I, Tomoya Aki, am not a bootlicker

If Aki Tomoya has already completed the initial training, that is, two years of hospitalization in the hospital, and is currently undergoing the final training, that is, specialized training, then this decision is not surprising.

But in the final analysis, the time he spent obtaining his medical license and in the hospital was too short.

Excluding his clinical internship in college, from the time he obtained his medical license to the time he came to Kanto General Hospital, he was nominally a resident trainee and had been in the hospital for less than four months.

Isn't that a bit fast?

Everyone knew that the three resident trainees in the department were only nominally rotating throughout the hospital, but in fact, they had already been in their department for three months.

This was the arrangement made by the Director of the Logistics Department. They had no objection, and they could not have any objection. Everyone knew the Director of the Logistics Department's background and his status in the hospital.

Not to mention, most of the people were brought in from the university hospital by the former director of the physics department. With absolute power of decision, no one dared to express any opinions.

When Tomoya Aki first heard it, he was a little surprised, because he had actually begun to think that it was not his turn to do anything.

But the results were somewhat surprising.

At the preoperative seminar, Sasaki Ichiru decided to let him be the fourth assistant. Director Monobe had no objection and nodded readily.

This makes people sigh that under Director Mononobe, Sasaki Ichiru now has the second most powerful say, and all his decisions are passed without any surprises.

And Tomoya Aki got what he wished for and entered the operating room first as a surgical assistant.

"An Yi-kun, you are really amazing. You were arranged to join the operating team so quickly."

When they returned to the department, Nishikino, who had no idea about this matter beforehand, looked at Aki Tomoya and spoke in surprise.

Compared to the other two people, Tomoya Aki has now moved ahead.

"It's just a fluke."

"Excessive modesty is hypocrisy."

"I agree with that statement, but if it weren't for Dr. Sagara, Dr. Nakagawa, and Dr. Moriyama as assistants, I wouldn't have had the chance to get in."

"You want to say that you have a good relationship with them? But it should be more than just because of the relationship, right?"

Nishikino thought that Akitomo was also saying that he had a good relationship with three of these people, which gave him this opportunity.

This cannot be denied, but it should not be the main reason.

"With them around, the surgery is covered by many insurance policies, so it doesn't matter to me as a trainee doctor whether there are more or less."

At this time, Aki Tomoya explained.

His words made sense to Xikino and he couldn't find any way to refute them.

Dr. Nakagawa was their previous instructor, Dr. Sagara is their current instructor in pediatrics, they are not familiar with Moriyama, but he is definitely not bad, and Sasaki Kazuo is the best in cardiac surgery.

From this perspective, there is a lot of insurance coverage for surgery.

When Aki Tomoya said this, there was really no way to refute it.

With them around, even if Tomoya Aki goes in as the fourth assistant, he won't have much responsibility.

“But this is also a good opportunity.”

But even so, this is still a very good opportunity.

Strive for such an opportunity, and if you have the first time, there will naturally be a second time.

Akitomo was also unable to judge whether Nishikino and Majima needed to try hard to seize opportunities.

But as for himself, he must and wants to continue to seize opportunities.

This time he got what he wanted. After he opened his mouth, he would have more opportunities to undergo surgery.

The operation was finally scheduled for next week, and before that, the child needed to undergo a comprehensive preoperative examination.

When Tomoya Aki asked Dr. Sagara what he needed to do as the fourth assistant, the other party's answer was not unexpected.

“Nothing complicated, but not too much either.”

Akitomo was not disappointed with this answer.

Because seriously speaking, with Sasaki Ichiru, Sagara, Nakagawa, and Moriyama, there is really very little that he needs to do.

But it’s not that there aren’t any, just not too many.

There will be things that happen after he has done something, but this is his first time joining a surgical team.

Take it slow. You can't become fat in one breath.

For Tomoya Aki, the significance of this incident lies in the fact that it marked a new beginning.

All things are difficult at the beginning, but once you start, things will go much more smoothly afterwards.

Or is it a natural progression?

Anyway, the first time he entered the operating room as a member of the surgical team, his presence in the department gradually increased.

"Surgery is not as simple as the anatomy room you went to in school. This is a good opportunity to learn. Watch carefully, stay focused, react quickly, and most importantly, stay calm."

The person on the operating table is not a cadaver surgeon, but a living patient.

The patient's life is in their hands, and caution is the first element.

"I understand this."

On Tuesday of the second week, at 11 a.m., the operation began.

Everything was ready. As a member of the surgical team, Akitomo did the same preoperative preparations as them, then changed into surgical gown and entered the operating room.

"I will now start the ventricular septal defect repair, mitral valve resection and mitral and tricuspid valvuloplasty. Please advise me."

The words of the chief surgeon Sasaki Ichiru put everyone into the mood.

Chapter 445 A Good Start

The operation is in progress under extracorporeal circulation established on an artificial heart-lung machine.

"Cut the tricuspid annulus..."

The magnifying glass has been pulled down from the lens of the glasses. The heart that has stopped beating under extracorporeal circulation has had its atrium cut open carefully and meticulously, and the next step is being carried out.

The tricuspid valve ring was incised through the tricuspid valve orifice. During the whole process, one had to hold his breath and concentrate, every step of which was under the control of Sasaki Ichiru.

In the operating room, the surgeon in charge, the assistant doctors in the surgical team, and the circulating nurses are all ensuring the smooth completion of this operation.

This is Tomoya Aki's first surgery.

Strictly speaking, this was the first real operation he performed as an assistant in the surgical team.

Even though he was only the fourth assistant and could not play a very important role, as a member of the surgical team, this was still his operation.

Close distance, putting down the magnifying glass, he followed the instructions of the chief surgeon Sasaki Ichiru, and at the same time, Aki Tomoya was also learning.

"The flaws are exposed..."

A defect with a diameter of approximately 20 mm has been exposed in the field of vision.

Sasaki did not stop for a moment. He had simulated his thinking many times before the operation.

The atrial septum was cut longitudinally through the oval fossa, and the A2 and A3 areas of the anterior leaflet of the mitral valve were already broken. At the same time, a septum-like structure was connected to the septal side of the left ventricular outflow tract at one end and to the edge of the anterior leaflet of the mitral valve through a thin cord.

"Begin the removal of the mitral valve appendage... wipe the sweat..."

"Your movements are still as smooth as always, Dr. Sasaki."

After watching Sasaki Ichiru remove the mitral valve appendage, Dr. Sagara sighed.

In fact, the atmosphere in the operating room was not as tense or as serious as Aki Tomoya had imagined.

This made An Yilun think of a joke.

In the operating room, if all the doctors keep silent, that would be a real big deal. The more relaxed they are, the less likely there will be any problems with the operation.

From the current perspective, the atmosphere is pretty good, and it can be said that it is all under the control of Sasaki Ichiru.

"After all, there are doctors in training, and there are juniors learning."

Nakagawa said softly.

Sasaki Ichiru did not answer, perhaps because he was used to it, perhaps because he was fully committed, or perhaps because he was the surgeon in charge of the operation.

The mitral valve appendage was removed and the defect was sutured with multiple interrupted stitches.

Smooth...

Sasaki Ichiru's technique was so smooth that Aki Tomoya felt very comfortable throughout the entire process from the start of the operation.

There is no wasted time, and the occasional pause will not last too long, and the next action will be taken immediately.

At the same time, he directed everyone in the operating room, including doctors and assistants, to assist him in completing the operation.

As the chief surgeon, he did everything he should do.

Only then did Tomoya Aki truly understand why Dr. Sagara let Ichiru Sasaki perform the surgery.

It's not like he had not seen Sasaki Kazuyuki perform surgery in the observation room before.

But being in the observation room feels completely different from being in close contact in the operating room.

That feeling of security is something that Tomoya Aki feels is quite rare to experience.

"Begin ventricular septal defect repair."

The autologous pericardium was obtained, treated with glutaraldehyde, cut to a suitable size, and the ventricular septal defect was closed by continuous suture.

"The rest of the suturing is up to you."

After repairing the ventricular septal defect, Sasaki Ichiru raised his head as if relieved and looked at them.

The surgery lasts for several hours and requires high concentration. It is a physically and mentally exhausting process.

No one had any objection to Sasaki Ichiru leaving the operating room first, and the remaining suturing would be left to the rest of the people.

"Let me do it, Amami-kun, your second teacher is here."

Dr. Sagara took over Sasaki Ichiru's position and began to suture the atrial septum and right atrium incisions one by one.

"It's a shame that I've made you tie so many surgical knots and now I can't put you to use them."

Dr. Nakagawa joked, as if wondering whether Akitomo would have the desire to show off his skills when he first entered the operating room.

Unfortunately, he is not yet able to do it. This is the first surgery he has actually performed as a surgical assistant, and he still has a long way to go.

After suturing is completed and autologous circulation is restored and no abnormalities are confirmed, the chest is closed.

The lights during the operation were finally turned off later, and the children who had completed the operation would be sent to the ICU ward for postoperative observation.

After the operation, Tomoya Aki followed Dr. Sagara and the others out.

Originally, the other two doctors wanted to joke with Tomoya Aki, who was entering the operating room for the first time as a member of the surgical team, and ask him how he felt, but Dr. Sagara wanted to take him away at this time to meet the family members outside.

"Please rest assured, the operation went smoothly. We will send her to the ICU next..."

Dr. Sagara and Tomoya Aki patiently explained to the child's parents that the operation was successfully completed, allowing them to put their minds at ease.

After the nurse took them away, Sagara breathed a sigh of relief, and then smiled and asked Aki Tomoya beside him: "How do you feel?"

"…It's all under Dr. Sasaki's control. Although I haven't done anything great, it would be nice to be like Dr. Sasaki one day!"

Tomoya Aki thought about it and gave Dr. Sagara this answer.

The surgery lasted several hours, and even if he had to stand, he had to stand for a long time. As the surgeon, it was even more energy-consuming. Amano could also feel how strict the requirements for a doctor were in an operation.

The position of chief surgeon is not something that everyone can hold.

While sighing, Tomoya Aki also had many aspirations in his heart.

Surgeon and surgery, these two are firmly linked together in everyone's impression.

This was the first surgery he had ever performed. After the surgery, he would think about what would happen if he were in the surgeon's position.

At the same time, Akitomo felt that it was worth it to accept Professor Yano's arrangement and come here.

If he was in a university hospital, he would still be doing the hard work of rotating through every department in the university hospital, working as a hard-working resident doctor in a suffocating atmosphere...

He couldn't help but think of Takagi. That guy must be in a lot of pain right now. Being a resident medical trainee is very hard.

Meanwhile, he and Majima at Kanto General Hospital had joined the cardiac surgery department early on, and although it wasn't official, it didn't make much of a difference to them as three months had passed.

It can even be said that he has been able to join the operating team and perform his first operation, so he has made a good start.