Perfect Surgeon 141
Perfect Surgeon chapter 141

Episode 140.

140.

“It’s right here!”

Hyun-jun, carrying Socar on his back, took the lead and ran across the town.

I glanced behind me and saw that Seonye and Gong were following me to death.

Master Gong gasped and held out his arm.

“Master Jang, Joe, let’s go a little slower… … .”

Hyeon-jun, who slowed down, was unfolding possible scenarios in his head while he was running.

This is because you can respond immediately when you arrive.

“… … Teacher, is my mother okay?”

“then. You will be fine.”

“… … Will your brother be okay?”

I could feel the cry in Soka’s voice.

“Let’s go home quickly!”

Hyun-jun spared no answer.

According to Soka’s father, who said that there were about 50 days left until giving birth, it could be expected that she would be around 30 weeks pregnant.

[The average survival rate of newborn babies at 30 weeks gestation is 80%.]

At 80%, the chance of fetal death was low.

However, the environment of natural childbirth at home and outdated medical facilities were problems.

‘Isn’t it 34 weeks when the lungs matured?’

[Yes.]

‘Whoa, when the baby arrives, check the breathing difficulties first,’

[Babies born before 34 weeks may develop cerebral hemorrhage, cerebral palsy, infection, etc.]

I know it has no emotions because it is an artificial intelligence, but Ronnie’s cold judgment felt wild.

‘… … We don’t know the exact situation yet, so let’s not skip it.’

[all right.]

As we approached the shabby and worn-out house, Soka waved to get off.

“Sir, that is our house! mom!”

As soon as she got off her back, Soka went straight into the house, and Hyun-jun immediately followed.

“Hey, sir!”

Soka’s father, who had been guarding his wife with his face contemplated, ran out as if he had met the savior.

“Aww!”

Hyeon-jun, who had a glimpse of Soka’s mother lying on her side holding her stomach, deliberately asked the situation more calmly.

“I said I had a stomach ache a few days ago, but this morning it hurt to the point of rolling! Well, there was some liquid coming out from the bottom… … I asked Soka to bring the teacher. sorry.”

“no. Well done.”

Hyunjun answered and calmly took out the stethoscope.

“I felt the same way when Soka was born, so they say I’m forcing myself to endure it… … . Isn’t it too early?”

While Hyun-jun was talking, Soka brought Yoon Seon-ye and Gong Ji-won in.

“Let’s start with an examination.”

The two of them barely caught their breath and nodded.

Hyun-jun, who can speak Khmer, had to take the initiative in the examination.

Anyway, Sunye was a pediatric surgeon, Gong Ji-won was a family doctor, and Hyun-jun was a general surgeon, so it was far from obstetrics and gynecology.

“Soka’s mother, we are doctors from Korea. It may be difficult, but please answer my questions.”

“Ugh… … Yeah… … Ugh… … .”

“Does the stomach pain persist?”

“… … ugh no Every three minutes.”

“Um, yes. I’ll check your blood pressure. 110 to 70. Your heart rate is 90 beats per minute.”

“The body temperature is 37.3 degrees.”

We divided the roles and measured the figures.

Various numbers came out, but Seonye Yun and Gong Ji-won could not immediately tell the overall meaning.

“I think the preterm laber is right.”

“Hyunjun-ah, are you sure?”

“How does Master Jang know that?”

“The vitals are mostly normal, and it seems to be intermittent abdominal pain, which means uterine contractions every 5 minutes.”

Gong Ji-won kept her mouth shut at Hyun-jun’s pose as an obstetrician-gynecologist.

The surgical resident knew a lot, but too much.

‘Wow, such a person… … .’

“Hyunjun-ah, if you’re right, shouldn’t you stop it? Considering the number of weeks of pregnancy, it is about 30 weeks, but if I had a child now, it would be a premature baby… … .”

While talking, Sunye Yoon was fortunate to be able to speak Korean now.

If Soka’s mother had understood what she was saying now, the situation was sure to get worse.

Gong Ji-won took out his smartphone and checked the signal.

“Ah! If it’s on the internet, I can search for it, but I can’t find it… … .”

Hyeon-jun calmly put his hand on the mother’s belly while the two of them panicked.

‘Ronnie.’

[Ultrasound occurs.]

If it was a general hospital, a vaginal ultrasound would have to be done to confirm the diagnosis, but in the present situation, an abdominal ultrasound, let alone a vaginal ultrasound, could not be performed.

Hyunjun closed his eyes and focused his attention to the max.

In general, on abdominal ultrasound, the uterus or vagina, which are female reproductive organs, was not clearly visible due to intestinal gas or the pelvis.

That’s why it’s a vaginal ultrasound examination, but Hyun-jun was sorting out the information he wanted to see by analyzing the echoes coming back.

‘A little more… … . A little more… … .’

Of course, it was not easy because I was trying to do something impossible even with a machine.

Ronnie classified the overlapping images separately and collected the necessary information.

[Cervix 3cm dilatation (cervix thinning and opening), 80% has disappeared.]

‘The cervix is ​​also shortened.’

[It is 24mm. You can also see funneling.]

All figures indicated a risk of premature birth.

Funneling is a state in which the amniotic membrane is stuck in the cervix, which also increases the risk of premature birth.

‘Early labor is certain. How do you talk now… … .’

dry saliva passed.

Now that it was confirmed, the next step was a problem.

You can do anything to induce labor, but the important thing is the fetus. This is not a hospital and the sanitation condition is not very good.

‘Should I use Tocolysis? … .’

“Sir, I’ll check the medications you brought.”

“Yeah.”

Hyeonjun shook his head after checking the first aid kit.

“No indomethacin or turbutalin?”

“… … do not have.”

There was no way to control premature labor with medication. Now delivery was the only way.

“Ahh!”

Soka’s mother, who started to feel the pain again, grabbed her stomach.

“mom!”

“honey!”

Sokawa Soka’s father, who was watching from the side, felt that the situation was not serious even if the three of them spoke in Korean.

Cold sweat ran down his forehead, which was covered with sparse hair.

Yoon Seon-ye, who wiped the sweat with a towel, looked at Hyun-jun.

“Hyunjun-ah, you said you had a baby in Gyeongju.”

“… … Yes.”

“Master Jang… … Have you ever had childbirth?”

Gong Ji-won’s eyes widened.

“How did it happen? Do you have any experience as a teacher?”

“no. no. I have none.”

“Then, I’ll try.”

When Hyun-jun, who had cleared his mind, looked at the two, the eyes of trust and suspicion returned at the same time.

“Can you really do it?”

“You can’t just leave the mother alone.”

“still… … .”

“With the help of Gong and Yoon, we can do it.”

Gong Ji-won, who looked at the suffering mother once, nodded her head.

“all right! What shall we do first?”

“Please prepare dexamethasone.”

“Why steroids?”

I didn’t have time to explain them all, but I needed to gain the trust of Gong, who was cautious.

“I’m going to inject antenatal steroids IM (intramuscularly). It is intended to reduce complications due to immaturity, especially respiratory distress syndrome.”

“Ah… … .”

Gong’s short notes were substituted for ‘How the hell do you know all that?’

“Please prepare penicillin. To reduce the incidence of GBS sepsis.”

Before Gong could ask, Hyun-jun explained the reason first.

“Ugh… … .”

Hyun-jun, who received the syringe, injected dexamethasone into the arm muscle and penicillin IV (intravenously).

After all preparations, including clean water, towels, and sterilized gloves, Hyun-jun looked at the people in the room in turn and nodded.

“Now the minutes are in.”

“Sokaya, would you like to go to the next room?”

“no. I want to be by your side too.”

“Okay then, hold Mom’s hand.”

“Yes.”

As Soka grabbed her hand, Hyun-jun moved to her seat and stroked the mother’s hair.

“I will be able to meet the baby in a little while. Be a little strong.”

“Yeah… … . Teacher… … .”

The secretion of oxytocin from the inside of Soka’s mother started to increase in response to the secretion of nerve substances.

At the same time, uterine contractions occurred and labor began again.

“Aww!”

“Please do more!”

“aah!”

“little bit more!”

“aah!”

The pain lasted almost an hour.

“Mom, cheer up!”

Perhaps he could hear Soka’s voice, and the fetus’s head began to appear.

“Ah… … Hyun Joon-ah. comes out come out!”

Sunye Yoon could not hide her excitement and made a sound. But Hyun-jun couldn’t solve her expression.

Something was strange.

‘There is no movement of the fetus.’

Holding down the ominousness, Hyun-jun concentrated on childbirth.

A fetus, which was much smaller than when the mother received the baby, gradually appeared.

“aah!”

“It’s all out!”

Hyeonjun carefully accepted the fully released fetus.

‘… … no.’

Hyeon-jun’s expression darkened as he quickly removed the amniotic fluid from his face and stimulated breathing, but confirmed the unchanging state of the fetus.

He had a heartbeat, but was not breathing. His heart rate, however, was very weak.

He calmed down and asked cautiously.

‘… … Ronnie, how much do you weigh?’

[It is 1.5 kg. The vital sign is very weak.]

‘Damn it!’

It was then that people noticed that something was strange.

Neither Soka’s father, who was happy, nor Seon-ye Yoon and Gong, who were watching from behind, did not open their mouths first.

“honey… … How about our baby? Are you a daughter? Are you your son?”

It was Soka’s mother who broke the silence. Soka’s father didn’t say anything.

“honey… … ? Teacher, what’s going on?”

Hyunjun shook his head and looked back.

“Please prepare an ambu bag!”

Hyeon-jun, who had removed the remaining amniotic fluid by inserting a catheter into the baby’s nose, grabbed both ankles and tapped the soles of the feet.

[Swipe your spine up and down.]

‘okay. Ha, please! please!’

[The heartbeat becomes weaker.]

“Master Gong, Ambubag!”

“Yeah… … .”

Gong, whose complexion had turned blue in the unexpected situation, could not help but look at Soka’s mother.

“I will do the heart massage.”

Fortunately, Sunye held onto his spirit and helped Hyunjun.

Hyun-jun carefully squeezed the embu and gave artificial ventilation.

‘Come back!’

Has it been 5 minutes?

Sunye Yoon slowly lifted her hand from the baby’s chest.

“what’s the matter?”

“… … My heart is not beating.”

“… … .”

Hyeonjun stopped moving and held the baby to his chest.

[No breathing and no heartbeat.]

“Teacher… … Baby… … .”

Soka’s father struggled to open his mouth, but Hyun-jun couldn’t accept the situation.

“Hyunjun-ah… … .”

“… … Jang did his best.”

‘… … Ronnie, is there any way? are you? There must be a way to save you.’

[There is no way to bring the dead back to life.]

‘no. it is not so.’

To be honest, Ronnie’s answer didn’t come back.

‘There must be a way!’

Could earnestness work miracles?

In an instant, a vast amount of data began to unfold in Hyun-jun’s mind.

‘This… … .’

Hyun-jun immediately knew that the data was Ronnie’s database.

Perfect Surgeon chapter 141

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