The Returning Doctor Wanted to Live Quietly - Chapter 309



Only Noblemtl

Episode 309. Vice Resident (5)

Conversation, listening, empathy, understanding.

Talk to me.

Listen to me.

I sympathize.

Understanding the situation.

There is no special way to build rapport.

Because it’s a communication method that even non-doctors always use to build trust.

So, even as we move to take the CT scan, we don’t stop talking.

“Do you know why leg edema (swelling in the legs) occurs?”

“well.”

“If your thyroid, kidneys, liver, or heart are not in good condition, your legs will swell. Have you heard of heart failure? It also comes with symptoms of shortness of breath.”

“… … .”

“Well, even if your lungs aren’t feeling well, your legs will still swell. Isn’t that amazing? Your entire body is connected. Oh, this way.”

Respiratory Medicine Resident, guiding Park Seon-jeong.

So, I don’t forget to keep an eye on Kim Ji-hwan’s mood.

Another situation where I’m in conflict with someone.

I’m not even tired anymore.

It is common for each doctor to have different opinions.

Conflicts of opinion were something that others also experienced.

But Kim Ji-hwan’s expression was strange.

What should I say?

He had a strange smile on his face, as if he knew something but didn’t.

‘What? Why are you suddenly like that? Are you sure you’ll win?’

A very different attitude from the one shown in the hospital room.

Although he was concerned, Jinhyeok spoke to Park Seonjeong again.

“Pulmonary circulation. It’s over in three seconds. From the right ventricle to the lungs. Then back to the left atrium.”

“… … .”

“Oxygen-filled blood is exchanged through the lungs. That’s why even if your lungs aren’t in good condition, your legs swell. Because blood circulation isn’t good. The venous pressure goes up. Edema occurs.”

“… … .”

“Edema of the lower extremities, results of the pulmonary function test, and the results of the questionnaire. They all point to dyspnea due to exertion. I’m going for a follow-up test now. Isn’t that boring?”

“Yeah, it’s not fun.”

Park Seon-jeong showed a lukewarm reaction, but Jin-hyeok agreed.

* * *

Park Seon-jeong was amazed by Lee Jin-hyeok, who was called a genius doctor.

Are doctors naturally talkative?

That can’t be the case.

All the doctors I’ve met so far have been silent.

I was always tired.

One minute? No, one minute and thirty seconds and it’s all over.

Well, they say there are a lot of patients so there’s nothing they can do or something.

But this human being named Jinhyuk Lee. No, Jinhyuk Lee, who is called a genius doctor, was a strange being.

It’s obvious that I just gargled.

It looks like you haven’t even washed your hair.

They chatter for a long time, not even feeling embarrassed.

So, I found him fascinating, but at the same time, I was also nervous.

Because I’m not really out of breath.

The lung function test was just difficult.

Because I ended up doing it roughly.

Well, I put in a bronchodilator and even did a comparative test, but if you don’t blow hard enough, that’s it.

It was too easy to do a cursory inspection.

but.

‘What the heck is this guy?’

Curiosity about Lee Jin-hyeok, who has seen through her, continues to rise.

A doctor who showed a performance of guessing the answer even though he clearly knew who it was.

His keen eye and observation skills were extraordinary.

Then wouldn’t it be possible?

Couldn’t this person fix it?

I didn’t know it was just a vain hope, but my heart was shaken.

When you hide your troubled feelings like that.

The chatty Jinhyuk Lee started talking again.

“Dyspnea due to cardiovascular abnormality. Well, it’s simple. First, we’ll do a coronary CT scan. Then we’ll do a CPET (continuous positive exercise stress test).”

“If it’s an exercise stress test, does that mean I should exercise?”

“No, that’s not it. Just do as I say on the treadmill.”

“I don’t like running.”

“But I have to do it. I can’t keep running.”

“… … .”

“Ventilation per minute, oxygen uptake, ventilation efficiency, tidal volume, and spontaneous breathing volume. It’s inevitable when measuring cardiopulmonary function.”

Park Seon-jeong remained silent for a long time, although she did not know exactly what he was saying.

* * *

Coronary angiography.

Since he didn’t complain of chest pain, it was no different from excessive testing.

But I took it and went straight to CPET.

Test done on a treadmill.

Sometimes quickly.

Sometimes slowly.

All kinds of breathing apparatus. And they walk and walk while attaching sensors.

That’s the result.

Jinhyuk looked at Kim Ji-hwan.

“It’s normal. I think the CT scan results came out too. What should we do? Should we check it together?”

“Let’s talk for a moment.”

“I think you can do it here.”

“No, I have something else to say.”

When Kim Ji-hwan suddenly left, Jin-hyeok looked at his back with a bewildered expression.

‘What, there are people like that?’

Jinhyeok, who asked for Park Seonjeong’s understanding, eventually left the examination room.

Now there are only two left.

Kim Ji-hwan smiled faintly.

“Wow. It’s just as great as I’ve heard.”

“Huh? What are you doing now?”

“Oh, I heard from Mr. Jang. He said that you just need to stimulate it a little.”

“… … ?”

“Let’s first say hello. I’m Kim Ji-hwan. I came from the Boryeong branch. I’m R4, so I’m a year older than you.”

Kim Ji-hwan suddenly extends his hand.

Jinhyuk looked at the hand he held out with a blank expression.

A markedly different attitude.

I can’t get used to it at all.

‘Why are you suddenly like this?’

“Wait, wait a minute.”

“yes yes.”

“The teacher Jang you just mentioned. Are you talking about the teacher Jang Hyuk-jun I know?”

“Yes, that’s right. I came up thanks to the human exchange program. I wanted to say thank you. Are you two close?”

“Yes, we are close, but… … .”

“I asked him to introduce me to someone. He said that he’s been obsessed with a patient lately and has been paying attention to strange things. It just so happened that he was a patient who had come to the collaborative practice.”

“… … .”

“He’s more choleric than I thought. Just provoke him a little and he’ll get angry and run at me. He doesn’t care about water or fire. He’s like a bald man. Well, that’s why I tried it. And it works.”

It means that the situation a little while ago was deliberately induced.

Jinhyuk burst into laughter.

It’s true that things went well thanks to him, but he’s a hot-tempered person who doesn’t care about anything…

How do you see yourself?

Oh, right.

Jinhyuk clicked his tongue.

Kim Ji-hwan shrugged his shoulders.

“Actually, I think it was really dyspnea due to old age. Well, that’s what the objective numbers said.”

“Are you saying that you intentionally created this situation?”

“Yes, you said he was a patient who wouldn’t listen to you. Oh, and the autograph wasn’t mine either. I got it for you, Mr. Jang’s girlfriend.”

Even asking for an autograph was a lie.

Because the behavior was so artificial.

It wasn’t easy to be convinced.

Jinhyuk immediately frowned.

“I understand everything, but there’s something I don’t understand.”

“yes yes.”

“Why did you do this?”

“hmm?”

“I could have just said thank you.”

Jinhyuk hit the nail on the head.

This time, Kim Ji-hwan laughed.

As expected, the expression on his face shows that it is not easy.

“I came back after 4 years. This is really. What should I say? They discriminate against me. We’re all students at the same school. What should I say? Hmm.”

“… … .”

“What, why did you apply to the fountain and then come here? You’re from the fountain. Do you think you can do the job properly? Aren’t you grateful to Lee Jin-hyeok? Well, no one says it out loud. Anyway. Well. That’s the kind of atmosphere it was.”

“so…….”

“Yes, well, you know. Work really does take a lot of people. Some people can get through it with just one phone call. Some people have to fight for a long time. Some people have to explain themselves.”

The saying goes that the level of difficulty varies depending on interpersonal relationships.

There was also a saying that no one knew that students from other schools were having a hard time, and it wasn’t wrong.

Jinhyuk, who finally understood the circumstances, burst into laughter.

“So you did that on purpose. You wanted to tell me I got robbed.”

“Hey. As expected, you’re a genius. A genius. Well, I’ve been completely swindled. I also don’t like Lee Jin-hyuk. Well, I should at least show this. I’m not a pushover. It’s true that you helped me, right?”

“… … .”

“You know you have no choice if you want to survive, right?”

“Then, why are you confessing now?”

“Thanks for coming up. The lake view. I was really bored. I’ll help you out more often in the future. Oh, that’s all.”

Let Kim Ji-hwan just leave.

Jinhyuk let out another hollow laugh.

Was it something you thought of spontaneously?

Or maybe I didn’t know if I was in sync with Jang Hyuk-jun, but one thing was clear.

Jang Hyuk-jun, who dared to call himself a thunderbolt, must also be punished.

Oh, aren’t we close?

Since we were close, there was a way to repay him.

* * *

“You have to keep your promises, you know that?”

Park Seon-jeong answered after a long pause.

“yes.”

“Let’s start with the surgery.”

“Yes, I will.”

“Do you know what kind of surgery I recommend and are you answering that question?”

“… … What is it?”

“Your hand, your hand. You’ve been neglecting your ligament damage for too long. You also seem to have trigger finger syndrome (a condition where your hand makes a clicking sound when you bend it). You need surgery right away.”

Park Seon-jeong’s expression visibly wavered.

A situation where Lee Jin-hyeok wins.

Well, tell them to be quiet or something.

Or tell them to stop talking about depressing things.

I thought you’d tell me to stop lying and trying to get my attention.

But, we were talking about the hand that caused his retirement.

“First, if the upper exit is blocked and food cannot pass into the intestines, we will perform a gastrojejunostomy.”

“… … .”

“The closure is so severe. We’ll have to build a new connecting passage. The professor will give you a more detailed explanation.”

“No, wait. Wait. How did you know? I never said anything. Hand, hand!”

“Thanks to you, I had a hard time. At Cebu Rance, you went to the Department of Orthopedics. At Catholic, you went to the Department of Neurosurgery and Orthopedics. At Seoundae, you went to the Department of Neurosurgery and Orthopedics.”

“… … .”

“Why are you hesitating? You’ve already had all the tests done and have been to many outpatient clinics.”

Even if you look at the medical records, there is no reason written down.

There was no way to know why Park Seon-jeong hesitated to have the surgery.

Of course, I had some guesses.

As silence began again, Jinhyuk checked the time.

It’s almost time to go back.

Jinhyuk opened his mouth hurriedly.

“Anyway, I decided to have the surgery.”

“No, I don’t need it. I’ll never play the violin again.”

“You are still practicing.”

“That’s just it. I did it because I was bored.”

“Well. Your left hand is the same. Your right hand is the same. You have a lot of calluses. Am I seeing things wrong?”

“It’s a callus. Well, even if you do it just a little bit… … .”

“That’s not what I mean.”

Jinhyeok cut off Park Seonjeong’s words.

The rapport has been built up sufficiently.

Now was the time to push. I couldn’t keep getting dragged around.

“Usually, you press the strings with your left hand. You hold the bow with your right hand. When I looked into it, I found out that there are fingers that you mainly use to hold the strings. The little finger, the ring finger, the middle finger, and the index finger. You only use four. If you’re right-handed, you might not know, but you don’t use your left thumb.”

“… … !”

“But there’s a callus on my left thumb. It’s definitely not my finger. Doesn’t that mean I practiced? And I did it with the other hand.”

“That, that.”

“The pressure of the string. The position. Well, this is what makes the sound. The thing is, there are calluses on the non-used thumb. Then the reason is obvious. It’s because my left hand isn’t good. So I tried it with my right hand. So, am I wrong?”

Jinhyeok repeated the same words again and pressured Park Seonjeong.

But once again, Park Seon-jeong did not answer.

Just a blank expression.

He just answers with wide eyes as if asking how I knew.

“The right hand mainly holds the bow. I use my thumb a lot. I also hold down the bow and pluck the strings.”

“… … .”

“I still have a lingering attachment to it. I still want to play it. I kept practicing. Whether it was at home or in the practice room. I switched my right and left hands. I held the violin the other way and kept practicing.”

* * *

I didn’t know what to say, so I kept repeating the same thing.

As if doing a confirmation kill.

So that’s why.

Park Seon-jeong, who had been silent for a while, asked.

“It’s not just that problem. I would have had surgery if it was that bad. But, they said it was localized hypertonicity. It’s a genetic disease. Can it be cured?”

“How long ago did your symptoms start?”

“It’s been like that since 4 years ago, no, 5 years ago. My hands started shaking little by little, and the period of time has become longer. Well, I’m fine normally. It’s just that when I start playing, my hands start shaking. They can’t move as they want!”

“I don’t know if it’s ligament damage or trigger finger syndrome, but the only answer for that is medication. Why didn’t you do that?”

“It’s no use trying. After all, isn’t it a problem with the nerves connected to the brain?”

That wasn’t a wrong statement.

Localized hypertensive disorder.

It mainly appears on the arms or hands.

It is a condition in which the hands shake and move on their own only when performing certain actions, refusing the brain’s instructions.

“There was a senior who switched hands, but the same symptoms occurred on his right hand and he retired.”

“I know it can happen even if you change hands.”

“But why recommend surgery? It’s not possible anyway.”

“Because that’s not the only problem. Nerve damage. It’s too late. You need surgery.”

“under.”

“And localized tension. Seo-Woon-Dae said it wasn’t certain. Catholic said it was certain. They said different things.”

“So?”

“You just saw that each doctor’s diagnosis is different. It’s common for a diagnosis to change once it’s been made.”

“Can a hospital that you know make a different judgment?”

“Yes. First, you will undergo a psychiatric examination. We will treat you in a collaborative manner with the orthopedic, neurosurgery, and orthopedic departments. As for the surgery, we will first perform a gastrojejunostomy.”

That means you’ve already made plans.

I didn’t know that it would be useless and give me hope, but Jinhyuk persuaded me with a strong tone.

“I will help you too. So, first, get the surgery and then proceed with the examination.”

* * *

Park Seon-jeong cried and cried for a long time.

Jinhyuk, who had been comforting her, moved his body like a knife when the time came.

I don’t think I’ll have time to sleep today, but I’ll somehow resolve the situation.

My heart was light.

Meet with your doctor and explain the situation.

The one who performed the surgery.

The fish stood four times.

It was when I was walking to the resident lounge with all my strength drained from my body.

“Ah, sir.”

“Is the surgery done?”

“It’s, over.”

“That’s good. I was just about to tease Mr. Jang.”

A situation where I met Choi Jae-seong by chance.

After nodding without asking why, Choi Jae-seong patted her shoulder.

He explained the operation and opened the door to the resident lounge.

Jang Hyuk-jun is still studying.

Jinhyuk said in front of him.

“Oh, that’s right. That’s how it happened.”

“Really?”

“That’s really what happened. Anyway, Mr. Choi, you knew it, right?”

“all right.”

“That’s true. I knew it would happen.”

As they talked loudly for a while as if they were talking about something important, Jang Hyuk-jun’s ears were seen perking up.

He immediately got up from his seat and asked.

“Why? What is it? What are you talking about that’s so funny?”

“Don’t you know that?”

“What is it? What is it?”

“You really don’t know?”

“I don’t know, so I’m asking. What is it, really?”

When Jang Hyuk-jun tilted his head as if he was frustrated, Jin-hyeok smiled brightly and left the resident lounge.

I’m thinking about chatting or something.

A grumbling voice was heard from behind, but Jang Hyuk-jun did not bother to follow.

“Mr. Choi. What is it? What is that??”

“Ah, nothing, ah, n, e, t …

“No, it’s not. What is it really?”

“That, is, me, too.”

Choi Jae-seong suddenly turns around.

Jang Hyuk-jun screamed.

“Eww!! Seriously, what the heck!!”

“Star, da, room. Star, da, room, star, candy.”

“Password? What is it? You know I can’t sleep like this! Hey hey! Where are you going? Hey!! Jaesung! What are you talking about!!”

It was really nothing, but it was Jang Hyuk-jun who was yelling at the hallway to leave.

Oh, isn’t that too cruel?

This too was something to remember.

.