Dr. Choi Max Ho - Chapter 243
Only Noblemtl
Doctor Choi Dae-ho Episode 243
If you feel sharp pain when pressing and releasing, it is normal to feel some foreign movement inside.
But this patient was different.
‘Is there almost no abdominal distention?’
It was a strange omen.
There’s one more thing I learned there.
The fever was extremely high.
In this case.
Daeho suddenly blurted out the name of the disease that had come to mind.
“Disseminated peritonitis?”
That was when.
The patient crouched for a moment, crying in pain.
“Kuaaaah, aaaah!”
A terrible scream and tremendous pain.
It was clear that unbearable pain was coming.
Daeho quickly gave orders to Nurse Lee Su-yeon without delay.
“analgesic!”
“Yes, ready…”
It was the exact moment that Nurse Lee Soo-yeon was trying to say.
Wang Jae-seong intervened and spoke quickly.
“I administered morphine.”
“Are you saying this is the state of administration?”
“This is better.”
“What the…”
Daeho had to try hard to suppress the curses that were about to burst out.
Narcotic analgesics are powerful and have a fast onset of action.
It was really possible to relieve most pain in a short period of time.
But the fact that he was in so much pain only meant that his condition was serious.
Now I think I know why Wang Jae-seong called me.
If peritonitis had spread this far, emergency surgery was the only solution.
There is no time to notify the surgeon and wait.
Daeho shouted urgently to Nurse Lee Su-yeon.
“Emergency operating room open!”
“I’ll get it ready right away!”
Whoosh!
Nurse Lee Soo-yeon quickly turned around and ran.
Nurse Hwang Se-mi was already contacting the anesthesiology department.
“ER here, emergency. Yes, emergency!”
The conversation was short and concise.
Now the response to emergency surgery seemed to be a skilled one.
But it took physical time until the emergency operating room opened.
No, that time was the most precious.
This is because it is the only time to observe the patient’s lesions in detail.
Daeho looked at Wang Jaeseong and asked low and quick.
“Did the ambulance say anything else?”
“He said he fell down the stairs a few days ago. He said he got a prescription for painkillers from the local hospital yesterday.”
“You rolled?”
Flash!
Daeho’s eyes lit up brightly for a moment.
At the same time, he pulled up the patient’s T-shirt with a menacing hand.
Whoosh!
“Ugh.”
“Hold on tight. You’re going into surgery soon. Hold on tight!”
Daeho encouraged the patient and examined his abdomen.
No, there was nothing to look into.
There were red and purple bruises all over the abdomen.
Even his back was covered in bruises.
At the very serious look, Daeho shouted without realizing it.
“This is a rolling accident. Not a traffic accident?”
“Huh. It’s this serious.”
“Doctor Wang. You can’t just rush into the operating room like this.”
“Yeah. I have to take a picture of this. I’ll take it to the lab right away…”
Wang Jae-seong tried to take out his cell phone in a hurry.
Daeho blocked that hand.
chin.
“There is no time for that.”
“Then what should we do?”
“Siam. Siam in the emergency room.”
“If it’s there, let’s go. Move right now!”
Wang Jae-seong shouted and grabbed the stretcher car.
Yeah.
Due to his tremendous strength, the stretcher car was immediately thrown out of its designated spot.
“Ugh!”
“Take it!”
Daeho, who had been hastily adding strength, pushed the stretcher car with force.
Grrrrr.
In that instant, the stretcher car left Zone 2 and raced to the emergency room.
* * *
The stretcher car raced down the emergency room corridor and soon arrived at the emergency room.
He shouted, gauging the distance the tiger was approaching.
“Almost there!”
“I’m watching too. It’s getting closer. Ready, ready!”
“Three, two…”
“One, turn it on!”
Ki-ki-ki-ki.
Daeho and Wang Jaeseong combined their strength to change the direction of the stretcher car and enter the emergency room.
Same time.
There was a group of doctors running across the emergency room hallway.
They were residents waiting at the hospital.
Hit the button!
“The emergency operating room is open!”
“Open, open!”
The sight of him running without hesitation was quite lively and sturdy.
Just a moment.
Daeho arrived in the emergency room, his eyes scanning the residents for a split second.
“You rascals.”
“What is it!”
When Wang Jae-seong asked urgently, Dae-ho lightly waved behind him.
“Those guys.”
It was at the same time that the words ended.
-Wow!
Wow.
The residents passed by, shouting loudly.
It looks like a bulldozer running forward without looking back.
Wang Jae-seong’s gaze was stolen for a moment and he smiled faintly.
It was great to see the residents so passionate.
“You rascals.”
“Mr. Wang, more than that!”
“Siam power is on. It’s operational!”
Woof!
As Wang Jae-seong said, the sound of Siam working could be heard.
But it’s not like Siam alone can get things going.
The patient’s pain did not subside at all.
“Ugh. Ugh!”
Gong Ji-hoon, drenched in cold sweat, clutched his stomach and crouched down.
It was impossible to take pictures of Siam in this position.
It was time for additional pain relief measures to be followed.
At that moment, Nurse Lee Soo-yeon came in quickly, pushing a medical cart.
Grrrrr.
“Teachers!”
“Nurse, local anesthetic!”
“Lidocaine or bupivacaine, which one should I use?”
“Bupivacaine!”
As Daeho shouted, Nurse Lee Su-yeon quickly prepared an injection.
“Over here!”
“I’m giving you an injection. Mr. Gong Ji-hoon, just a moment. Stretch your body for a moment. It’ll only take a moment!”
The tiger shouted loudly.
“Ugh. Ugh.”
Gong Ji-hoon couldn’t clearly perceive his surroundings due to the pain.
I curled up even more, trying to escape the pain even a little.
“this!”
Daeho, holding a syringe, hesitated in a situation where he could not inject.
At that time, Wang Jae-seong stepped forward.
Wang Jae-seong, who had brought in his large body in a menacing manner, shouted while extending both his hands toward the patient.
“Patient, please excuse me for a moment!”
Thud!
He held the patient’s two arms and forcibly stretched them.
The force was so great that the patient’s arm was forcibly stretched out and torn away from his body.
“Ugh.”
“Ouch. Richard, now!”
It was at the same time that Wang Jae-seong gave the signal.
Daeho, who had been observing the situation, took action at the right time.
“I’ll give you a bupivacaine injection.”
Push, push.
A wide area of local anesthesia was administered by piercing the patient’s abdomen with a thick needle.
Although it was a somewhat coercive treatment, fortunately the effect was quick.
Naturally, the patient’s groans of pain were somewhat reduced.
“Ugh, ugh, here… kaaaak.”
When he regained consciousness, he seemed to be aware of the changes in his surroundings, but he was not yet completely free from the pain.
Daeho approached Gong Ji-hoon and briefly explained the situation.
“This is the hospital. It’s Chunghyo. You came by ambulance. Do you remember?”
“Ugh. Loyalty. Yes.”
“Okay. The patient is in a bad condition, so we are preparing for emergency surgery, and before that, we are going to take an abdominal image. Please straighten your back.”
Daeho summarized the main points as concisely as possible.
Gong Ji-hoon honestly had an expression on his face that showed he didn’t fully understand.
I wasn’t of sound mind enough to understand.
But one thing seemed to be clear.
“Ugh, ugh.”
Sssssss.
I forced myself to straighten my body, suppressing a groan.
Only then was the abdomen fully revealed.
It looked like it could be photographed.
Okay then.
Daeho and Wang Jaeseong secretly wanted to cheer.
But I spoke calmly, as it was not yet time to act so rashly.
“Patient, please stretch out for a moment.”
“It’ll be over soon. This is a procedure to check what’s inside your abdomen.”
OMG.
I operated Siam and reassured the patient as much as possible.
Soon, the situation inside Gong Ji-hoon’s abdominal cavity appeared on the monitor.
Daeho and Wang Jaeseong’s faces hardened.
“This is……”
“under.”
Surprisingly, there wasn’t much bleeding inside the abdominal cavity.
But among the upper abdomen, the back.
That is, the retroperitoneum was swollen and swollen.
As much as the swelling, the area around the duodenum and the head of the pancreas was also unusual.
Wang Jae-seong opened his mouth with a serious expression.
“Why does it look so blurry!”
“Isn’t this effusion?”
“Exudate?”
“The location is so bad.”
The tiger’s eyebrows furrowed as he chewed.
Originally, it wasn’t supposed to be like this.
The pancreas, closely connected to the duodenum, should be clearly visible.
But the cloudy liquid obscured the view like a curtain.
Exudate refers to the pus that comes out when there is a wound on the body.
In other words, the area around the pancreas was filled with cloudy pus.
Daeho inferred the situation by recalling several clinical cases and medical information.
‘In this case….. sigh!’
In that moment, Taeho’s expression suddenly crumpled.
Wang Jae-seong asked urgently if he had seen it.
“Why, what is it!”
“Pancreas rupture.”
“What, what did you say? A ruptured pancreas?”
Wang Jae-seong was shocked when he heard the medical terms explained in Korean.
That interpretation seems correct.
Daeho frowned and shouted.
“How on earth did you fall down the stairs and end up with this pancreas!”
“Did the patient want to get hurt like this?”
“Still, isn’t this a bit too much?”
“whatever!”
Wang Jae-seong shouted.
That wasn’t meant to be a reprimand to the tiger.
It was a remark he made because he was frustrated with the absurd condition of the patient.
One thing is certain now.
Opening an emergency operating room was an appropriate preemptive measure.
It will be ready soon.
There was a procedure that had to be done before that.
Daeho looked at Nurse Lee Su-yeon and asked urgently.
“Where is the guardian?”
“Nurse Hwang just went to look for you. She said she’ll bring you to the nurse’s office.”
It was at the same time that I heard the answer.
Daeho looked at Wang Jaeseong and said.
“I will go and explain the situation and get your autograph.”
“Wait here until then?”
“No. Please take him to the emergency room and put him on standby.”
“Okay. But who else should be there?”
Wang Jae-seong hesitated when he was faced with the situation of having to move a patient alone.
Daeho shouted as he left the emergency room.
“I will call it!”
Pavabak.
After leaving the emergency room, Daeho hurriedly headed to the nurse’s station.
The patient’s condition was not very good.
In this way, unnecessary time had to be reduced as much as possible.
That’s how I ran to the nurse’s office.
I happened to see doctors in front of me asking for help.
They were interns.
Daeho pointed straight to the emergency room and shouted.
“Interns, emergency room. Quick!”
“Yes? Yes. Emergency room!”
Pavabak!
The interns were startled and quickly sped away.