I, Tomoya Aki, am not a bootlicker

He asked back, with a teasing look in his eyes.

He wouldn't believe it if Sayaka Kudo wasn't in a hurry.

In a few years, I will be turning 30, and it’s time to settle down my marriage.

And in Aki Tomoya's opinion, isn't it normal to get married at around 30 years old?

Even if it is really after the age of 30, it is not too late.

But one thing is worth noting, thirty years old is definitely the final deadline. Of course, this is only what Tomoya Aki thinks.

There is no need to delay it too late, nor to be too anxious too early.

It’s not that Akitomo has not considered marrying Kudo Sayaka, he is just waiting for the right time.

At the same time, a deadline was also set, and he would definitely be responsible for Sayaka Kudo.

"Who's anxious?! I'm obviously talking about your friend's business!"

Her face turned red, with a look of coquettishness in her eyes, but at the same time, the questioning look in her eyes remained.

Kudo Sayaka obviously still wants an answer.

Whether it is exact or vague, at least there should be an explanation.

It would be a lie to say that she was not anxious. Sayaka Kudo had some thoughts of her own in her mind.

"There's a saying that if you're not dating for the purpose of getting married, you're just being a hooligan!"

In order to reassure Sayaka Kudo, Tomoya Aki said a long-standing wise saying at this time.

They have been together for so long, it is indeed time for them to consider getting married.

As for any obstacles, they are not big actually. It is just a matter of time.

"So do you want to be a gangster?"

"Do you think I'm suitable to be a gangster? Have you ever seen a gangster as qualified as me?"

"That's hard to say. There are so many strange things in the world!"

Chapter 476 Making a prompt decision

It's not difficult to reassure Sayaka Kudo.

Even if he is not a silver talker, the years of getting along and supporting each other, as well as the full understanding and trust between them, are enough to put Sayaka Kudo at ease.

Let's keep things like marriage a tacit understanding for now.

But just as their life continues to develop smoothly, marriage is not an end, but a turning point.

The so-called right time is actually the time when Tomoya Aki is waiting for his career to stabilize. He believes that he will not let Sayaka Kudo wait too long.

"There are still a lot of reasonable hooligans!"

Sayaka Kudo said this and didn't waste any more time on this issue.

Even though I can't say I'm satisfied with Tomoya Aki's answer, I feel a lot more relieved.

Aki Tomoya shouldn't stand her up.

However, when her eyes passed by Takagi's wedding invitation, Sayaka Kudo's eyes still showed a lot of envy.

The word "marriage" is still very tempting and sacred to her.

……

Takagi's wedding will be next year, during the Golden Week, which is nearly half a year away.

If there are no accidents and the time is confirmed, we will just go there when the time comes. The department will arrange the shifts and ask Sasaki to help out.

It was Christmas time and it was very lively outside. Students also had their winter break at this time.

However, for those who are already working, whether it is Christmas or the so-called winter vacation, as long as there are no special plans, it has nothing to do with them.

"It's nice to be on duty at the hospital on Christmas instead of having to spend time with my girlfriend."

It's not known whether he was sincere or not, but Majima, who stayed in the cave with Tomoya Aki on Christmas Eve, said something that made Tomoya Aki laugh and cry.

"I said, are you serious?"

Aki Tomoya looked at Majima behind him in surprise.

When did he start to love his work so much?

They all put work before their girlfriends.

“I was forced into marriage.”

Majima explained simply.

For a moment, Aki Tomoya fell silent. At this time, he didn't dare to say anything wrong with Majima.

He totally understands.

Takagi had just sent wedding invitations to both of them not long ago.

Considering that Majima and his girlfriend have been together for so many years, it is understandable that they would be forced to get married.

After all, Tomoya Aki had a similar experience.

But after returning that night, Sayaka Kudo never hinted at anything again.

As for Majima, it seems that he is entangled.

Upon learning that Majima was forced to marry, Aki Tomoya not only felt the same way, but also felt like laughing.

"It's good that you understand, but if you dare to laugh at me, then I will definitely compete with you!"

Majima seemed to notice the subtle changes on Tomoya Aki's face, and at this moment he understood that his good friend must be teasing him in his heart.

"How dare I laugh at you? It's almost the same over here. Takagi said he brought us a happy event, but he also brought us some troubles!"

At this time, Tomoya Aki did not hesitate to put the blame on Takagi.

If it weren't for Takagi, Majima wouldn't have been forced to get married by his girlfriend.

Majima did not comment on what Aki Tomoya said, but just shook his head and sighed.

As they were chatting, they noticed that it was already late at night. Just as they were about to talk about other things, someone from the emergency room came calling for help.

"I'll go."

Majima stood up and followed the person out.

Suddenly, Tomoya Aki was the only one left in the department.

He focused on his paper, thinking that Majima should be able to handle it on his own, so he didn't think too much about it.

About two hours later, he came back.

While Aki Tomoya was waiting for him to come back, no unexpected incidents occurred.

"what's the situation?"

Tomoya Aki asked casually to Majima who had returned.

"look by youself."

As he said that, he pushed the diagnosis report he brought back in front of Aki Tomoya.

The patient is a 22-year-old female. She had undergone mitral valve and aortic valve replacement surgery in Osaka seven years ago. She was brought here tonight by an ambulance from the Tokyo Fire Department.

"There's a blood clot... aortic valve insufficiency... tricuspid valve insufficiency. Surgery is needed immediately!"

He has been hospitalized due to thrombosis after mitral valve and aortic valve replacement, as well as aortic and tricuspid valve regurgitation.

Judging from what we have now, the situation is not optimistic and we must prepare for surgery immediately, the sooner the better.

"We have already given cardiotonic therapy, diuretics, oxygen inhalation, and cardiac support. The situation is fine now. We have to wait until Dr. Sasaki and his team arrive in the morning to determine the surgical plan."

"Is the situation stable at the moment?"

"I am temporarily stable after taking the medicine. I have already gone to bed. There should be no problem tonight."

Majima had already made arrangements, so Akitomo didn't ask any further questions.

But this patient must not be taken lightly, this is a point that both of them agree on.

Even if you cannot have surgery now, you should still actively prepare for the surgery.

Also because a patient whose condition was not optimistic was admitted to the emergency room tonight, the two of them were in high spirits tonight and were ready to pull Yoshida Aoba out of bed at any time.

Looking at the patient's complete report and medical history, Tomoya Aki already had a rough idea of ​​a plan in his mind.

However, he didn't want anything unexpected to happen tonight.

It would be best to wait until everyone arrives tomorrow morning, finalize the surgical plan, and then perform the surgery as soon as possible.

Time passed by little by little, and in the blink of an eye it was six o'clock in the morning. Aki Tomoya and Majima, who had stayed up until now, did not feel tired at all and were still very alert.

The patient who was admitted to the hospital in the first half of the night seemed to be in a stable condition, but the two men did not dare to take it lightly.

"It looks like the situation isn't too bad. I just need to talk to Dr. Yoshida and Dr. Sasaki in the morning, and then do a complete preoperative examination. I should be able to proceed with the surgery!"

Aki Tomoya looked at the time. Since there was no movement at this time, he temporarily put aside his worries.

But just as he finished speaking to Majima, there was a call from the nurses' station.

After hearing that the patient who was sent in the first half of the night had a problem, the two of them ran out of the department quickly.

After arriving at the ward, they quickly confirmed the patient's condition.

"SpO2 (blood oxygen saturation) dropped to 70..."

"Shortness of breath, heart rate 150..."

"Blood pressure has dropped to 75/20 mmHg..."

“CVP (central venous pressure) 30cm…prepare for intubation!”

After understanding the patient's condition, Tomoya Aki looked at Majima and made a prompt decision.

Even though he had undergone preliminary treatment, he had not yet had another surgery, and it still didn't work.

"Mashima, we need to prepare for surgery quickly!"

Chapter 477: Most Afraid of Silence

"Cardiac stimulants and diuretics..."

After intubation, seeing a large amount of pink foamy sputum pouring out of the trachea, Aki Tomoya calmly gave instructions to Majima and the nurse on duty.

In order to increase myocardial contractility and prevent heart failure caused by damage to the heart, inotropes are given.

At the same time, in order to reduce blood volume, relieve the heart, and relieve the anterior and posterior cardiac contractions in heart failure, diuretic treatment is given.

He was admitted to the hospital in the first half of the night. At six in the morning, a sudden condition occurred and other doctors in the cardiac surgery department had not yet arrived at the hospital.

Even though the patient's condition has stabilized a little, it is still important to arrange surgery as soon as possible.

"Prepare for emergency surgery, arrange the operating room, and call someone from the anesthesiology department!"

Without any hesitation, Aki Tomoya gave the order to prepare for emergency surgery.

There is no time to lose and surgery must be arranged as soon as possible, otherwise the chance of survival will be missed.

"now?"

"Don't just stand there, both of you. Hurry up and make arrangements. Call someone from the anesthesiology department as soon as possible!"

Akitomo ignored the hesitant Majima and urged the two nurses to act with a stern tone.

The nurse did not dare to disobey and followed Aki Tomoya's instructions.

"Mashima, go wake up Doctor Yoshida and explain the situation in full!"

As for Majima, he knew that the other party was still a little hesitant about whether they could decide on the important surgery.

But at this time, Aki Tomoya was much calmer than him and had more momentum.

Majima nodded involuntarily and developed a sense of trust in Aki Tomoya.

At 6:35, Aki Tomoya arranged the actions.