The Returning Doctor Wanted to Live Quietly - Chapter 377



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Episode 377. Decided to Live Quietly (9)

It wasn’t just Shusuke Nakamura who was surprised to see Jinhyuk Lee.

One of the doctors who were observing immediately asked,

“Did you say Doctor Lee? The doctor standing over there.”

“Yes, I am a colleague of Dr. Jang.”

“Motivation?”

“yes.”

“Hmm… … .”

Let him answer in a quiet voice instead.

Nakamura watched him for a while.

And then.

“I wonder why you are like that… … .”

“Did you say you were a real motive?”

“Yes, I know that.”

“That’s how they introduced it?”

“yes.”

This time, the professor frowned slightly and turned his head back to the monitor.

“That guy. Junior staff. No, since the training is different from ours, I guess he’s still a resident.”

“That’s right. I heard that in Korea, because compulsory courses are not popular, they reduced the training period from 4 years to 3 years.”

“Really? But um… … . Now, look over there. Is that a reasonable movement right now?”

“yes?”

“With both hands… … . No hesitation at all.”

“ah…….”

Nakamura also sighed belatedly.

Jinhyuk Lee is just an assistant.

It’s also surprising that his skills are similar to those of Dr. Jang, who has solved numerous difficult problems.

Come to think of it, I was moving both my hands freely.

Without any hesitation.

It is a well-known fact that the left-handed players also practice to become more comfortable with using their left hand.

But it was rare to see so many hands moving at the same time.

Right now.

“Heh heh… … .”

“Oh, right.”

“This is big, big.”

“What the heck is that?”

Everyone cleared their throat.

I was surprised by the belated realization.

This all happened because there was no proper information about Lee Jin-hyeok.

The changes taking place at the Plattenbau Hospital.

It was just an incident that happened in a small hospital in the former East Germany.

While everyone was watching with their mouths open.

Someone else asked.

“He’s just a fisherman. How can he be so good? Does anyone have any background on Dr. Lee?”

“… … .”

“No one? No one knows?”

“… … .”

As expected, no one answered.

A deeply rooted civil servant mindset.

The same goes for professors.

If it was an invited doctor, it would have been normal to check his reputation, but in a distant country in the East.

It was a disaster that happened because they thought he was just a doctor from a small country between China and Japan.

* * *

Meanwhile, at that time.

The operating room was still moving quickly.

The first half is retrograde cholecystectomy.

So, if you approach it from the pancreas side.

Now it’s time to approach from the other side.

Before resecting the bile duct, the liver had to be liquefied first.

Of course, before that.

“Please give me a Penrose drain tube.”

Some preliminary work was also required.

A silicone tube that is delivered straight away.

Jinhyuk, holding this in his hand, moved.

Hepatic vein.

And between the middle veins.

Install a Penrose drain.

Secure the coffin.

Okay then.

“I will help you.”

The scrub nurse who had been silently handing out surgical instruments moved.

They were also impressed by the skills of Lee Jin-hyeok and Jang Hyuk-jun.

There was also no drop in vitals.

Because the long surgery was going well.

To be honest, it was a bit of a pain in the ass.

As soon as the scrub nurse standing next to Jinhyuk connected the tube to the grenade-shaped drainage tube.

The real work has begun.

Section of the left superior vena cava.

Glass of the unknown leaf.

Transection of the left inferior vena cava ligament.

And even the liquidation work.

Finish everything quickly.

Jang Hyuk-jun took a deep breath and asked.

“What should I do about the right hepatic vein?”

“Shall we do it the traditional way?”

“Should we take a forward approach? Or cut it out safely?”

“I’m not saying you have to do it that way.”

“Hmm.”

“There is also a difficult way.”

“… … .”

At Jinhyeok’s answer, Jang Hyeokjun turned his head and glanced at his watch.

There is still a lot of time left until the surgery.

It was within the range he had expected.

I would say it’s faster than when four people do it.

so.

“Please give me the tape.”

Jang Hyuk-jun gave the instructions.

Jinhyuk understood it perfectly.

Something I wouldn’t have been able to try in a past life.

A liver lift technique that elevates the posterior portion of the liver by placing a tape between the inferior vena cava and the posterior portion of the liver.

These were the people attempting the so-called hanging maneuver.

* * *

The space between the common hepatic vein and the hepatic vein.

That’s only 2 to 3 cm.

Slide your finger in between.

And then the US side.

So, push it slightly towards the tail.

While Jinhyeok was moving, Jang Hyukjun also did not stay still.

Pull the previously placed ceremonial tape forward.

Swish.

Then, the space between the posterior liver and the inferior vena cava becomes wider.

Here again.

Kwaaak.

Add more force to widen the gap.

Of course, if you apply force recklessly, something like this can happen.

It required sophistication.

It was one of those difficult tasks.

For a long time, the forward approach was in vogue.

The one who took advantage of the gap that had opened up was Jinhyuk.

He was holding a long pair of Cali forceps in his hand, and he was moving from 10 o’clock to 11 o’clock.

Again we moved towards 12 o’clock.

Traverse the liver to the desired location.

That is, it was lifted.

“I think it’s done now.”

“yes.”

“It’s bitten by a suspender tape forceps.”

“yes.”

“Pull it. A little higher.”

“This is enough.”

“Let’s stop there.”

Having a brief conversation.

Pull the liver upwards and then secure it in place to finish.

The liver was successfully lifted without cutting the hepatic vein.

Of course, regarding this.

“What do those people do in Korea? Quick, bring me their resumes!”

It was only natural that someone in the observation room started screaming again.

Even difficult problems can be easily solved.

Dr. Jang estimated the size of the hematoma using only X-ray images.

And Dr. Lee assists with this.

People who were curious about what these people were doing started to get angry.

* * *

The first one to move was Amilon.

While he was calling the Plattenbau Hospital.

Nakamura didn’t stay still either.

Japan, a country close to Korea.

There were very few German doctors who knew Korean doctors, but Japan was different.

So I call and call again for a long time.

I want you to find out somehow.

It was a safety measure to ensure that the hospital at Plattenbau would not provide a proper medical history.

While Nakamura was calling the University of Tokyo Hospital, which boasts 120 years of history.

As expected, Amilon couldn’t hear anything.

I’m just an exchange student from Korea.

All I heard was a phone call with a strange smile asking if the surgery was going well.

* * *

The surgery continued.

What followed was a jointing of the liver.

It was the so-called Discissio.

Of course, this is also one of the preliminary steps to remove the bile duct.

Jang Hyuk-jun’s hand holding the electric cautery moves carefully.

Cantlie’s Line.

Literally the front of the liver.

And it continues to move along the imaginary line where the insides of the left lobes meet.

Jiiiiiik.

Jiiiiiik.

The sound of a liver burning.

And the noise of the electric cauterizer.

Even a faint smoke.

A strong smell filled the operating room.

Accordingly, even the air purifier turned up the volume.

Jang Hyuk-jun’s concentration was amazing.

Apgujeong Nallari in the first place.

No, he called himself a member of the Apgujeong Orange Tribe, but if he didn’t have good concentration, he wouldn’t have been able to get into medical school.

Jinhyuk thinks highly of him for a moment.

Directly above the inner area.

So, Jang Hyuk-jun was out of breath near the context leading to S4b.

hereto.

“There is still plenty of time.”

“i know.”

“If it’s hard, take a rest.”

“Wait, wait a minute.”

“… … ?”

“I think it would be better if this teacher did it.”

“why?”

“You can do better than me. Do it for me.”

Jang Hyuk-jun took a step back.

It is a well-known fact that Lee Jin-hyuk is better than he is.

It was Jinhyeok Lee who was challenging the double board in the emergency medicine department.

I also participated in general surgery to keep my senses sharp.

He even worked as a surgical assistant in thoracic surgery.

So, Jinhyuk also naturally received an electric cautery device and began the surgery.

Contextual area near S4b area.

If you don’t preserve it well, it will go bad.

It’s so frustrating to have to have my liver removed to remove the bile duct.

Even the prognosis may not be good.

so.

Jiiing.

Jieeeeing.

Jinhyuk also moved his hands carefully.

The subsequent work was done in the lower part of the medial region of the liver.

Jointing of the so-called S4a zone.

Since these were moving entities that were judged to have tumors in the bile ducts as benign, the extent of resection had to be minimized.

The discussion that followed continued for quite some time.

* * *

“crazy…….”

Immediately, this kind of cursing was heard in the observation room.

An assistant who is completely different from the surgeon.

He was a doctor who came in to do the so-called scrubs.

The roll itself was different in the first place.

But it was also strange that Dr. Jang, who entrusted Bobby to her without any hesitation,

Jinhyuk Lee, who was talking about this and then immediately started waving his hands, was also suspicious.

hereto.

“I wonder if Dr. Lee is more skilled than Dr. Jang.”

“How could that be? The invitation surgery is also part of the evaluation. There’s no way they wouldn’t know.”

“So you’re saying that if his skills were better, Dr. Lee would have performed the surgery. Then why all of a sudden… … .”

“I don’t know about that either.”

Everyone was busy tilting their heads.

A situation where common sense does not apply.

The problem arose because we invited them without properly finding out what activities they had done in Korea.

So it was natural that I immediately urged Nakamura.

“What happened?”

“I am looking into it diligently.”

“okay?”

“Yes. First of all, it has been confirmed that… … Dr. Jang and Dr. Lee have written books.”

“what?”

“I am the author of the ‘Mom Series’. Books for interns and residents… … .”

“A resident? A resident published a book?”

“yes.”

Everyone blinked.

Now that I think about it, I think I’ve heard of it before.

He said that he wrote the famous ‘Mom Series’ in Korea.

However, they themselves are doctors working at the Charité Hospital, which boasts 300 years of history.

It has been a long time since books written by Asian doctors were tacitly tabooed, as if they were unnecessary.

so.

“Find out more, faster!”

There was nothing I could do but say this.

* * *

Meanwhile, the surgery progressed quickly.

Ligation of the left hepatic artery and left portal vein.

The inflow of blood was blocked using bulldog forceps.

of course.

“Opening the blood flow for 5 minutes. Re-blocking the blood flow for 15 minutes. There is a time limit, so set the stopwatch first!”

It’s basic to follow the rules.

Because prolonged blockage of blood flow could lead to necrosis, I kept my hands busy while checking the stopwatch.

[2 minutes after blood flow is blocked]

Bleeding occurs during liver parenchyma resection.

And then stop the bleeding again.

The culprit was the middle venous branch.

[4 minutes after blood flow blockage]

Massive bleeding occurs again.

Jinhyuk found the bleeding point in the S5 area.

The vitals wavered slightly.

With a transfusion pack attached.

Watching is just for a moment.

Surgery resumed immediately.

[8 minutes after blood flow blockage]

Right wall of the middle aorta.

The liver joint surface is exposed.

Bleeding occurred again.

This time, the one who stepped forward was Jang Hyuk-jun.

He brought the side edge of the scalpel straight up.

A technique that Jinhyuk practiced long ago after seeing someone stop bleeding with the side of a scalpel.

There was a dark history where I was completely robbed and my soul was stolen by a professor who was annoyed by my fancy tricks.

A loud noise like a scream erupted from the observation room, which was unaware of this.

The act of stopping a bleeding point with the side of a scalpel.

Something that only a true expert can do.

No, 99% of people don’t do that.

Unless you’re a doctor who pursues style.

[14 minutes after blood flow blockage]

Jang Hyuk-jun, the junction of the inferior vena cava and the left hepatic vein.

So, the two Arantius tubes were cut again.

In response, the left upper lobe came out to the right.

There’s still one minute left.

It was Lee Jin-hyeok who released the bulldog forceps and resumed blood flow.

A short break.

So, when the Korean doctors started observing for another 5 minutes after opening the blood flow, they stretched out their bodies.

When it’s time to rest, rest.

It was a minor skill learned through harsh training.

* * *

It’s a short break.

Once again, while the surgery was in full swing.

Shusuke Nakamura, who was on an international phone call, looked very flustered.

“Yes? Is that true? Oh, yes… … .”

The question-and-answer session went on for quite some time.

All eyes were immediately drawn to it.

What happened?

What is your history?

As soon as Nakamura hung up the phone, right away.

“Is Dr. Jang famous in Korea too?”

“What about Dr. Lee? What kind of career does he have?”

“Dr. Jang, you said that. You only worked here for three years. Did you get Resident of the Year or something like that?”

“Stopping the bleeding point with the side of the scalpel. Only a crazy person would do that. Hey. Who the hell is that guy!”

“Doctor Lee. Huh? What did Doctor Lee say?”

A lot of questions poured in.

Nakamura didn’t answer right away and waited for a long time.

The truth he heard.

I was afraid to say it.

No, I couldn’t bring myself to say it.

Because it was obvious what the reaction would be.