Perfect Surgeon 145
Perfect Surgeon chapter 145
Episode 144.
144.
Hyeon-jun, who checked the CT (computed tomography) image once again, remembered the bifurcation of the carotid artery suspected of atherosclerotic change.
The part where Hyun-jun’s scalpel touched was the neck where the patient’s carotid artery was located.
The carotid artery, the main blood vessel supplying blood from the heart to the head and brain.
It can be easily exposed because it is close to the skin, but the process was not simple.
“Please pull it with the retractor.”
As the assistant moved, the carotid sheath covering the carotid artery was carefully dissected.
The operation Hyun-jun is currently performing was carotid endarterectomy.
The patient experienced a transient ischemic attack due to decreased blood flow due to a narrowed carotid artery.
Surgery was essential because the condition worsened if left as it is.
However, while the operation continued, Hyun-jun was the only one who spoke.
The assistants and the surgical scrub nurses only followed Hyun-jun’s instructions and did not open their mouths.
‘Ronnie, though, wouldn’t it be more natural for the assistant to give an answer?’
[all right. I will fix it in the next upgrade.]
Ronnie’s answer followed immediately.
Hyun-jun was not in the actual surgery, but in Ronnie’s virtual operating room.
Although he devoted a lot of time to researching flu drugs and developing a portable incubator, Hyun-jun did not miss a single day of surgery practice.
The virtual operating room has undergone several upgrades, and now it is almost impossible to find a difference from the real operating room.
Even the temperature of the operating room and the unique air were reproduced, and the staff replicated the people they met in the operating room in real life.
The patient’s detail could not be compared with before.
The repertoire of surgeries also varied.
It was possible to reproduce the operations of various majors including thoracic surgery, not limited to the operations performed in general surgery.
Carotid endarterectomy, which Hyun-Jun is currently performing, was also a vascular surgery among general surgeries.
“Heparin injection.”
Hyeon-jun’s instructions followed, checking the clamping of the arterial forceps with a hawk’s eye.
Carotid endarterectomy was a delicate operation.
Even a small mistake could result in a stroke during surgery or damage to the cranial nerve.
“A carotid artery incision is in place.”
As the operation continued, I suddenly heard a voice.
[warning. Cerebral ischemia is suspected due to carotid artery clamping.]
Hyeonjun immediately responded to Ronnie’s warning.
I know it’s one of the emergency surgery programs, but it could happen in real life.
“Shunt!”
[The type of shunt.]
“With the USCI Javid Bypass Shunt.”
Hyun-jun, who received the shunt, first inserted it into the internal carotid artery, and after confirming that the blood flowed back enough to exhaust the air, it was inserted into the common carotid artery.
All of Ronnie’s warnings that occurred in the middle could have happened in an actual operation.
‘After all, it makes more sense to me that the nurse is talking.’
[My role in the operating room seems to be gradually disappearing.]
‘haha. is it?’
After the crisis was over, Hyun-jun, who had a little time to spare, concentrated on surgery again.
“The atherosclerotic changes are severe. It goes to the plication technique.”
There was no blockage in Hyunjun’s skill.
The immaturity he had seen before had almost disappeared, and even a skilled sergeant with rich experience could not be inferior.
It was only natural that my skills improved as I had more than one surgery every day.
Experience is skill.
It was a story that everyone would admit if it was a seojeon. In that respect, Hyun-jun’s experience was to the extent that not even a skilled doctor of his age could match him.
With his quick and precise technique, the wrinkled internal carotid artery was quickly straightened.
“Whoa. It was pretty neat. Ronnie, did you make a mistake?”
Hyeonjun opened his eyes and breathed a sigh of relief as if he had actually had surgery.
[99% success.]
“What is it, what is the other 1%?”
[During surgery, the carotid sinus receptors located outside the arterial muscle layer were stimulated, resulting in mild bradycardia and hypotension.]
“There were no warnings.”
[It was okay for a momentary change, but if bradycardia and hypotension are maintained, it can be resolved by infiltrating a diluted local anesthetic.]
“really… … . There is no end to learning. OK. I will remember you next time.”
[all right.]
“Ah… … . I want to go into the operating room.”
Although the virtual operating room showed the extreme of realism, it was still incomparable to reality.
The feeling of pride in saving the life of a dying person after the operation was over was a feeling that could not be understood by those who did not feel it.
[In reality, it has been 267 days since I was unable to enter the operating room. If you count those who entered Cambodia, it is 152 days.]
It was the third year of the resident, and September had passed, but there was no change in the general surgeon’s attitude toward Hyun-Jun.
In the midst of that, it was the news of the virtual operating room and the warm embrace of Bopa that made Hyun-jun endure.
Bopa Worm Embrace.
It was the name of a portable incubator built by Hyunjun after much thought in the sense of a warm hug for premature babies like Bopa.
Five months ago, I got a call from Michael Gibbs and things went smoothly.
It was the power of Olympus, and its driving force was truly unfamiliar.
In an instant, the improved product was mass-produced and distributed under the name of Olympus Healthcare.
In addition to UN-affiliated organizations such as UNICEF, we have signed agreements with NGOs and national organizations.
The Bopa Worm Embrace was delivered to needed locations around the world in an instant, and in less than half a year, more than 50,000 babies have benefited.
Olympus did not stop at production and delivery, but created a program for medical staff and maternity to provide education.
Whether Lorna Allen’s intentions or not, Olympus Healthcare’s status has risen to an undeniable level.
The image, which was perceived as a mega high-tech company and felt desolate to most people, began to change gradually as the project was featured in a major book.
Hyeon-jun’s idea was to achieve a task that was not easy for Lorna Allen to spend trillions of won.
Hyunjun also became a celebrity.
Lorna Allen, who appeared on CNN, clearly specified the developer, and although it cannot be compared with other countries, it naturally became a big issue in Korea.
It was necessary for his dream, so Hyun-jun accepted the situation as it was.
After all, the temporary popularity of Dynamic Korea would soon fade.
[There is an interview at twelve o’clock.]
“To be with Director Pyo Jinyoung… … . I really don’t like this interview… … .”
Although Hyun-jun developed the incubator and received attention once again, Pyo’s policy (?) toward him did not change.
Unlike his usual appearance, he was giving Hyeon-jun unchanging guidelines, unlike his usual appearance.
Hyeon-jun did not even expect that the attitude of Director Pyo toward him to this extent would change.
It is said that if the dripping water continues, even a stone can be pierced.
Hyunjun had no intention of giving up.
“Oh, Mr. Jang… … Hmm.”
Seol Hyung-min, who met on the way to the director’s office, couldn’t even make eye contact with Hyun-jun.
The surgeon gave me a pin-zan to make a backpack, because the result was beyond his imagination.
Hyun-joon passed by without saying a word, only bowing his head slightly.
It was because even if he didn’t say anything, he could see that he was already confused in his eyes and expression.
It wasn’t like Seol Hyung-min’s attitude had changed at all. Hyunjun could sense subtle changes in the overall surgical atmosphere.
No one followed him like a spy, and the eyes of the professors, who had turned away or cold-hearted, seemed to have softened a bit.
It was the first time I met Director Jinyoung Pyo since the day I met Professor Kwangwook Joo.
When I was the deputy director, I saw him once a week, but because I saw outpatients and had surgery, I saw his face occasionally.
Besides, there was no choice but to be awkward between the two.
Hyun-jun was the only one who had seen Director Pyo properly humiliated by Professor Joo Kwang-wook.
Hyeon-jun also, although not officially, was not able to enter the operating room for over half a year under the direction of Director Pyo.
“Hurry up and come back.”
Hyeonjun, who finished the tie, got up from his seat.
*
“Oh, Mr. Jang. Come on in.”
Hyeon-jun paused for a moment at the unexpected hospitality and entered the director’s room.
Because there was a reporter, the mask to hide the inner feelings was still there.
“Hello.”
“sit down please. It’s been a long time. How are you doing? It’s been 3 years, are you busy?”
“… … it’s okay.”
that food.
It was an expression that a person who even planted a spy could not even imagine.
I wanted to tell you about the operating room right away, but I couldn’t because there was no evidence.
It was a situation that could have been shaken in the past, but Hyun-jun quickly found his composure.
The time, experience, and effort over the years did not just develop the surgical skills.
Hyun-jun’s mental power was also stronger than it had been a year ago.
“You don’t know how proud I am of Mr. Jang. We are proud of our general surgeon. haha.”
“… … thank you.”
Shortly thereafter, the reporter and the reporter exchanged greetings and the interview began.
The Moment, Process, Current Situation, etc. of the development of the Bopa Worm Embrace.
The content of the interview was largely the same as before.
The only difference was the reaction of Jinyoung Pyo, who was sitting next to him.
“He’s someone I’ve known since my internship. The record has not been broken as to how many times patients write praises for Dr. Jang on customer bulletin boards.”
“Wow, that’s great. Why did Professor Jang major in general surgery?”
“I wanted to be a surgeon before I even went to medical school.”
Do not like Hyun-jun’s dry answer, Director Pyo added flesh.
“As you can see if you look at the data, Mr. Jang showed the role of a doctor properly even during the Gyeongju earthquake. This is the pride of our Daehan University Hospital.”
“Ah, something like that happened.”
“But the director didn’t like me very much.”
Hyunjun, who had been listening quietly, interrupted. I don’t know what his intentions were, but he had no intention of being dragged around by Director Pyo.
Director Pyo’s expression hardened for a moment, and the reporter asked as if trying to understand the meaning.
“Yeah?”
“The director is still like that, but he wanted me not to apply for general surgery because he was faithful to the principles.”
Hyun-jun continued his answer by looking into the eyes of Director Pyo, not the reporter.
“Why?”
“Even as an intern, I thought that if a sick patient was in front of me, I had to make my own judgment and take the best treatment. However, Director Pyo gave more importance to principles.”
“haha. Our teacher Jang misunderstood something. If I didn’t want to be accepted as a general surgeon, how would Dr. Jang be here now? haha.”
“It is.”
When Director Pyo made the situation laugh with laughter, Hyun-Jun did not go out any more.
In a strange atmosphere, reporter Kim looked at the two in turn.
The reporter’s keen intuition could sense that Director Pyo was perplexed.
After about 30 minutes of questioning, the reporter finally got up and said hello.
“Thank you for the article. reporter. Oh, and this is a project we are working on at our hospital, so I think you can take a look and refer to it.”
The reporter’s expression changed briefly as he glanced at the contents, then returned to normal.
“Don’t worry about the knight. Manager.”
“Yeah. haha.”
Hyun-jun tried to get up too, but Director Pyo stopped him.
“Master Jang, wait a minute.”
“… … Yeah.”
As the reporter left and the tone changed in an instant, Hyun-jun kept his tension.
Director Pyo, sitting on the sofa, crossed his legs. The atmosphere was definitely different from when I was vice president.
“I’m going to think of what happened a little while ago as a young man’s play.”
“It’s also true.”
“Hmm. How about it, isn’t it comfortable not to go into the operating room?”
“Yeah?”
“It’s a joke. joke. I know doctors like you.”
“… … .”
Hyun-jun did not immediately react to the hooked fastball.
“Aren’t your hands itchy?”
“… … Did the headmaster give you orders?”
“Then I Who would it be?”
Director Pyo was no longer wearing a mask as he thought that there was nothing to be done as long as he became the director.
It was like, ‘What would you do if you knew?’
Hyun-jun straightened his mind and stared at him.
“Master Jang.”
“Yeah.”
“You are a character.”
“… … .”
“Being a director changes the way I see the world. There is no need for me to reject a doctor as talented as you. Isn’t it?”
“I don’t know what that means.”
“If you go with me, wouldn’t it be a win-win for each other? It’s good that you’re a fellow at a hospital and even a professor, so you can operate to your heart’s content, and I’m glad I got a strong talent who can help promote the hospital.”
“Jeon… … .”
“Oh, you don’t have to answer me now. You’ll need time to think. But think about your future.”
It was true that the future was guaranteed if you were on the same boat with Director Pyo.
He didn’t force Hyun-Jun at all. All he had to do was follow the orders he gave them.
However, Hyun-jun could not accept the image he had shown not only to himself but also to others.
“You know better what the benefit is. Best of all, you can go straight into the operating room.”
Hyeonjun, with a stiff expression on his face, got up from his seat.
“Let’s go.”
“Yes. I won’t give you much time. The longer you worry, the worse it will be for you.”
“… … Yeah.”
Hyun-jun, who trudged out of the director’s office, shook his head.
I had no intention of working with him, but this made it even less likely that I would go into surgery even after four years.
As he made his way to the surgical ward, confused, he saw a familiar man running madly in his eyes.
“Uh, Wan-gyu hyung?”
Perfect Surgeon chapter 145
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