Training (2)
Ivan’s explanation continued.
MHC is a hospital specializing in thoracic surgery, but also serves as a major trauma center.
It is said that he had no time to look at patients and even had to stand in emergency surgical scrubs twice.
“I feel like I’m dying. I don’t think I could even rest for an hour. Two people aren’t on duty for no reason.”
“Would you like me to get you an energy drink?”
“Then thank you.”
Choi Ki-seok grabbed a few cans of energy drinks from the break room and returned to the duty room.
Just then, colleagues from the CPR team and another doctor on duty arrived.
The subsequent handover.
The patients received by the on-call doctor were divided between Emma and Charles Jeremy.
“It’s hard to be on duty. This is the first time I’ve seen Ivan do something like that.”
On the way to the conference room, Charles shook his head.
“We also need to be strong-minded.”
“It’s okay if you come with me.”
“Well, I’m glad it’s you.”
Ki-Seok Choi heard the conversation between Charles and Jeremy and used the Eye of Hippocrates on Jeremy.
Jeremy had an interesting title.
[Go through the patient]
– A surgeon who goes through patients differently than others.
– The probability of receiving hospitalized or seriously ill patients while working is greatly reduced. However, patients who are reduced to a title will be taken care of by a nearby colleague.
Jeremy’s title is the exact opposite of Fanta’s title.
Would you say that it is a title that all doctors absolutely prefer?
While chatting, we arrived at the conference room.
Soon, the first morning meeting at MHC began.
As it was the first day, the project team and team members were introduced first, followed by case presentations, inpatient briefings, and confirmation of surgery schedules.
After the rounds were over, the routine finally began.
Choi Ki-seok cracked his neck and strengthened his resolve.
Because MHC’s unique system of resident outpatient treatment was the first person to suffer, he was himself.
“Cheer up. Mr. Choi, you will be able to do well.”
“Just don’t be nervous.”
Emma and Charles said a word, and Jeremy lowered and raised his arms lightly without saying a word.
A fighting gesture that only a girl group would make.
Choi Ki-seok barely held back from bursting into laughter. Jeremy This guy is not ordinary no matter how you look at him.
“Mr. Choi. Look at me for a moment.”
“Okay! Then I’ll see you later.”
After parting ways with his colleagues, Choi Ki-seok moved to Yasada’s office.
“How do you feel about coming to MHC?”
“Good. I think I can learn a lot more in the future.”
“That’s an answer I like. Never forget your original intention. In fact, MHC’s curriculum was created just for you by Dr. Song.”
“For me?”
Choi Ki-seok’s voice rose.
“Yes. It is safe to say that it is purely for the purpose of raising you. Do you think it makes common sense for residents to be autonomous in outpatient treatment and at home?”
“….”
“It is in the same context that among the residents who chose to specialize in thoracic surgery, only aces were selected and dispatched to MHC. It is a device to stimulate you.”
“I had no idea the professor thought so much of me.”
“Same. Dr. Song considers you almost like his own child.”
“After hearing your words, I felt like I had to work harder. I will definitely live up to your expectations.”
“Cancer. That’s right.”
Yasada nodded.
While silence continued for a moment, Choi Ki-seok spoke first.
“Head Chief. Yesterday I heard about the autonomy of the home. Are you really able to perform any surgery with the Head Chief’s permission?”
“If I have the ability, I would like to perform a heart or lung transplant. Of course, I will have to prove that I have the skills in advance. Do you already want to be a surgeon?”
“yes!”
“Well, it’s worth it. When I heard from Dr. Song, he said he had already successfully performed CABG (coronary artery bypass grafting) in Korea.”
“you’re right.”
“If you’re a surgeon, it’s right to pick up a scalpel as soon as possible. It’s the fault of the higher-ups who put off teaching the skills and only make them do chores. In that sense…” Yasada paused before continuing
.
“I’d like you to scrub with me this afternoon.”
“What kind of surgery is this?”
“VATS (Video Assisted Thoracoscopic Surgery). You have no experience with VATS yet, right?”
“I have never even observed, let alone assisted.”
“It must be fun to teach.”
A naughty smile appeared on Yasada’s lips.
“Brace yourself from now on. I have permission from Dr. Song to do whatever I want with you.”
“I am confident.”
“After outpatient treatment, come straight to the operating room. The surgery is at 1:30 PM.”
“Yes. I’ll see you later.”
After talking with Yasada, I left the office.
A notification that rings just in time.
Tiring!
[You have received the first of Choi Ki-seok’s 12 important missions. Special rewards are provided if you pass the successive tasks and your skills are recognized.]
[First task: Successful VATS assistance]
[Second task: Undecided]
[Third task: Undecided]
[Fourth task: Undecided]
.
.
.
‘Do you feel like Hercules?’
After confirming his mission, Choi Ki-seok moved to the outpatient clinic.
There are about ten minutes left until outpatient treatment.
I cleaned up my desk and briefly glanced at the patients who had appointments.
Knock. Knock. Knock.
“Dr. Choi. The patient is entering.”
“yes.”
Choi Ki-seok lightly tapped his cheek at the nurse’s words.
The outpatient treatment has finally come to an end.
“Nice to meet you.”
A middle-aged man lowered his head and sat in the treatment chair across from me.
“Hello. James, what are you feeling uncomfortable about?”
“Lately, my chest has been really tight. Especially before I go to sleep, my heart is racing so hard that I can’t sleep. It’s also difficult to breathe.”
“Today is your first visit. Do you have any chronic illnesses?”
“No, not at all.”
“Do you smoke?”
“Yes. I drink about a pack a day. Doctor. You don’t think I have lung cancer, do you?”
James rolled his eyes with an anxious expression.
“They say lung cancer appears suddenly even though there are no symptoms.”
“There is no need to be scared. When did the symptoms you just mentioned start appearing?”
“It’s been about a week or two. I didn’t originally plan on coming to the hospital, but I got scared.”
“Okay. I’ll auscultate you first, so please take off your shirt.”
Ki-Seok Choi listened to lung sounds with a stethoscope.
James’s breathing was heavy and he made a purring sound, like he was snoring.
Rather than a problem with the breathing sounds themselves, it is a situation where you hear secondary noises.
‘Uhm…’
The wrinkles on my forehead deepened.
When using the Eye of Hippocrates, only symptoms such as palpitations and chest pain were seen, and there was no diagnosis.
This is my first case.
How should I interpret this?
“Patient. Have you ever felt very stressed or anxious recently?”
“Ah… Well… I had a big fight with my wife not long ago. We haven’t reconciled yet.”
“We’ll have to do a test, but it’s highly likely that the symptoms you mentioned are caused by psychological effects. First, we’ll take a chest X-ray and perform an electrocardiogram.”
“yes.”
“Please come back after the test.”
After James left, a second male patient came in.
The patient’s name is Carl, and like James, this is his first visit.
As soon as Carl sat down on the treatment chair, he started complaining.
“Hey, doctor. Why on earth do I need to see a thoracic surgeon? Isn’t the family medicine doctor you saw first a quack?”
“Calm down. I trust you’re in the right place.”
Choi Ki-seok looked at the chart sent by the family medicine doctor.
There have been quite a few cases where patients were unable to find the department they wanted and decided on a department through family medicine.
Like the sword right in front of you.
“You said your feet get heavy when you stand for a long time, right? My calves hurt in the morning and I can’t sleep.”
“yes.”
“Let me take a quick look at your legs.”
Choi Ki-seok approached Karl and examined his calf.
Blue veins were bulging on both calves.
“Carl has varicose veins.”
“What is that?”
“A vein is a passage through which blood that spreads from the heart to the entire body returns. In the patient’s case, the pressure in the veins in the legs increased, weakening the walls of the veins and damaging the valves. That’s why the blood vessels protruded outward like this. ”
“….”
“Varicose veins mainly occur in people who have jobs that involve standing for long periods of time.”
“Hmm… I work at a supermarket. But isn’t thoracic surgery a place where cardiac care is provided? Why did I have to get treatment at thoracic surgery?”
“Thoracic surgery also provides vascular care.”
Carl tilted his head at Choi Ki-seok’s explanation.
“I’m glad I came to the right place, but what should I do? Do I need to have surgery?”
Choi Ki-seok shook his head after using the Eye of Hippocrates on Carl.
“This is not a stage that requires surgery. We will prescribe compression stockings for you, so wear them whenever you are active. Avoid wearing tight pants and change your standing position frequently while working.”
“I understand. Thank you, sir.”
Carl bowed his head and left the treatment room.
“Whew…”
Choi Ki-seok took a breath as he drank the water on the table.
The procession of patients continues.
First-time patients, repeat patients, patients who need surgery, patients who do not need surgery, patients who first decided on a diagnosis as if they were doctors, patients who lament their situation, etc.
Seeing all kinds of patients was extremely tiring.
The fact that there was no rest time also contributed to fatigue.
The fatigue from outpatient treatment was much greater than working in a ward or performing surgery.
At least for him.
Thanks to this, I painfully realized the truth that dealing with people is the most difficult.
Two hours have passed since I received outpatient treatment.
Knock. Knock. Knock.
There was a knock on the door and a young man sat down on the medical chair.
The man was neatly dressed and had an intelligent image. Then, he frowned and placed one hand on his chest, as if he was heartbroken.
“Gary. This is your first visit. Where are you in pain?”
“My heart hurts so much. It feels like someone is tearing my heart open with a knife. I feel like I’m going to die.”
“Exactly which side of my chest hurts?”
“It hurts in the front of my chest, in my back, and in my upper abdomen. I tried to hold it in as long as I could, but… “Oh…”
Gary bit his lip with a painful expression.
Choi Ki-seok came to his senses as he looked like he was about to collapse at any moment.
When he only heard the symptoms, he suspected aortic dissection.
Aortic dissection.
The aorta is an artery connected to the left ventricle. All arteries that supply blood to the entire body split from the aorta.
Aortic dissection is an emergency disease in which the aorta is torn due to pressure, fighting every minute. “I’ll measure your blood pressure first,
”
Ki-seok Choi said to Gary as Hippocrates as he quickly measured the blood pressure. Physical
strength: 6/10
Main symptoms: None
Painful area: None
Diagnosis: None
Current condition: Good
Progress: Good Past
history: None
Family history: None
Precautionary factors: None
The symptoms mentioned by the patient and the eyes of Hippocrates are in direct contact. They were colliding.
Don’t the eyes of Hippocrates say that Gary is perfectly normal?
‘No way?’
I examined Gary in medical mode just in case.
[Alignment: Success-oriented]
[Occupation and major: Intern]
[Diagnosis power: 2]
[Surgical treatment: 2]
[Medical treatment: 1]
[Political power: 2]
[ Charisma: 2]
The moment I figured out Gary’s identity, I burst out laughing.
I was able to figure out how things were going at a glance.
While Ki-Seok Choi was looking at Gary closely, his eyes were fixed on the pen in his chest pocket. There was a
familiar mark on the top of the pen . I saw,
“Teacher. I really feel like I’m going to die. Ugh!”
Gary continued to complain of pain, and Choi Ki-seok returned to his seat and glared at him with cold eyes.
“Hey.”
“Huh? teacher. What did you just say?”
Gary’s eyes widened.
“Can you do this to a patient who is dying right now? Is medical treatment a joke?”
“Patients are a mess. I guess that hospital calls spies who pretend to be sick patients?” ”
….”
“Stop acting and get out of here while I’m saying nice things.”
Choi Ki-seok holds up his hand as if he’s chasing a beggar away. It was.
