Chapter 42 Surgery

Makiura once thought about quitting her job in obstetrics

That was because the condition worsened after childbirth, which caused the newborn who entered the ICU to leave the world on the tenth day of his birth.

At that time, all the medical staff tried their best to continue his life, but unfortunately they could not do it.

No way to do anything

For this child who left the world too early, the mother just stood up as if she had emptied it.

Makiura is still young, so she didn't want to comfort her, but instead hugged the other party and burst into tears. In the end, the other party hugged her, caressed her back and comforted her.

She really feels that she is not qualified to be a doctor

From now on, I may encounter many similar things.

Thinking of this, Makiura didn't have the courage to continue working.

At this moment, she was taken to visit the grave by her father

It is the tomb of his mother who died when Maiura was young

However, the grave sweeping should be booked on other days in previous years, which surprised Murasu at that time.

After changing to the flowers for worship, she clasped her hands at her mother who had no impression. At this time, her father said

I'm still very unwilling to accept it

··········?

I regretted that if I had the current technology and knowledge at that time,

········Um

However, this is also helpless. Not only mothers, but also fathers will die one day.

················ This kind of thing

There is no reason, I don't want to imagine things

My father has always been ahead of him

I can't imagine that this existence will disappear

Father will definitely stand in front of him

However, that doesn't matter to mother. She has worked hard until the last moment. This is the result of everyone's hard work, so that's okay.

··········

That is, as a doctor, who has witnessed countless life and death shadows.

It is also the back of the death of the mother who has forgotten Makipune

Open your eyes

The walls of the lounge are caught in the eyes

The body is frozen

I was going to move my body, but suddenly a feeling of disgust

She turned her face and sprayed all her stomach juice on the ground

Uh, ha...

The bitterness burned my throat so hard that tears couldn't help but burst out.

Covering the constantly wriggling stomach with your hands, spitting out all the things that were stagnant in your body like spasms

After wiping the corner of his mouth, he finally stopped, Murasu looked at the ceiling above his head in a misty way.

What am I doing?

Mumbled with self-deprecating

Facing against the wall and supporting the squeaking joints, Makiura stood up

A lot of time has been wasted

I also doubt how long the generator's fuel will last.

After changing into dirty clothes and adjusting his appearance, Makiura dragged his heavy body to Takashi's room

However,

(Not here?)

The room is empty

The medical bed was pushed away

She searched everywhere in surprise

But no one is seen anywhere

With a slightest idea, she pushed open the door of the operating room.

A man wearing a green surgical suit, wearing a mask and a hat, and wearing plastic gloves in both gloves stood on the side of the operating table and turned his head toward this side

·············dad···········?

The unwrapped eyes shot sharply at myself

Kore Yusuke

Makiura was silent for a while,

··················What are you doing?

·················

No response

On the operating table, Longsi, who was illuminated by a shadowless lamp, was lying horizontally

He opened his eyes and looked at the void in vain

A blood pressure meter is rolled up on his hand, and an electrocardiogram electrode is attached to his exposed chest

I don't know if I read the operating manual while Murasu was asleep, and all the values ​​are well expressed.

The trolley containing various utensils was pulled to his side, and Yusuke was standing directly opposite Takashi

This scene made Makiura hesitate for a moment

·········what

After surgery, Ah cuts the stomach and then removes the bulging things. It’s done without any effort.

·················· Are you serious?!

If you don't have the energy, please leave and don't quarrel with me

There were a lot of surgery on Yusuke's feet that seemed to be collected in the hospital, and the surgery illustration book for interns

The books were all opened, and the light shining from the flashlight on the ground reflected the pages

It seems that because the hands cannot touch unclean things during the operation, he uses his feet to turn the pages to refer to it.

It's such a cold day, I have to wear slippers barefoot

It's so messy

Bio-nails, as well as nail-making equipment used to suture and cut the skin, are all ready here

For Yusuke, who has no skills, he is indeed constantly trying to imitate real surgery within his ability.

Moreover, my eyes also swept through those syringes and bottles that I had no impression.

(Ketamine·········································· Although this anesthetic works well, it cannot be maintained by this alone)

This is an anesthetic with low respiratory depression and strong analgesic effects.

Because it does not lower blood pressure, it is very popular among some field hospitals without much equipment.

However, this is also an anesthetic that acts on the spirit, and you must always pay attention to the patient's movements.

Generally speaking, this must be used with sedatives

Takashi's trance looks are the symptoms of ketamine dissociation

After a look, Zhang Yao ointment was attached to the back of his hand

This is the trace of the injection

He didn't take intravenous drip, but instead used this injection to perform anesthesia, and then started the surgery

This scared Makiura very much

It's too messy...! Stop it!

Yusuke didn't turn his head, just said something lightly

No need to ask you anymore I can do it myself

·········· This is not something that laymen can do! I'm afraid this will also cause perforation. This surgery will not end so simply

But if you leave it like this, you will still have to die? Even if you are digging a grave for him, I have to do my best

While talking to Yusuke who was in a plain tone, Maiura, who was more intense tone, finally realized it

Yusuke is holding back the dense sweat from his eyebrows and forehead

You can tell at a glance how nervous he is

After seeing this, Makiura realized

Yusuke, he never thought that his surgery would be successful

He just felt that it would be a good thing to stand by and not save a child because of his cowardice.

Makiura stood there in a daze

(I·········)

Makiura lowered her head

She felt Yusuke walking around without any thoughts, and soon, she raised her head.

············How do you wear gloves?

···················· I don't have any good things, I usually wear Ah like that

Wearing gloves is also very particular. Let’s start with the washing step. You don’t want to kill him due to initial infection.

··········

Feeling the puzzled vision from behind, Makiura entered the preparations for the operation

The pain relief has taken effect, you must ensure that the drip is connected to the veins.

Then, put sedatives into the injection of the medicine liquid and let Takashi go to bed first

Then insert the catheter into the bladder and place the probe into the rectum to measure body temperature

Then set the pulsating blood oxygen meter on the middle finger to let the oxygen concentration in the blood be displayed on the screen

Next is to intubate the trachea

As long as you make sure to make the blood-flowing veins and the trachea that ingests oxygen, then it will be easy.

Makiura stood on the side of Takashi's head and helped him wear a cover

Then raise his chin with your fingers to ensure the position of your respiratory tract

After oxygen is fully exchanged in the lungs, anesthesia begins to stop breathing, and then temporarily maintains this condition.

After the gas exchange is completed,

If the amount of rocuronium injection is used, just hit the marked position.

Hearing Makiura's words, Yusuke opened his syringe and looked at it

A syringe with a note with a muscle relaxant written on it is connected to a three-way piston in the middle of the drip pipe

He nodded, then slowly injected and pushed into the core rod where the oily pen was marked.

The potion flows into the pipes

This should not be assisted by laymen, but I am really too busy to do it.

Only such a poor plan to inform Yusuke of the order of operation and teach some simple operations and must be carried out under the monitoring of Matsuura.

Muscle relaxant takes effect after several points

Twist the valve on the atomizer to mix the oxygen in the mask with anesthetic to prepare for the cannula

After a while, Takashi stopped breathing

Take off the cover and stretch out Longsi's mouth with both hands

Take out an L-shaped laryngoscope from the trolley, turn on the light, and then stretch the blades into it

Lift up the epiglottis cartilage seen inside and the tongue, then clamp the vocal cords on both sides to see the trachea below.

Then hold the tube covered with glue on your right hand and put it between the vocal cords

After a series of fine adjustments, the tube is completely inserted into it, then the core guide and throat lens inside are removed, and the tube is temporarily fixed to the mouth with tape.

Follow the flashing information on the screen

Because there is no assistant, it took a lot of time to deal with it, but fortunately the oxygen concentration has not decreased

Blood pressure is still normal

Then, after connecting the tube exposed from the mouth to the hose on the artificial respirator, place the stethoscope on the chest

After confirming that it was not mainly abdominal breathing but full ventilation of the lungs on both sides, Murasu finally breathed a sigh of relief.

Then let the teeth grit the mat, then fix it with tape so that the tube will not be loosened

I'll ask you next

Ahah

Makiura and Yusuke changed their positions

Yusuke is responsible for monitoring vital signs such as blood pressure and pulse.

After all, during the operation, Makiura did not take care of other things calmly

After letting the continuous venous anesthesia pump start working, Makiura returns to the bathroom in the operating room for disinfection

Then be careful not to touch the surface of the latex glove and put it on.

(·········good)

He cheered up and returned to the operating table

But I found that Yusuke would occasionally glance at Takashi lying on the bed while concentrating on the screen.

Ever since he learned that Makiura was going to do this surgery seriously, he became speechless and just followed his instructions to do things.

I don't know what kind of mood he has in his heart

Anyway, let's complete this surgery first, Murasu thought so

Then stand on the sleeping side of Takashi

First, disinfect the surface of the body and cover the surgical bag cloth outside the abdomen.

Hold the scalpel prepared on the stage in your hand, and the blade lands on the lower right side of the abdomen.

(·········)

After firmly grasping the feeling in my heart, cut it open at a rhythm of about five centimeters in one breath

Then immediately moved your eyes to the screen next to you, and there was no significant change in blood pressure or pulse.

This is the evidence that anesthesia has taken effect

If you feel the pain, these two data will definitely rise sharply.

Change the high-frequency electric knife to start electrocuting the fat layer under the skin

Then cut the muscle below the fat layer and peel off the silver film with scissors.

Until the inner peritoneum was seen, then the opening was fixed with the pioneer.

You can see the internal organs clearly along the small hole

Change the long tweezers and lean in

Finding the cecum is not a problem

Then follow this and find the appendix of the diseased

There are no symptoms of healing at this moment, but not much pus is leaking

As appendicitis, this should be considered within a controllable range

Because the intestinal wall of a child is thin, it is easier to aggravate the condition, so the current situation can be said to be too lucky

Maybe this is all thanks to the antibiotics prescribed in the station.

Pinch the pliers and pull the appendix out while being careful not to touch the edge of the opening.

And the living thing that popped out of the abdomen couldn't help but shake Yusuke a little bit of it.

I can understand his feelings

After all, surgery is to treat a piece of emotionally unrelated piece of meat among the living humans.

Even professional doctors can't help but be shaken when facing surgery by close people

Makiura quickly performed the hand movements, ligating the front end of the artery connected to the appendix before excising it

And operating alone without an assistant is really too difficult

Even changing the equipment on your hands will cause delays, and now a lot of time has been wasted

After processing all the arteries, finally finally uprooted the appendix.

Woo............

Sweat came out and fell into my eyes

Yusuke immediately rushed from the side to wipe away the sweat from his eyelids and forehead with gauze.

Close your eyes and feel the touch he brings.

This time, it was really thanks to this one to be saved

············· This way

Is there any problem with vital signs?

Ahah

Yusuke returns to the screen

Makiura placed the appendix on the tray and then sucked out the pus in the abdominal cavity.

The remaining few residues are washed with normal saline

(No need for drainage bars...)

If you have severe appendicitis, you have to put a drainage strip to remove all the remaining pus in the operation, but this will delay the entire operation process a lot.

The risk of infection from the outside is also very high, and the antibiotics used for cleaning must be fully judged.

Please turn off the continuous venous anesthesia pump now I'm going to start suture

Walking to the continuous venous anesthesia pump, Yusuke looked over here

He put his finger on one of the switches

He turned off the switch when he saw Makiura nodding

The anesthetic in the syringe also stopped injecting

Next, I have to work hard alone

In order to avoid wound infection, you must be cautious and cautious in suture

After carefully counting all the necessary equipment and gauze, after confirming that nothing is missing

Hold the tweezers and needle holder with both hands, start from the bottom peritoneum, and carefully suture it with absorbable wire.

Keep doing this stitching work selflessly

Soon after sewing the skin carefully, Makiura lifted her head up

Look at the clock

Announced the end of the operation

Then he let out a gentle breath

Although it took a lot of time, now after the operation is completed, it seems that it will be a moment.

During this period, the operation was successfully completed

Switch to pure oxygen bar and cut off the anesthesia. We started to unplug the tube.

As he said that, Makiura looked at Yusuke, but found that he was staring at the screen with a strange look on his face.

I said Ah···························································································································································································································································

Eh?

Confirmed the value on the screen

366 degrees Celsius

Check the records again and it rose by about 03 degrees Celsius within ten minutes

···········

Generally speaking, open surgery does not cause body temperature to rise

Instead it will reduce it

In order to avoid this, you will usually prepare a heating blanket, a device to warm the infusion, etc....

But it may be an error of the machine.

··········· In short, let's turn off the heater first and lift the edge of the cloth to dissipate the heat.

After lifting the blanket covering the limbs, turn off the heater that is working at your feet

Since the operating room only performs ventilation and the air conditioner does not work, the room temperature is very low

But after a while, Takashi's body temperature still rose

It's over 37 degrees Celsius

A sense of crisis suddenly surged into my heart

(Is it sepsis caused by peritonitis? Or it is infected from the wound... But then again, the rise is too fast)

Vital signs show irregular pulse rhythm

The oxygen concentration has also been reduced

While increasing the ventilation volume of the artificial respirator, Makiura carefully observed the symptoms

There was no painful expression on Ryoshi's face, but instead he fell asleep peacefully as before, but Khan appeared a lot of it

The neck became a little stiff

Change the infusion to cold saline, and then put diuretics to keep circulating

But this won't make your body temperature drop

(Did he have any old problems? Is this fever... thyroid?)

Blood samples were collected from the arteries and placed in a blood gas analyzer

Just as I was thinking about using stomach washing to reduce my body temperature, the results of blood gas analysis came out

Low pH value blood is acidic

Acidosis occurred

Sweating body temperature rises and muscle stiffness increases carbonic acid gas in blood

Muraura couldn't help but feel a disease in her mind in horror

(································)

This is an extremely rare symptom caused by atomizing anesthetics, or specific muscle relaxants

As a hereditary disease, this disease only occurs in one out of 10,000 people, but the incidence rate of boys is very high.

If nothing is done, the continuous rise in body temperature will lead to muscle tissue collapse and kidney failure will eventually lead to death

This disease will kill you

However, there is a special medicine for this disease

(Danqu Lorraine!)

Apply alcohol to him! Anything is OK, find a way to make his body cool down! I'll get the medicine!

This doesn't look like medicine that will be prepared on the operating room shelf

Murasu rushed out of the operating room and rushed to the drug vault

Light the light and start the visitor's terminal to try to search, but find that the management system has been down long ago

Then I went into the vault and could only go through it carefully little by little on the shelf

Although Danqualin is classified into muscle relaxants, it is also a high-priced drug. It is not very useful except for malignant high fever.

Therefore, many hospitals do not place it in the warehouse on weekdays, but they will come to other places to come to an emergency.

Now I can only bet on whether the medicine is in this hospital run by my father?

(Be sure to be in Ah·······························)

When I almost flipped through half a vault, I found a bottle containing orange powder.

Confirm the tags immediately

(Have it!)

Holding the medicine bottle with both hands on your chest, swaying your legs and running back to the operating room

Start preparing now! Use the water for injection to flush the pipe!

Please explain it more clearly!

Yusuke, who was leaning over Takashi, also had a twelve-minute anxiety in his voice.

Makiura adjusted her breathing,

If this medicine is used together with other drugs, it will react and precipitate in the pipe. In order to avoid this situation, please use injection water to flush into the body in the existing pipe!

I see!

Murasu injects the sterilized injection water into the medicine bottle to dissolve the powder

Then extract the obtained solution with a syringe, then change the position with Yusuke, and inject it into the three-way piston.

My fingers holding the syringe couldn't help but tremble

Both of them were waiting for the passage of time in anxiety. After a while, things finally turned around.

Body temperature stopped rising

Although this makes people relax, the matter is not over yet

Must stabilize the disordered vital signs

After finding the right time to ensure another venous route and putting in drugs to suppress the heart rate too fast, the situation finally recovered slowly

After finally completing all the processing, it will be two hours later

After the operation was completed, Takashi was sent to the anesthesia recovery room

He was sleeping peacefully through the glass, with various monitors attached to his body,

Makiura sat down against the wall and turned her vague eyes to another direction.

What are you looking at?

Being shouted inadvertently

Kore Yusuke

He held two cups in both hands and looked down at himself

···········Nothing

Responded calmly, and took the cup with coffee

On the edge of vision, there was a black shadow hiding in the shadows, staring straight at himself

I don't know if I have consumed all my energy during the operation, but now I don't feel any fear of this.

On the contrary, it is full of sadness

Close your eyes, feel the bitter scent of coffee, and slowly open your eyes

The shadow disappeared

Incredibly, the sadness became even stronger

Yusuke leaned against the wall next to him, siping coffee in small mouthfuls

This time, there are so many you, thank you. I owe you a kindness.

········ Although I still feel a little uneasy

It's okay, we've done what we should do

Silence, for a while, enveloped the two of them

Makiura looked blankly at the coffee in her hand, and Yusuke said slowly

I said, "Ah, why not quit the committee job?" No matter how you look at it, you are already covered in scars. Is it necessary to do this for others?

A slight smile appeared on Matsuura's face

You, a person who has worked so hard for other people's children, said this, but there is no convincing at all.

············

Yusuke frowned, showing a stern face

He sipped his coffee carefully, and then said after a while

Not like this... If I really value that guy, I wouldn't think of myself cutting open his stomach, maybe I might kill him... If Shenyue was by my side, maybe she would cry and beg you to help him and abandon his dignity, but I never thought I would kneel down to you to save Takashi

············

I'm just full of guilt towards him. If I have done what I can, I'll have an explanation no matter what the result is.

······························································································································

Didn't you hear from Shenyue?

I have heard of things in supermarkets... But you didn't have the obligation to protect them, right? Even if you were attacked, it was force majeure, and you don't need to feel too guilty. Ah...

Ha, Yusuke snorted and laughed

I didn't say Ah, but she was also Mitsuki, but I've been on board to get food

Makiura couldn't help but hold the cup hard

Staring at the ripples in the cup

He said as if he had to squeeze out his words

·····························

It's quite popular to make people eat for food

Makiura bites his lips

I was indeed shocked

This is an unacceptable fact

It's time to have contempt for him

But at the same time, the scene that had just come to my mind

His figure desperately atones for saving a child whose life is hanging on the line

When disinfecting the palms and arms before the operation, I noticed the full scars on Yusuke's hands

All are traces of injection

My thoughts immediately turned

When he was a student, Makiura also practiced using each other as white mice with his classmates to inject them.

Yusuke performed this exercise alone

An outsider acted alone before suddenly facing a formal operation

For the girl who had sex with her reasonably, Yusuke did not have negative feelings for her, but instead showed him his behavior of protecting the other party.

All kinds of emotions that I had surging for Yusuke could not help but stir up a pot, and I didn't know where to put it and fell into chaos

This kind of thing that is obviously better hidden, he actually said it himself, which made Makiura even more incredible.

This statement gives people the feeling that he is deliberately showing his ugly side.

(··········· What a strange person...)

If Makiura had said the past, he might not hide his disgust and constantly denounce Yusuke.

However, under this extreme state, I have already become very conscious of my weaknesses and shortcomings

Although Yusuke said nothing, Makiura, as a doctor, provided limited medicine for private use

I don't have the best time to talk about other people's positions

Putting Matsuura's troubles aside, Yusuke continued

So... This is just a matter of transaction. I got into her and had the obligation to protect the three of them. However, the agreement was broken, so I could only run around like now. It's completely different from you, who is like you, who is just as different as you do as you like, and I think in my heart that you are like now. In the final analysis, it's because you are a fool, but I benefited from it, so I really can't say anything.

Is this a compliment or a derogatory

This seems to be saying that I am completely different from Makiura, who is a well-intentioned doctor.

··········ha·············

Big sighed

What's wrong?

Does it make you happy if you make me upset?

ha?

Maybe I was moved by Yusuke who showed his inner side without any hesitation.

I couldn't help but care what I said next would make the other person think in my heart

After hesitating for a while, Makiura spoke

That... Can I tell you something

What's wrong? Don't be so polite

Yusuke sips coffee indifferently

Makiura stared at the ground and slowly poured the scene that was sinking into her heart to her mouth.

····················································

Yusuke didn't say a word, listened with his ears

Makiura continued

I was so selfless at that time... In that darkness, I saw something very creepy, but was it a zombie... I didn't know... I personally gave this baby who might still be alive, unresistible... It was very soft and had almost no touch... But when it was destroyed, I knew very well...

After the words came, they all started to shake

That touch is still very distinct now

······························· Of course, it will be very uncomfortable

··········Yes···········

Holding the feeling that surges deep in your throat, swallowing it back into your stomach again

························································································································································································································

···················

Yusuke moved the cup beside his mouth and looked into the distance

But for a while,

Do you still see it now?

···················· Just now, I saw it right there... Although it didn't make people feel a little scared compared to before

Isn't that saying that I have forgiven you? Even though I don't know how to leave it alone, it will disappear, right?

Hearing the other party's blunt statement, Makiura couldn't help but squirt

How bad are you at comforting others

Wipe your tears,

Just be sure as you said

Well, to be honest, I feel that your mental damage is constantly caused by hallucinations caused by drug dependence. I think it is better not to talk about this to anyone other than me.

Well, Makiura frowned helplessly

Then he was deflated,

······················· I also think I should no longer rely on drugs

That's the right way to do it. If you have a dependence on drugs, it will waste a beauty.

She froze

I've been so calm for a while,

································

A scarlet color on the neck

It's because Yusuke suddenly said this

·········You're also very difficult to do with this reaction

······························

Still didn't lift your head

As if he wanted to dispel the awkward atmosphere, Yusuke said

Ah··············By the way, you haven't heard of the plan to transfer to the wild center on the mountain, right?

··············· Yes, what is that?

Makiura raised her hot face while covering her red neck with her hands

Then Yusuke told her about the possibility that zombies would run on the road in spring and that in order to deal with this, he planned to make a large-scale transfer to the mountain.

Although you may not be able to get rid of the work of the committee now, the environment will change if you move to the mountain. Then you will say that you should concentrate on the doctor’s position and quit the work of the committee? Or build a clinic to let you stay in the inner group of uncles, and there are also very reliable guys.

···········

Makiura, I couldn't help but imagine life on the mountain

It seems that there are stars in my heart

That's right... Maybe that's good

Don't try to be so good, you have to be very good.

I originally wanted to fight back as a previous counterattack, but joked that this was what we lived together, but in the end we swallowed the words back

As if these words were beyond my imagination, Makiura blushed to the bottom of her neck again