Perfect Surgeon 146
Perfect Surgeon chapter 146
Episode 145.
145.
Hyeon-jun’s steps speeded up at his hasty appearance.
In the past, it was difficult for both of them to see each other because they were both busy, but now, Son Wan-gyu is relatively busy, so it was not easy to have a short conversation.
Meanwhile, outside the emergency center, I saw him anxiously waiting for something.
“Wan-gyu hyung!”
“uh? Hyun Joon-ah!”
“Brother, what are you doing here?”
This was because severe trauma patients come directly to the trauma center, not the emergency room.
“A trauma patient who was being transported by helicopter got off midway due to bad weather. I was transferred to an ambulance in the middle, but the driver said he only knew the emergency room, so he told me to come here.”
“What about the patient?”
“I am a woman in her 70s. She had a fall accident from the side of a mountain. uh! Hyun Joon-ah. tea comes in I’ll call you later when I have time!”
“Yes, bro. cheer up.”
He wasn’t the type of person who wouldn’t say hello, but it didn’t seem like he could afford to do that.
He seemed to have lost some weight, but when he saw Son Wan-gyu, who came up from Gyeongju Hospital and is adjusting well to trauma surgery, fifty thousand thoughts crossed his mind.
‘I should be there too… … .’
Was it right after meeting Director Pyo? The emptiness that could not be filled by research and virtual operating rooms alone was felt again.
That evening.
I thought it was just a word and I was clearing my expectations, but late in the evening Son Wan-gyu came to visit Hyun-jun in the ward.
“Jang Doc!”
“Wan-gyu hyung!”
Seeing the familiar face made me smile.
“Do you have time?”
“Yeah. You just need to finish this.”
“Yeah, I’ll wait. Let’s go get a cup of coffee.”
Hyunjun raised his thumb without saying a word.
Two people sitting in a coffee shop near the hospital collided with coffee mugs like beer mugs after a long time.
“I thought you were going to ask for a drink.”
“I didn’t know when the call would come, so I didn’t drink well even when I was resting.”
“Ah… … Come to think of it, do you know that it’s been almost three years since the two of us drank coffee together at a coffee shop?”
“It’s been three years? Ah, after all, since you passed the residency, you and I have been so busy that we can’t get our heads together.”
“So.”
“The manager gave me off until tomorrow morning.”
“Until tomorrow morning? What off is that?”
“Even if we can only go home, it’s off.”
General surgery is second to none in terms of being busy, but trauma surgery seems to be even worse than that.
“Are you that busy?”
“Beyond your imagination. But this year is especially special.”
“This year?”
“At the beginning of the year, the trauma center was not properly supplied and the situation has continued to this day. Did you know that the salaries of the trauma center staff were also cut?”
“to? Maybe?”
It was absurd to say that the more you give, the more you have to pay, whether the allowance or salary is reduced.
“It all happened after Pyo Jinyoung became the director.”
“Ah… … .”
He wasn’t the only one having a hard time.
Director Seok Jin-woong, the head of the severe trauma center, and director Pyo, who is an antagonist, could not leave him and the trauma center that he led.
“Even so. I can’t tell the difference between a ball and an apostle… … .”
“I thought so too at first, but it came out very blatantly. Only those who remain now are going to die.”
“… … Do you regret it?”
Hyeon-jun, the first person who made Son Wan-gyu work for the trauma department at Daehan University Hospital, had to ask.
“regret? Not at all. Even if I’m busy, I like who I am now.”
“Your brother-in-law and the kids don’t see each other often… … .”
“That’s what I like the most. Because the housework was completely entrusted to the wife. Even kids sometimes get upset when they talk.”
“… … .”
“Still, I’m glad I met a good woman. Manager Seok seemed to be separated, not divorced. I am not totally sure.”
“It’s okay… … ?”
“My busyness is nothing compared to the manager.”
Hyunjun didn’t ask why. I just figured it out without realizing it.
I am married to be a doctor, and I spend most of my time at the hospital, and even if I come home occasionally, when an emergency call comes in in the middle of the night, I leave immediately.
You might think that your husband is doing a wonderful job that saves lives, but he was in a situation where he couldn’t help but feel lonely.
“Hey, let’s stop talking like this. Next year will be a little better. To be honest, if you came, I would really take a breather.”
“Yeah… … .”
“Oh right! Incubator! That… … . What was your name?”
“haha. Did you see the article? It’s a bopa worm Embrace.”
“You know how surprised I was to see your face in the article? Anyway, you have the talent to surprise people. great guy.”
“No. Just by chance… … .”
“How do you make something like that? Surgical resident must be busy, where did you get the time to make it?”
Hyunjun couldn’t answer right away.
“I am really curious about your surgical skills. It was great three years ago, but now it’s not a joke, is it?”
“No. brother. Me too.”
“Why?”
After drinking coffee, Hyun-joon spoke up about what had happened so far.
Son Wan-gyu, hearing Hyeon-jun’s situation, nodded his head heavily.
“It’s disrespectful to not be allowed to enter the operating room. what the. By the way, it seems that Director Pyo has accurately grasped your inclinations.”
“I think so.”
“You and I have no choice but to endure. Yes?”
“that’s right.”
“Drink the rest and get up. I need to see the faces of the kids today.”
“okay. brother.”
As soon as he was about to drink the leftover coffee, Son Wan-gyu stopped moving.
His expression hardened as he looked at the smartphone he took out of his pocket.
“Is this a hospital?”
“I said no call today, what happened? Hello. Yes. Prof. Yes. All right. I will go right now.”
Son Wan-gyu hung up the phone and took things.
“What happen?”
“Three T-Star (traumatic) surgeries overlapped. I think the steps are lacking. I think I should go.”
If the surgery overlapped, there was a high possibility that he could not be transferred to another hospital.
Off, which was not even like Off, disappeared in an instant, but Son Wan-gyu did not even let out a sigh.
He seemed to be used to this by now.
Hyun-jun, who had to go to the hospital anyway, got up.
“Brother, let’s go together.”
“Is that so?”
The severe trauma center was much more crowded than usual, with placenta runners.
Trauma Surgery Professor Sang-wook Yoo and Manager Seok Jin-woong were having a conversation at the station with serious expressions.
Professor Yoo Sang-wook’s attire looked like he had just gotten off the Doctor’s helicopter.
As I got closer, I heard the voices of the two men.
“Vitals are very unstable. Your blood pressure (BP) is below 70. There appears to be heavy internal bleeding.”
“Did you catch the central line?”
“Yes, I intubated the airway and caught it.”
“What about the operating room?”
“Once we got a seat. By the way… … Professor, no matter how much I think about it, it is unreasonable to operate on three people at the same time. There is no one.”
“I know, but you can’t have a pointed number. It’s an emergency that we don’t know what will happen if all three are transferred again.”
“ha… … .”
Professor Yoo Sang-wook did not send patients to other hospitals as much as possible.
However, even in the severe trauma center, where most patients are in critical condition, this overlap of patients is rare.
“Oh, Master Son.”
Only then, Professor Yoo realized Son Wan-gyu’s existence and was delighted.
I called someone who was off, but no one said sorry. Needless to say, we knew each other well anyway.
“Get ready for surgery.”
“What about the patient?”
“I’m in pre-operative treatment right now. Two were in a car accident. One is a fall victim.”
“How is it?”
“All three are critical. First of all, I think we should catch the bleeding with DCS (Damage Control Surgery).”
DCS was a surgery that prioritized only emergency treatment for bleeding sites and control of intra-abdominal contamination by intestinal contents with all focus on the patient’s resuscitation.
While the two were having a conversation, Manager Seok’s gaze turned to Hyunjun.
“you.”
Hyunjun bowed his head.
“This is Hyun-Jun Jang.”
“I know.”
It was unexpected that he remembered the name. It was the first time I met with Suk Seok since the general surgery interview.
After thinking for a while, Manager Seok opened his mouth.
“Master Jang, are you busy now?”
“Yeah? no. it’s okay.”
“Then I will have to help you with the operation.”
Professor Yoo Sang-wook looked at the two with a puzzled expression.
Now, Manager Seok was seeking help from someone other than the trauma center staff.
Personally, I didn’t understand it at all, both in terms of hospital rules.
“Prof… … . Who is this friend… … . I think I’ve seen it somewhere… … .”
“I am a resident of general surgery.”
“Yeah?”
“Didn’t you see Professor Yoo? A DCS patient transported during the Gyeongju earthquake.”
“… … Ah! at that time! But that’s Teacher Son… … .”
“I’ll explain more later. Professor Yoo will be in charge of Gil-hyun Song, and Professor Son will be in charge of patient Kim Deuk-soo. We will start with the most urgent patient Park Seo-hee and go right in. And… … .”
Manager Seok looked at Hyun-jun.
“Mr. Jang will stand by my side as the first assistant.”
“all right!”
It was a sudden operation, but Hyun-jun calmly prepared.
Nevertheless, Hyun-jun’s heart pounding for various reasons as he disinfects.
Not only was it possible to enter the operating room, but it was also possible to watch the operation of Director Seok Jin-woong, who is called the best surgeon, right next to him.
After disinfecting, Hyun-jun exhaled lightly and entered the operating room.
The moment I met the patient lying on the operating table, the thoughts that had been swirling in my mind a while ago quickly subsided.
Nothing could outsmart the patient’s life.
“I will introduce you later. Master Jang. Take your seat.”
The trauma surgeon, who was agitated by the appearance of an unfamiliar person for a moment, immediately focused on their work.
There is some reason to trust Manager Seok, but the trauma surgery team was stronger than any other team in an unexpected situation.
“Doctor Jang, did you check the CT?”
“Yeah.”
“Come on, then let’s go in. Blood will splatter as soon as you open your mouth, so everyone prepare. Are you ready for irrigation?”
“Yeah!”
“Start.”
As soon as the bulging stomach opened, as Manager Seok said, blood poured out of the basin like water.
It was due to excessive bleeding caused by internal organ damage. The clean floor was quickly stained with blood.
“Your blood pressure goes down.”
“Blood!”
“Yeah!”
“Just pour into the basket!”
When the operation started, Manager Seok Jin-woong’s tone became sharp.
After washing and examining the internal organs with the naked eye, he opened his mouth.
“Let’s start with the splint rupture.”
When Manager Seok held out his hand without saying a word, a vascular clamp was gently placed on the palm of his hand.
The person who handed the surgical tool was Hyun-jun.
There was also a shortage of scrub nurses, so Hyun-jun took on that role.
Director Seok also went into ligation of the splenic artery without saying a word.
While he was undergoing surgery, he paused for a moment, and Hyun-jun pulled the transverse colon downward without missing the moment.
“Well… … .”
There was a slight commotion in the operating room along with Director Seok’s minute breathing.
Even with a small movement, the veterans recognized Hyeon-jun’s skills.
As the operation progressed, the sum of the two went beyond common sense.
As if through telepathy, there was no exchange of language or gaze between the two.
When Manager Seok just reached out his hand in time, a suitable surgical tool came up.
This time it was Caesar Metzembaum’s turn.
Section Chief Seok, who cut the outer adhesions with a sharp scissor, quickly peeled away from the splenic-colon ligament to the non-renal ligament.
“Specimen out.”
The ruptured spleen came out of the body faster than expected, and the anesthesiologist confirmed the vitals.
He also had a look of admiration.
“My blood pressure was taken. The vitals are stable.”
If the spleen had ruptured and remained in the body, continued bleeding could cause the patient to die.
For once, the hurdle had been passed.
Only then, Manager Seok raised his head and nodded toward Hyun-Jun.
He never once said anything about the surgical tools Hyun-jun gave him.
That would have been impossible without a thorough understanding of the surgical process.
Perfect Surgeon chapter 146
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