A Competent Doctor Can Cure Everything - Chapter 458



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Part 2 Episode 150

Outpatient treatment (2)

* * *

Nam Na-rae, a first-year student in the Department of Oriental Rehabilitation Medicine, has been going through some hardships recently.

One afternoon.

She muttered under her breath as she pushed a medical cart down the ward hallway.

“Whew, that’s not easy. That’s not easy.”

Droorruruk-.

Despite my complicated feelings, the cart wheels roll smoothly.

Before I joined the company, I had many scary imaginations.

An overly strict professor, a senior full of Hanbit University pride, a strict medical school life, etc.

‘Fortunately, those were all just my delusions…’

But there was an unexpected hidden problem.

The job of an attending physician was not as easy as one might imagine.

Of course, I was prepared to take responsibility for treating the patients.

Ironically, it was the things she had thought of as ‘other chores’ that really bothered her.

‘I never thought I’d end up going to the hospital while being watched by a nurse, not a professor, not a senior in medicine…!’

Nam Narae swallowed her tears inside.

I am envious and amazed at other residents who are so good at giving complex orders.

I don’t understand why it is so difficult to write a diagnosis, opinion, or referral for medical treatment.

Now, when I get a call from the station, I get scared.

‘Sigh. Now that I think about it, I’ve never left work on time since I joined the company.’

Hahaha, leaving work on time? What is that? Are you eating something?

It was when Nam Na-rae entered the treatment room behind the ward station with a self-deprecating laugh.

The tall male practitioner who was there first turns around.

Narae suddenly lowered her head.

“Ah!! Teacher Seon-i-jun, hello!!”

“Teacher Narae. It’s a good thing we met. Take this.”

“yes?”

Nam Narae opened her eyes wide and quickly held out both hands politely.

What I have in my palm is a USB stick.

“Senior. What is this?”

“I have supplemented our department’s cognitive data. I think it will be helpful for the attending physician’s work.”

“Oh my, thank you!! I will do my best to read it and memorize each and every word!!”

“No, that won’t be the case….”

When Nam Na-rae gave a thank you speech with a strong expression as if it were her habit, her senior bashfully swept the back of his head and disappeared.

She immediately ran to the station’s computer and checked the contents of the USB.

Soon, exclamations of admiration came out of my mouth.

“Wow, what is all this?”

Folders containing information on hospital practices, various diseases, how to write a thesis, and graduate school life.

Even which professor you sit next to at a company dinner is good for your liver health!

It was a valuable resource that fully revealed the perfectionist personality of senior Seon I-jun.

‘What level of handover data is this…?’

Nam Narae stuck out her tongue.

I think this could be published as a book. A white paper on the life of a Korean medicine resident, or something like that.

But on the other hand, I feel truly grateful and secure.

‘Ugh… You explained it in such detail, I really have to do better from now on.’

If you don’t know this after seeing it, you’re a real idiot.

I feel a strangely complicated feeling as I look at the screen.

The nurse behind her calls Narae.

“Teacher Narae, there’s a new patient on the EMR.”

“Huh? Really?”

It looks like the professor just issued a hospital admission notice at the outpatient clinic.

Nam Narae hurriedly accessed the EMR.

Sure enough, a new patient was assigned to her room.

Gulp. Narae swallowed dry saliva.

‘What kind of patient will it be this time?’

She quickly clicked on the patient’s outpatient medical records.

All of these are valuable clues before meeting the patient.

Let’s see, first of all, the patient is a woman in her 50s. The chief complaint (the patient’s main discomfort) is… .

Soon Nam Narae’s mouth opened wide.

‘Eh?! I’m screwed. My whole body hurts?’

The nape of the neck, waist, knees, wrists, elbows, etc.

There were so many places that were in pain, there were too many.

If we take an accurate medical history of all these areas, perform a physical examination, and even establish a treatment plan… .

‘Ahhhhh!’

She screamed inwardly.

I think leaving work on time is wrong again today.

* * *

“Please invite the next person.”

I sat down in the outpatient clinic chair and raised my voice.

Behind him was a documentary film crew consisting of a mix of Americans and Koreans.

Filming in Korea was overseen by SBC’s PD Na, but the American production team sent several staff members to Korea.

Step, step.

The patient will soon be brought in and guided by an outpatient nurse.

He is a muscular man in his 20s with a strong physique.

His arms and legs were covered in ornate tattoos.

“Patient, I told you that you need to receive treatment three times a week. Why didn’t you show up for your appointment last time without saying anything?”

“Teacher… The truth is, I couldn’t come because I was too scared of the saliva.”

“yes?”

I looked at the patient’s arm and leg tattoos in absurdity without realizing it.

But whether it was a joke or for real, the young man was about to cry, feeling sorry for his size.

Phew.

The camera crew bursts into laughter, but then quickly bites their lips together.

“How on earth did you get your tattoo?”

“Oh! This? It’s okay because you get a tattoo under anesthesia.”

“… Yes. Let’s say that’s true. So you stopped working out?”

“Yes. I’ve practically stopped! I’ve cut my daily routine in half.”

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Looking at the patient’s proud expression, it seems like this is not a joke but sincere.

Oh my, Doya… I almost found God even though I don’t have a religion.

I explained it patiently and step by step.

“I told you that the patient was in pain because he was overusing his body. In that case, he should rest a lot to recover quickly. Think of the skin peeling off. If the scab is about to form, and you scratch it with your hand, wouldn’t it cause another wound? The same goes for muscles.”

“Ah, yes… I thought that would be okay. I was worried about muscle loss if I didn’t exercise at all… … .”

I sent the sullen patient to the treatment room first, and then I pressed the area around his eyes with my thumbs.

PD Na gave me some words of comfort when I was tired.

“Dr. Seonjun, you must be very tired. There are so many patients coming to see me. I think the word has spread, or the number keeps increasing every day.”

“Not only the number of patients, but the outpatient clinic is different from the ward.”

I admitted it honestly.

That’s been my impression for the past few days.

“How is it different?”

“Inpatients tend to have good treatment compliance, but outpatients… .”

“Wow, this is literally a jungle.”

When I couldn’t continue speaking, the production team finished it for me.

I couldn’t bring myself to deny that.

When asked whether they did the exercise I told them to do consistently or whether they managed their eating habits well, most patients just laugh it off.

‘That’s a nobleman.’

There were also frequent no-show patients who broke their appointments.

Excuses as outrageous as the one just now are also common.

If it were up to me, I would lock them all up in a ward and treat them to my heart’s content.

“It must be hard for the doctors to watch you all day long.”

“Haha… I’ll go and take a nap.”

“Yes! There is a cameraman in the treatment room, but don’t worry about it and just do as you normally would!”

After a brief visit to the treatment room to administer acupuncture treatment to the patient.

When I returned to the examination room, I looked at the camera and asked.

“By the way, is the filming going well?”

“Yes! In Oriental medicine, I wanted to film the real process of how to treat painful diseases without painkillers and anti-inflammatory drugs. It seems like most patients are satisfied with the treatment results.”

I find that surprising too.

Obviously, compared to hospitalized patients, the number of treatments is significantly less and their lifestyle management is not good.

Nevertheless, the treatment works…!

‘I don’t know if this is due to the greatness of Oriental medicine or the greatness of the human body’s ability to recover.’

Anyway, I was dizzy from the spicy foreign taste.

The nurse knocked on the examination room door and popped her head out.

“Dr. Seonjun Seon. Our next patient is Bae Arin. Today is her first visit.”

“Yes, please bring it.”

Soon a female patient who appears to be in her early 20s comes in.

“Ah, hello…!!”

A patient sitting on a patient chair shyly greeting me and the production crew.

Looking at her like that, I tilted my head.

‘Why does this look so familiar?’

After thinking about it for a moment, several scenes came to mind.

“Ms. Bae A-rin. Have you seen us at the volleyball stadium?”

“That’s right! That’s right! What should I do? You remember!”

Then the patient covered his mouth with both hands and suppressed his cheer.

I see. I nodded.

Yeah, I remember that.

He is the person who waved the embarrassing placard vigorously at the volleyball stadium.

How could I ever forget the way you cheered for me instead of the volleyball players?

“Wow, is this a fan you’re looking for?”

Her remark caused laughter to erupt among the production crew.

The PD who was watching the situation had bright eyes.

Then Bae A-rin (for some reason I don’t know) puffed out her chest and grumbled.

“I’m not just a fan. I’m the president of Team Doctor Seon-i-jun’s fan cafe!”

“Oh! Then can we have a private interview later?”

“Of course! Have fun!”

… Was that the chairman?

I was just thinking about seeing who it was and what his face would be like.

For a moment, I was dumbfounded, but then I came to my senses and started asking questions.

“Ms. Bae A-rin, what hurts and why did you come here?”

“Oh! My right shoulder hurts. I can’t even raise my arm. At first it only hurt when I moved, but now it hurts even when I’m still.”

“Since when has this been happening? Have you been to other hospitals?”

“It’s been almost a month already. I went to the orthopedic surgeon and got an X-ray, but there was nothing wrong with my bones. I was prescribed painkillers and took them because they said there was a problem with some muscle in my shoulder. What was it called, rotator cuff… rotator cuff syndrome…?”

I listened to her as she struggled to remember the diagnosis.

“I think you’re talking about rotator cuff syndrome (the four muscles that cover the shoulder joint).”

“That’s right, that’s right. That’s right! But even after taking painkillers, it was the same. Later, I even went to a Korean medicine clinic, and after getting acupuncture, it felt a little better, but in the end, it was the same.”

“Does it hurt more during the day or at night?”

“Oh, I hadn’t thought about that. Hmm… Now that I think about it, I think it hurts more at night. It’s to the point where I can’t sleep.”

I nodded and went to stand next to the patient.

“Let me see how much you can move your shoulders. Let’s do the cheering gesture. Okay. Next, let’s put your hands behind your back as if you were scratching it.”

“Ouch! It hurts. I can’t go on like this.”

Check the ROM (Range Of Motion) of the shoulder and see what angle it is at.

I observed carefully which movements caused pain.

Press the rotator cuff carefully and check for tenderness.

Finally, I finished my secret routine of checking my future prognosis.

“Hmm.”

As I frown and sigh, everyone in the examination room looks at my mouth.

Something was strange.

The test results and the future prognosis are all subtly different from what I expected.

‘This doesn’t seem to be rotator cuff syndrome…. Furthermore, there is no treatment effect for rotator cuff syndrome. The symptoms actually get worse over time.’

then?

Although unlikely, one condition comes to mind.

I quickly came to a conclusion, pushed up my glasses, and began to speak.

“This isn’t a shoulder muscle problem.”

“Really? All the other hospitals said it was a muscle problem. Then why am I in pain?”

“Don’t be so surprised. Listen. In my opinion, this is adhesive capsulitis… In other words, frozen shoulder.”

silence.

Shocked people look at each other, speechless.

Bae A-rin, who had been speechless, soon cried out in tears.

“Huh?! Teacher! I’m still in my 20s?”

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