Medical Return
68. Sky Surgeon (5)
“I know.”
“What would you do if it went wrong? I'm glad you're doing well, but if you're wrong, you can take all the responsibilities back. ”
It's a fairly probable story.
I leave it to you. If you die, you will not be held responsible for any inevitable death.
There's no way to stop the bleeding on the plane.
But when you try surgery, the story is different.
If it fails, the patient's death responsibility may be reversed entirely.
You may be prosecuted for murder if you try to do well without any sin.
If I had a guardian, I would have explained the dangers and given my consent, but I can't right now.
I know, but Jinhyun shook his head.
“We still have to do it. ”
If you don't, there's a possibility that you might live, but you can't let go.
Comedy didn't answer.
I turned away from Jinhyun's face and looked only at the ground.
Jinhyun asked me to sweeten it gently.
“If anything goes wrong, don't worry, I'll be responsible. You just have to help me with an assistant. ”
The twisted words leaked from the mouth of the comet.
“... that's the problem. ”
“Huh?”
“That's the problem! You idiot! I'm worried you might be wrong! You said you wanted to do dermatology? You said you wanted to live comfortably with your dermatologist! But why aren't you dying like this?! Do you know who he is? What are you going to do about it if it goes wrong?! It doesn't end with taking off your doctor's robe. You could get sued for murder! ”
Is it because emotions continue to be blessed?
She immediately regretted screaming without even knowing herself.
However, it was not easy to calm my heart because of the emotions I had accumulated because of Lee Yeon-hee.
Rather, his emotions continued to rise and his tears gushed out. He turned his head and rubbed his eyes.
“Hye-mi..... ”
Jinhyun stopped speaking in astonishment at the first comedy she heard.
How can you always be so angry with a bright, nice comedy?
“Comedy.”
“ ……. ”
Jinhyun said as softly as possible.
“I'm sorry, actually, I don't want to take any chances. You know how much I hate this. But... I can't help it, so just help me once. If I majored in dermatology, this won't happen again. So just help me this once. ”
In response to repeated requests, Hye-mi sighed loudly.
After wiping her eyes again with a big move, she said.
“I don't know. If you're wrong, you're on your own. ”
It was a disapproval.
Jinhyun also told Lee Yeon-hee.
“Please also assist Ms. Lee Yeon-hee. ”
“Got it.”
Yeon-hee nodded, who looked at Jin-hyun and Hye-mi's conversation someplace inappropriately.
Jinhyun asked the crew this time.
“We need to treat the patient. Can't do it here with other passengers, so is there no enclosed space? ”
“First class seats are empty. ”
“Please move the patient. ”
Like an aircraft in an oil-rich country, the First Class only made hotel rooms.
“Let's get started. Lee Yeon-hee, put everything in until the sap you brought is gone. ”
“Yes, Mr. Jinhyun. ”
Jinhyun opened a large royal bag.
It was fortunate that the Arab patient was a surgical patient and had quite a lot of surgical tools.
‘Yes, it's a basic tool. Too bad you don't have a bobby (electric knife) to cut and coagulate at the same time. ’
For the general public, scalpel is seen as a surgeon's symbol, but the most commonly used in the surgical field is the electric knife, Bovie, which uses high frequency currents.
Unlike scalpel, you can have a hemostasis at the same time as the incision.
‘There are only a few other tools available: scalpel and thread. Can we do it? ’
I spoke boldly, but Jinhyun was also nervous.
The patient was in poor condition and, above all, the environment was so poor.
But he shook his head.
‘No, I can do it. Given that you can see the belly swelling from the outside, it's never a bleeding from the depths of the belly. The abdominal wall... or it's shallow. ’
Then, enough hemostasis is possible.
on the premise that only bleeding vessels can be found.
“I'll disinfect it first. ”
Hye-mi widely disinfected the surgical site with a disinfectant while Jinhyun was pondering.
Jinhyun's eyes deeply silenced.
Which blood vessel? If we can't find the blood vessels, we need to widen the incision and search the interior... We don't have much chance of getting the patient in bad shape. We need to find him as soon as possible... preferably at once. ’
I looked at the shape of the protruding belly.
"spontaneous hemorrhage from enoxaparan, abdominal wall. It's the abdominal wall, so it's bleeding down the skin. So which vessels in the abdominal wall? ’
Left circulatory artery? Lower abdominal wall artery? Lower intercostal artery?
Possible vessels have passed through your head.
‘There is no way to know exactly which artery unless you have a CT scan or a vascular fluoroscopy. Now I have to judge. ’
Jinhyun made a commitment.
‘We have to find it at once. At once.’
Comedy said.
“I'm ready.”
Jinhyun grabbed the scalpel with his gloves on.
Before he started the incision, he said:
“Jinhyun.”
“Huh?”
“Promise me one thing. ”
“What?”
“Please be nice. For the patient or for you. ”
Though it was a low voice, Jinhyun felt a desperate concern for Hye-mi.
She was worried about the fact that she was trying to treat him too much.
His desperate heart shook Jinhyun's heart.
“Yes, I promise. ”
However, even Jinhyun himself was not sure.
I'm guessing there are blood vessels, but in this situation, who can be 100% sure?
‘Please……. ’
Jinhyun raises his head and looks at the sky beyond the ceiling.
‘Please help me. ’
I started the incision earnestly praying. Comedy and Yeon-hee both swallowed saliva.
Dumb profit.
The scalpel has thin skin. As I passed through the fascia, I was filled with black dead blood.
It was a horrible scene, but both Hye-mi and Yeon-hee, who had seen so many of these in the hospital, were not surprised.
* * *
I'm bleeding from the abdominal wall. ’
“Give me the gauze. ”
I didn't have a Suction tool to suck the blood, so I had to wipe it manually. Fortunately, gauze was generous.
“Comedy, secure the abdominal wall so we can get a visual. ”
Hye-mi followed Jinhyun's words.
Although she always seems energetic, she also lost her skills as a doctor by becoming a prestigious medical professor in the future.
Moreover, this was the end of her internship, and her assisting skills were up as the water went up.
Jinhyun moved his hands quickly.
Time will decide the outcome of this surgery.
‘Lower abdominal wall artery……. ’
I wiped off a lump of blood that began to solidify and opened my muscles with scalpel and tools.
And shortly after, he reached the first target artery, the lower abdominal wall artery.
‘Please.....! ’
Jinhyun cried out eagerly.
And……!
“Ah!”
Found it!
Was it because of a desperate prayer?
The inferior abdominal wall artery pumps blood into his eyes.
I found a bleeding artery at once.
“Ha.... ”
Jinhyun sighed with relief.
The eyes of the hardened comet were also opened. The hemorrhage was simple, since we found the bleed vessel.
“Thread, please. ”
Lee Yeon-hee handed me the surgical thread.
Jinhyun moves his hands and tied his tie.
Then the blood stopped like a lie.
“Ha.... ”
“Thank God, Jinhyun. ”
Jinhyun wiped the sweat with his sleeve. The tension has been relieved.
“Yes, thank goodness. I'm still hypotensive, so please give me all the fluids. ”
“Yes, I will. ”
Comedy murmurs faintly as he sees the conversation between the two of them.
“Idiot……. ”
Of course, I didn't hear Jinhyun.
“I'll sew it up again. Give me the suture thread. ”
“Yes.”
I quickly found the vessel and did not widen the incision. The suture will also be done smoothly soon.
‘Thank goodness. The rest of the treatment should arrive in Seoul. ’
Of course, hemorrhaging does not make the patient feel better.
But now that we've handed over the vital gobi, we'll be able to treat the fluids properly on the plane and recover from the scrutiny in Korea.
However... I felt strange when I tried to stitch my muscles.
Wait, is this it? ’
A sense of long-standing experience sounded a warning.
Something was wrong.
Is this really the end of it? Blood pressure's too low for the amount of deceased blood on the abdominal wall. Maybe there's more bleeding in the other area? ’
In case of spontaneous bleeding, occasional bleeding may also occur at other sites.
‘The abdominal wall is too protruding for the amount of deceased blood. Maybe there's blood on the inside of the boat, too? ’
Jinhyun bites it.
‘If the blood is getting better, this won't do any good. The blood vessels need to bleed, too. ’
He pondered.
‘But maybe not. If we want to check this inside, we need to incise more bellies and give the patient a herd. ’
If you just close your stomach, you don't give the patient too much, and the surgery simply ends, but if there's more blood on the inside, it's the end.
After all, Jinhyun decided to believe in his old feelings.
It seemed strange.
“Give me the scalpel again. ”
“Yes?”
“Your blood pressure has dropped too much compared to the amount of bleeding. The abdominal wall is kind of weird. I think we should check the bleeding inside the ship. ”
“ ……! ”
Yeon-hee hesitated and said:
“I, Jinhyun... I think it's unlikely. Wouldn't you rather just close the ship? ”
Jinhyun also thought of finishing the surgery with this.
I didn't want to expand the surgery on the plane, I didn't want to crowd out more patients.
Moreover, isn't there any guarantee that there's more blood inside?
“Jinhyun, you're bleeding well, so just finish with this. It won't bleed any more. ”
Yeon-hee didn't seem to want to expand her surgery any more.
I'm not sure about Jinhyun either, so I'm worried.
But you think it's okay if you shut down the surgery and the blood's coming from the inside?
Then comedy asked.
“Jinhyun.”
“Huh?”
“Do you think you should check this inside, too, before you judge? ”
“… I think so. ”
In response, she nods nicely.
“Then check it out. It's you. I'll help. ”
It was a word of trust.
“ ……! ”
He was grateful for that belief.
“I see. And... Thank you. ”
“No. If you don't start the surgery, you have to end it right. And all you have to do is check the inside of the ship for blood. ”
Jinhyun smiled a little.
“Yeah, that's right. ”
I pressed the scalpel more, and the pectoral peritoneum was incised and the inside of the stomach was revealed.
Then, as Jin Hyun had expected, blood was poured out, and when he opened his belly, blood gushed out.
“ ……! ”
Yeon-hee's face turned red.
Jinhyun had his tongue full.
“Oh my..... ”
Still, it was not difficult to find a bloody vessel.
It was a coincidence because it was located around the incision.
Jinhyun, who had finally completely ended the hemorrhage, sutured his stomach.
‘You really don't want to experience it again. ’
He sighs.
I'm glad it's over, but I never wanted to get on that plane again.
* * *
The plane arrived at Incheon Airport after handing over the gobi.
The healthcare staff who had been contacted beforehand and were waiting were hit by them.
“Well done. From now on, we'll take care of it. ”
It was the care team at the University Hospital in Incheon, the closest distance from the airport.
“It was spontaneous intraperitoneal bleeding due to the use of anticoagulants. He was cut briefly in the plane and bled the artery. Now that you've finished all the urgent treatments, it will be better if you treat them conservatively. ”
The opposing physician looked unreliable in his words.
The opposing physician was surprised and asked.
“Is that true? Unbelievable. Surgery on an airplane, hemorrhaging. How did you find a hemostatic artery without a CT or angiogram? ”
“I was just lucky. ”
Jinhyun said so, but the opposing doctor couldn't keep his mouth shut.
What Jinhyun did this time was amazing.
(Continued on next page)