Dr. Shin Seonhan: The Doctor Who Sees The Future [EN]: Chapter 200

Dr. Fresh Future – Episode 200 (200/241)

#200 Eagle Eyes, Woman’s Hands, Lion’s Heart (3)

Ding!

The elevator arrived on the first floor.

I rushed toward the emergency room’s resuscitation area.

Shin Sangmi was also running quickly behind me.

‘Ma Dongseop and Song Yuju must be in the operating room… I wonder if Ahn Gyeongshik is here already?’

Thump, thump, thump!

I hurried my steps.

The emergency room resuscitation area was already bustling with emergency medicine doctors and nurses.

“Another line secured here!”

“Full drip of plasma solution there!”

Hurried voices exchanged.

Some interns who had run over after hearing the CPR broadcast were seen doing chest compressions in the crowd.

Pushing through the crowd at the entrance of the resuscitation room, we approached the patient.

None of the nurses seemed to recognize us, still looking like interns, as thoracic surgeons.

“Oh, you’re here?”

As we entered the resuscitation room, Doctor Yeo Bongcheol, who recognized us, raised his head and greeted us.

Judging by his expression, he seemed to have been eagerly waiting for reinforcements from the thoracic surgery department.

However, he soon looked over my shoulder and asked worriedly.

“Seonhan, did you come alone?”

“I’m here too!”

Shin Sangmi, who had been running behind me, said, panting.

Of course, that wouldn’t be much of a comfort.

Although I don’t know the exact situation, having only two first-year residents must make Doctor Yeo Bongcheol feel uneasy.

“The other doctors will be here soon. What about the patient?”

At my words, Yeo Bongcheol quickly began the briefing.

“It’s been about three months since the pneumonectomy [surgical removal of a lung], and it’s been a little less than two weeks since the Eloesser procedure for BPF [bronchopleural fistula, an abnormal connection between the bronchus and the pleural space]. He came in with a fever and suddenly went into arrest. It looks like there’s some bleeding from the surgical site here…”

Eloesser?

My vision blurred.

Of course, I had seen it once when I was an intern in the thoracic surgery lung department last June.

The patient who had undergone the Eloesser surgery.

I vaguely remembered the dressing where I pushed a roll gauze into a cave-like hole and then pulled it out.

“Eloesser? Let me see… Ack, what is that?”

Shin Sangmi, who had never worked in the lung department, was openly surprised.

It seemed like she was seeing this kind of patient for the first time.

Of course, I understood.

I was also surprised when I first saw the roll gauze endlessly going into a person’s body.

‘I was scared to push the gauze into that inside back then… Wait, this is not the time to be thinking about this!’

I quickly recalled past memories and thought about what could be causing the bleeding.

‘BPF and Eloesser surgery. That means the inside of the chest cavity is infected, so bleeding means?’

While I was trying to grasp the situation, Yeo Bongcheol was directing the CPR situation.

“It’s been another 2 minutes, so let’s check the rhythm!”

Swoosh-

The intern briefly removed his hand that had been doing chest compressions.

Soon, everyone held their breath and focused on the heart rhythm appearing on the monitor screen.

“……”

“Doctor, no pulse!”

The second cycle since chest compressions began.

That meant about 5 minutes had passed.

However, the situation was still desperate.

Despite the CPR being performed with a lot of fluids going in, the patient’s heart was not responding.

“We need to start compressions again, right? Do you guys have any ideas?”

Doctor Yeo Bongcheol asked us.

In this critical moment when a heartbeat was not appearing on the screen,

The role of thoracic surgeons was more important than ever.

The only people who could know the most about this patient’s condition were the thoracic surgeons who knew how the surgery was performed.

“W-well… Cough, cough!”

Shin Sangmi coughed unnecessarily and poked my side.

Everyone’s eyes turned to me.

The emergency room medical staff looking at the thoracic surgeons in this room.

The pressure was enormous.

However, a decision had to be made.

In less than a second, my mind began to race.

‘Bleeding means…’

There are various reasons why the heart stops.

In this patient’s case, the right lung was completely removed, and an infection occurred in that space.

And it was highly likely that the bleeding that occurred there caused a lack of blood in the body, leading to arrest.

‘The infection is causing bleeding from the inside.’

If that was the case, then stopping the bleeding and replenishing the blood would make the heart beat again.

‘Okay. First, we need to block the bleeding site and supply fluids. But how?’

Then, one method came to mind.

EDT (Emergency department thoracotomy) performed in Gokdam.

When we couldn’t pinpoint the exact location of the bleeding, we exposed the area and performed direct cardiac massage.

Fortunately, the patient had a fist-sized hole in his right chest where the bleeding was.

Although it wasn’t large, it could be seen as if a thoracotomy had already been performed.

‘Can’t we utilize that open hole?’

It was theoretically possible.

But, should we?

I couldn’t easily be sure because I didn’t know the exact situation inside that unknown cave.

While I couldn’t give an answer, Yeo Bongcheol shouted.

“Since it’s PEA (pulseless electrical activity, a sign of cardiac arrest), let’s give epinephrine and start compressions again!”

At Yeo Bongcheol’s words, the nurse injected epinephrine, and the intern was about to start chest compressions again.

“Doctor, just a moment!”

“Why, what are you going to do?”

I put on gloves and approached the hole in the patient’s right chest.

It was the moment I was about to intervene in the situation that Yeo Bongcheol was directing.

At that moment, a loud voice suddenly rang out from behind.

“What are you all doing!!”

Everyone froze.

A voice as sharp as a blade.

Everyone stopped what they were doing, and I had no choice but to stop the hand that was about to put on the gloves.

This voice was…

‘The God of White Coats?’

It was definitely the God of White Coats.

Because it was the same voice as in the documentary that I had watched dozens of times, even though I had never met him.

I slowly turned my head.

Whitish gray hair.

Casual clothes worn over a slender figure.

Fierce and ferocious eyes above a dry expression.

He looked a little older than the face I had seen in the documentary, but it was definitely him.

“Hey mister, you can’t just come into the resuscitation room… Huh?”

Yeo Bongcheol didn’t recognize the God of White Coats at first because he wasn’t wearing a doctor’s gown.

But soon his eyes widened.

There would be no one in Korea who didn’t know the face of the God of White Coats.

Not to mention the doctors at Yeon-guk University Hospital.

“P-Professor God of White Coats?”

“Get out of the way!”

Thwack!

The God of White Coats pushed Yeo Bongcheol and approached the patient.

It was surprising to see Yeo Bongcheol, who wasn’t small, staggering and being pushed away.

“Isn’t there a TS [thoracic surgeon] here? Why can’t anyone make a decision?!”

The God of White Coats scolded us.

His subsequent actions were without hesitation.

He rolled up his sleeves, put on gloves on his right hand, and then stuck his hand into the hole in the patient’s right chest.

“……?!”

Everyone’s eyes widened.

Was that okay?

Wasn’t that too reckless?

Everyone seemed to be thinking that and was surprised, but I could tell what he was trying to do.

Just like I had thought a moment ago, he was trying to touch the heart directly.

“The only possibility that this patient could have arrested like this is this.”

The God of White Coats said.

His arm muscles twitched.

I could tell that his hand, which had entered through the window where the Eloesser surgery had been performed, was moving.

“……Done.”

After a while, at the God of White Coats’ quiet murmur, I could tell.

‘He’s already caught the bleeding site!’

I couldn’t believe it.

From assessing the patient to making a decision and stopping the bleeding, did it take a total of 20 seconds?

This person knew exactly how the surgery was performed.

And he knew exactly where the blood would burst out if bleeding occurred due to infection.

Meanwhile, Yeo Bongcheol and the emergency room medical staff who were watching were still frozen like ice.

“What are you doing? I’ve caught the bleeding focus…”

The God of White Coats glanced at me and Shin Sangmi and then shouted.

“Hey you bastards, didn’t you come here as TS? Compress! You, prepare to go into the operating room right away!”

“Y-yes!”

The people who had been overwhelmed by his words finally began to move quickly again.

I quickly compressed the patient’s chest.

Thump, thump, thump-

There were two people clinging to the patient now.

Me and Professor God of White Coats.

The God of White Coats was blocking the bleeding site by putting his hand into the hole in the patient’s right chest.

And I was compressing the patient’s chest from the opposite side.

Meanwhile, Yeo Bongcheol and the emergency room medical staff, who had finally come to their senses, were pushing in fluids and preparing medicine.

Shin Sangmi was on the phone arranging the operating room.

‘I knew I would meet him someday… but to meet Professor God of White Coats so suddenly.’

Thump, thump-

I thought as I compressed the patient’s chest.

Why is Professor God here?

Could it be that the rumors of his return were true?

Of course, there was no time to think deeply or be sentimental.

Because the patient’s life was on the line right now.

I focused only on compressing the patient’s chest in an accurate rhythm.

The sweat that had formed on my forehead from running in a hurry dripped onto the patient.

“The pulmonary artery stump (the area where the pulmonary artery was cut during surgery) burst due to infection. If we follow the volume and do the surgery well, we can save him!”

The God of White Coats shouted as if to instill confidence in everyone.

Surprisingly, the power of words was great.

At the God of White Coats’ words, everyone’s eyes changed.

The RBC (red blood cell transfusion preparation) that had arrived just in time was injected into the patient.

For the patient who had been pouring water into a bottomless pit, the God of White Coats’ finger filled the bottom, and the patient’s deficient blood began to fill up.

And, before we knew it, 2 minutes passed.

“It’s been 2 minutes, let’s check the pulse!”

Yeo Bongcheol shouted, and I briefly took my hand off the patient.

“……!”

Everyone swallowed.

Although faint, the arterial pressure waveform began to appear on the monitor.

The heart rhythm also began to gradually return to its normal shape.

It was an amazing change considering the desperate situation a little while ago.

“Give epinephrine one more time, and bring more RBC!”

“Yes!”

At the God of White Coats’ words, Yeo Bongcheol responded with faster movements than ever before.

It was as if the person who had called the God of White Coats an old man a little while ago was gone.

“And you, do compressions a little more.”

“Yes!”

I followed the God of White Coats’ words and started chest compressions again.

After 1 minute like that.

I stopped compressions at the God of White Coats’ gesture and looked up at the monitor.

The systolic blood pressure was measured up to 80 mmHg.

“Move him to the operating room right away!”

CPR directed by the God of White Coats.

Now, no one doubted his words.

The patient’s heart began to beat again, and we ran with the patient.

“Please get out of the way!”

Creak-

The stretcher car slid down the hallway.

Even while running, the God of White Coats’ hand was still inside the patient’s body.

The patient’s and the God of White Coats’ clothes were already stained with bright red blood, and people could be seen scattering in surprise.

And then.

“Professor God of White Coats?!”

Song Yuju and Ma Dongseop, who were running late, discovered us and were startled.