial blood vessels is excellent.

If the thoracic surgery staff had seen this scene, they would have fallen backwards in shock.

One year after registration, I was undergoing a difficult aortic dissection surgery without hesitation.

After suturing the ascending aorta, I looked at the aortic arch, which was curved like a bow.

The past, a sea of blood due to bleeding, flashed through my mind.

Choi Ki-seok bit his lip and took action.

If we follow what we have practiced so far, we can save the patient even if the same situation comes again.

“Whoa…”

I wiped the sweat from my forehead with the back of my hand. The surgery was completed sooner than expected.

One of our long-term missions: Towards the top.

Choi Ki-seok was able to perform the two surgeries needed: tetralogy of the year and aortic surgery.

Of course, as a first-year resident, he will not actually perform the surgery.

“Can’t someone just turn back time?”

I joked to myself and went up to the ward.

“Super intern teacher. Hi!”

Hana Kang at the station waved her hand happily.

“I can’t see this. This.”

When he pointed to the stitching on the breast pocket with his index finger, Kang Hana looked embarrassed.

“I still can’t get used to the fact that Teacher Choi is a resident.”

“I’ll let you get used to it in the future.”

“By the way, didn’t your girlfriend say anything?”

Kang Hana glanced at the station and changed the topic.

Only she knew that Choi Ki-seok was dating a fellow female doctor.

“If I were to say that I would be working in thoracic surgery, they might be disgusted.”

“I knew you from the beginning when we met.”

“Wow. My girlfriend has the heart of a Buddha. No matter how busy she is, please treat her well so she doesn’t get upset.”

“Cancer. That’s right.”

Choi Ki-seok left the station while talking with Kang Ha-na.

“What are you doing? Do I look like a lab rat? Huh?”

The patient’s loud voice struck my ears.

The place where the sound comes from is a single room at the end of the hallway.

When I looked into the hospital room from the outside, I saw intern Eunji Jo repeatedly bowing her head and saying that she was sorry.

Drurr.

“What happen?”

“Ah… Dr. Choi. That’s because… I failed the patient’s ABGA (arterial blood collection)…”

“Give it to me. I’ll do it.”

Ki-seok Choi asked for understanding from the patient, Gil-dong Go, and then went directly to ABGA.

Fuuuuuck.

The needle pierced the skin without hesitation.

[The vampire title effect is activated.]

[The blood draw is 100% successful and the patient’s pain is reduced by 50%.]

“The teacher here does it, so it’s done in one go. It doesn’t hurt that much.”

The patient looked Eunji Cho up and down, and Eunji Jo lowered her head and said nothing.

“The blood draw I just did was so difficult that even the most skilled people often fail. I hope the patient will be lenient.”

“Well, I can’t say it like that.”

“How are you feeling?”

Choi Ki-seok asked about Go Gil-dong’s condition.

The biggest difference between a first-year resident and an intern.

It means becoming an attending physician, managing patients, and taking responsibility for it.

Go Gil-dong is one of Choi Ki-seok’s patients.

“My chest feels a little throbbing.”

“It’s probably due to the incision made in the sternum during surgery yesterday. Are there any other discomforts?”

“No, there is not.”

“Then let’s go.”

Choi Ki-seok took Jo Eun-ji to the break room. It was pitiful to see so many dead people.

“thank you.”

When I pulled out a can of coffee and held it out, Eunji Jo nodded.

Eunji Cho is a junior at Uijin University.

When she was in medical school, she was famous for her nickname of cutie. She was small in stature and her eyebrows were curved into a half-moon shape whenever she smiled, so many of her male classmates liked her.

“Don’t be too discouraged because you failed at ABGA. Other than you, everyone else is also doing poorly.”

“really?”

“Of course. The most difficult treatment during internship is ABGA.”

At Choi Ki-seok’s words, Jo Eun-ji’s expression relaxed somewhat.

Eunji Jo took a sip of coffee and continued speaking.

“Senior. I think you’ve really changed a lot.”

“I?”

“When I was in school, what should I say… I think you only followed senior Taeho, but it seems like you suddenly split from senior Taeho and became stronger.”

Jo Eun-ji carefully revealed her inner thoughts.

Among juniors, Choi Ki-seok is one of the legends.

A thoracentesis while an intern, catching a child abuse suspect, saving an idol, planning a charity concert, etc.

Considering his popularity, he is already a star in the park.

“Because people change. And you will soon change too.”

“Can I become like my senior?”

“You don’t have to be like me. Whatever you do, just be yourself.”

“Senior. You’re cool.”

Choi Ki-seok scratched the back of his head at Jo Eun-ji’s praise.

“Is there anything more difficult than ABGA?”

“Ta… there’s just one more thing.”

Jo Eun-ji blushed and continued speaking.

“So… a urine line. Why? Do I have to put a urine line on male patients?”

It is common for a male doctor to insert a urinal for male patients and a female doctor for female patients, but if the situation is unfavorable, there is no choice.

“That can’t be helped. Please ask your partner.”

“…yes.”

“Let’s just get up.”

Choi Ki-seok entered the break room with Jo Eun-ji.

“Senior. Hello.”

Another thoracic surgery intern, Lee Young-ho, bowed his head towards Choi Ki-seok.

Lee Young-ho is also a junior at Uijin University.

He finished preparing for the meeting while the two people were talking.

“Are you moving quickly?”

“thank you.”

Youngho Lee smiled.

While Ki-Seok Choi was talking to the two people, he stared at the place where the laptop was placed.

Song Myeong-jin often came early and the place where he sat was empty.

The moment I saw my teacher’s absence, a longing I had forgotten filled my heart.

slap!

Choi Ki-seok lightly patted both cheeks and sat down.

Becoming a resident does not mean that there are fewer odd jobs.

Rather, it grew into a different form.

You have to schedule the surgery, prepare for rounds, give prescriptions, and prepare for case presentations.

After barely finishing their work, the staff came into the conference room one by one.

“hello.”

When Choi Ki-seok greeted Kwon Il-su, who was sitting next to him, he lightly waved his hand.

Ilsoo Kwon.

He is a master of pediatric heart surgery who came back after Song Myung-jin left.

His rank is assistant professor, like Jang Hyuk-pil.

After settling down at Uijin University, I am living without any problems.

Kwon Il-soo has small, thin eyes and a sharp jawline, giving him a cold impression.

In reality, he has a meticulous and picky personality and reacts sensitively to his colleagues’ mistakes. This is the exact opposite of Jang Hyuk-pil, who always comforts the staff with kind words.

The meeting began with Jo Ji-hwan and Jang Hyuk-pil entering the conference room.

Han Min-woo, who had previously assisted with Choi Ki-seok and Jo Ji-hwan’s robotic arm surgery, became chief and led the meeting.

After a brief surgical briefing on the hospitalized patient’s condition, the time for the presentation arrived.

Intern Youngho Lee stood in front of the projector looking nervous.

“What I am going to present today is about coronary artery bypass surgery. I will start the presentation now.”

Youngho Lee continued his explanation by going through the PowerPoint with a pointer.

At first, he seemed nervous and stuttered, but as time went by, he showed a clear-headed side.

“This concludes the presentation. If you have any questions…”

Before Youngho Lee finished speaking, Ilsu Kwon waved his hand.

“Yes, Professor.”

“When performing bypass surgery, not only the internal thoracic artery (artery within the heart) is used. In some cases, the radial artery and the great sphenoid vein of the leg are also used.”

“Yes, that’s right.”

“Then what are the precautions when performing bypass surgery on the radial artery?”

“That… that…”

Youngho Lee hesitated.

He seemed to be desperately trying to find an answer, but in the end he couldn’t.

“Let’s prepare properly for the presentation. Aren’t we being too vague in saying that we won’t be in thoracic surgery?”

Kwon Il-soo frowned and hit the desk with the PowerPoint document.

“30% of the content in the presentation is not in line with current trends. Moreover, they said that the disadvantage of bypass surgery to the internal thoracic artery is that the artery becomes narrowed, but that is completely incorrect.”

“….”

“Did you use the content exactly as it was on Super Campus?”

“no.”

“Let’s do it straight. Straight.”

Lee Young-ho couldn’t even breathe due to Kwon Il-soo’s criticism.

It just sits there looking tattered.

‘boy. I told him to prepare well.’

Choi Ki-seok couldn’t help but feel sad.

Kwon Il-soo’s nickname among residents is Fact Bomber.

This is the name given to Choi Ki-seok and Min-joo-hyuk because they say they always say the right thing to discourage their opponents.

“Professor Kwon. Today is my first presentation, so please be lenient.”

Jang Hyuk-pil set out to change the atmosphere.

“Professor Jang. No matter what, you have to say it right away. If you do the surgery as he said, the patient will die.”

Kwon Il-soo did not give up and added a word.

Although they were the same assistant professor, Kwon Il-soo was older than Jang Hyuk-pil in terms of age and experience.

The atmosphere in the conference room was tense, but Jo Ji-hwan did not step forward.

Rather, he seemed to enjoy the sight of Kwon Il-soo and Jang Hyuk-pil clashing.

But that’s the moment.

“hey.”

Min Joo-hyuk, who was sitting next to him, touched Choi Ki-seok with his elbow.

Ki-seok Choi realized what that meant and stood up.

“What I will be presenting today is the treatment of pulmonary artery stenosis in pediatric patients.”

A detailed and meticulous presentation followed.

Since becoming Fixton, his presentations have been flawless.

The thesis was easy. After getting the title, it became even more solid. When the presentation was over, Hyukpil Jang even clapped with a satisfied smile.

“If you have any questions, please…”

Choi Ki-seok was unable to finish his sentence.

Kwon Il-soo, the fact bomber, sent a sortie signal.

Even the content he presented was about pediatric heart surgery, which is Kwon Il-soo’s specialty.

Everyone stared at the two people with bated breath.

“Isn’t it a burden to perform surgery on a pediatric patient in the first place? Wouldn’t it have been better to have balloon angioplasty?”

“Professor Kwon is correct in principle, but I think it varies from case to case. If the pulmonary valve is too narrow, a stent cannot be inserted.”

“…Then what about patent ductus arteriosus?”

Kwon Il-soo changed the topic.

Patent ductus arteriosus is a tube that connects the aorta and the pulmonary artery.

It is supposed to close immediately after birth, but it does not close normally. The disease that is not diagnosed is patent ductus arteriosus.

“Why didn’t the surgeon close the patent ductus arteriosus even though he discovered it during surgery?” “

In the case I presented, the degree of opening of the ductus arteriosus was small and there was a high possibility that it would close naturally. I think it was best to watch the patient while observing the progress.”

In response to Choi Ki-seok’s straightforward answer, Kwon Il-soo nodded slightly.

Suddenly, his eyes met Lee Young-ho’s, and his eyes seemed to say, ‘Cheer up, senior.’

To Kwon Il-soo He must have felt quite unfair about what had happened.

“One last thing.”

“Yes, Professor.” “

There was a CPR situation after the surgery. After the tracheal intubation was removed, an ambu bag was put on. What was the reason?” “

This patient had a stomach perforation. “I know that artificial respiration through a mask can cause stomach expansion.”

In response to Choi Ki-seok’s answer, Kwon Il-soo waved his hand as if it was enough.

The fact bomber conference room had finally settled down and peace was restored.