A Competent Doctor Can Cure Everything - Chapter 462



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Part 2 Episode 154

Heavenly Fortune

* * *

Oriental medicine rehabilitation and medical care.

Nam Na-rae was sitting at the center table, her nose buried in a book, frantically searching through the materials.

Beep beep beep beep-.

The door to the hospital opened, and surprisingly, Seon I-jun appeared in plain clothes.

“Huh?! Senior Seon Ijun! What are you doing at the hospital at this hour?”

Nam Na-rae glanced back and jumped up from her chair in surprise.

Then, Lee Jun answers nonchalantly as if it was nothing and sits across from Na Rae.

“I left the necessary paper printouts behind. By the way, did you talk to the patient?”

ah……?

Why did you have to come to the hospital at this hour to get your thesis?

If you search for it at home, you should be able to download it again.

It seemed like he must have come back because he was worried about Na-rae, and it seemed obvious that he was using the excuse of his thesis.

As one side of my heart became warm, the corners of my mouth naturally rose.

“Yes!! I think we talked for almost an hour just now. But, senior.”

Nam Na-rae closed the book and looked at Seon I-jun.

“Patient Kim Young-sook’s key diagnosis. You were going to say ‘menopausal disorder,’ right?”

Then – although it was only for a moment – a pleased look appeared on Lee Jun’s face and then disappeared.

“That’s right. You figured it out.”

Climacteric syndrome.

This condition, commonly referred to as ‘menopausal syndrome’.

It refers to various symptoms that appear due to a rapid decrease in female hormones caused by aging of the ovaries.

Even after telling her the correct answer, Nam Na-rae looked bewildered.

“Huh? Really? If it weren’t for you, senior, I wouldn’t have thought of menopausal disorder. Because this patient complained of severe pain all over her body… .”

“That’s right. When we think of menopausal syndrome, we usually first think of facial flushing, night sweats, and mood swings.”

Seon I-jun nodded.

Certainly, if it is a full-body pain, and it is severe pain like that of patient Kim Young-sook that does not respond to any treatment.

First of all, common musculoskeletal diseases such as disc herniation, stenosis, and muscle pain come to mind.

It is difficult to readily suspect that the pain is due to menopausal syndrome.

“However, the symptoms of menopausal syndrome are surprisingly diverse. In addition to vasomotor symptoms and emotional disorders, they also include skin symptoms, digestive symptoms, and musculoskeletal symptoms.”

“Oh, that’s right. I learned that in obstetrics and gynecology class at school.”

“Actually, vasomotor symptoms such as facial flushing are common in the early stages of menopausal syndrome. However, as the period of menopause increases, systemic pain such as back pain and joint pain increases. That is why musculoskeletal treatment cannot be omitted in the treatment of menopausal women.”

“Then… it seems that Ms. Kim Young-sook went through menopause earlier than other people, and her menopausal syndrome also progressed to the later stages quickly.”

Nam Na-rae’s eyes widened at Seon I-jun’s explanation.

The average age of menopause for Korean women is around 50 years old.

Kim Young-sook, who went through menopause at the age of 46, was several years earlier than most people.

Now I feel like the puzzle pieces are finally fitting together.

“And Teacher Narae. Do you remember that the patient had severe pain in the Hyeonmaek (string vein) and Danjung point?”

“Yes, of course I remember.”

“Perhaps stress further aggravated Kim Young-sook’s menopausal symptoms.”

“… … ?”

In front of a bewildered Nam Na-rae.

It seemed as if Seon I-jun had left the room for a moment, but he soon returned holding a printed copy of the thesis in his hand.

The paper was about ‘the relationship between life event stress and menopausal symptoms.’

“Stress from life events…?”

As Na-rae muttered, Lee Jun nodded and continued.

“Relationships with spouse and family, interpersonal relationships, financial power, health, housework, etc.… It is a term that refers to all events in daily life. Some studies even say that this ‘life event stress’ has a greater impact on menopausal symptoms than the timing of menopause.”

“Huh? Is it really that related?”

“Yes. There are also research results that show that those who do not receive sufficient postpartum care are more likely to experience menopausal symptoms later in life.”

As I listened to my senior’s words, the patient’s personal story I had just heard came to mind.

Divorce due to her husband’s violence. Children who were estranged. Not having enough money. A unilateral oophorectomy due to an ovarian cyst. Insufficient postpartum care.

Now that I look at it, all the clues were pointing in one direction.

But… at this point, one question arises.

“No, how did you know this, sir? Did you interview the patient before me?”

“That’s impossible. I only saw you briefly in the hospital room back then.”

“Then how did you find out in such a short time?”

Lee Jun shrugged his shoulders at Na Rae, who was beyond amazed.

“First of all… when I got closer to the patient, I could smell urine.”

“yes?”

“I guess Teacher Narae didn’t know. Of course, the smell wasn’t bad, but I definitely felt it. That’s why I suspected urinary incontinence. It’s a common condition among women.”

Incontinence is more common in women than in men.

This is because the urethra is anatomically short, and the pelvic muscles that support the bladder and urethra become weak after childbirth.

Seon I-jun continued to explain.

“But I found it strange that Ms. Kim Young-sook, in her early 50s, had already developed incontinence to the point where she couldn’t hide the smell.”

“That’s right. The severity and frequency of urinary incontinence symptoms increase with age.”

“That’s why I began to suspect that this person might have a particularly severe case of menopausal disorder.”

Urinary incontinence is also a type of menopausal disorder.

When female hormones are lacking, the urethral mucosa dries out and atrophies, and cannot function properly.

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This soon leads to frequent urination, nocturia, urgency, urinary incontinence, and urinary tract infections.

“When I think of menopause, all the other symptoms make sense. The constant opening and closing of windows, the severe body aches, headaches, poor sleep, indigestion.”

“Oh, I see…!”

Nam Narae scratched her chin with a blank expression.

“I had no idea about urinary incontinence because the patient only mentioned frequent urination and a feeling of residual urine.”

“Patients often hide diseases like urinary incontinence because they are embarrassed. In such cases, it is better for the doctor to bring up the issue naturally first.”

“Wow, senior… I really learned a lot. Your observation skills and sense are amazing.”

Na-rae, who had been admiring him all along, suddenly let out a sigh.

“Whew. It seems like I’m definitely falling behind. Tae-ryong seems to be doing well too. The USB materials that you gave me were also of a very high standard. I wondered how you could do all that in your first year.”

“… … .”

Seon I-jun looked at her quietly and then opened his mouth.

“Teacher Narae. Do you really think you’re falling behind? What’s your standard?”

“!”

“Hospital work is not a competition or a contest. Of course, an enthusiastic attitude is much better than trying to treat patients haphazardly. However, there is no need to feel anxious by comparing yourself to others.”

It hit the nail on the head.

I feel like my anxiety, nervousness, and jealousy that I’ve been feeling since I joined the company have been detected.

Nam Narae bit her lip and lowered her head to listen to her senior’s words.

“I think I had a lot of those concerns when I first started practicing. Why, you think that you have to be able to get everything right to be a great doctor. But you don’t have to be obsessed with that at all.”

Ildo-kwae-cha (一到快差) is a term in Oriental medicine that refers to a case where an illness is completely cured with just one treatment.

At Lee Jun’s candid words, Na-rae raised her head.

“Huh? Senior, you had a time like that too? Then how have your thoughts changed now?”

“Now that I think about it, it doesn’t really matter whether you’re better or worse than anyone else. That’s because once you gain some clinical experience, everyone becomes similar. What’s important is, ‘Have I improved from yesterday?’”

“ah…!”

Nam Narae’s eyes sparkled.

After hearing Senior Lee Jun’s words, I finally felt like my head was clearing up.

Why did I keep comparing myself to Tae-ryong and suffering unnecessarily all this time?

‘The important thing is not to cure the patient quickly, but to cure it correctly.’

Narae suddenly bowed her head toward Lee Jun.

“Thank you, senior!! I’ll do the rest now. It’s late, so hurry up and go in!”

However, Seon I-jun showed no intention of moving from his seat.

“I’ll go in. I’ll also have to see how to make a treatment plan for the patient.”

“Yes? But it’s late at night and I’m sure you’re tired….”

“That’s the same for Professor Narae. And you said you need to get confirmation from the professor tomorrow morning. I was going to help you because you probably don’t know the style of our hospital’s professors. If you don’t need it, then don’t worry.”

As Lee Jun pretended to get up, Na-rae, who had been hesitating, quickly waved both her hands.

“No, no!! I would be so so grateful if you would look at it, senior!!”

Nam Na-rae, who had regained her energy from the first day, shouted out powerfully.

A smile appeared on Seon I-jun’s lips as he looked at his junior.

* * *

The next day, in front of the computer at the ward station.

“Teacher Nam Narae. What did you think of this?”

Professor Yeon Jae-wook looked at the patient’s chart on the EMR with a look of surprise and delight and asked.

It was thanks to the new first-year student who came in and created a perfect treatment plan.

“You linked the patient’s severe pain and other symptoms to menopausal disorders? And you even figured out the patient’s life stresses.”

“Actually, senior Seon Ijun helped me a lot!! He even looked at the charts with me late into the night yesterday.”

“Really? Mr. Sun?”

At Nam Narae’s brave answer, Professor Yeon’s eyes grew wide once again.

“That guy is surprisingly kind. Having outstanding abilities and teaching juniors well are two different things.”

“I learned a lot from my senior through this experience!! Not only about patient cases, but also about my mindset as a doctor.”

Professor Yeon, who had been laughing heartily at those words, readily gave his permission.

“Yes. I think the treatment will be fine as is. I’ll go to the patient and explain it to him.”

“Yes, Professor!!”

After a while, Nam Na-rae showed Kim Young-sook a paper chart and revealed her future plans.

“Ms. Kim Young-sook. We will give you herbal medicine by adding or subtracting medicinal herbs that are suitable for you to Ja-eum-gang-hwa-tang (滋陰降火湯).”

“Jaumganghwatang? What kind of medicine is that good for?”

“Um, the patient has a thin pulse and is beating fast. In Oriental medicine, this is because the body fluids have dried up and there is heat. Jaumganghwatang is a herbal medicine that replenishes the lack of body fluids and reduces excessive heat. The phenomenon of female hormones decreasing with age is expressed as body fluids drying up.”

“Then, will the constant feeling of being cold and hot get better?”

“Yes. In addition, we will add herbs such as fragrant peppermint and citronella, which relieve stress, and peony root and cinnamon, which relieve pain.”

The patient seemed to be attracted to Na-rae’s confident attitude.

“In the morning, we will focus on pain treatment, and in the afternoon, we will focus on internal medicine treatment such as stress, sleep, and digestion.”

“I understand about pain acupuncture, but what is internal medicine acupuncture? Where does it go?”

“You will receive acupuncture treatment on your head, hands, feet, and lower abdomen. Oh, by the way, lower abdomen acupuncture is also effective for urinary problems. Things like frequent urination, feeling of residual urine, and urinary incontinence.”

When the word incontinence came up, Kim Young-sook finally revealed the truth.

“… Really? Actually, I also have some incontinence symptoms. Would getting acupuncture on my lower abdomen help?”

“Oh, really? Then let’s focus on treating your lower abdomen while you’re hospitalized. It’ll be even more effective if you include electroacupuncture.”

Nam Narae pretended not to know and nodded.

The patient’s face brightened, as if he was satisfied with the treatment plan.

“Oh, just hearing that makes me feel reassured. In fact, since I’ve been going to all kinds of hospitals, I’ve been hurt by doctors a lot.”

“Oh, really? Was that so?”

“I waited for an hour and went into the examination room, but they didn’t even listen to me and finished the examination in a minute. When I told them that taking medicine would be the same, they said I was joking around… But I think Dr. Nam Na-rae is different.”

The patient’s face looking at his doctor is full of trust.

Nam Na-rae felt a lump in her throat at the sight of those eyes.

‘If it weren’t for senior Seonjun… I wouldn’t have been able to treat Yeongsuk properly.’

Then, it felt like a stroke of luck that I entered Hanbit University’s Department of Oriental Medicine Rehabilitation.

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