A Competent Doctor Can Cure Everything - Chapter 447



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Part 2 Episode 139

Lunar New Year holiday duty (2)

* * *

Department of Pediatrics and Adolescent Medicine, Oriental Medicine.

Kang Woo-shin had finally finished acting and was taking a short break.

An unexpected call came from the ward.

– Dr. Kang Woo-shin! He’s not a hospitalized patient, but we have a pediatric patient. Could you please take care of him?

“Huh? You’re a pediatric patient, not an inpatient. What do you mean-?”

Wooshin realized it without asking again.

The Russian girl named ‘Milan’ that I met at the station earlier was definitely sick.

He immediately picked up his doctor’s gown and stood up from his seat.

“I’ll be right there. Where is the patient’s room?”

In front of a single room that we arrived at like that.

This place is at the very end of the hallway, so there was no need to pass by.

I assumed it was empty because there was no patient’s name on the nameplate.

Milana and her father appear to have been living here for some time.

dripping.

“Excuse me…?”

Kang Woo-shin almost panicked when he entered the hospital room.

As soon as I opened the door, a cold air like a refrigerator came out.

It’s January now.

Of course, it was a time when patients would turn up the heaters in their hospital rooms.

The air conditioning was actually running here.

‘Ah… Is it possible that because you’re Russian, you find Korean winters hot?’

There is a saying in Russia:

Anything with an alcohol content of less than 40 degrees is not alcohol.

Isn’t it winter when the temperature is above -40 degrees Celsius?

‘omg.’

Kang Woo-shin, who was looking around the room, was startled once again.

A balding white man, as big as a brown bear, was standing by his daughter’s side, looking worried.

Milana, the little lady I had seen earlier, was lying on the bed with her face flushed red.

‘Oh my god, I’ve met someone greater than Go Min-hwa.’

Come to think of it, that guy.

I feel like I’ve seen it somewhere… .

Wooshin, who had been wondering, soon shook his head slightly.

That wasn’t what mattered now.

“Where does your daughter hurt?”

I tried speaking Korean just in case, but the man just shrugged his shoulders and shook his head.

It seems like there isn’t a separate interpreter because it’s the Lunar New Year holiday.

Wooshin had no choice but to use hand gestures, English, and even a cell phone translator to ask questions.

‘Ahh… As expected, I shouldn’t have stepped up and taken on duties like the snow duty!’

After a sweaty treatment.

The information that Kang Woo-shin barely managed to obtain was this.

When the patient, who was the guardian, returned from going out, his daughter, who had been playing well, was in a bad condition.

I had a fever, felt sick, nauseous, had lower abdominal pain, and had diarrhea several times.

“Teacher Wooshin. The child’s temperature is 37.6℃. Blood pressure and other vital signs are fine.”

In the meantime, the ward nurse brought in a thermometer, blood pressure monitor, etc. and measured Milana’s vital signs.

From the age of 7, the normal body temperature is 36.6~37℃, just like adults.

It was true that Milana had a low-grade fever right now, although it wasn’t a high fever.

Kang Woo-shin furrowed his brows.

‘Let’s think about it. What disease would you suspect first in this situation?’

An infectious disease is suspected because of the fever.

And nausea, stomachache, diarrhea… .

Naturally, enteritis came to mind.

[ Milana. Did you eat anything special earlier? Especially anything spoiled, cold, or spicy. ]

I asked using a translator.

The girl wheezes and shakes her head weakly.

“Doctor, what should we do?”

“Teacher Wooshin. What should I do?”

The decision was urged by the concerned guardian and nurse.

Ushin groaned and fell into thought again.

He was the only pediatric resident in this ward at the time.

He had to make the right choice.

‘… Ah! By any chance?’

It was then that Kang Woo-shin’s glasses flashed.

I remembered something that Professor So Cheong-yeon of the Pediatrics and Adolescent Department once said.

– “Acute appendicitis, also known as appendicitis. It’s a common disease in children, so you’ll see it often in clinical practice.”

– “The appendix of children is longer than that of adults, and the wall is thinner, making perforation (hole) more likely to occur. Be careful, as it can easily lead to dangerous peritonitis.”

– “The main symptoms of adult appendicitis are abdominal pain, vomiting, and loss of appetite. However, children may experience diarrhea or constipation. If you think it is enteritis and miss the timing for surgery, you could be in big trouble.”

– “Everyone knows the simple diagnostic method, right? Tenderness (pain when pressed) and reflected pain (pain when releasing pressure) in the lower right abdomen.”

Kang Woo-shin approached Milana.

Then he performed abdominal abdominal massage on the girl’s stomach.

(*Abdominal examination: Abdominal examination. A diagnostic method that involves observing non-specific reactions in the abdomen or examining the abdomen by pressing it with the hand.)

“It hurts.”

Milana grimaced slightly as Wooshin placed his hand on her lower abdomen, especially her lower right abdomen.

Appendicitis is characterized by ‘excruciating’ abdominal pain that starts around the navel and extends to the lower right abdomen.

‘Hmm. It’s ambiguous.’

The girl’s pain response was too severe to be considered extreme.

It wasn’t just my lower right abdomen that was hurting.

But that could be because it is still in the early stages of the disease.

At that moment, the nurse who was watching Wooshin’s actions asked.

“Professor Wooshin. Are you suspecting appendicitis?”

“Yes… I’m not sure, but I can’t rule it out completely.”

“Then should I transfer to the ER (emergency room)?”

Her opinion was valid.

If the appendix bursts and causes peritonitis**.

Inflammation spreads throughout the body, causing sepsis or, in severe cases, death.

Because it could develop into a serious emergency.

(**Peritonitis: Inflammation of the thin membrane covering the abdominal cavity and organs within the abdominal cavity)

‘Ha. ER on New Year’s Day. I’m already going to be pissed.’

Kang Woo-shin scratched the back of his head at the word emergency room.

It must have been difficult for the on-duty doctor.

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It is the patient’s mind that brings an outside patient to the emergency room.

However, the process of sending an inpatient to the emergency room within the same hospital is surprisingly complicated.

‘Transferring a patient to the ER requires permission from an EM (emergency medicine) doctor…’

After hearing the on-duty doctor’s explanation, if EM determines that it is a true emergency.

Only then is permission to transfer granted.

The on-duty officer can’t just barge into the emergency room with an admitted patient.

In addition, the patient’s attending physician and guardian’s permission are also required.

‘Of course, if the patient is at risk of suffocating, that’s an exception.’

Kang Woo-shin glanced at Malina.

Of course, the child was not a hospitalized patient, but with these symptoms, the emergency room would likely not admit him.

Because they can find fault with the fact that they examined him first.

If you are going to send a patient to the emergency room based on your opinion and not the patient’s, then you need to provide evidence.

But honestly, if it weren’t for the holiday, it seemed like it would have been okay to go to a Western medicine outpatient clinic instead of the emergency room.

This was when he was struggling over whether or not to transfer.

dripping.

With a knock on the hospital room door, rehabilitation and on-duty doctor Shim Ji-seop appeared.

Ji-seop’s eyes widened for a moment when he discovered Woo-shin.

“What brings you here, Professor Kang Woo-shin? Patient Sergei is my case.”

“Oh, I received a call saying that the patient’s daughter is sick.”

“Oh… Both the woman and the man are sick?”

After hearing Wooshin’s full explanation.

Ji-seop asks calmly and coolly.

“It’s ambiguous. What should I do?”

“Uh… that’s….”

It was not clear whether Kang Woo-shin had appendicitis.

But there’s nothing I can do.

Even if the possibility is slim, doctors have no choice but to assume the worst.

Eventually, Wooshin headed to the ward station to use the phone.

* * *

Twinkle-.

A thin yellow light illuminated the man’s blue eyes.

The man’s pupils immediately constrict.

‘Pupil response is normal.’

Shim Ji-seop put the flashlight back in his coat pocket and spoke to Sergei.

[ How’s your head? Are you still feeling dizzy? ]

[ I’m a little dizzy and dazed, but I’m okay. ]

[ It looks like you need to be examined, not just your daughter. You may have a concussion or other brain injury. ]

[ I’m fine, please do something about my daughter first. ]

Shim Ji-seop closed his lips and thought.

The patient was conscious.

He understands the questions asked and answers them well.

Also, it is important to check the pupillary reflex to check for brain problems.

The pupils also respond promptly and normally to light.

Breathing and body temperature are normal. Blood pressure is a little high, but it’s okay.

‘But there’s just one thing. Your heart rate is abnormally slow.’

Ji-seop, lost in thought, swept his lower lip with his thumb.

The normal heart rate for an adult is between 60 and 100 beats per minute.

If it is slower than this, it is called bradycardia, and if it is faster, it is called tachycardia.

But Sergei’s heart rate is in the 40s.

It was much lower than 60.

‘Heart rates may be slower in women, older people, or those who are asleep.’

But it was very strange that such a healthy patient had a bradycardia.

Of course, it’s a minor thing. All other indicators are normal.

However, Shim Ji-seop’s intuition as a doctor was speaking.

There’s something strange about this patient.

[ You should also get your head examined. I’ll call the emergency room and be right back. ]

Leaving Sergei behind, who was looking bewildered.

This time, Shim Ji-seop picked up the phone at the ward station.

First, Kang Woo-shin was nowhere to be seen, as if he had finished his business.

Dooroo-. Dooroo-.

The phone call didn’t connect easily.

Shim Ji-seop waited patiently.

Finally, after listening to the long ringing tone.

A man answered the phone with an annoyed sigh.

– Hey, really… Yes, this is Kim Jin-su from EM (Emergency Medicine).

Shudder.

Shim Ji-seop stiffened his shoulders when he heard the man’s name.

In order to notify (report) quickly, I even organized the patient information separately.

Holding the note in his hand, Ji-seop couldn’t easily take his lips off.

The person on the other end of the phone urges him.

– What? If you’re not going to talk, I’ll hang up?

Kim Jin-su.

He was the doctor who misdiagnosed Shim Ji-seop’s younger sister Shim Ji-ah’s rib fracture several years ago.

Shim Ji-seop finally moved his lips.

“… This is Sim Ji-seop, the on-duty officer of the Oriental Rehabilitation Department. I am contacting you today because we have a patient complaining of dizziness after receiving a blow to the head.”

Shim Ji-seop never forgot that name.

There was no reaction on the other side even after hearing Ji-seop’s name.

They just keep asking questions about the patient.

– So, that patient. The only abnormal symptoms he is currently experiencing are dizziness and bradycardia? All other vital signs are fine. The patient is a young, healthy male with no underlying disease, hospitalized for tennis elbow?

“…you’re right.”

– under….

As expected, Kim Jin-su sighed openly.

Finally.

– Just now, the Oriental medicine clinic called me about something trivial. That’s why I don’t like answering calls from Oriental medicine clinics.

He even muttered to himself into the receiver as if telling us to listen.

“… … .”

Shim Ji-seop waited for the next words with his face hardened.

For a short while, all kinds of noises can be heard over the receiver.

The sound of a baby crying, the sound of medical staff shouting medical terms, the sound of a stretcher car being dragged, the sound of a patient’s cries of complaint, etc.

Finally, Kim Jin-su opened his mouth.

– Excuse me. At that level, you can just observe the patient in the ward, right?

“This patient has suffered a head injury. Please just prescribe a test.

– Hey, seriously. Do you know how busy we are right now? If you’re really worried, go to another hospital’s emergency room!

And then, abruptly, the phone call ended.

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