I Will Be Okay
~ Tweeenedertig (Thirty Two)
This is eps kemaren.
Alya p.o.v
Alya was in front of the operating room that he would use for the operation.
"The operating room is ready, professor" Sister Rani said.
"Yes" Alya replied.
"Well, isn't this patient Professor Anggara operating? Why is Doctor Alya here?" ask Sister Rani.
"Professor Anggara chatted me, he said he gabisa operated on this patient and asked me for help. He had some sudden business. I also asked for patient consent before I came here" explained Alya.
"Suster help me later? Said Professor Anggara, Sister Gina who helped me" asked Alya.
"Suster Gina was not feeling well, Doc" replied Sister Rani.
Alya then nodded - nodding and wearing her mask.
"Later there will also be 1 resident cardiac surgeon who will help, Doctor. His name is Doctor Aaron, he said he was on his way here with a patient who was going to be operated on" Sister Rani said.
The resident doctor is a doctor who is still a specialist lecture.
"Doctor Aaron? What year is he the resident?" ask Alya.
"He's a 6th year resident and will graduate next month, Doctor" replied Sister Rani.
Alya nodded - nodding.
"Okeee, let's wash our hands. The patient must be here any minute" Alya said and headed for the sink.
He then lit his sink faucet using his feet. The pinning of the sink faucet in front of the operating room is downstairs, so the guts use the feet. That's so that later if the doctor has washed his hands, his hands can stretch what else, so squeeze it put down and put it on his feet.
After washing his hands, he opened the operating room door with his feet as well. So the operating room door was also pulled under the same sink and if it had been squeezed foot, the door will automatically open and then close again.
"Please look at the results of the CT scan and MRI first, Doctor" said Sister Rani while showing a photo of the results of the CT scan and MRI of the patient on the computer on Alya who was wiping her hands.
CT scan (Computed Tomography scan) is a procedure that combines a series of X-ray images taken from different sides around a person's body. This examination uses a computer to create cross-sectional images of bones, blood vessels and soft tissues in the body.
MRI (Magnetic Resonance Imaging) is an examination of the organs of the body that is done using magnetic technology and radio waves. This examination is done to get the results of images of organs, bones and tissues in the body in detail and depth.
Alya looked at the computer showing the photo while wearing an operating robe.
"Alright, lung cancer - parunya stage 1. I'm going to do a posterolateral thoracotomy procedure" Alya said as she walked to the operating table of her patient.
Posterolateral thoracotomy is a major surgical procedure used to access organs in the chest cavity, such as the lungs, heart and esophagus. Lung cancer is one of the conditions that is often treated with this operation.
If the posterolateral thoracotomy is a special procedure for surgery to remove lung cancer or some healthy tissue in the lungs, if needed.
"Everything ready?" alya asked as she looked at the entire operating crew.
"Ready, Doctor" said all the operating crew while nodding confidently.
"Doctor Aaron ready?" ask Alya.
"Ready, Doctor" replied Doctor Aaron who was in front of Alya.
Facing the other side of the point, so in the middle of them there is an operating table that already has patients.
"The operation will run for about 2.5 hours" Alya told Dr. Aaron.
"2.5 hours, Doc?" ask Dr. Aaron.
Alya nodded.
"Yesterday Doctor Riko's surgery and the case was the same as this patient, walking 4 hours" said Dr. Aaron.
"Mmm, if I usually take the middle. Usually, the thoracotomy procedure takes 2 - 5 hours, so I take 2.5 hours" said Alya.
"Doctor anasthesi, can it be started?" alya asked the anasthetic doctor.
"Already, Doc. Please start" replied the anesthetic doctor.
"Mess" said Alya.
Sister Rani then gives the scalpel to Alya. Mess is a scalpel.
Alya began to make incisions into the patient's chest.
Doctor Aaron immediately suctioned the incision made by Alya before Alya asked to do it. The time it is slashed is definitely out of blood and usually there is a sucker so that the blood does not fall down, because the bottom is dirty and disrupts the operation. So there is a suction device to suck the blood and then enter the tube, continue if it is finished later the blood is removed because it is dirty blood.
"You're more perceptive than I thought, Doctor Aaron" said Alya.
"Thank you, Doctor" said Doctor Aaron.
After that, the patient's chest is open to the inside.
"Retractor" said Doctor Aaron.
Sister Rani gives the retractor to Doctor Aaron. The retractor is a puller, to open the surgical wound to be wider so that the inside is smooth and operable.
"Sternal saw" said Alya.
Sister Rani then gave the sternal saw to Alya. Alya turned it on for a while to check if the tool was working.
Sternal saw in Indonesian is called a sternum saw. This saw is a tool used to perform a median sternotomy or open the chest of the patient by separating the breastbone or sternum.
After Alya turned it on for a while to check the device and it turned out to work, he then split the patient's breastbone with it and saw the patient's lungs.
Alya and Dr. Aaron have successfully removed the cancer cells and just close the wound surgery.
"You can close it, Doctor Aaron?" alya asked Dr. Aaron about whether Doctor Aaron could close the wound of the operation himself.
"I've never done it, Doctor. But I know how" replied Dr. Aaron.
"Then do it" Alya said as she gestured with her head.
"What, Doctor?" ask Dr. Aaron.
"Do the closing" said Alya.
"But....Doctor" said Dr. Aaron.
"You are a 6th year cardiac surgery resident and will graduate next month. You have to try to do it, Doctor Aaron" Alya said.
Doctor Aaron just kept silent while looking at the patient's surgical wound.
"You don't want to? Then fine, I will do it myself" said Alya.
"Jarum sewing 4.0" said Alya.
Sister Rani will give Alya a 4.0-sized sewing needle. However, Doctor Aaron said something.
"good. I'll do it, Doctor" said Doctor Aaron.
Sister Rani looks at Alya, Alya then gives a signal with her head which means telling Sister Rani to give her sewing needle to Doctor Aaron.
Doctor Aaron is well established and will begin to stick the needle into the patient's wound.
"Scissor" Alya said asking for scissors to be used to cut the thread after sewing later.
Sister Rani then gave it to him.
"Cut" said Doctor Aaron asking Alya to cut his thread.
The first stitch is finished and proceed to the next stitch.
On the second stitch, Dr. Aaron accidentally nudged the pulmonary artery with a pair of scissors he used to hold his sewing needle and eventually the vein ruptured and his blood spurted into the face of Dr. Aaron and Alya.
The pulmonary artery is a large vessel that goes out of the heart and into the lungs and it is also responsible for carrying carbon dioxide blood to the lungs and if the lungs have an exchange gas between oxygen and carbon dioxide. And this time these blood vessels rupture and oxygen and carbon dioxide cannot exchange, then the patient will experience respiratory failure and even heart failure if the vessels are not immediately sewn.
"I'm sorry. It looks like I accidentally touched his pulmonary artery" Doctor Aaron said after blood spurted from the patient.
"Vital?" alya asked the anasthetic doctor.
Vital means vital sign. That's the pulse cake, the breathing frequency and the blood pressure.
"His blood pressure is steadily dropping from 60, Doc" replied the anaesthetic doctor.
"Give me the epinephrine and I'll deal with the bleeding" Alya said as she inserted her right hand into the patient's wound to look for a ruptured vessel.
"I'm sorry, Doctor" said Doctor Aaron.
Alya smiled.
"It's not a problem, so don't apologize" Alya replied as she continued to search for the broken vessel.
"Meet" said Alya who had discovered the ruptured vessel earlier and immediately clog the bleeding of the patient using his index finger.
"His vitals are already at a safe level, Doctor" said the anaesthetic doctor.
Doctor Aaron breathed a sigh of relief.
"You happy now?" ask Alya.
Doctor Aaron nodded with a pepsodent smile. Alya also smiled a little. But they don't look like they're wearing masks.
"Hemostat" Alya told Sister Rani.
Sister Rani then gives him a hemostat.
The hemostat is a clamp for blood vessel clamp so that the blood does not come out there is also what makes the intestinal pinch.
"Can I sew it, Doctor?" ask Dr. Aaron.
"OKay, gapapa. You can" Alya replied.
After that Dr. Aaron sewed the veins. And after all that, Doctor Aaron closed the patient's surgical wound and put a bandage on the patient's wound.
"You've all worked hard" Alya said as she took off her operating robe.
"You too, Doctor" said all the surgery crew.
Alya then came out of the operating room.
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Alya saved the patient. Awesome, marvelous marvelous 👏👏👏.
The author will be very grateful when you stay and read this novel, including likes and comments. Can also promote kokk, the author will be very cool if you can get a good temen from this. 😊😊😊.