When we arrived at
the Mayjo Clinic (2) emergency room, a female doctor raised her hand.
“Mary? This is Kiseok.”
“This is the patient.”
Mary chewed her greeting and stared at the patient.
The patient is a black man who appears to be in his early 30s.
Ki-Seok Choi first sat in front of the monitor and looked at the chart.
Patient Eddie was experiencing severe abdominal pain and nausea.
Auscultation showed increased bowel sounds, and abdominal X-ray showed shadows in the upper intestinal tract.
As Mary said, intestinal obstruction is suspected.
“What do you think? I’ll have to have surgery, right?”
Mary asked, adjusting her glasses. The arrogant expression on his face was filled with conviction that surgery was absolutely necessary.
“We haven’t checked on the patient yet. Wait.”
“Really, me. Do you think you’ll get an answer just because Mr. Choi sees the patient? Don’t waste time and listen to me. If you do this, the surgery will only be delayed.”
Mary crossed her arms and lifted her chin.
“Mary is completely responsive.”
“Daap Zeng, you?
“Let’s pretend I didn’t hear it.”
“I heard it all, so how can I pretend I didn’t hear it? Didn’t you swear in your own language?”
“The answer is fixed so you just answer. Is that okay?”
Mary frowned at Choi Ki-seok’s words.
“If you were going to make the decision on your own, why did you ask for collaboration? Is this a collaboration with Mayjo Clinic?”
“….”
“Shut up until I see the patient.”
When he glared, Mary opened her mouth. It looked like she was at a loss after being dealt an unexpected blow.
Choi Ki-seok strides towards Eddie. “ I
’m Dr. Choi from the general surgery department.”
“Dr. Choi. Do I need surgery? “The doctor said earlier that surgery was really necessary.”
Eddie said with a scared expression.
“I’m not sure. “I have to examine it and discuss it with Mary before making a decision.”
“I can’t afford to cover the cost of the surgery. If I have to have surgery, just let me go.”
“Eddie. Calm down. Didn’t you just say that? Nothing has been decided yet.”
Choi Ki-seok smiled softly and used encouragement.
[You used the encouragement skill.]
[The patient’s confidence in immune regeneration ability increases significantly.]
“I’m sorry. “Because this is my first experience like this.”
Eddie said calmly, as if he was genuine. After asking for his understanding, Ki-seok Choi lifted his shirt and listened to the bowel sounds. The bowel sounds were definitely abnormally fast and rough. “Ah… it hurts!” Eddie pressed his
abdomen
. His body was shaking.
“Hold on just a little longer.”
Choi Ki-seok continued to press his abdomen. Fortunately, he could not feel any hard lumps.
“Have you ever had surgery related to your abdomen before?”
“Not at all.”
“All right. Just wait a moment and I’ll come to a conclusion and let you know.”
Ki-Seok Choi checked Eddie’s condition with the eyes of Hippocrates and approached Mary.
Mary was staring at him with a displeased look on her face.
“I’ll have to have surgery, right?”
“No. I don’t think you need surgery.”
“What? Are you out of your mind?”
Mary snapped in an angry voice.
“You know there are two types of intestinal obstruction, right?” ”
Why… why did you suddenly do that?”
“Mechanical intestinal obstruction requires surgery, but paralytic intestinal obstruction requires surgery. No need for surgery. In Eddie’s case,
it’s the latter.” “But the shadow is clearly
visible
on
the This is adhesion at the site of previous surgery. But Eddie has never had abdominal surgery. Looking at the results of blood tests or other tests, we cannot suspect a hernia or abscess.”
“….”
“Did you palpate the abdomen? Did you feel a lump in your abdomen?”
Mary chewed her fingernails as Choi Ki-seok spoke.
However, even though she lost in the battle for diagnosis, she did not give up her opinion easily. You could get the impression that she was desperately looking for a way out from her anxiously moving eyes. “Mary .
I’ll say it again, Eddie doesn’t need surgery. “Let’s not catch the wrong person.”
“I can’t admit it. Why should I listen to Mr. Choi? Isn’t Mr. Choi just a rookie on duty today?”
Mary counterattacked. Then she made eye contact with the nurses nearby and pointed a finger at him.
“I’m really going crazy. Mr. Choi, who is on duty for the first time today, is giving a sermon to me.”
Come on!
Mary’s politics made Choi Ki-seok’s forehead tense up.
“Hey, Mary. So, if it were another doctor and not me, would you listen?”
“Of course.”
“Okay. I’ll call a surgeon who is a year older than me and ask him to look at the patient. There is only one condition.”
“Tell me.”
“If my diagnosis matches the other doctor’s diagnosis, Mary, please grant my wish.” ”
If my diagnosis is correct, will Mr. Choi grant my wish?” ”
Of course. ”
Choi Ki-seok deliberately spoke in a loud voice as if the other staff members could hear.
Several staff members looked at the two with curious eyes. The saying that watching a fight is the next most fun thing after firefighting seems to be true even in the United States. “If that’s the condition
, There is no reason to refuse.”
“Good. I’ll call you.”
Choi Ki-seok called Ethan.
When he asked him to come to the emergency room because there was a problem, Ethan said he would be right back and hung up.
After a while, Ethan arrived at the emergency room.
“Mr. Choi? merry? What are you two doing?”
Ethan blinked at the two people.
“The rookie on-call doctor at the general surgery department challenged me. So, Ethan, please make the decision.”
“I’ll explain briefly. Mary is of the opinion that the patient should be diagnosed with mechanical intestinal obstruction and undergo surgery, while I am of the opinion that the patient is diagnosed with paralytic intestinal obstruction and that surgery is not necessary. So, I hope Ethan will come to a conclusion.”
“Hmm… Is that what happened?”
Ethan rubbed his chin.
A fierce battle between Mary, a second-year gastroenterology resident, and Ki-Seok Choi, the first on-duty resident.
Who will be the winner? .
Even Ethan became curious.
“Wait a moment.”
Ethan examined the patient’s E.M.R.
and
started to interview him. Not only Choi Ki-seok and Mary, but also other staff members paid attention to Ethan’s behavior.
“Hmm. “I saw the patient,”
Ethan continued, looking at the two of them in turn.
“This patient doesn’t need surgery. It’s paralytic intestinal obstruction.”
“Doctor. Are you serious?”
Mary raised her voice with a blushing face.
“Then are you serious or fake? “Is Mayjo Clinic a place where they play with patients?”
Ethan replied, but Mary kept her mouth shut.
Ethan slowly explained the reason for diagnosing the patient with paralytic intestinal obstruction. Surprisingly, the basis was the same as Choi Gi-seok had given Mary earlier. It matched the evidence exactly.
“At this level, there is no need for hospitalization.” Even half a day of rest in the emergency room is enough. Mr. Choi.”
“Yes!”
“Just wear a heart and among the painkillers… give me the Atamin IV. Let’s decompress through nasogastric intubation.”
“I understand.”
Choi Ki-seok began treatment with the help of a nurse.
It took less than three minutes to complete the series of procedures.
“Sir. “Can I really not have surgery?”
“Yes. Rest assured. “You can rest in the emergency room for about half a day and then go home.”
“Thank you. “Thank you.”
Eddie bowed his head.
But it was at that very moment.
Tiring!
[You have completed the hidden mission: treat the first patient. As a reward, 1000 P.P.
and 30 reinforcement stones will be given.]
[Charisma stat is low . It rose by 0.5.]
Choi Ki-seok checked the notification and smiled.
“Good job Mr. Choi. It’s your first time on duty, and is it pretty good?”
“I think I did a good job of examining the patient thoroughly.”
“Shall we go out and have a cup of coffee?”
Ethan pointed outward with his index finger.
“Please wait a moment. I have work to do before that.”
Choi Ki-seok approached Mary without hesitation.
Mary’s face was bright red, but she couldn’t even look at Choi Ki-seok properly.
“Mary. We promised something, right?”
“…”
“I need to get that promise now.”
“Well… what do you want?”
Mary asked in a mosquito-like voice.
“It’s not that big of a deal, so don’t worry. What I want… is to imitate Rambo.”
“Imitate Rambo?”
“You can just imitate me.”
Ki-seok Choi pretended to hold a machine gun and made a sound with his mouth.
Some staff members went crazy at his comical appearance. I laughed bitterly. Who in the world would have thought that Dr. Rambo would appear in the Mayo Clinic emergency room? “Is
this all you need to do?”
“Yes.”
Mary lowered her head and imitated the pretense of holding a machine gun. But her pursed lips showed nothing. There was no sound.
“What are you doing!” Doo doo doo doo!”
“Doo doo… Ah. I don’t know!”
Mary left the emergency room irritated and the staff once again fell into a sea of laughter.
‘What a fuss.’
Choi Ki-seok watched Mary’s back and smiled.
Since he was disgraced as Rambo, he will never be able to force himself again.
“Mr. Choi. It’s really the best.”
Ethan laughed out loud and wiped
the corners of his eyes. “I didn’t know you could make him imitate Rambo?” ”
When I was young, I played this kind of punishment game with my friends in Korea.” ”
If there’s a resident who doesn’t listen, you should use it. I guess.”
While chatting, the two headed to the cafe on the first floor.
Although it was past 9 p.m., the main hall was still crowded with people. They barely managed to get a seat.
“Ethan. Is Meijo’s cooperation always like this? I think it’s sabotage rather than cooperation.”
Choi Ki-seok expressed his honest feelings.
“It’s not Mayjo’s problem, it’s Mary’s problem. Mary is proud of herself even among gastroenterologists. Besides, the other person is Mr. Choi, who is on duty for the first time today, so I guess he went even further.” ”
I see.”
“And as you know, there are many cases where opinions clash between departments during collaborative meetings. Meijo is especially bad. In the past, there was a fight between four departments over one patient.”
Ethan shuddered as if remembering that time.
“I think I had a good experience today.”
“Yes.”
Choi Ki-seok took a sip of coffee and spoke. “I’m sorry for
calling you when you were busy.”
“Never mind. It takes time to get used to the job. Thanks to you, I enjoyed seeing Rambo, right?”
A smile appeared on Ethan’s lips.
“I have a question. How do I view the surgery schedule on E.M.R?”
”
Why the surgery schedule?”
“I want to observe the surgery after I’m on duty,” Ki-
seok
Choi answered calmly.
Even though he is a meijo with limited personal training, he still has surgery. I can observe comfortably.
I wanted to take full advantage of that.
“After duty, I should rest. Why are you attending the surgery? “Aren’t you tired?”
“That’s no problem. In Korea, there was something called 100-day on-call. What?”
“100-day on-call?”
Ethan asked in surprise, so I explained the 100-day on-call.
While listening to the story, Evan’s face gradually took on an earthy color.
“Oh my God! “Can a person withstand something like that?”
“Yes. I also came to Meijo after completing 100 days of duty. You can think of it as a rite of passage in Korean surgery.”
“It’s a rule I don’t really want to pass.”
Ethan shook his head and showed me how to check the surgery schedule.
“Now, let’s get up slowly.”
“Yes. I enjoyed my coffee. And thank you for your help.”
“Okay. If you need to call me, you can call me anytime.”
Ethan watched Ki-Seok Choi’s back as he walked away.
The head of the interview for the application.
A Korean doctor brought in by Myeong-Jin Song, the head of the thoracic surgery department.
Although I don’t know him, Ki-Seok Choi said these two The eggplant alone was already gaining popularity.
‘It’s going to be even more fun in the future.’
Ethan grinned and went on his way.
