Proposal (3)
“Jeong-ya.”
Choi Ki-seok looked through his notes and started praying.
“You’re really good at drawing. Do you study art?”
“Oh, yes. I used to.”
Lee Jeong-ah stared at Choi Ki-seok with a somewhat surprised face.
I thought I would be scolded for scribbling, but instead I was praised.
“This picture in particular looks real.”
Choi Ki-seok pointed to a page with his index finger.
In a narrow alley, a man in shabby clothes was pictured smoking a cigarette under a streetlight.
The drawing was realistic and the man’s loneliness was clearly conveyed.
“Ah… that’s my dad.”
“Jeong-ah’s father?”
“Yes. He passed away two years ago.”
Choi Ki-seok was speechless at Lee Jeong-ah’s answer.
For a moment, I didn’t know what to say.
“I heard that my father died from the same heart disease as me. So I will soon die like him, right?”
Lee Jeong-ah looked straight at Choi Ki-seok.
The liveliness of children her age was not found in her eyes.
Resignation, sadness, pain, fear, etc.
There were a lot of negative emotions that were weighing on my heart.
It’s natural.
Who would maintain their sanity if they didn’t know when they would collapse from cardiac arrest?
“No. Never.”
“······.”
“The doctors here will do their best to help Jeong-ah.”
“I hope so.”
A self-mocking smile appeared on Lee Jeong-ah’s lips.
“Drawing is good, but if something hurts or makes you uncomfortable, you have to write it down right away, okay?”
“yes.”
Choi Ki-seok gave Lee Jeong-ah a warning and left the hospital room.
A busy treatment followed.
Because it was an internal medicine department, there was a lot of medication administration and a lot of insertion and removal of urine lines. However, he completed the treatment with skill and prepared for the meeting.
“Are you done already?”
Yang Seok-jin entered the conference room.
Yang Seok-jin is a circulatory specialist this month.
He was supposed to be in charge of the operating room and Choi Ki-seok was supposed to be in charge of the ward.
Even though we are from other universities, we became quite close friends as we attended the handover yesterday together.
“of course.”
“It’s amazing, just like I heard. Did you put motors on your arms and legs?”
“Don’t overdo it. I’m ready, so let’s have some coffee.”
“I’m shooting today. A particularly expensive one.”
The two bought coffee at the cafe on the first floor and returned to the ward.
The whole way back, Choi Ki-seok quietly listened to Yang Seok-jin’s story.
Since Yang Seok-jin graduated from another university, a lot of resentment was accumulated.
“Does your university teach you to wear polys like that?”
“What on earth did you learn in medical school?”
When Yang Seok-jin made a mistake, some people pointed out that he was from another university. It is said that he drank dog baths when he was intubated with a nasogastric tube at the colorectal surgery clinic yesterday.
“I envy you every time I see you.”
Yang Seok-jin took a sip of coffee and continued speaking.
“He handles any task with ease. He has a good reputation with nurses and other Reggie teachers. Plus, he even caught a child abuse suspect not long ago. Even if you don’t look at Reggie’s life, it’s a highway.”
“It’s a little different from what you think.”
Choi Ki-seok smiled bitterly.
“Then change your mind.”
“······.”
“Cancel the thoracic surgery fix and look for another department. Why go to thoracic surgery and go through so much trouble? Just looking at it, it looks like you are the only applicant.”
“What should I do if thoracic surgery is my path?”
“Well, now is not the time for me to worry about others. I just wish I could avoid it.”
Yang Seok-jin sighed.
An intern is an intern who fails the residency exam and cannot become a resident. If you make a mistake, the date may be confused and you may end up being assigned to a lieutenant military doctor position vaguely.
“let’s go.”
Choi Ki-seok finished his coffee and entered the conference room.
After a while, internal medicine teachers began to enter the conference room.
Choi Ki-seok was busy greeting Yang Seok-jin like a roly-poly.
“Aren’t you thoracic surgeon Fixton?”
Kim Cheol-woo, assistant professor of circulatory medicine, frowned when he saw Choi Ki-seok.
“Yes, that’s right.”
“But why am I here?”
“Professor Song of the Thoracic Surgery Department sent me to study internal medicine.”
The resident who was seated answered on his behalf.
“Study internal medicine?”
Kim Cheol-woo snorted.
“People who are too lazy to treat a patient will study a lot just by looking at the patient.”
“······.”
“Besides, I heard you performed a thoracentesis on a patient when you were first born?”
Kim Cheol-woo poked Choi Ki-seok’s chest with his index finger.
“Especially people like you are the most dangerous. Those who touch the patient’s body regardless.”
Kim Cheol-woo’s voice contained anger. I’m not sure, but it seemed like he had a lot of hostility towards surgery.
Did something happen in the past?
Kim Cheol-woo glared at Choi Ki-seok and sat down.
“Let’s start the meeting now.”
The curtain began on a full-fledged meeting hosted by the Chief.
Since the director and associate professor of circulatory medicine were away, Kim Cheol-woo became the king of the conference room.
Click!
When Choi Ki-seok clicked the mouse, patient information appeared on the projector.
The patient’s name is Na Cheol-beom.
He was 64 years old and suffered from both diabetes and hyperlipidemia.
“How are you treating the patient?”
“The patient falls into group 2 according to the NCEP classification and has an LDL level of 160, an HDL level of 40, and a triglyceride level of 400. I have tried non-drug therapy for the past 6 months, but there is no improvement, so I am planning to start drug treatment.”
“What drug are you going to use?”
“We are going to try clofibrate and a reductase inhibitor.”
“Clofibrate?”
Kim Cheol-woo frowned.
“Isn’t that a medicine that is rarely used because it has a risk of forming gallstones?”
“Ah… that…”
The resident looked embarrassed at Kim Cheol-woo’s point.
“Aren’t you coming to your senses? If you’re going to prescribe medication, you need to know everything about it from beginning to end.”
“sorry.”
“Did you know that if a patient also has diabetes, the risk of complications increases threefold?”
“······yes.”
“I always manage my blood pressure well. The last time I saw this old man, I thought he went out and smoked. I won’t let you smoke. Understood?”
“yes.”
When Kim Cheol-woo poured out a storm of criticism, the resident responded with a dejected expression.
Afterwards, the meeting continued.
‘It’s bloody.’
Ki-Seok Choi was overwhelmed by the atmosphere of the internal medicine meeting.
The procedures at the thoracic surgery meeting were mostly simple. The Q&A ends with asking the patient for what reason the surgery is being performed and what type of surgery will be performed.
However, the internal medicine meeting was reminiscent of a discussion forum.
The type of drug and dosage were determined based on the patient’s various data, and each attending physician had slightly different standards.
As the difficult discussions continued, the meeting time naturally became longer.
“This is the last patient.”
At the glance of the Chief, Ki-Seok Choi quickly uploaded the patient’s information.
The patient’s name is Moon Joo-hyuk.
The patient was 45 years old and visited the emergency room with angina pectoris and was then admitted to the cardiology department.
“We plan to check the patient’s condition through cardiovascular angiography later today.”
“I’ll have to see the test results, but if possible, don’t hand it over to the surgeon.”
Kim Cheol-woo spoke as if Choi Ki-seok wanted to listen.
Among various diseases, angina had a lot of overlap in treatment between thoracic surgery and cardiology.
The treatment method is selected depending on the patient’s specific condition, but it can be treated with PCI (percutaneous coronary intervention) and CABG (coronary artery bypass grafting), respectively.
The meeting was over and the rounds were over.
“Hey, senior.”
Choi Ki-seok caught Nam Ji-hwang, a first-year resident.
“why?”
“I’m planning to study internal medicine. Could you recommend some books?”
“Oh, I guess you came here to have fun?”
A smile appeared on Nam Ji-hwang’s lips.
“If you look at the bookshelf in the conference room, there is an internal medicine treatment manual at our hospital. First of all, it would be good to look at it together with the circulatory system notes written by our director and volumes 1 and 2 of Super Internal Medicine. Do you think 4 volumes would be too many?”
“No, it’s just fine.”
“Try hard.”
Nam Ji-hwang patted Choi Ki-seok on the back and left the hospital room.
“Okay then, shall I start too?”
Choi Ki-seok rolled up his gown and went to the station.
* * *
The first shift in the circulatory department has begun.
Jiyiing. Jiyiing.
The call phone rang non-stop and various treatments were given.
Perhaps because it was an internal medicine ward, the intensity of work in the ward was no joke. There was a lot of work to do, such as taking ABGA or EKG, and there was a lot of work to do, such as obtaining consent forms from patients and other miscellaneous tasks.
However, like a first-time intern, Choi Ki-seok read internal medicine books in his spare time in addition to performing treatments.
“It’s tough.”
As I was looking at the circulatory system section of the Uijin University Hospital internal medicine manual, my head hurt.
There were many types of drugs needed for treatment.
The ability to memorize the effects and side effects of each drug is a charm.
Depending on the patient’s test values or existing disease status, drugs were mixed or existing drugs were omitted.
In other words, there are more than one or two things to consider when using a single drug.
What is more painful than anything else.
The point is that the master’s disciple buff was not used when studying internal medicine.
Song Myeong-jin suggested that it would be a good idea to go to an internal medicine department, but he did not directly teach me how to study internal medicine.
So it seemed like the buff didn’t work.
Choi Ki-seok had no choice but to raise his internal medicine score through his own efforts.
“Whoa…”
I rubbed my temples with my thumbs to relieve my headache.
The call phone rings just in time.
Rather, the station’s call felt welcome.
[teacher. This is the station.]
“Oh, yes.”
Choi Ki-seok heard the deep voice and his body shook.
[Teacher, I have to go for an exercise stress test for patient Yang Kyeong-gyu.]
“I’m going up now.”
I put the call phone in my gown and headed toward the station.
As the evening shift began, the nurses at the station changed.
Among them was the male nurse who had just called.
The male nurse’s name is Jaewon Shin.
He seemed to be roughly the same age as Choi Ki-seok.
Even though I had little experience, I carefully observed the nurses sitting next to me.
‘It must be difficult.’
Choi Ki-seok looked at Shin Jae-won and muttered to himself.
I must have served in the military, but it won’t be easy to work among female nurses younger than me.
“hello.”
Shin Jae-won found Choi Ki-seok and greeted him first.
“Ah. Yes. Hello. This is my first time seeing a male nurse.”
“I guess so.”
Shin Jaewon laughed heartily.
Ki-seok Choi had a conversation with Jae-won Shin and took the patient to the physical therapy room.
The physical therapy room was crowded with patients and physical therapists.
At first glance, it felt like a gym because there were various treatment tools all over the place.
“I’m from the Cardiology Department. This is the patient Yang Gyeong-gyu.”
“Yes, patient. Please come here.”
The physical therapist attached electrodes to the patient’s body and wrapped a cuff around the patient’s arm to measure blood pressure.
thud. thud. thud. thud.
The patient began walking on the treadmill.
An exercise stress test or treadmill test is a test that checks changes in electrocardiogram, heart rate, and blood pressure when a patient exercises.
Through this, you can check for coronary artery disease and the condition of your heart.
After a while, the test of about 20 minutes was completed.
Choi Ki-seok brought the patient to the hospital room. As I was walking down the hallway to do another treatment, Na Cheol-beom approached me from across the room.
This is a patient with hyperlipidemia who completely lost consciousness during a meeting.
The moment Na Cheol-beom passed by, Choi Ki-seok stopped on the spot.
“Over there, old man.”
“why?”
When Choi Ki-seok called, Na Cheol-beom turned his head.
As the gazes of the two people clashed, Choi Ki-seok spoke first.
“You just came back from smoking, right?”
