The Returning Doctor Wanted to Live Quietly - Chapter 310
Only Noblemtl
Episode 310. Vice Resident (6)
Early in the morning, it’s time for a free round.
Everyone was staggering and squirming like zombies.
“Ugh. I’m sleepy, I’m sleepy.”
“Is it true that your workload has been reduced? Why is it so hard?”
“Ugh. People are creatures of adaptation. Why can’t this adapt…?”
Everyone half-closed their eyes and picked up the chart.
The next generation EMR, coming soon.
It doesn’t seem like paper charts will disappear completely, but they said they will continue to do so for the time being.
Now wake up the sleeping patient.
Pulling back the curtains.
It’s time to record the events that occurred overnight.
And dressing too.
Also check if there is a squeak.
I had to make all the preparations so that the professors wouldn’t start shouting.
When they disperse like that, making a fuss.
Just one person.
Only Jang Hyuk-jun, whose eyes had turned black like a fender, remained motionless.
“Star candy, star yard, star candy, star yard, star candy, star yard. Ugh. I think I’m going crazy. Ugh. I’m so curious I’m going crazy!”
The zombie of zombies.
Jang Hyuk-jun, who had turned into a mutant zombie, repeated the same words over and over again with a blank expression.
Jeong Seong-wook, who saw the sight, immediately shouted.
“Hey, Jang Hyuk-jun!”
“Yes, Chief.”
“Isn’t there something strange? Hey! Feeling strange? What, is there something like that?”
“yes?”
“You’re the only one left! You’re the only one left! Hey! Don’t move quickly!”
“No, more than that, Byeolmadang, Byeolsatang. Do you know what this means? That······.”
The explanation went on for a long time.
Jeong Seong-wook got irritated by the nonsense that made no sense.
“Hey, dude. I was just kidding!”
“No. You know this teacher’s personality. He’s always serious. He’s serious. He’s also sincere to his patients.”
“however.”
“You’re going to joke around with something like this, aren’t you? That’s not your style.”
“… … .”
“I said that’s your usual behavior. Think about it carefully. There really is something there.”
Repeated claims.
Jeong Seong-wook, who had been known as a talented person since his first year, belatedly tilted his head.
Star field, star candy, and third-person pronouns.
What on earth are you talking about?
Why did I stop talking?
Now that I think about it, it was a little strange.
‘He acts like an old man.’
Residents like professors.
That was Lee Jin-hyuk.
So it was not surprising that Jang Hyuk-jun’s claim that there was some intention sounded persuasive.
If not, you’re getting ready to have another accident.
When even Jeong Seong-wook tilted his head like that.
Lee Jin-hyeok appeared from afar.
It seems that he returned after not seeing Jang Hyuk-jun while making rounds.
Wink.
Lee Jin-hyeok secretly points at Jang Hyuk-jun and smiles.
Once, twice, three times.
Jeong Seong-wook’s eyes widened as he immediately realized the implications of the excessive gesture.
‘What the heck, it was just a joke.’
“Hey, Hyukjun. You really don’t know?”
“yes?”
“No, why don’t you know this?”
“What, what is it?”
“Hey, if you don’t know this, what are you going to do? You, Inma. You act all smart and good. You say you’re leading the trend!”
“That, that.”
“When others use Walkmans, they use MP3 players. They say mousse is old-fashioned, so they use wax. These days, they even use BB cream. But don’t you know this?”
A blow that hits the nail on the head.
Jang Hyuk-jun bowed his head deeply.
“What is it? If you know, please tell me.”
“I’ll let you know when the pre-round is over.”
“Is it true?”
“Okay, you’ll get 10 minutes! Do it!”
“practice!!”
It wasn’t an amount that could be finished in 10 minutes, but Jang Hyuk-jun jumped in like lightning.
It was a gesture filled with the determination to figure it out somehow.
* * *
20 minutes later.
Jang Hyuk-jun came running out of breath.
“It’s all done!”
“Isn’t it perfect?”
“yes!”
“Okay, here it is. I’m going.”
“What note… … Chief! What is this! No, what is this!”
As Jeong Seong-wook, who had to accompany the professor, waved his hand and disappeared.
Jang Hyuk-jun immediately opened the note.
but.
[■■■ ■■■ ■■■ ■■■ ■■■ Star Yard ■■■■ ■■■ Star Candy ■■■■]
There is only a note that is written messily with a marker pen, so it is impossible to tell what is written.
There was nothing I could know.
Jeong Seong-wook’s pranks.
An angry Jang Hyuk-jun rolled his eyes and roared.
“Kuaaaah!!”
* * *
“It’s brain dead, brain dead. Why, like this?”
Jinhyeok clicked his tongue immediately after receiving the note made by Jeong Seong-wook.
It’s fun once.
Twice is no fun.
Jeong Seong-wook’s actions were nothing short of brain dead.
Why did you even make a note like this?
Jinhyuk said to Jang Hyukjun, the mutant zombie who was very angry.
“It was just a joke, a joke. Why, yesterday, Mr. Kim Ji-hwan… … .”
“So that’s what happened? You really thought it was a joke?”
“yes yes.”
“Huh… … Then what is brain dead?”
“yes?”
“No, you just said that. Brain dead. What does brain dead mean?”
“Ah, that’s… … .”
A term no longer used in this era.
Jinhyuk clicked his tongue, as he had no way to explain.
A situation that unintentionally piqued Jang Hyuk-jun’s curiosity.
It was really unintentional.
Oh, what do I do now?
I don’t know, I don’t know.
If it were Han Dong-soo, he would have just laughed.
Oh, no.
Remember.
Well, I might have trimmed it like this.
This too was sure to remain a memory.
* * *
The conference started right away.
When it was Park Seon-jeong’s turn, Jin-hyeok stepped forward.
Although I wasn’t the attending physician, I had a lot to unpack.
“As I told you during the rounds, it wasn’t dyspnea due to exertion.”
“I already know that. I was going to ask because it was in front of the patient. What about depression? Is that a lie too?”
“I don’t think so.”
“okay?”
“Yes, it’s true that I acted out to get attention, but it’s also true that I was depressed. That’s why… … .”
The explanation went on for a long time.
The professors who heard Park Seon-jeong’s story all clicked their tongues.
A genius violinist with clipped wings.
The circumstances were very unfortunate.
Aren’t you still in your prime?
“Hand cramp, it could be a habit.”
“yes.”
“Ultimately, it comes down to whether it is focal dystonia or not. Isn’t there a way to confirm it?”
“The mechanism has not been elucidated, and there is no specific diagnostic method that has been announced.”
“Clinical judgment is important?”
“yes.”
“Well, this is it. It’s a problem that involves the brain and muscles. The neural processes in between haven’t been clearly identified. So I wonder if I made a mistake… … .”
“… … .”
“Excessive expectations only lead to disappointment.”
Some say that I may have been too hopeful in speaking to the patient.
It was a fact that Jinhyuk also knew.
But the patient’s heart has already broken.
I thought it was right to encourage them with words of hope.
Of course, I wasn’t just absentmindedly spacing out.
Since there was material that Jinhyeok had prepared by staying up all night like Jang Hyuk-jun, I showed the PPT that Jinhyeok had prepared.
“This is a presentation paper on focal dystonia.”
“USA?”
“Yes, it’s a paper published a year ago. You can think of it as statistical data targeting occupations that involve frequent use of fingers, such as pitchers, pianists, violinists, and stenographers.”
“Pianists have symptoms concentrated on the fourth finger on the right, that is, the ring finger?”
“It seems like it occurs mainly in areas that apply a lot of force.”
“The violinist uses his left ring finger and little finger.”
“Yes, but the place that patient Park Seon-jeong touched was the left index finger. It is different from the statistics.”
“My left index finger doesn’t move well?”
“Yes, it freezes up just by playing. It’s not a normal case.”
The professors immediately shook their heads at Jinhyeok’s answer.
If the symptoms could be determined by the location of occurrence, it would not be called an unknown disease.
“Just because it’s out of the statistics doesn’t mean it can’t be evidence. You have to think that it could be.”
“Yes, so I think we should do a levodopa trial.”
“Take levodopa and see how it works?”
“It’s a method used for patients with Parkinson’s disease, but increasing dopamine levels and observing the movement of the central nervous system may produce meaningful results.”
“Have you talked to Shin Kyung?”
“Yes. That’s it for now.”
He said he would look at the movement of his fingers before and after taking the medication.
Normally fine, but with specific behavior.
So, like playing a instrument, singing, throwing a ball, or typing.
Well, it made sense since the symptoms only responded to this kind of repetitive behavior.
If it is indeed a localized dystonia, then it is a brain, or nerve, problem.
Jinhyeok turned off the PPT and brought up the chart again, but everyone added their own comment.
“Add anticholinergics and antihistamines. Also administer baclofen (central muscle relaxant).”
“Yes, I will place the prescription order.”
“Seowoon University said it wasn’t certain. Catholic Hospital said no. We should also give an opinion that lives up to our reputation.”
“… … .”
“I think it would be a good idea to test your brain waves while playing the violin.”
“I will discuss that with the nerve department as well.”
“Yeah. I’m moving with my doctor. By the way, how’s your mental health?”
“Professor Park Woon-hyeok, I have fixed the schedule.”
“Professor Park himself? Well, then you don’t have to worry. The younger the genius, the more stressed he is. He unconsciously becomes discouraged by the pressure.”
It could be for psychological reasons.
Words that favor his own judgment.
The conference continued on and on.
* * *
Now there are only about 5 minutes left.
It’s time for everyone to go to the operating room.
Well, someone had to go see an outpatient.
Jinhyuk quickly continued his explanation.
“Trigger finger (trigger finger syndrome) is a condition in which pain is felt in the ring finger and little finger. The PIP joint (the second joint of the finger) is also a symptom.”
“… … .”
“It’s been so long since I’ve had it neglected that I think I’ll need surgery.”
“The fingers are okay. What about the palm? Is it inside? Is it outside?”
“It’s inside.”
“Really? Isn’t there a swelling? What about the A1 pulley (the organ that controls finger flexion)?
“It is so thick that it is difficult for tendons to pass through.”
“It’s just that much. Did you practice it?”
“The patient hasn’t given up yet. He even practiced, switching between his dominant hands.”
“Heh heh.”
The locking phenomenon also occurred every time I bent and opened my fingers.
He said he practiced even though he had problems with his tendons and even his ligaments were damaged.
Although this was in contrast to the behavior of not receiving treatment, everyone just clicked their tongues and did not find it surprising.
That’s because humans are inherently difficult to understand.
The conference ended like that.
On the way to the operating room, the professors exchanged words with each other.
“As expected, it’s this teacher.”
“You must be busy. Your attitude is really great.”
“What is that? Isn’t that a well-known fact? By the way, how about Gastrojejunostomy?”
“Well, since this doctor did it during the mock surgery, you should have him perform the surgery himself.”
Professors with indifferent expressions.
Just order something simple like appetizers.
If it were surgeons from other hospitals who acted like old farts, saying that it was still a long way off.
The hospital you know for sure has changed.
All of this happened because of Han Dong-soo, who committed the absurd act of regularizing the first-class training.
No, it happened because he himself was very trustworthy.
* * *
A week later.
Jinhyeok, who had been studying the art of suturing day and night, extended his hand and shouted.
“Mess!”
Everything was prepared for a perfect performance.
.