A/N: Two chaps today until Thursday thanks to EY! Please remember to read Chapter 92!
One hour into the surgery.
When basicparotomy and craniotomy werepleted and the tumor removal began in earnest, a tense atmosphere lingered inside and outside the operating room.
Then.
<i>Bee一 beep beep.</i>
An unstable and urgent mechanical sound came out of the vital monitor.
"The hepatic vein is bleeding. Suction…"
Even before Min Bo-Hoon finished his sentence, Dowook’s hand dug into the open area.
Min Bo-Hoon paused when the clip-picking tongs suddenly entered a location not visible due to bleeding.
"What…"
<i>Beep. Beep.</i>
It turned into a regr machine sound again. Only then did the professor of pancreatic surgery, who participated as the second assistant, sucked in the blood that flowed out.
And the bleeding point was revealed.
Min Bo-Hoon''s gaze turned to Dowook’s face when it was revealed that he had temporarily clipped the exact area on therge hepatic vein that was bleeding.
"Dr. Park, can you respond to all emergency bleeding this way?"
"Yes."
The second assistant''s eyes grew wide with this affirmation. Predicting how vein lines were distributed in the resected liver required considerable skill and intuition.
Chief Kim Byung-seop couldn''t stand it and opened the speaker.
-Dr. Park. You need to know the location of the hepatic vein on the resected surface faster than the surgeon. Does that make sense? If you make a mistake even once, you''ll be in trouble. Why don''t you keep the central venous pressure lower?
"You can''t touch the blood pressure because it affects brain tumor incisions."
-Ah. Every time the vitals jump, it’s making me nervous.
<i>Beep beep beep~</i>
As soon as he finished speaking, the vitals fluctuated once again. This time, it was near the brain tumor part.
"Vascr anastomosis preparation. The tumor No. 1 is crushed more than expected.”
Dowook suddenly stuck next to Choi Hoo’s side, picked up a suture and a needle, and put his eyes on a microscope.
"Give me a signal."
"Now."
As soon as the tumor was removed by Choi Hoo’s hand, Dowook’s needle and forceps moved over the amputated blood vessel. In that small space, four hands never ovepped or interfered with each other.
Vitals stabilized again.
All of the observers were relieved at the same time.
Min Bo-hoon’s eyes shined as he saw Dowook approaching his side again. Dowook proved with his actions that he was one step ahead when experts were worriedly watching.
"Then, I''ll trust you and speed up."
"Please."
The amount of bleeding the patient could withstand was set, and there was a mountain of cancer cells to be removed. If a tumor the size of an eye booger was left, it would always grow again and threaten the patient.
This was a surgery where they walked on thin ice, where every incision was an option and a crisis.
However, this ice sheet was being heavily supported by a doctor who fully assisted the two surgeons.
"The finances of the hospital have lost their bnce."
Lim So Yool continued with the eyes of the newly elected directors, the steeringmittee chairman, and dozens of chiefs all focused on her.
"Last year, the medical revenue of the hospital was 1.137 trillion won, but the medical expenses were 1.2102 trillion won. Net profit recorded a deficit of 73.2 billion won. It was the lowest rate of return among the Big Five."
-Isn''t Shin Yae Seung''szy management strategy the biggest problem?
Lim So Yool''s eyes moved at the question of a standing director.
"Of the costs incurredst year, 50 billion won was withdrawn from the construction of the Life Research Center. Director Jung Nam-soo promoted this project, right?”
-What’s wrong with that?
"The building has not been built yet, and I understand that there is not enough room to pay for thebor costs of major personnel to participate in the research project."
-Someone refused to tighten their belts and make up for the deficit. Are you telling me to dismantle my business and throw it away?
Despite Jung Nam-soo''s strong opposition, Lim So Yool was still.
"Is that a question?"
-What? If it''s a question!
"After reviewing Director Jung''s project proposal and progress, the additional cost required by the contractor toplete the construction was 10.7 billion won, and thebined annual sry of doctors and faculty members to participate in the life research center was 4.1 billion won.”
-So? Are you going to criticize me for creating a deficit?
"We will provide a total of 14.8 billion won, so please re-promote the center business within two quarters."
Jung Nam-soo''s eyes widened when the dean''s representative, who he thought would find fault with his business failure, suddenly spoke of supporting him.
-What did you say?
"The project has an expected value of 76.5 billion won. If the business is sessful, it can earn 11.7 billion won in profits over the next five years. So you don''t have to throw it away. Did that answer your question?"
<i>Beep.</i>
The devices surrounding the patient emitted warning sounds.
"Blood pressure is dropping! It''s dropping fast!"
Confusion fell throughout the operating room at the anesthesiologist''s cry.
The burst blood vessels spewed blood in all directions and wet Min Bo-Hoon''s gown and mask.
Dowook, who was assisting Choi Hoo, looked at Min Bo-Hoon.
"You have to finish ligating the area in 40 seconds.”
"There are too many blood vessels around the cancerous tissue by the hepatic valve. You have to stop here and blood pressure recover first."
"As soon as blood pressure is arbitrarily controlled, the patient''s brain nerves will be damaged."
Dowook was unable to move because the blood vessels in the brain were being sutured, so he turned to Choi Hoo.
"Professor."
"Go ahead."
Choi Hoo understood Dowook’s intention and grabbed the blood vessels that he was suturing with fine forceps on his left hand.
Dowook stood next to Min Bo-Hoon.
"25 seconds left."
"I can''t distinguish dangerous blood vessels at once like Dr. Park."
"No, you can do it."
The liver tumor part was located in a situation where cancer tissue was ligated off to the left area of the liver along the side.
A very difficult process in which the surgeon had to concentrate to the limit.
As he epted Min Bo-Hoon''s sense, Dowook’s understanding was at once instilled on top of Choi Hoo’s sense.
Min Bo-Hoon, who seemed to have experienced a momentary stimulus, immediately spoke to him so that he was not aware of it.
"The feeling of residual blood vessels popping. You can avoid that and ligate it. 10 seconds from now on. Come on!"
When Dowook lifted the forceps and moved the tissue that was ligated to secure vision, Min Bo-Hoon moved the surgical scissors as if he were possessed by something. He cleverly avoided the vein associated with the tumor.
<i>Clip.</i>
Thergest lump of tumor fell off the patient''s body. The second assistant immediately started suctioning and the third assistant started emergency hemostasis.
"Blood pressure is climbing!"
Anesthesiologist''s cry.
The confusion disappeared, and the patient''s vital system regained stability.
"Please continue the remaining tumor resection work right away, and the third assistant will help Professor Choi. Brain tumor extraction will begin soon. The vision of the surgery will be messed up.”
2 hours since they walked on thin ice.
Now no one questioned the instructions of Dowook. Even professors in the observer''s room refrained from breathing so as not to interfere with the ever-changing and sophisticated distribution of parts.
Inside the quiet conference room.
Heo Young-rok, chairman of the board of directors, who decided to dere an emergency operating system, spoke up.
-Hey, Representative Lim So Yool. How can you invest more in a hospital? You''re creating a fuss to change the hearts of the directors.
"I''m done securing funds."
-How?
Secretary Ok posted two slides on arge monitor in the conference room at Lim So Yool''s nce.
"The medical expenses of integrated internal medicine left as payment obligations by implementing an exclusive supply contract with Yuseong Pharmaceutical Co., Ltd. is 4.3 billion won. However, the expected profit of Yuseong Group in the first half of this year from Yuseong Pharmaceutical was reported by Yuseong Pharmaceutical. 500 million in the middle was going tond in someone''s hands."
Everyone''s eyes turned to Won Dong-gil, the head of the integrated internal medicine department, because she was talking about the circumstances in which ck money came and went. Won Dong-gil waved, saying it was not him.
"Minus 500 million plus 500 million. I''ve been working on adjusting all the selfish numbers that have made the hospital''s finances unhealthy. So the profits adjusted so far…….”
When the screen changed and the numbers appeared, the eyes of everyone in the conference room grew bigger.
"…A total of 29.6 billion won. Of these, 14.8 billion won is for the project proposed by Director Jung. The remaining 14.8 billion won will be spent on securing future value at the hospital."
Proposal to distribute funds exactly at a ratio of 50 to 50 to the hospital project of the ledger and the semiconductor ledger. Heo Young-rok lost his words.
The fact that both justification and practicality were considered could be seen by the astonishing expression of executive director Jeong Nam-soo, a close aide.
In addition, this was aparison. It was a logic of numbers that was simply indefensible, with fewer positions bound to decrease depending on which side made more profits.
Heo Young-rok asked, trying to find fault with anything.
-What is the future value that Representative So Yool says? Is that something with some truth in it?
"These are the numbers of possibilities. This kind of thing.”
The results of the evaluation of the doctors’ level of cooperation at the integrated outpatient room was disyed on therge monitor.
Aprehensive score table in which patient satisfaction, cooperation results, and optional medical treatment revenue were summed.
Everyone who observed the screen had no choice but to buzz.
The points of the doctor in first ce were tremendously higher than the rest.
"To be precise, he is a doctor who is likely to lead the future of the hospital. I''m sure. If this number of possibilities is added and multiplied by a special function, the specification hospital will be the best of the Big Five. No, one of the best hospitals in the world."
Exaggerations made everyone unable to take their eyes off the names floating at the top of the screen.
Some nodded as if they admitted it, some snorted in jealousy, and some were enchanted by a sense of despondency.
-I can''t believe it. How can there be such a difference?….
The integrated internal medicine director was in the third category. He was the one who advocated for the integrated internal doctors to coborate.
-Number one is Park Do Wook, number two is Min Bo Hoon? If I do this, we’re over…….
It was the kind that made onepletely lose their fighting spirit.
"The liver tumor extraction isplete."
"Finished brain tumor part.”
Min Bo-Hoon and Choi Hoo voiced almost simultaneously.
When theplete removal of resistant tumors, whichsted about five hours safely, exmations flowed out from all over the observation room.
They couldn''t count how many times the crisis descended during the operation, but nothing caused fatal problems to the patient.
The Chairman of the Society of Pancreatic Surgery even apuded the surgeons that did it.
"Are you here to watch a concert!"
He immediately stopped at themand of a professor who was 185 centimeters tall and had overwhelming charisma.
"I''ll do the closing, Professor Choi."
"Great job, Dr. Park."
"Thank you for your hard work."
Inside the operating room that Choi Hoo had left.
Min Bo-Hoon, who was closing the abdomen, turned towards Dowook.
"Dr. Park, do you really have no intention of joining the high-level surgery team? If youe, I''m willing to give up my position as team leader."
The two professors of the Department of Pancreatic Surgery, who had not yet left the operating room, looked at Min Bo-Hoon in surprise.
Dowook replied in a calm voice.
"It’s an honor, but I don''t want to make a hasty decision about my future."
"Huh. You’re not shaking at all. You started your fellowship this year, right?”
"Yes."
"Take my title as the youngest professor in moderation. I''m also an ace, and it would just causeparisons."
The surgery ended well enough to make jokes, so he faced Min Bo-hoon with an eye smile.
<i>‘Once in the middle. It would have been very dangerous if I hadn''t conveyed Professor Choi''s sharp sense.</i>’
Dowook could be sure after today’s surgery.
The more skilled he was with the sense, the more he could perform surgeries that no one had ever tried.
HIs hands tingled in anticipation for theing future.
* * *
The first day of February.
Dowook entered the outpatient area of neurosurgery and stopped. There was a line of patients in the hallway.
<i>‘Did the morning treatment get dyed?’</i>
Dowook walked to the reception desk and asked the nurse.
"Professor Shin isn’t done yet?”
"No, he got off work at exactly 12 o''clock.”
"Then…"
They were optional patients they had to face. The estimated number of patients was 40. The nurse held out a bunch of documents piled up to Dowook who was surprised by the number of reserved patients that had more than doubled.
"What''s this?"
"I saw that there were a lot of waiting patients and decided the order on my own. They were sent by the doctors from other departments who came to request for cooperation earlier. The one in front is number one."
"Cooperation?"
Dowook moved to the clinic and looked at the top of the document he received.
<i>‘Hmm…''</i>
This was a document with detailed information on patients who wanted cooperation and a very polite request to help them.
It was a case that required real cooperation one by one, which waspletely different from the time when it was pushed to him.
"Why did internal medicine doctors change their attitude?"
While tilting his head, someone rushed to the front of the clinic. It was Professor Kim Han-sung, who forcibly helped him diagnose a few weeks ago.
"Dr. Park."
Kim Han-sung continued to pant.
"I didn''t know there was a form. I was the fourth in line."
He also submitted a request for cooperation. When Dowook received it, Kim Han-sung opened his mouth.
"Is it like that between us?"
"I don''t have any personal feelings. But you can''t break the rules and change the order just like that."
"Uh…"
"But why does it feel like the outpatient system is going back to normal all of a sudden?"
"Huh? Didn''t you hear about the management meeting yesterday?"
"What news?"
Kim Han-sung smiled forcibly.
"The directors were convinced, and a member of the integrated outpatient office was also selected."
"Already?"
"No one could keep up with your evaluation score for the remaining month, so everyone erased the first ce from their goals. Then, what do you think it is? If you get overwhelming scores in first ce and do something, you''ll be second ce. Oh, second ce is overwhelming, too. It means you can at least get third ce.”
Dowook only understood the situation then. Kim Han-sung spoke quietly while looking at Dowook.
"If you put my order forward, I''ll let you know who''s mentioned as the head of the integrated outpatient office.”
This was a harsh remark. Dowook asked by pulling out the paper on the back and inserting it into the middle.
"Who is it?"
"You may be unfamiliar, but he’s a very legendary person. Professor Shim Pan."
"Really?"
—–
Sync: Cancer center’s talented team leader''s resection
Action: High-level techniques for liver, biliary tract, and pancreas be possible.