The Returning Doctor Wanted to Live Quietly - Chapter 318
Only Noblemtl
Episode 318. Vice Resident (14)
A patient who spits out things they have heard without really knowing them.
One of the types of patients doctors hate the most.
Because the explanation is becoming unnecessarily long.
In that respect, Choi Ye-rin crossed the line.
Because I pretended to know everything.
But now, I miss that cheerful first appearance.
Jang Hyuk-jun took a deep breath as he stood in front of Choi Ye-rin.
“Excuse me. Junior. No, Yerin.”
“yes.”
“I’ve decided to change the antibiotics. I’m going to remove the beta-lactams and amino acids. I’m going to add aztreonam and levofloxacin.”
“yes.”
“Are you curious as to why we do this? There are many suspected diseases, so we approach it by elimination.”
“… … .”
“I don’t know why the fever is rising. I’m going to eliminate them one by one. Right now, I’m checking to see if the blood count is low because of the drugs.”
“yes.”
A reluctant answer.
It’s an expression of having lost everything in the world.
I didn’t dare ask about her family history, but I could clearly feel her uneasy feelings.
Because the emotional cracks that result from growing up without love can easily widen even with small shocks.
‘I said that it was important to rebuild my mental support even if it was a lie, but it really isn’t easy.’
“You know what’s a little weird right now? This teacher is dating. His expression is bad. He’s speechless. He’s acting like a girl who got dumped.”
“That’s not it. I’m sick. I thought it would be simple. The prognosis after the surgery isn’t good either. That’s why it’s like that.”
“Look at this. Whenever this teacher is mentioned, he gets angry. Then he gets depressed again. This is sick, sick.”
“I said it wasn’t like that. Seriously, I’m fine. You shouldn’t have told this teacher for no reason. I don’t really want to see him anymore.”
“I’m tight-lipped. As you know, the hospital lock is my nickname. Nickname.”
Even though he said it himself, it wasn’t convincing.
Well, it didn’t matter.
She only knows him from his appearance on TV anyway.
Although she was called Lee Jin-hyeok’s left arm, she wasn’t famous as a hospital goddess like Lee Tae-hee.
I just came out as a third-rate extra.
As expected.
Choi Ye-rin remained silent without refuting.
‘Professor Park said that hope counseling isn’t necessarily a bad thing.’
“But you know what? Just because there’s a goalkeeper doesn’t mean the goal won’t go in.”
“That’s when the goalposts are big. I’m not the kind of person who gives my heart easily. You know that, too, teacher. I’m not that kind of person.”
“How do you know if the goal is big or small? All men are the same.”
“This teacher is the same?”
“Then. This teacher is just an ordinary man.”
Choi Ye-rin remains silent again.
Jang Hyuk-jun stepped back.
It wasn’t like there was no income at all.
How do you know?
She used to answer in short sentences, but now she was talking at length, so I couldn’t help but notice.
* * *
[Learning about love through writing]
[How to make him my man]
[The Man from Mars]
[Love, it was so easy]
etc.
Jang Hyuk-jun gave Choi Ye-rin over 10 romance books.
She has never met anyone.
With a face like that, there must have been a lot of guys who approached her from the beginning of the semester, but she would have definitely rejected them.
“This is a gift. Study while looking at this. And me. I’m getting married soon.”
“Congratulations.”
“Wow, look at that soulless thing. My name is Jeong A-reum. I met her at a drinking party. You know the nomination game? I originally nominate this teacher.”
“But are you marrying him?”
“Yeah. I took it. Love is something you win.”
“How? How did you steal it?”
“People’s hearts. They change very easily. If you keep in touch, they break down. Your guard also lets down. It’s very easy.”
“Not all of them are like that. Some people aren’t like that.”
“No, most of them do. The book I bought says the same thing. And I. I’ve met more than ten people. I’m a living witness.”
Jang Hyuk-jun spread out both his hands.
A career that is quite different from that of children who are obsessed with studying.
He even shrugged his shoulders as if he was proud.
“Boys their age. Honestly, don’t they look funny? They don’t even look like men. They all look like loners. They don’t dress well. They only study and can’t speak.”
“That’s true.”
“I’m different. Dating? I’ve never had a break. Apgujeong Orange Tribe. That’s me.”
“I’m not bragging. So what are you trying to say?”
“He’s still very young. We’ll be working together in the future. There’s a high chance. So just take him. Just take him.”
“When I graduate and come to the hospital. It will be difficult to meet you then.”
“Hey, don’t you know how to step on the triple board? Whether it’s ER or CS. We’ll meet during residency. We’ll stick together and then, whoosh! Just pop! Huh! Do you know what I mean?”
The story went on for a long time.
Choi Ye-rin’s expression brightened little by little.
It was good to have mood swings like this.
Because it was easy to persuade.
* * *
POD #3.
It’s usually the third day after surgery.
Jang Hyuk-jun immediately checked the chart.
RBC 570,000/uL
WBC 1,470/μL.
Protein 2.9g/dL.
Albumin 1.9g/dL.
.
.
.
White blood cell count not yet up.
It was far below normal.
That’s not all.
Protein and albumin levels also showed that the liver was still in poor condition.
Jang Hyuk-jun, who had finished looking at the chart, turned his gaze to Choi Ye-rin.
“First of all, it’s not the drug effect. One possibility has been eliminated. Right? The CT scan of the lungs showed the results. GGO was confirmed just like the X-ray. Do you know what it is?”
“Ground glass opacity. I know that too. That’s why I don’t smoke. I’m careful.”
“Interlobular septal thickening (idiopathic interstitial pneumonia) findings were also found.”
“Is that simply inflammation? The dividing membrane between the leaflets has thickened.”
“Great! Perfect! Our Mr. Lee. He likes intelligent women.”
“Really?”
When Choi Ye-rin reacted again, Jang Hyuk-jun smiled brightly, revealing his teeth.
At first I was at a loss, but little by little my heart began to open.
If you knock, the door will open someday.
It was a perfect expression for the current situation.
“Wearing glasses and a gown. It’s perfect, perfect. What’s better than a doctor-doctor couple? Isn’t it? Oh, right. The findings also showed pulmonary interstitial edema.”
“So both the liver and lungs were affected by the infection?”
“Oh. The effusion (exudate) is a little full. It’s not enough to drain yet.”
“I can still breathe fine. I don’t feel any discomfort. I’ll tell you if it gets difficult. If the effusion builds up, it will immediately cause discomfort.”
Choi Ye-rin pretending to know each other again.
There was no mistake.
Jang Hyuk-jun, realizing that the time had come, made a bold move.
“We’re going to have a grand sabbatical soon. You know? We’ll make rounds with each department. We’ll go around with the chief surgeon. Do you want to check to see if this doctor recognizes you?”
“The name is written on it anyway.”
“I’ll take off the name tag.”
“You can also try to hit it.”
“It’s not the right time. This teacher’s schedule… … .”
The explanation went on for a long time.
Choi Ye-rin nodded at Lee Jin-hyeok, who was so busy that he didn’t even have time to blink.
Still only 19 years old.
Although he had just turned twenty in Korean age, he was still a kid.
* * *
Dae-Hwi Jin with Chief Surgeon Choi Jae-Won.
I couldn’t take care of all the patients.
Because the wards are so scattered, it is held once a month.
So it was a very tense day.
If you make even one mistake, you’ll get completely stripped of your belongings.
A long line of patients circles the ward.
When it was Choi Ye-rin’s turn, Choi Jae-won immediately made a face.
“This patient. Who is this? Who took away his name tag?! Huh!”
“This, this. This can’t be happening. I checked everything during the pre-round. I’m sorry!”
“What kind of crazy person would do something like this! Hey! Don’t you know that a medication error is considered a medical accident!”
“sorry!”
The chief of the colorectal surgery department bowed his head, but the head of the surgery department, Choi Jae-won, was not relieved.
In fact, it was something that could not have happened.
I should have taken care of it properly.
At the very least, the nurse in charge of the ward should have taken action.
Because the medicines shouldn’t be mixed.
“Who is your doctor!”
“I’m done!”
“Professor Jang Hyuk-jun?”
“yep.”
“Didn’t you take care of the patient properly? What if there was an accident? What were you going to do to leave him like this! Who is the nurse in charge? No, even if it’s a nurse! The one responsible for the patient is the doctor! The doctor! Do you think that makes sense?”
Whether there was a patient or not, Jang Hyuk-jun started to get teased like a dog.
Although surgery is less disciplined than internal medicine, it was an unacceptable mistake.
Moreover, Jang Hyuk-jun’s excuses only incited the anger of Choi Jae-won, who was no different from the head of the integrated surgery department.
“You took it off on purpose? Why did you do something like that? Are you crazy?”
“that is.”
“Don’t speak properly!”
“I wanted to know if Dr. Lee Jin-hyeok could recognize the patient.”
“what?”
Choi Jae-won opened his mouth, unable to contain his shock.
Everyone else clicked their tongues as well.
Director Yoo Seong-man, who was in charge of colorectal surgery, immediately stepped forward.
“I’ll give him a good scolding. Mr. Jang hasn’t come to his senses yet. Ha. I’m sorry.”
“You call this an excuse? Ha, really.”
“Mr. Jang, get back!”
“I’m sorry, I’m sorry.”
As Jang Hyuk-jun, who was as hairy as a dog, hid his body in thought, Jin-hyeok, who was in the middle of the line, stuck his head out.
Then, he assesses the patient who has been lying down for a long time.
It was natural that his eyes met with Choi Ye-rin’s.
Soon Jinhyuk’s eyes grew wide and his mouth curved into a grin.
-Choi Ye-rin, why you?
Needless to say, Choi Ye-rin’s expression brightened as she watched Lee Jin-hyeok belatedly recognize her.
* * *
As always, the Chief of Colorectal Surgery gave a briefing.
“Passive atelectasis was observed in the dependent portion.”
“Well, it’s passive atresia, you can get it if you lie down. What else?”
“The bone marrow test results showed a possibility of HLH, so we are following up on it now.”
This means that immune cells may be overly activated and attacking normal cells.
The chief continued, mentioning the cause of the drop in blood count.
“All hepatitis viral markers were confirmed to be negative. The possibility of viral hepalis (viral infection) was ruled out.”
“But the numbers are still showing?”
“Yes. We will closely monitor the possibility of toxic hepaitis (hepatitis caused by toxic substances such as drugs). The internal medicine department is also following up.
“Check your ferritin levels carefully. Watch for another two days, and if you feel like it’s not working, send him to the internal medicine department.”
“yep.”
As Choi Jae-won left the hospital room, the line started moving again.
The strange movement of those standing outside coming back in and out.
Jinhyeok found Choi Yerin right after the rounds were over.
* * *
That night.
Resident lounge.
Jang Hyuk-jun approached Jin-hyeok and asked.
“Do you feel like you’ve been fooled? What did you say?”
“Thank goodness it went well. I’m just happy. I even heard that he became a doctor because of me. I feel bright again.”
“Wow. You got through it safely, right? By the way, Chief Surgeon. I thought I was going to die because I was so scared.”
“That’s right. Is it an act? Is it real? I’m confused too. But you know what? Our hospital. It’s a really good hospital.”
“Well, since you know.”
When Jang Hyuk-jun smiled faintly, Jin-hyeok tapped his shoulder.
A situation where you’ve been acting for a while.
The people above also joined forces to deceive Choi Ye-rin by beating Jang Hyuk-jun up like a dog, and he also played a part in it.
If your condition worsens here, I’ll send you to the internal medicine department.
I just hope her prognosis improves quickly.
Oh, isn’t hope torture a bad thing?
Why did you act as a group?
Jang Hyuk-jun also thought that way at first and committed the act.
Hope counseling wasn’t all bad.
Cancer patients who received the date.
There were many cases where people survived through hope torture and eventually recovered.
Guessing in advance and then giving up.
There was nothing worse than waiting without any promise.
You could tell just by looking at the fact that the convicts who received 25 years in prison were serving their sentences in a much brighter light than those who received life sentences.
Hope counseling isn’t necessarily a bad thing.
* * *
Various tests conducted by elimination method.
The cause of the disease has finally been revealed.
Histiocytosis.
So-called HLH.
It was diagnosed as a disease in which immune cells become overly activated and destroy other blood cells.
Targeted drug treatment was implemented immediately.
Choi Ye-rin was discharged ten days after being transferred to the internal medicine department.
of course.
“I will definitely come to the main office later.”
Needless to say, he left behind meaningful words.
The problem is that when I told all this story, Lee Hyun-ah got jealous.
“Do you want to eat ramen again today?”
Jinhyuk answered with a shy smile.
“Are you adding eggs?”
Ramen, which I enjoyed whenever I was on duty.
Jinhyuk had been liking ramen even more these days.