Chapter 84: Lung Operation [2]
Translator: None Editor: One Mountain Guy
“Hu”
Ganghyuk cut the line with the scalpel.
With the sound, muscles between ribs were cut.
The upper cage was broken, and the broken end was bent inside. Therefore it shook strongly.
From the lung, a strange wind sound was made.
“Makbong! Now.”
“Yes!”
Makbong answered. He was anxious.
A person life is up to his lung capacity.
He blew a scrotum and gave it to Yeoju.
-Hu
Yeoju blew the air to Kyehan’s throat with the blown scrotum.
She did not forget to open his airway and pull his lower jaw.
-Sheeee
Whenever Yeoju blew air to his throat, his lung blew out some of air.
It was a good sign.
It meant that the breath went through.
Ganghyuk nodded his head with satisfaction.
“Good. You two are doing well. You make a great team.”
“Thank you.”
Makbong bowed to him pausing blowing.
He did not understand what the team meant but he did not bother to ask it.
Dolseok was the one who always asked questions when he did not understand.
Makbong did not see any good results whenever Dolseok asked such questions.
Ganghyuk either smashed his back or hit his head…
“See? They are doing their best and they must be very tired. We musts hurry up.”
“Yes, sir!”
Dolseok and Yeoni answered.
Ganghyuk moved quickly to expedite the operation.
“Forcep”
“Pull here”
“Wipe here.”
Dolseok and Yeoni moved quickly following his command.
Ganghyuk did the operation really fast.
In that world, even fellows (doctors after residents) could not follow his speed and they were afraid of being assistants in the operation.
There was once a doctor who was about to be assistant professor was expelled from his operation room.
Ganghyuk scolded him that he was not well prepared.
The operation itself was not a very difficult one but the assisting doctor could not follow Ganghyuk’s speed.
Ganghyuk was peerless in the operation in terms of accuracy and speed.
“Ah, give me this.”
“Pull this.”
“What are you doing? Wipe it.”
No wonder that Dolseok and Yeoni could not follow his speed.
After some time, bad languages were heard and Heo Jun who was watching the operation could not breathe easily.
Makbong thought he was fortunate not to assist him, although his lips were swollen and his lung was about to burst.
‘It is much better to blow here. I really don’t want to assist him there.’
Ganghyuk scolded them much so that Makbong felt happy.
“Dolseok”
“Yes”
Dolseok answered being completely boggled.
“Did you put something in your ears? Why could not understand? Pull this.”
Dolseok was embarrassed.
It was different place that he asked him to pull a second ago.
But he did not say anything.
Ganghyuk’s face was too serious and fierce.
He looked like a demon full of anger.
“Yes, yes.”
“Yeoni. Wipe here. I cannot see it.”
Yeoni was wiping here and there.
But the blood continued flowing.
How could she help it?
It flew…
But she could not protest here. If it was Takyeon, she could win against him. But in the operation room, he was the master and she was the assistant. She followed his order without complaints.
“Yes.”
He made quite an achievement pushing his assistants hard.
He could remove all the broken pieces.
They were 4 pieces and all of them were in the right lung.
More specifically, in the middle lobe and in the lower lobe of the right lung.
“Tst”
The location was not really good.
The status was not good, either.
It means that it could not be naturally cured with suture.
Then, it could burst some time later and made another instance of the tension pneumothorax.
-Psheeeee
As all the pieces were removed, the air went out more fiercely.
Makbong’s face was about to burst.
It was not his voluntary labor.
Ganghyuk urged him to blow more quickly.
“You do not hear that sound? Blow it quickly.”
“Yes, sir. Kek …”
He blew into the balloons to death.
Kim Kyehan was on the borderline of the life and the death.
Makbong had to blow it.
‘Goodness. I should have been there not here.’
He regretted himself after it was too late.
“I think, I need to cut out some of the lung.”
Ganghyuk murmured seriously as if he gave a death sentence.
‘Considering the color of the lung, it seemed to have good function. It would not have big problem.’
As a matter of fact, normal adult can live without difficulties with one lung.
They would not be able to show good athletic abilities, though.
‘The upper part is the main. I think, I can remove the middle and the lower part only.’
If it went well as he planned, Kim Kyehan would not be able to feel difference before and after the operation.
Ganghyuk searched for main organs wishing that he would not have difficulties after the operation.
It was all new to Dolseok and Yeoni.
They have not seen the organs inside the chest before.
“Pull this one upward.”
Ganghyuk gave an Army (Tool to pull an organ or a section) to Dolseok.
Ganghyuk had placed the Army on the upper side of the right lung before he gave it to Dolseok.
“Don’t pull it too hard. If it burst, the patient would die. And then you will be killed, too. Ok?”
“Ah, yes, yes.”
Dolseok nodded his head.
He thought how a doctor could say to kill somebody all the time.
He had complaints in his mind, but he could not dare to say.
It seems that Ganghyuk would kill him if he made complaints here.
“Yeoni, make it open.”
She had to open the section with another Army to let him see inside clearly.
Yeoni nodded her head.
She did not have strength to say yes.
Ganghyuk did not care what they felt.
Maybe he could not.
Ganghyuk was tensed to save the patient.
‘I am afraid to open the lung here too long.’
The operation room in the modern times is very clean, although we cannot say it is an aseptic room. But comparing to other spaces, it is totally sterilized.
It is cool and dry and has purification devices.
Comparing to those operation rooms in the modern times, the place was nearly a toilet.
Fortunately, they had masks and operation caps, so there would not be direct infection.
But the lung is very vulnerable to infection.
Furthermore, it had lesions, so it was easier for germs to intrude.
‘Thus, I have to hurry up.’
Ganghyuk put his hand in the gap that Dolseok and Yeoni had made.
Everything looked obscure because there was insufficient light.
But his knowledge on anatomy helped him to find the place.
“This is the main.”
It was a miraculous hand skill.
Ganghyuk was proud of himself to find it quickly in these circumstances.
He should not touch the bronchial tube leading to the upper leaf of the lung.
If he did, he should remove the whole right lung.
‘He would be able to live. But he would not be able to run carrying King Seonjo on his back.’
He might be dead before arriving at the safe place.
Then King Seonjo might be killed, too.
‘No, it should not happen.’
Although he was not a good king, the history should be kept.
It might go in good direction without him, but it could make Joseon disappear from the history.
“Yes, it is. You are doing very well. Keep doing.”
“Yes, sir.”
“Makbong, blow it more quickly.”
“Yes, yes.”
“Dr. Heo. Come here and measure his blood pressure.”
“Eo, Yes, yes.”
He asked Heo Jun join the operation.
Heo Jun moved quickly.
It has been a year since he measured blood pressure last time, so he could not remember the method very well.
He wanted to ask how he could do it, but Ganghyuk did not seem to be in the mood to answer the question.
Ganghyuk looked like a yaksa.
‘Remember it.’
Heo Jun tried his best to remember the measuring method.
He was a great doctor in his day and left his name in history.
Although the blood pressure gauge was not used in his day, he could remember what he learned from Ganghyuk a year ago. He could manage to measure the blood pressure soon.
“It is 90/60.”
“Heum”
It was not really good but considering the situation it was acceptable.
The operation was near to the non-blood operation.
‘If the president of the hospital saw this operation, he would raise my salary to double.’
He thought he improved his skill in Joseon.
As the environment was too harsh, he had to think of an alternative, which improved his skills.
‘The limit of a person is determined by himself.’
Ganghyuk took out a thread for suture.
He tied all the blood vessels going to the lower and middle leaves.
He tied all vessels regardless of an artery or a vein making no exception.
He tied them thoroughly so that they would not be loosened no matter what would happen.
“Scissors.”
He intended to cut blood vessels all together with the part of the lung.
It was really important but dangerous operation.
“Makbong, more quickly.”
“What?”
Makbong cried.
He felt he would be dead next moment.
Ganghyuk felt sorry but he couldn’t help it.
Makbong felt he would be dead, but Kyehan would be dead without his help.
Feeling is one thing and reality is another.
“More quickly!”
“Eu…. Yes, sir”
Makbong did his best to blow air.
Ganghyuk thought he would not make his efforts useless.
Dolseok and Yeoni tried their best to give him the best sight.
All of them paid attention to Ganghyuk.
“Ok, I will do it.”
Ganghyuk cut the bronchial tube going to the middle leaf moving the scissors slowly.
There became a section smaller than finger and air came out fiercely.
-Fishuk
Makbong realized why Ganghyuk urged him to blow more quickly.
The amount of air flowing out was much more than that before cutting.
“Oh my God.”
He blew the balloon without pause and Yeoju blew it to Kyehan’s throat.
There was no time to sketch.
She tried to remember everything.
“Heo”
Heo Jun was watching opening his mouth.
He felt the same feeling when Ganghyuk did brain surgery last time.
It was beyond his imagination.
He thought he widened his insight to medicine and human beings through Ganghyuk.
-Sheeek
Ganghyuk moved the scissors.
He cut all the branches going to the middle leaf and then he turned to the branches going to the lower leaf now.
Sometimes he opened his mouth to shout.
“Makbong, quickly.”
“Eub, Eub.”
Makbong nodded his head blowing the balloon.
Ganghyuk did not have time to see his answer actually.
He was about to remove the lower leaf and the middle leaf of the lung.
-Seogeok Seogoek
Whenever the scissors made sound, more tissues and blood vessels were cut.
Then more air came out.
At the same time the middle and lower leaves became separate.
“Hut”
When Ganghyuk pulled the part, half of the lung came out.
“Heo.”
All of them opened their mouths with surprise.
Makbong stopped blowing with astonishment.
Ganghyuk shouted.
“Makbong, keep blowing.!”
“Yes, sir.”
It was not only Makbong who was scolded.
“Concentrate on your work. Do not look at me.”
“Yes.”
From the section, the air came out crazily.
Ganghyuk murmured putting the needle in the suture device.
“Now, it is nearly the end.”
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