Dr. Choi Max Ho - Chapter 220
Only Noblemtl
Doctor Choi Dae-ho Episode 220
Daeho shouted as he cut open his chest with a scalpel.
“Mr. Wang!”
“Suddenly, Bobby, ready!”
Crunch, crunch.
Wang Jae-seong, standing on the opposite side, started to act as an assistant.
Seo Ju-ran followed suit.
“Installing the foam. Ugh!”
Gulp, gulp.
The fixed retractor opens in all directions as the hand reaches, securing the area of effect.
The foam spread so widely that the ribs were exposed.
The location of the break on the left was clearly revealed.
At that moment, Yu Gwang-gu appeared and showed off his bone cutter.
“Start cutting the ribs!”
Knock, knock.
The ribs were cut without a trace, making an eerie sound.
Only after going through that process could the left lung be secured.
There was a clear wound in the center of the lung.
Daeho carefully opened the gap made by the mixer and checked the inside.
Flash!
Something sparkled in the light.
The silver-glowing object was a piece of a blade.
“Fuck.”
“How could this be?”
“It looks like the blade broke when it collided with my ribs.”
When Daeho answered, Wang Jaeseong’s eyes widened.
“What kind of child is this? This fucking piece of shit.”
“Mr. Wang.”
“I know I need to focus too. So what order are you going to do them in?”
“You have to pull it out and stop the bleeding. Like this.”
As soon as Daeho spoke, he moved the mixer.
It was at the same time.
Swish.
The mixer pulled out the blade and held it up.
Everyone’s eyes widened at Daeho’s sudden actions.
“No, that’s right!”
“You have to talk about it and then vote!”
“What if I just pull it out blindly?”
The sound of resentment was everywhere.
It was worth it.
Ugh, ugh.
A massive hemorrhage began in the injured lung.
As soon as the blade disappeared, the blocked blood burst out.
Daeho quickly ordered a change of position.
“Chief, give Mr. Seo a blood transfusion!”
“Again? What the heck, I don’t know!”
Tight.
Yoo Gwang-gu squeezed the transfusion pack again, still furious.
I don’t have enough free time to think about anything else right now.
The tiger’s torn lung was spreading further to the left and right.
The blood vessels causing the bleeding had to be stopped.
To do that, organizing the surroundings took priority.
Damn.
“Professor Wang, suction.”
“I’m going.”
“Nurse, please give me a lot of gauze.”
“Gauze, it’s pouring!”
Clang.
White gauze poured down like a snowstorm.
Daeho pushed the gauze deeper to absorb as much bleeding as possible.
Crunch crunch.
Wang Jae-seong was absorbed in sucking blood through suction.
Daeho, who had some free time, looked at his abdomen.
Professor Kim Chul-yong was teaching at length and was in the process of primary treatment with Park Young-jun.
But it doesn’t seem to be going very smoothly.
“Mr. Park, how about you?”
“Professor, your field of vision is too limited.”
“The pollution is severe.”
“The stomach and liver were torn and a lot of the contents spilled out.”
The conversation was quite serious.
And the tiger was also looking at it with his own eyes and assessing it.
The food that was being digested flowed out into the abdominal cavity, making a messy appearance.
If you leave it alone, it will slowly rot.
It had to be removed as quickly and thoroughly as possible.
Crunch, crunch.
Treatment was being carried out quickly, including pouring saline solution and removing it with suction.
Professor Kim Cheol-yong and Park Young-jun were very active in emergency surgery.
So, it seemed like things were going smoothly, but in fact, it was at a standstill.
There were too many byproducts to be removed.
“this!”
“This is never ending!”
Chuck, chuck.
Even though he kept moving his hands, the voice he let out was dark.
Because it doesn’t end with just kicking it out.
Bleeding was occurring in various organs.
I didn’t have the surgical skills to handle it all.
It’s not that they lack skill.
The problem was that there was relatively little experience in emergency surgery.
Daeho spoke briefly as he took stock of the situation.
“Professor, please pay attention to removing it as much as possible.”
“The lung problem doesn’t look simple.”
“It can be learned. It just takes time.”
Daeho said with hardened eyes.
Professor Kim Cheol-yong, looking at such a tiger, spoke in a deep voice.
“Let’s try to make some time.”
“please.”
“Let’s put this aside for a moment and focus on that.”
“then.”
The tiger answered and turned his gaze from his abdomen to his chest.
It looked like Wang Jae-seong had managed to control some of the bleeding.
The tiger was quite unexpected.
Actually, this is the first time we’ve performed emergency surgery together.
It was a bit higher than expected.
‘then.’
Daeho assessed it coolly.
Given Wang Jae-seong’s skills, it was decided that the speed of emergency surgery could be increased.
There is no time to worry any more.
From now on, we need to recover the money quickly and swiftly.
Daeho asked Wang Jaeseong softly.
“Are you ready?”
“What preparations.”
“Ready to run.”
It was at the same time that Daeho spoke.
Wang Jae-seong nodded with strength in his eyes.
“Anytime, and as much as you want.”
“Then let’s go!”
Flash!
The tiger’s eyes, filled with determination, sparkled coldly.
At the same time, the tiger moved.
First, I grabbed Mixer and Kelly and checked their ruptured lungs.
The white gauze that Wang Jae-seong had pushed in was already dyed red.
It was so meticulously stacked that it was difficult to see inside.
These are gauzes that have already reached their absorption limit.
The tiger didn’t hesitate a bit in taking it out.
Chuck chuck.
“Kick it out first!”
“Fill it again?”
“No. Stop the bleeding first!”
“Then I’ll do it with Bobby, like this, here too!”
Chijik, Chik.
Wang Jae-seong started to stab Bobby as soon as he saw the blood flowing out.
The tiger, who moved diligently, was able to remove most of the gauze.
This was the first time I had a close look inside the lungs.
The bleeding had stopped here and there, but there were still more areas bleeding.
That wasn’t the only problem.
As I looked more closely, the tiger’s eyes gradually hardened.
‘There is significant damage to the blood vessels inside the lungs.’
The lungs are filled with countless, thin blood vessels.
The blood vessels were in contact with the alveoli, which were like the roots of the bronchi.
The structure was such that the fine roots merged into a stem and joined together to form a tree called the trachea.
In a word, the lungs are an incredibly complex organ.
Now, Han Soo-gil’s problem was not simply the blood vessels inside his lungs.
There was a gash in the middle of the lung.
The stem of the bronchial tube is cut off in the middle.
The bleeding was flowing back up into the mouth and nasal cavity, causing hemoptysis.
This caused unstable breathing.
If a person cannot breathe, he dies.
If I left it like this, I didn’t know when my heart problems would come back again.
For that reason, the first priority now should be to block the bronchial tubes.
Daeho stretched out his hands to the side and shouted softly.
“Babcock.”
“Here it is.”
“Bronchus block!”
closely!
The tiger bit the trachea that had been cut with a broom.
A response came from Bang Gyu-seong immediately to see if it had been properly blocked.
“Oxygen saturation is gradually increasing, respiratory rate is also increasing, and more oxygen is being released!”
“What about hemoptysis?”
“Just a moment, Chief, wipe the inside of your respirator.”
At Bang Gyu-seong’s order, Yoo Gwang-goo quickly repaired the respirator.
Swish swish.
“I cleaned the airway. The breathing is shallow and rapid, and, uh, uh. The coughing up blood has stopped!”
Yoo Gwang-gu reported the situation in real time and informed of changes.
Then Bang Gyu-seong added:
“Richard, your breathing is okay. Keep going!”
“All right.”
The tiger’s two eyes, which had answered, were already turned towards the next emergency treatment site.
Those were the blood vessels in the lungs that Wang Jae-seong was working hard to stop the bleeding.
Bobby was supporting and supporting again.
But the scope was quite broad.
In terms of the total bleeding area, less than one-fifth has been stopped.
“Let’s try it, eight!”
Crackle, crackle.
Wang Jae-seong was breathing heavily and moving his hands quickly.
It’s picking up speed so much that it looks like there are several hands the size of a pot lid.
He was trying so hard.
It was rude to say that this was all I could do.
No, the area was too large for Bobby to support everyone.
At that moment, the voice of Professor Kim Cheol-yong, who was in charge of the abdomen, was heard in Dae-ho’s ear.
“Mr. Park, shouldn’t we stop the bleeding first?”
“The contamination coming from the stomach and intestines is too severe.”
“Oh, shit. We don’t have time for this. Let’s stop the bleeding with gauze first and then proceed with cleaning.”
“I will hurry as much as possible.”
Small but sharp opinions were exchanged quickly, setting the direction for emergency treatment.
Daeho had a feeling that he didn’t have much time to stay in the chest.
In doing so, the definition of current surgery has been redefined.
Emergency surgery.
It was far from a perfect operation.
The priority was to provide optimal treatment for the patient’s survival.
I keep forgetting.
As soon as I entered the operating room, I felt a surge of desire to finish it perfectly.
It was a wish not to make the patient suffer twice.
But that was a one-way street for the tiger.
This is the state of mind you must be most cautious of in the emergency operating room.
‘Choi Ma-ho, stop being greedy!’
Daeho scolded himself.
In the process, the concept of emergency surgery was redefined.
It was at the same time.
Changing my gaze brought home one more thing.
‘You have two lungs.’
Even if one lung’s function was temporarily blocked, breathing was possible through the other lung.
If so, there was at least a way to perform emergency surgery.
Daeho ordered Wang Jaeseong with his eyes sunken low.
“Mr. Wang, stop!”
“What? Stop. Why!”
“There is no end to this.”
“Then what are we going to do?”
Wang Jae-seong shouted with strength in his eyes.
It was a look of urgency, asking me to tell you quickly if there was a better way.
Daeho said, extending his hand to Nurse Lee Su-yeon, who was assisting him.
“Please give me some liquid hemostatic agent.”
“It’s here, it’s here!”
Thud!
Nurse Lee Soo-yeon urgently found a liquid hemostatic agent and handed it over.
It looked like it was made in a syringe type.
Daeho ordered Wang Jaeseong to spray the syringe widely into his lungs.
Sizzle.
“Mr. Wang. Gauze!”
“Cover this with gauze?”
“Bleeding control comes first!”
“Of course. That’s what I’m talking about. Oh, okay. Nurse Hwang, gauze again!”
Wang Jae-seong heard Dae-ho’s order and shouted.
Nurse Hwang Se-mi quickly sprinkled the gauze she had prepared on the bat (iron bowl).
Chararak.
“Gauze. Gauze!”
“Okay. Okay. More gauze!”
Wang Jae-seong used forceps to carefully arrange the gauze inside the lungs.