The Returning Doctor Wanted to Live Quietly - Chapter 302



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Episode 302. Next Generation EMR (12)

Cardiogenic shock.

It occurs when the heart loses function.

The reasons were varied.

A situation in which hypotension occurs due to systemic hypoperfusion.

So, it would be correct to say that there is no place for Oriental medicine.

All you have to do is loosen your belt to relieve the pressure, lift your legs up and talk.

but.

“I told you it will only take a moment.”

He is being unreasonable.

There is no intention of backing down in this situation.

As the standoff dragged on.

Finally, a roar erupted.

“We can do it too! Oh, I said it’s Circulatory Neurology!”

“Circulation Neurology? What is that? No, more importantly, what are you doing in front of the patient right now!”

“What are you doing! We’re heart specialists too! Left shoulder! And we check for radiating pain in the upper extremities and use needles!”

“A cardiologist? That’s ridiculous! Ha! Don’t bother me and go away, go away!”

“No, I said it’s a specialty in Oriental Medicine and Neurology! We’ve been studying for over 6 years!”

There was a mix of formal and informal speech and shouting, but no one backed down.

Not only did they not know much about Oriental medicine, but they also thought that it went against their common sense.

That makes sense.

The causes of psychogenic shock vary.

Acute myocardial infarction.

Dilated cardiomyopathy.

Right ventricular infarction.

Psychological reasons.

etc.

There are so many causes that they think they are going too far by just doing basic treatment and waiting for the ambulance to arrive.

Of course, Jinhyuk also thought the same.

It’s not that I ignore Oriental medicine like others, but I don’t think now is the time for Oriental medicine doctors to step forward.

When Jinhyuk turned his head again to wake up the patient.

Again the shouts erupted.

“Get out of the way for a second! Get out of the way!”

“No! I can’t! When there is no abnormality in the electrocardiogram! Isn’t this a method that can only be used on elderly patients with severe side effects from Western medicine? Let’s stop now!”

“It could be neurosis! It could be psychogenic! It could be because I’m so angry!”

There is nothing wrong with the heart itself, but it is said that the collapse may have occurred due to an imbalance in the autonomic nervous system.

That made sense.

It’s not like it’s completely nonsense.

When the standoff becomes that long.

Someone grabbed Jinhyuk.

A situation where you suddenly fall on your butt.

Because someone else filled the gap, Jinhyuk was so angry that he was separated from the patient and almost shouted.

However, the three surgeons who were enjoying a vacation suddenly surround Jinhyeok.

It is to prevent one from coming forward directly.

In addition to that.

“Why, on earth, is it like this?”

“Let’s stop now! Let’s see the patient first!”

Kim Hyun-soo and Choi Jae-sung also stepped forward.

A behavior that a celebrity does out of fear of being involved in unnecessary gossip.

Jinhyuk suppressed his emotions and returned to his original position.

Keep talking.

Try to awaken consciousness.

But.

Getting paler and paler.

My pulse is dropping.

A situation with a poor prognosis.

The symptoms are as varied as the causes.

That’s how difficult it was to have psychogenic shock.

When you are worried about what to do.

Those who had run to the bus came back and shouted.

“I can’t go all the way to the tent! I just brought everything I could!”

“Good job! First, let’s measure your blood pressure!”

“yes!”

“It’s 60/40!”

“The booster!”

“Just in case, I brought dopamine, norepinephrine, and epinephrine!”

“First, administer 1mg of Epi! Raise your BP (blood pressure) first!”

“four!”

Administer the vasopressor quickly.

An act of forcibly raising blood pressure that has dropped as the heart function becomes unstable.

Jinhyuk also did not stay still.

“I’ll hook you up to the IV! And the diuretic!”

“I brought it!”

“Please turn it on immediately after connecting!”

“four!”

“Let’s also take a beta blocker!”

A series of shouts heard simultaneously.

Administering vasopressors and antiarrhythmic drugs.

They even move the patient on a stretcher that was brought in late.

The equipment is in the mobile clinic.

That was all I could do right now.

* * *

The ambulance arrived late.

The transport operation began immediately.

“Yoon Jun-sang! You come with me!”

“All right!”

“Report as soon as you arrive at Samcheonpo!”

“yes!”

Park Byeong-chan, who brings along a cardiologist instead of himself.

If you don’t feel sorry, it’s a lie.

It is a doctor’s instinct to want to follow up with the patient until the end.

The words that he himself will follow rise to the tip of his throat.

But Jinhyuk backed out cleanly.

A situation where the emotional rift is deeper than expected.

Since he didn’t know what would happen next until Cheol-su withdrew, Jin-hyeok immediately went to find the three surgeons.

“Senior.”

“Uh huh. Why.”

“You know, kids. Please crack down on them.”

“Crackdown? Why? Did the kids do something wrong?”

“We were wrong. Weren’t we the ones who initiated it in the first place? We were the ones who started it.”

“Hey, hey. Why are you bringing that up? That could be possible. You’re still in the prime of your life.”

“If we continue like this, we’ll probably continue to clash until we withdraw tomorrow. I think we can’t leave it like this.”

“That’s not possible. I didn’t say anything wrong.”

“Oh, really. Senior!!”

Jinhyuk screamed loudly.

Rude behavior.

Because the hierarchy was strict, this was an action that could not be done unless one was fairly close to others.

But everyone is ignoring it.

His own status also rose to that extent.

Because he has given a lot.

Since the special law for medical residents was passed and even working hours were limited, this much could be done.

Jinhyuk continued speaking, embracing the trio.

“It would be a bit weird if I scolded him directly. He’s from Seosin University, so I can’t call him my direct senior. He’s an old man, you know.”

“Hey, hey. But I still don’t like them. I don’t like them. Why are they even bothering to respond? I’ve never seen anything like this before!”

“That’s right. You’re just a person who does acupuncture and prescribes health supplements. What kind of heart specialist are you? Hey, hey. It’s funny, it’s funny.”

Deep-rooted contempt.

To this extent, it was no different from a deep-rooted hatred, like shouting, “I hate the Communist Party!”

Jinhyuk, with his brow furrowed, tried to appease the trio.

“There are cases where the medical, dental, and dental professions all volunteer together. Why, when you go to an island, you all volunteer together.”

“Who? Who said that? In which hospital?”

“Hey. I was just giving an example. It doesn’t have to be like this. We’re all serving together, so why fight? Right?”

“They are the ones who make money by selling health supplements.”

“You shouldn’t look down on it like that. What’s more important to medical professionals than collaboration?”

Jinhyuk went on to explain the importance of co-working.

Clinicians also had to collaborate with doctors who studied basic medicine.

Even surgeons and internists must move as one body.

Of course, reality and ideals are very different.

‘I think this is enough to convince you.’

The trio with even more relaxed expressions.

Jinhyuk’s face also brightened.

Well, I thought you’d understand by now.

But you never know.

Jinhyuk was annoying enough to call him a strict sergeant.

“So, please crack down on it.”

“Okay. Nagging. Got it. Got it.”

“Is it true?”

“Yeah. But you… … .”

“yes?”

“You’re talking about co-work, so it’s a bit weird. Hey, you’re a master of internal medicine, a master of urology, a master of everything except surgery and thoracic surgery. Why, you, when you were an intern, if I told you not to come down to the emergency room, you’d just write a chart and get a master of everything.”

“Ah, that’s… … .”

Something that happened a long time ago.

Jinhyuk’s face turned bright red at the bone-chilling remark.

He was the one who did not hesitate to do anything for the sake of his patients.

The karma he had accumulated was considerable.

It’s a bit difficult to confidently proclaim the importance of coworking.

* * *

The mobile clinic is back.

While Jinhyuk was watching.

The trio called Asindae.

“Hey, you guys. Don’t provoke them for no reason.”

“Senior. Those guys are saying disparaging remarks that aren’t even in the medical law, saying they’re veterinarians… … .”

“Oh! If I tell you not to do it, then don’t do it! Can’t you see that our Jinhyuk is angry right now?”

“ah…….”

As attention turned to him, Jinhyuk deliberately hardened his expression.

A face that looks very angry.

It’s a warning not to cause any more conflicts.

but.

“Hey, in front of the patient! Our Jinhyuk has no hierarchy! He’s a senior or anything! If you interfere with the treatment, you’ll get beaten up!”

I hear strange words.

Without any time to say anything.

One of the three shouted.

“Our Jinhyuk, he works out whenever he gets the chance. He works hard and works out hard. That’s why his shoulders are so broad. Hey, hey. Look at his fist. Look at his fist. It hurts when he gets hit.”

“… … !”

“Hey! You’re even opening the joint! Seriously! Anyway, if you talk about it now, I’ll lose!”

It wasn’t quite as Confucius-Mencius-said, but I hoped to teach respect for others and co-work.

The Korean medical school course lasts six years.

In some cases, it lasted as long as 7 years.

However, there were three people who turned around and disciplined the students who knew them.

This is also an action taken because we are close.

Jinhyeok sighed and walked to the Korean Medicine Clinic volunteer group.

I plan to show it with my own body.

No, I was thinking of appeasing them too.

Because it’s no different from a sudden action.

The trio immediately followed suit.

“Hey hey! Jinhyuk is causing trouble again!!”

“No, that’s not it.”

“What the heck! You told us to crack down on it! Why are you going over there!”

“Oh, really… … .”

A trio who treat themselves like a bunch of troublemakers.

Jinhyuk looked up at the sky again and sighed.

This was also his own karma.

* * *

“Excuse me, can I get some sleep?”

The doctor, who had been staring at him for a long time since he approached, opened his eyes wide.

I thought you were going to bring up the fight we had over the refund.

Suddenly, you’re drooling.

To them, it was a surprising thing.

He wasn’t just a doctor, he was the world’s greatest Lee Jin-hyeok.

Jinhyuk smiled bashfully, leaving behind his surprised reaction.

“My shoulder is a little stiff. I would like to get some acupuncture. Is that difficult?”

“No, that’s not it. Hmm, big. Well, you can get physical therapy. Go see an orthopedic surgeon or a neurologist. Isn’t this a group of oriental medicine practitioners?”

“That’s because my children are still young. I often go to the Oriental medicine clinic. I also get acupuncture often.”

“Is it true?”

“Yes. If I feel uncomfortable, I wash my hands. If my back hurts, I get acupuncture. I use it regularly. Oh, of course, I can’t go often because the hospital is busy. Well, let’s just say I go whenever I have time off.”

“… … .”

“Hey. Please let me go. My shoulders are really stiff. I slept in the community center, so the seats are a bit, so.”

Jinhyuk even took off his parka.

Everyone looked at Jinhyuk.

The faces of those who used to ridicule me as a herbal medicine doctor or a descendant of the Sacheondang family come to mind.

I’m not sure if it’s a joke or if it’s real.

Jinhyuk winked slightly at the sight and went inside the tent.

There wasn’t any cutting-edge equipment in sight, but there were countless beds.

As soon as I lay down on the empty seat, the doctor who followed me was embarrassed and asked me questions.

“Really, did you come here to get stabbed?”

“Yes, there are more elderly people here than us.”

“Well, as you get older, it’s normal to suffer from joint pain.”

It is said that the older people who bend over to do farm work and lift heavy objects are more likely to develop degenerative arthritis.

Jinhyuk quickly responded.

“It can’t be helped that cartilage wears out.”

“hmm.”

“Please let me go. I have to go back right away.”

“You’re not really here because you’re sick, are you? What on earth is your purpose?”

What is the intention?

Jinhyuk smiled faintly.

.