Title - chapter 1 - A life alive

*Ambulance sirens blaring* (Wee - woo, wee - woo......)

 PLEASE! SOMEONE HELP!! A desperate cry was heard

 'MAKE ROOM, MOVE ASIDE'

Emergency medics alarmed as they ran

with a person on a stretcher with barely any pulse through the corridors of the hospital

- In the emergency ward -

"What are the current vital signs?" A woman with a deep voice asked as she entered the ward

Nurse Do - Doctor Min!

As nurse Do helped with the surgical gown and gloves, Anaesthetist answered

-The heart rate is at 52 bpm and it's dropping further, the blood pressure's significantly dropping and the oxygen saturation has dropped to 85% with tachypnea'

 'The patient's undergoing cardiac arrest' The assistant doctor alerted and continued

...'It could be Large pleural effusion© or Cardiac tamponade©

Are we continuing with pericardiocentesis© , Doctor Min?'

"No pericardiocentesis could be tricky if there's any clotting and we don't have any time for verification"

   "Prepare for the EDRT©, it could be Cardiac Tamponade©"

"Has the consent form been signed?"

Nurse He - Yes, Doctor Min! All the procedures have been taken care of.

*Surgical lights© were illuminated*

"Scalpel"©

 the nurse handed the scalpel to the pale gloved hands which were outstretched

"we're going for thoracotomy"©

'Pass the rib shears' asked the assistant doctor

As the small incision was made on the chest and the blood flowed, the assistant doctor carefully used forceps to widen the incision for the easy access

*The ribs were visible amidst the blood*

The periosteum© was dissected from the ribs

"Finnochietto retractor"© The calm voice asked

As the space between the ribs widened. The situation was more clear.

"There's clotting"

The clot was carefully removed and the bleeding source was treated. The pericardium © was opened to do the Surgical drainage

......................

The patient's chest was full of attached chest tubes to help drain any remaining fluid

"How are the vitals now"

'They are coming back to normal and the pulse has become clearer' the anaesthetist addressed looking more relaxed

*sigh of relief*

...----------------...

*The red light was lit outside of the ER*

And the guardian of the patient Seems to be desperately praying for something

'Doctor Min! Thanks for leading the surgery today, we shouldn't have asked for you for such a small surgery but the other doctor wasn't feeling well. But I am glad that you were able to come. And I am sorry if I have wasted ur time as you were already preparing for a complicated surgery this afternoon' The Assistant doctor rambled nervously..

*There's nothing small or big in an emergency. I did what I should have done"

*The voice sounded which was commanding, calming and sultry at the same time*

"Don't worry about the afternoon surgery. I could handle it. Good job on this surgery"

As the assistant doctor's face lit up, doctor Min left the emergency ward

- Outside the ER -

As soon as the doors of the ER opened, the guardian ran to the outcoming doctor

'Doctor how is he?'

"The patient is out of danger, he will still be kept in the emergency ward for further monitoring. He will regain his consciousness in 12 - 24 hours"

'T-Thank you so much, uh d-doctor?'

"Doctor Min"

'Thank you so much Doctor Min' The guardian said as his eyes overflowed with tears

"It is my duty, don't worry everything will be fine"

- In the corridor -

Nurse 1 - Did you just see Doctor Min?

Nurse 2 - YES! Isn't she so beautiful. That cold beauty charm just hits differently.

Nurse 1 - It is. She is the real example of beauty with brain

Nurse 2 - Yes! that phrase suits her. She is the youngest senior surgeon I have seen or heard of in my life

Nurse 1 - you remember? On my first day she appeared so cold and I was making lots of mistakes. I thought I'd be dying young, but she was so calm and patient with me. That's when I decided I'm gonna be her official fan-girl

Nurse 2 - she appears cold but she has not been rude or behaved badly with us

Nurse 1 - I don't know what kind of guy would suit her, when she's already so perfect

              *sigh ×3 *

...****************...

Yeah! That third person is me sighing. I guess there's performance pressure on our Ml now.

I'll write down a summary of this chapter in easier words so you people can understand, if u had any problem with the medical terms.

And I'll also write the meanings of such technical words, don't worry about it...🙃

For those who have come for only romance...stick around a bit. I've wanted the romance to have more context rather than any average romantic story. I'll have to ask for you to wait for the sweetness to come. It should be worth it

(summary)

As a patient who was undergoing cardiac tamponade (don't worry I'll tell u what it means) was brought into the hospital and among the doctors who were stationed for such emergencies, one of the doctors wasn't present due to health issues (yes even doctors get sick 😭) So Doctor Min Hye-jin (our fl) came to lead the surgery despite her hectic schedule (such a hard working person 🤧) And as they identified the issue, the assistant doctor suggested that it could be either "large pleural effusion or Cardiac tamponade" (basically these two conditions have almost similar symptoms hence)

 so they could do the drainage by inserting a needle (pericardiocentesis) but one can't do pericardiocentesis if there is any clotting( basically lump of clot which can create complications if not removed) so they decided to do it surgical way, as there was less time and patient was going into cardiac arrest

So they made a small cut on the chest and stretched the cut using surgical instruments and then cut the tissues around bone (In our body, the tissues are always regenerating so damaging few tissue will not hurt body) so they could access through the ribs better, they used some tool to make space between the ribs so they could access heart which is the main site of the condition. There's fluid around the heart which causes increased pressure on the heart hence leading to cardiac arrest, so they drained the fluid and patched up the cut...

It might sound easy but it's a tricky surgery

...****************...

© Large pleural effusion - it is when fluid is accumulated between lungs and chest wall. It can also cause cardiac tamponade sometimes

© Cardiac tamponade - It is a condition when fluid is accumulated in the sac surrounding the heart, which creates pressure on the heart and keeps it from doing it's work. It results in a dramatic drop in blood pressure and can be fatal

© pericardiocentesis- it's basically a non - surgical method to remove the fluid using a needle or tube

© EDRT - (emergency department resuscitative thoracotomy) it's a last- ditch effort to save a patient who is going under cardiac arrest

© Thoracotomy - it's a surgical procedure which involves an incision in the chest wall to access organs like lungs,heart etc..

© Periosteum - a lining or membrane surrounding bone

© Pericardium - a line or membrane surrounding the heart

surgical instruments --

© Surgical lights 👇

© Scalpel 👇

© rib shears 👇

© Finnochietto retractor 👇

*These pictures are not mine. The credit goes to the rightful owner*

***Download NovelToon to enjoy a better reading experience!***