Sutura pericárdica con drenaje peri

Sutura pericárdica con drenaje pericárdico funcional Yamato-sensei— Anunció el doctor Sato sin pestañear mientras colocaba el último punto de sutura en la herida cardíaca.

A Yamato Ryu le gustaba operar con Sato: su carácter tranquilo y metódico era esencial para un buen resultado en las cirugías. Planeaba contratarle como adjunto una vez terminara la residencia porque era un buen médico y cada vez era más difícil encontrar especialistas en Cirugía Cardiovascular dispuestos a permanecer en un país con una baja incidencia de patología susceptible de operarse y perspectivas económicas a la baja. Muchos optaban por emigrar una vez terminaban la especialidad.

El paciente milagrosamente había permanecido lo suficientemente estable durante toda la cirugía como para evitar maniobras extremas de reanimación. Una vez cerrada la incisión de toracostomía y con los drenajes cardiopleurales verificados radiológicamente, los cirujanos estuvieron en posición de valorar el resto de heridas incisas.

A lo largo de su carrera, Yamato había atendido muchos casos de apuñalamiento, pero hasta ahora no se había encontrado con uno en el que hubiera tanta saña en el ataque. Entre él y Sato contaron diecisiete heridas superficiales en torso y extremidades superiores las cuales suturaron con presteza. Para cuando llamaron a los traumatólogos, quienes tratarían las fracturas en extremidades, ya habían pasado unas buenas tres horas y ambos estaban exhaustos, aunque satisfechos con el resultado de la cirugía cardíaca, que garantizaría al paciente llevar una vida normal sin limitaciones.

Sato se dirigió entonces a la salita médica para rellenar todo el papeleo de la descripción quirúrgica y las órdenes médicas correspondientes, mientras Yamato se preparaba para hablar con los familiares del paciente sobre el resultado de la cirugía.

Sólo entonces cayó en la cuenta de que no tenía ni idea de cuál era el nombre del hombre al que acababan de salvarle la vida, así que se dirigió de vuelta a donde estaba su residente para que este le informara.

— ¡Oi Sato-kun! ¿Podrías darme los datos del paciente al que acabamos de operar para hablar con los familiares?— preguntó Yamato interrumpiendo a su residente, que levantó momentáneamente la vista de la pantalla del ordenador para responderle.

—A ver... sí... Tatsumi... ¡Tatsumi Souichi sensei!... 29 años... profesor universitario...—

— ¿Tatsumi Souichi?... no puede ser... Kanako-chan— musitó Yamato palideciendo intensamente mientras Sato le miraba de reojo con cara de preocupación. Nunca había visto así a su mentor.

-Sensei... ¿pasa algo?...— le preguntó tentativamente.

—No pasa nada Sato... por favor dile a Yuriko-chan que avise a la familia que hablaré con ellos en 10 minutos— le respondió Yamato mientras se dirigía apresuradamente a los vestuarios con el móvil en la mano.

-o0o-

—Yuriko-chan, todo va a estar bien...—

Al escuchar las palabras de Isogai, la pequeña levantó su rostro un momento del pecho de Isogai para mirarle en silencio, con una mezcla en la mirada de lo que el hombre de negocios percibió como esperanza entrelazada con desesperación y algo de desconfianza. La reacción de alguien a quien ya le han dicho la misma frase muchas, muchas veces...

Cuando estaba a punto de proponerle a la niña que fueran a comer algo en la cafetería, la puerta de la salita de espera se abrió de pronto, dándole paso a una pareja de un hombre y una mujer vestidos con abrigos en los que destacaban los símbolos de la policía.

—Urgh... una encerrona— Se resignó mientras movía negativamente la cabeza y ponía en blanco los ojos. Ahora que lo pensaba, no sabía en qué estado se encontraba la mujer de Souichi.

— ¿Qué tan lastimada estará?— pensó nuevamente Isogai antes de ver nuevamente a la niña en su regazo, que asustada por los visitantes, se aferraba a su pecho como un náufrago a un salvavidas.

—Pues esa bruja se merece cualquier cosa... ni siquiera Souichi con lo tirano que es, ni mucho menos este angel, se merece que alguien le haga algo así... si esa desgraciada quiere guerra, guerra va a tener— volvió a pensar mientras observaba como la detective consultaba un momento su agenda electrónica antes de dirigirse a él.

—El señor... ¿Isogai-san?— preguntó la mujer con tono serio mientras miraba al hombre y a la niña.

—Nosotros somos los detectives Koji...— dijo mientras señalaba a su compañero, —...y yo soy Ritsu, de la División de Asuntos Domésticos. Intentamos averiguar lo que ha sucedido ya que en un principio Tatsumi-san fue denunciado por su esposa por un posible intento de homicidio, así que agradeceríamos si respondiese a varias preguntas.

— ¡¿Qué?! ¿Intento de homicidio?... ¿Están locos acaso? ¡Si el que casi ha muerto es Souichi!— exclamó Isogai indignado.

Los detectives se miraron un momento entre ellos y decidieron iniciar la ronda de preguntas, solo para ser interrumpidos por el hombre al que pretendían interrogar.

—Eeehh... detectives, disculpen pero ¿esto no podría esperar?... es que la niña estuvo presente cuando Souichi-kun se puso tan mal y bueno... aun está muy asustada. —

El detective ni se inmutó al escuchar la súplica del hombre, limitándose a encogerse de hombros antes de responder fría y arrogantemente a la solicitud.

— ¡¿Qué prefiere?! Que le preguntemos aquí y ahora o que les llevemos a la comisaría de policía... Usted decide...—

La detective, que había estado estudiando detenidamente al hombre y la niña, le clavó fieramente la mirada a su compañero antes de volver a dirigirse a Isogai.

—Por cierto ¿No es esa la hija del sospechoso?... Podemos entregársela a la madre, que debe estar muy preocupada por ella.— Explicó la detective sin reparar en la mirada de preocupación que atravesó el rostro del hombre y la niña.

— ¡No! ¡No! ¡No! ¡No! – Yuriko, que hasta ese momento se había mantenido callada, comenzó a gritar histérica mientras temblaba como una hoja asustando a Isogai, que la abrazó y comenzó a consolarla.

—Calma...shhhh... Yuriko-chan...shhhh... todo estará bien... calma pequeña...—

— ¡No!... uuuuhhh... mi papi me dijo que me quedara... uuhh uuhhh... con el tío Isogai... uuuuhhh...mi okāsan lastimó a mi otoosan porque él no le dejaba hacerme daño... uuuuhhh... uuuuhhh... mi papi me necesita... no dejes que me lleven con mi mamá tío Isogai... uuuuhhh... —

Cuando vieron la inesperada reacción de la niña, los detectives hablaron entre susurros antes que la detective volviera a hablar.

— Isogai-san, ¿hay alguien más que pueda hacerse cargo de Yuriko-chan? Por un lado debemos hablar con usted así como con ella y por otro lado aun si lo que ella dice es cierto, no tenemos aun la suficiente evidencia para denegar a la madre su derecho a solicitarnos que se la entreguemos.

Isogai palideció ostensiblemente ante lo que sugería la detective, pero se obligó a mostrar una sonrisa forzada, de aquellas destinadas a derretir el corazón de un ogro.

—No se preocupen detectives. La familia de la niña ya viene en camino, estarán aquí en unas horas. Mientras tanto yo solo quiero estar seguro que su padre se recuperará de sus heridas. Entonces detectives... ¿Me darán algún margen de tiempo?—

Luego de contemplar la escena frente a ellos, los detectives asintieron una vez más y se fueron luego de indicarle a Isogai que volverían luego de hacer más averiguaciones y que no debía moverse del hospital.

Cuando salieron de la sala de espera, Isogai no pudo evitar soltar un suspiro de alivio, seguido de la pregunta que taladraba su mente desde que la ambulancia se había llevado a Souichi...

— ¿Cuándo y a quién voy a llamar primero?

-o0o-

Tetsuhiro llevaba cerca de una hora sentado en la sala de su apartamento viendo al móvil frente a él en la mesita de centro, como si de una serpiente venenosa se tratara. No se había cambiado desde que había llegado del trabajo y lo único que había llevado a sus labios desde la comida era un vaso de whisky puro.

—Prometí que me haría a un lado... prometí que lo esperaría... pero la angustia que siento en mi pecho es demasiada... quiero saber que está bien pero al mismo tiempo no me atrevo a llamarlo... si lo hago y empaño su felicidad nunca me lo perdonaría... lo amo.. Y lo extraño— los pensamientos se arremolinaban en su mente torturándolo una y otra vez.

Todavía estaba luchando en su interior con las ansias de marcar el número de su sempai en el teléfono cuando el tono de llamada de este hizo que se sobresaltara. Lo levantó de la mesita del centro y se sorprendió cuando vio en la pantalla el nombre del contacto de la llamada entrante. Pulsó el botón de respuesta y contestó a la llamada

— ¿Moshi-moshi?—

Kết quả (Anh) 1:

Suture pericardial drainage with pericardial functional Yamato-sensei - announced doctor Sato without blinking as he placed the last stitch in the heart wound.Yamato Ryu liked to operate with Sato: its quiet and methodical character was essential for a good result in the surgeries. He planned to hire him as Deputy once ended the residence because he was a good doctor and each time was more difficult to find specialists in Cardiovascular Surgery arranged to stay in a country with a low incidence of disease susceptible operate and Economic Outlook downward. Many chose to emigrate once ended the specialty.The patient had miraculously remained sufficiently stable during all the surgery and to avoid extreme resuscitation maneuvers. Once closed the incision thoracostomy and drains cardiopleurales verified radiologically, surgeons were in a position to assess the rest of incised wounds.Throughout his career, Yamato had attended many cases of stabbing, but so far had not found one that had so viciously in the attack. Between him and Sato told seventeen superficial wounds in torso and upper extremities which heal quickly. When called to the orthopedic surgeons who treat fractures in extremities, had already spent a good three hours and both were exhausted, but satisfied with the result of cardiac surgery, which would ensure the patient to lead a normal life without limitations.SATO then turned to the medical room to fill out paperwork surgical description and corresponding medical orders, while Yamato is prepared to talk with the family of the patient on the outcome of the surgery.Only then fell into the account that had no idea of what was the name of the man he had just save your life, so he went back to where was their resident for this report.-Oi Sato-kun! You could give me the data of the patient that we operate to talk with the family?-asked Yamato interrupting his resident, who looked up momentarily from the computer screen to respond to you.-To see... yeah... Tatsumi... Tatsumi Souichi sensei!... 29 years... Professor... --Do Tatsumi Souichi?... cannot be... Kanako-chan - low Yamato whiter glowing while Sato looked at him askance with face concern. He had never seen his mentor as well.-Sensei... do something happens?--asked tentatively.-Nothing happens no Sato... Please tell Yuriko-chan to warn family that I will speak with them in 10 minutes - Yamato replied while hurriedly to the locker room with mobile in his hand.-o0o--Yuriko-chan, all will be well... -Upon hearing the words of Isogai, small raised his face momentarily Isogai chest to look in silence, with a mix in the gaze of what businessman seen as hope intertwined with despair and some distrust. The reaction of someone who have said the same phrase many, many times...When I was about to propose to the girl to go to grab a bite at the coffee shop, the waiting room door opened suddenly, giving passage to a couple a man and a woman dressed in coats that were symbols of the police.-Urgh... a trap - is resigned while he moved his head negatively and put in white eyes. Now that I thought, I didn't know what State was the woman of Souichi.-What hurting as much will be?-thought Isogai again before seeing the girl in his lap, that scared again by visitors, clung to his chest like a castaway to a lifeline.-Because this witch deserves anything Souichi... even with the tyrant that is, nor much less this angel, you deserve someone to do you something... If that unfortunate woman want to war, war will have - was thinking as he watched as the detective consulted a moment your PDA before heading to the.-The Lord... do Isogai-san? - asked the woman with serious tone as he looked at the man and the girl.-We are detectives Koji... - said as he pointed out to his companion,-.. .and I'm Ritsu, of the Division of domestic affairs. We try to find out what has happened since initially Tatsumi-san was denounced by his wife by a possible attempted murder, so we would appreciate if you respond to several questions.-What? Do try to murder?... crazy are you? If that is almost dead Souichi!-exclaimed indignantly Isogai.Detectives watched a moment between them and decided to start the round of questions, only to be interrupted by the man he sought to interrogate.-Iio... detectives, sorry but what this could not expect?... is that the girl was present when Souichi-kun got so bad and good it is... still very scared. —The detective unfazed is to hear the appeal of the man, limited to shrug shoulders before answering cold and arrogantly to the request.-Do you prefer? That ask you here and now or bring them to the police station... You decide...-The detective, who had been studying carefully the man and the girl, nailed fiercely look to his companion before approaching Isogai.-By the way isn't that the daughter of the suspect...? We can deliver it to the mother, who must be very worried about it. - explained the detective at the look of concern that crossed the face of the man and the girl.-Not! No! No! No! -Yuriko, which until then had remained quiet, began to shout hysterical while he was shaking like a leaf scaring Isogai, who hugged her and began to comfort her.-Shhhh... calm... Yuriko-chan... shhhh... everything will be well... calm small... --Not!... uuuuhhh... My Daddy told me to stay I... uuhh uuhhh... with Uncle Isogai... uuuuhhh... my okāsan hurt to my otoosan because he would not let him hurt me... uuuuhhh... uuuuhhh... My Daddy needs me... do not let that take me with my uncle Isogai MOM... uuuuhhh... -When they saw the unexpected reaction of the girl, the detectives spoke whispers rather than the detective to talk again.-Isogai-san, is there anyone more than you can take care of Yuriko-chan? On the one hand we must speak with you and with it and on the other hand even if what she says is true, we don't have even enough evidence to deny your right to ask us to give it is the mother.Isogai paled dramatically before suggesting the detective, but is forced to show a forced smile, those destined to melt the heart of an ogre.-Do not worry detectives. The family of the girl is already on its way, they will be here in a few hours. Meanwhile, I just want to be sure that his father will recover from his wounds. Then detectives... do give Me any time frame?-After contemplating the scene before them, detectives nodded once again and went after tell Isogai that they would go after making further inquiries and should not move from the hospital.When they came out of the waiting room, Isogai could not prevent release a sigh of relief, followed by the question that you crashing his mind since the ambulance had been Souichi...-When and who will I call first?-o0o-Tetsuhiro had about one hour sitting in the room of his apartment watching the phone in front of him on the coffee table, as if it were a poisonous snake. It had not changed since it had become work and the only thing that had led to his lips from food was a pure whisky glass.-Promised that I would make to one side... I promised that I would expect it... but the anguish I feel in my chest is too much... I want to know it's okay but at the same time I do not dare to call it... If I do this and fogging your happiness never forgive me him... I love him... And the strange - thoughts swirled in her mind torturing him again and again.It was still fighting inside the forward marked his sempai at phone number when the ringtone of this made it to sobresaltara. It lifted him from the coffee table and was shocked when he saw on the screen the name of the contact of the incoming call. It struck the answer button and answered the callMoshi-moshi?-

Kết quả (Anh) 2:

Pericardial suture functional pericardial drainage Yamato-sensei announced Dr. Sato unblinking as he put the last stitch in the heart wound. A Yamato Ryu liked to operate with Sato: its calm and methodical character was essential for a good result in the surgeries. Planned to hire him as adjunct end once the residence because he was a good doctor and it was increasingly difficult to find specialists in Cardiovascular Surgery willing to stay in a country with a low incidence of surgery and pathology susceptible declining economic prospects. Many chose to emigrate once they finished their specialty. The patient had miraculously remained quite stable throughout the surgery as to avoid extreme resuscitation. Once the incision is closed thoracostomy drainage cardiopleurales with radiologically verified, surgeons were in a position to assess the rest of incised wounds. Throughout his career, Yamato had treated many cases of stabbing, but so far had not found one in which he had so viciously in the attack. He and Sato was told seventeen superficial wounds in the torso and upper extremities which promptly sutured. When called orthopedic surgeons who treat fractures in extremities, had already spent a good three hours and both were exhausted, but satisfied with the outcome of cardiac surgery, which would guarantee the patient to lead a normal life without limitations. Sato headed then medical parlor to fill all the paperwork surgical description and the corresponding medical orders, while Yamato prepared to talk to the patient's family about the outcome of the surgery. Only then realized I had no idea of what was the name of the man who had just saved his life, so he went back to where his resident to report this. - Oi Sato-kun! Could you give me patient data to operate just to talk to the family -. Yamato asked, interrupting his resident, who momentarily looked up from the computer screen to respond -A see ... yes ... Tatsumi Souichi Tatsumi sensei ... ... 29 years ... ...- university professor! -? Souichi Tatsumi ... can not be ... Kanako-chan whispered Yamato pale intently as he looked askance Sato looking worried. She had never seen his mentor. Sensei ... something wrong? ...- asked tentatively. 'It's all Sato ... please tell Yuriko-chan to notify the family talk to them 10 minutes- replied Yamato while hurrying to the locker room with the phone in hand. -o0o- -Yuriko-chan, everything will be fine ...- Listening to the words of Isogai, the small up your face a Isogai time chest to look at him in silence with a mixture in view of what the businessman seen as despair and hope intertwined with some distrust. The reaction of someone who would have said the same words many, many times ... When I was about to propose to the girl to go to eat in the café, the door of the waiting room suddenly opened, giving way to a couple of a man and woman dressed in coats in highlighting the symbols of the police. -Urgh ... one encerrona- is resigned while negatively shook his head and his eyes went blank. Come to think, I did not know what state the woman Souichi was. - How hurt will be - he thought again Isogai before seeing again the little girl on his lap, which scared by visitors, she clung to her chest like a drowning man to a life. Well, that bitch deserves anything ... even Souichi with the tyrant who is, let alone this angel, he deserves someone to do something ... if that unfortunate wants war, war will have- thought again as he watched the detective consulted a moment your PDA before addressing him. 'Mr ... Isogai-san - the woman asked in a serious tone as she looked at the man and the girl . We're the detectives Koji ...- said as he pointed to his companion, and I am -... Ritsu, Division of Home Affairs. We tried to find out what has happened since in the beginning Tatsumi-san was denounced by his wife for a possible attempted murder, so would appreciate if answering several questions. - What ?! Do I try to murder? ... Maybe they crazy? If it is almost dead Souichi -. Isogai indignantly exclaimed a moment detectives looked at each other and decided to begin the round of questions, only to be interrupted by the man who wanted to question. -Eeehh ... detectives, sorry but this could not wait? ... is that she was present when Souichi-kun got so bad and good ... it is still very scared. - The detective did not flinch upon hearing the appeal of the man, merely shrugged before replying cold and arrogantly to the request. - What do you want ?! Ask you here and now or we bring them to the police station ... You decide ...- The detective, who had been closely studying the man and the girl, her eyes stared fiercely at his companion before returning to Isogai address. -By the way Is not that the daughter of the suspect? ... We can give it to the mother, who should be very concerned about the detective explained her.- regardless of the look of concern crossed the man's face and the girl. - No! Do not! Do not! Do not! - Yuriko, who until then had remained silent, began screaming hysterically while shaking like a leaf scaring Isogai, who hugged her and began to comfort her. Calm down ... shhhh ... Yuriko-chan ... shhhh. .. everything will be fine ... small calm ...- - No ... uuuuhhh ... my daddy told me to stay ... uuhh uuhhh ... ... Uncle Isogai uuuuhhh .. .my Okasan otoosan hurt my left him because he never hurt me ... uuuuhhh uuuuhhh ... ... my daddy needs me ... do not let them take me with my uncle ... uuuuhhh Isogai mom ... - When they saw the unexpected reaction of the girl, detectives spoke in whispers before the detective spoke again. - Isogai-san, is there someone else who can take care of Yuriko-chan? On the one hand we need to talk with you and with it and on the other hand even if what she says is true, we are not yet sufficient evidence to deny the mother's right to ask that the deliver. Isogai paled visibly at what suggested the detective, but was forced to show a forced smile, those designed to melt the heart of an ogre. No worry detectives. The family of the girl is on the way, they'll be here in a few hours. Meanwhile I just want to be sure that your father will recover from his wounds. Then detectives ... Will I get any timeframe - After observing the scene before them, detectives nodded again and then went to tell Isogai they would then make further inquiries and should not move the . hospital When they left the waiting room, Isogai could not help but let out a sigh of relief, followed by the question that pierced his mind since the ambulance had taken Souichi ... - When and to whom I will call first? -o0o- Tetsuhiro took about an hour sitting in the living room of his apartment watching the mobile front of him on the coffee table as if a poisonous snake is involved. He had not changed since he'd come from work and all he had taken food from his lips was a glass of neat whiskey. I promised I would do me aside ... I promised I would expect but anguish ... I feel in my chest is too much ... I know it's okay but also not dare to call it ... if I do and tarnished his happiness would never forgive me ... I love him .. And the stranger thoughts swirling in his mind torturing again and again. He was still struggling inside with the desire for dial your sempai on the phone when the tone of this made ​​startled. He rose from the table in the center and was surprised when I saw on the screen the contact name of the caller. He hit the reply button and answered the call - Moshi-moshi? -

Kết quả (Anh) 3:

Suture with pericardial pericardial Drainage Functional Yamato Sensei announced Dr. Sato without blinking while Planting the last Stitch in the heart wound.

to Yamato Ryu liked to operate with Sato: quiet and methodical character was essential to good results in surgery.I will hire you as attached once the residence because it was a Good Doctor and it was increasingly difficult to find specialists in cardiovascular surgery willing to remain in a country with a low incidence of surgery and pathology susceptible Economic Outlook downward. Many chose to emigrate once ended the Specialty.The Patient had miraculously remained fairly Stable throughout the surgery to avoid Extreme resuscitation maneuvers. Once closed thoracostomy incision and Drainage cardiopleurales Verified radiologically, Surgeons were in a position to judge the rest of incised wounds. Throughout his career,Yamato had attended many stabbings, but until now had not found one that had so severely in the attack. Between him and Sato told Seventeen superficial wounds to the torso and Upper extremities which Sutured with Alacrity. When they called to The Orthopedic Surgeons who treated fractures in extremitiesI had spent a good three hours and both were exhausted, but satisfied with the outcome of Cardiac Surgery, which would guarantee the patient to live a normal life without limitations.

Sato then turned to the medical room to fill out all the paperwork of the description for Surgical and Medical orders,