A Competent Doctor Can Cure Everything - Chapter 461



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Part 2 Episode 153

Body pain (2)

* * *

It was early March, and the evening breeze still felt chilly.

A woman is swearing at Kim Young-sook in front of the hospital room window.

“Why do you keep opening and closing the window? It’s driving me crazy. Can’t you see that I’m wearing layers of clothes because I’m cold?”

Kim Young-sook did not back down and shouted angrily.

“It’s hot when I close it, and cold when I open it for a long time. What should I do then?”

“This isn’t a private room. If that’s the case, you should go to a single room.”

As the atmosphere gradually became tense, Nam Na-rae quickly stepped in between the two women.

“Okay, calm down.”

“Miss, get out of the way!”

However, the patients were so angry that they didn’t even listen to Nam Na-rae’s words.

Seon I-jun, who had followed behind Nam Na-rae and seen her sweating profusely, stepped forward.

“Even if the weather is cold, it is good to ventilate for 10 minutes every two hours. And since there are people who are sensitive to the cold, Ms. Kim Young-sook, please do not open the window for too long.”

Then both of them who had been fighting became quiet.

Oh, I shouldn’t have just told you to calm down…

While Nam Na-rae was admiring, the women each returned to their beds, glancing at each other.

But Seon I-jun slowly approaches Kim Young-sook.

“Youngsook. It seems like it keeps getting colder and hotter.”

“Oh, don’t be ridiculous. I’m really struggling to death. I’m not doing this because I want to be like this.”

“You must be very uncomfortable. In Oriental medicine, this symptom is called ‘cold-heat cycle.’ How long have you had this symptom?”

“Oh my, is there a name for this? It’s been a while. I think it’s been over five years.”

Kim Young-sook showed great interest in Lee Jun’s words.

“Teacher, is there a separate name for this in Oriental medicine? Is there a way to fix it?”

“That… I think your doctor will need to check a few more things.”

… Yes? Me?

Suddenly, the patient and Seon I-jun’s attention is drawn to Nam Na-rae.

A flustered Narae whispered urgently to Lee Jun.

“Hey, senior? Suddenly?”

“If you want to build rapport with patients, this is a good opportunity.”

“ah…!”

Narae’s eyes widened.

Seon I-jun deliberately gave Nam Na-rae a chance without stepping forward.

Nam Na-rae, who was touched by her senior’s consideration, soon came to her senses.

“Senior. But I just finished the additional questioning… I don’t know what else to ask.”

“Take a pulse and press the Danjung point.”

“yes yes…!”

Lee Jun’s sudden request to take a pulse felt a bit out of the blue.

If it’s an internal medical condition, I don’t know.

When musculoskeletal disorders are the primary symptom, pulse is a secondary diagnostic method.

However, even though she did not know English, Nam Na-rae approached patient Kim Young-sook.

“Patient, please extend your wrist and remain comfortable.”

“Hmm.”

Offering to feel the pulse always resonates well with patients.

Even people who find it bothersome to have their medical history examined will readily submit their wrists to having their pulse taken.

Nam Na-rae placed her fingers on the inside of Kim Young-sook’s wrist and carefully felt her pulse.

‘The pulse is thin, and… um… is this a string pulse?’

Pulse count (脈細數) means that the pulse is thin and beats quickly.

The term “string pulse” refers to a pulse that gives a tense feeling, like when you press down on a taut gayageum string.

“This time, I’m going to press the Danjung point, which is located right in the center of the chest. Excuse me for a moment.”

“ah!!”

Danjunghyeol is an acupoint located slightly above the natal chart.

There was no need to ask the patient if it hurt.

Even though I didn’t use that much force.

When Na-rae touched her, Kim Young-sook frowned and screamed.

‘The pressure on the single point blood vessel is also severe.’

While Nam Narae nodded.

“Patient, thank you for your hard work. Your doctor will summarize the diagnosis and give you a detailed treatment plan tomorrow morning.”

Seon I-jun left the hospital room after making Nam Na-rae look good in front of the patient until the end.

Lee Jun asks as they walk down the hallway, matching Na-rae’s stride.

“Teacher Narae. Didn’t you feel anything just now?”

“Huh? Um… Judging from the pain in the Hyeonmaek and Danjung points, it seems like the patient is very sensitive and stressed, right? So I felt like it would be difficult to build rapport while treating the pain.”

“… … .”

however.

I thought I had clearly answered the question, but Senior Lee Jun remained silent.

‘Isn’t this it?’

Nam Na-rae glanced at her senior.

Time passed by, feeling like it was forever.

Seon I-jun finally opened his mouth.

“This patient can only be treated halfway by treating the pain alone.”

“Yes? Then?”

“The symptoms that patients complain of are many and varied. Don’t overthink it. There will be a diagnosis that covers all of them.”

Then, an idea suddenly popped into Narae’s head.

“Are you talking about a psychiatric illness…? Something like somatization disorder?”

Somatization disorder, or somatoform disorder.

It is a mental disorder that appears as a physical illness.

This refers to a case where a patient complains of various physical symptoms, but no abnormal findings are found in the test results.

It differs from malingering in that the patient is not lying but is actually in pain.

But Seon I-jun shook his head firmly.

“No, that’s not what I meant.”

So then what is it?

One diagnosis that covers all those different symptoms.

Nam Na-rae looked at Lee Jun with curious eyes, but the senior simply shook his head.

“Well, I could tell you right away, but I think it would be better if you thought about it yourself. You said you were going to get the professor to confirm the treatment plan tomorrow morning?”

“Yes! I’m planning to leave work after making plans. I was planning to go to the hospital and look up some books and papers.”

“Then I will give you homework.”

Immediately afterwards, an unexpected instruction came out of Seon I-jun’s mouth.

“Instead of looking up information at the hospital, try talking leisurely with the patient.”

“Huh? Are you saying that we need to ask additional questions?”

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“No, don’t ask questions, have a conversation. If possible, listen to everything the patient says without interrupting them.”

A spell whose true meaning is unknown at the moment.

“…all right.”

But Nam Narae had no choice but to nod.

* * *

The opportunity came quickly.

The meal times for patients admitted to Hanbit University Hospital are as follows.

When it’s meal time, the cafeteria ladies come to the ward pulling a food cart that looks like a small closet.

The food truck is filled with trays stacked high.

The ladies go around the ward and deliver appropriate trays to the patients in each room.

“bon appetite.”

“Thank you~.”

Empty distribution carts are placed in a place called the ‘distribution room’ in the ward.

Then, after the patients finish their meals, they place their empty plates in the food distribution cart in the distribution room.

Nam Narae took advantage of this.

‘Is Youngsook coming here too?’

As the patients’ dinner was about to end, I was wandering around the wiring room.

Then, after a while, patient Kim Young-sook showed up.

Nam Na-rae quickly approached Kim Young-sook as she was leaving the wiring room.

“Hello, Ms. Kim Young-sook. Did you have a good meal?”

“Oh, yes.”

When Nam Na-rae spoke to the patient in a friendly manner, the patient greeted her somewhat sheepishly.

While I was following the patient to the hospital room, I was thinking about what to say next.

Fortunately, Kim Young-sook continued the conversation.

“Didn’t your doctor get off work? Did he eat dinner?”

“Oh, I ate a sandwich. I still have work to do.”

“Oh my, she looks like she’s my daughter’s age, but she must be having a hard time.”

This time I was glad that the word young didn’t have a negative connotation.

Nam Na-rae readily took over the topic.

“You have a daughter? If you come to visit her while she’s hospitalized, you might be able to meet me~.”

But Kim Young-sook’s face hardened at the casual words.

“No. There is no one coming to visit me.”

“… … ?”

While Narae is flustered, the patient brings up a different topic.

“Teacher. I pressed here earlier and it hurt a lot. Why is that?”

“Ah! If it hurts a lot when you press the Danjung point, it means you are very stressed. Have you heard of ‘Hwabyung’? When we do the Hwabyung test, we press the Danjung point.”

“Aww, I knew that. It’s strange that I don’t have a vase.”

“…why?”

Nam Na-rae asked the patient, who was beating his chest as if he was frustrated, cautiously.

A question I wouldn’t have asked if it weren’t for Seon I-jun’s advice.

It also feels like I’m interfering too much with the patient’s personal life.

‘This person doesn’t like me that much. Should I just tell him the truth?’

… … because I also heard concerns like that.

But the night is long. Nam Na-rae decides to persevere and try to talk to the patient.

“… … .”

Then, Kim Young-sook stopped walking and stared at Nam Na-rae.

That gaze seems to ask, ‘Are you really interested in me?’

Although her back stiffened, Nam Na-rae did not avoid eye contact.

And after a while.

“… I told you earlier that no one would come to visit me.”

Was Nam Na-rae’s mindset conveyed?

The patient began to tell his story in a much more relaxed manner.

“I have two children, but I don’t get along with them. I don’t have a husband.”

“ah…?”

“It wasn’t a death, we divorced when the kids were young.”

“I see.”

Before they knew it, the two were naturally walking around the ward and talking.

“My ex-husband wasn’t like that at first. But when his business failed and things didn’t go well, he started to put his hands on me.”

“yes?!”

It was a story with a higher level of suspense than I thought.

“At first, he tried to get back on track, but eventually he became drunk and gave up on his job. What can I do? The kids cry because they’re hungry, and my husband just drinks alcohol at home. Shouldn’t I work too?”

Have even the tears dried up now?

Kim Young-sook told old stories in a calm manner.

“When I come home late at night after working all day, the house is a mess. My husband suspects me of cheating and gets angry.”

“oh my god….”

“I tolerated all that. But I thought it was better than having my children hear the words “fatherless child.” I thought that he was originally a good person, but he just got drunk and lost his temper at the moment.”

“… … .”

“But… when that human started touching the kids, I finally came to my senses. I thought this wasn’t right, so I took the kids and ran away to my parents’ house.”

After that, Kim Young-sook’s life did not go smoothly.

Her ex-husband was obsessed with her for a while even after they divorced.

Even though she was being chased by the author, she is said to have done all kinds of difficult jobs to raise her children.

“But my kids don’t even want to get along with me anymore. Oh, come on. Even I think they wouldn’t like a mother like me. She’s sick and keeps whining about being sick every day. They must be tired of taking me to all the hospitals.”

“ah….”

“Maybe it was because I had suffered so much, but my periods stopped earlier than other people. And it wasn’t like I had both my ovaries removed. Maybe it was because I didn’t take proper postpartum care, but after giving birth, every part of my body hurt.”

huh?

By the way, menstruation and obstetric history are also important factors to consider when examining female patients.

Nam Narae furrows her brows as if something is about to be caught.

“Oh my, I’m being a jerk. You must be busy, but I was complaining about my life while holding onto you, teacher.”

The patient blushed, as if embarrassed by something that had come too late.

Na-rae smiled with a sad heart and grabbed Young-sook’s hands. Her knuckles were thick and rough.

“No. You’ve had a hard time. I think of you as family and will do my best to take care of you.”

Then something amazing happened.

“Oh, thank you for your words. I feel better already.”

When he talks about himself, he acts indifferent, as if he’s reciting the plot of a drama.

Kim Young-sook finally shed tears at Na-rae’s affectionate words.

‘He was so cautious earlier.’

Nam Na-rae was secretly surprised as she watched the patient wiping away tears with the back of her hand.

It was a completely different story from just a few hours ago.

and….

‘I think I understand now.’

I also have a vague feeling about what senior Seon I-jun wanted to say.

Nam Na-rae nodded slightly as she carried the patient to the hospital room.

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