The Returning Doctor Wanted to Live Quietly - Chapter 321
Only Noblemtl
Episode 321. Giving orders (3)
The doctor is conservative.
No, it’s closed.
If possible, don’t move.
I don’t even try to change it.
And a general hospital with such doctors could be said to be the pinnacle of conservatism.
So, when doing something, there are three things that are important.
Avoid arguments.
With respect for others.
There must be a justification.
As Jinhyeok knows this better than anyone, he has prepared thoroughly.
I don’t know how it will turn out, so I do simulations.
I even checked the conversation flow.
That’s how much I spent in one day.
The next day, Jinhyuk visited the chief of endocrine surgery.
“Are you tired? Here’s some coffee.”
“Wow~ The world’s best Jinhyuk Lee even runs an errand to get coffee. Is that considered a success?”
“Yes, I am the chief.”
“What is a chief? Hey, what is a hat? It’s just a hat. Those above you push you down. Those below you curse you. It’s just nothing. It’s not like I’m the only one doing it.”
“There are quite a few chiefs.”
“Yeah. One of them. One of them.”
It means that there is a chief for each division.
As Jinhyeok smiled brightly, the chief of endocrine surgery drank his coffee in one gulp.
A 300 won can of coffee.
Lettuce was as beloved as mixed coffee.
“Wow~ It’s sweet, sweet. My blood sugar level was already low. It’s good. Huh? It’s good.”
“Well, sugar supplements are essential. By the way, how was the surgery?”
“Surgery? It’s still surgery. Okay, now that I’ve taken the bribe. What is it? Don’t beat around the bush. Let’s get this over with quickly. I’m sleepy, I’m sleepy.”
“It’s not a bribe. It’s my heart. And… … . Um. That’s just how it is.”
“Why? What?”
“… … .”
“Oh, what is it?”
As expected of a quick-tempered surgeon, the chief immediately went into questioning mode.
A look of frustration that could kill you.
Even the tone of voice was such that it was better to speak frankly and end it quickly.
One of his attitudes was that of a surgeon known for being impatient.
Jinhyuk deliberately remained silent, then opened his mouth late.
“This. Um… … .”
“Just one verse. Just one verse. We don’t have time. Quickly. Briefly. Okay?”
“Yes. Actually, I went to the cafeteria yesterday. The internal medicine guys were all swearing at us.”
“What? What did you say?”
“They are ignorant. They just lay down orders without any plan. They don’t fix things properly. They just copy and paste. If there’s no nurse, they’re useless. That’s what they said.”
“To you directly?”
“No. They’re just talking amongst themselves. But, you know, they’re telling everyone to listen.”
“under!”
The chief endocrine surgeon frowned as he clicked his tongue.
An internist calls a surgeon ignorant.
It’s common for surgeons to call internists “sluts.”
Still, it was still a bad feeling.
“Those rotten bastards. So you just listened to that?”
“Well, internal medicine. Well, one order is clean. That’s the main job. Well, there are a lot of additional orders. But it’s not like we lay it out like that. I have nothing to say.”
“Hey hey. They’re just copy-pasted.”
“Still, the details are different.”
“What about the details? I don’t like them. They keep calling us open all the time. What do they think they’re so great at? If medicine could do it all, why would there be a scalpel? Why is there an operating room? Huh!?”
The swearing continued for a long time.
Although I lied a little, it wasn’t completely false.
It’s also true that we don’t get along well.
It was also true that it wasn’t just nurses who criticized surgeons for making unreasonable orders.
So the curses the chief was spitting out now were nothing more than emotional excrement.
However, Jinhyeok agreed with him and cursed internal medicine for a long time.
Oh, aren’t you supposed to not swear?
This was also an act of respect for the other person.
* * *
As rumors spread quickly, they will soon spread to other departments.
There was even a gathering where the chiefs got to know each other better.
It would have been fine if I had just stayed still.
But from the beginning, the purpose was one.
Jinhyuk started adding justification to justification.
“The next generation EMR is opening next week.”
“Well, we decided to do it sequentially. We’ll give you the next one.”
“Yes, yes. But there’s something I’m worried about. That’s… … .”
“So what you’re saying is, um, the internal medicine department is going to be a mess?”
“Yes, we did maximize convenience. In the end, we just put the orders in like this. The nurses filter them out. And then if there’s a problem. Well, you know.”
“hmm.”
“I don’t really care about getting sworn at. I just feel like it would be a waste of time for the patient. And since I’m heavily involved… … .”
“Do you think you’ll be in trouble too?”
“Yes. Well, in a way, it’s my responsibility. You know that, Chief. Ever since the start of T/F. There’s been a lot of talk.”
The hospital was noisy because he was still a resident.
There was no way I could not know.
Because there was a huge mess.
Well, it was Oh Ji-ho who took that action after making a pointless remark about increasing the number of doctors.
People who didn’t know the intimate details were chatting away for quite some time.
“That may be true, but… … .”
“Somehow it feels like they’re trying to cover up the situation from that side. This is really… … .”
“chum?”
“Yes. Vice President, it’s been so quiet lately. Well, it’s going to be a mess when the next generation opens. I think I’ll come work with you then.”
“… … .”
“Oh. No, I guess not. It was just my thought.”
Jinhyuk scratched his head, acting like a very junior.
From the expression on the interface.
Even the eyebrows were slightly furrowed as if worried.
It was a lovely performance worthy of a junior.
This was perfect.
In addition to that.
“Hey, I guess I was being a bit reckless. Surely I wouldn’t go that far. Put it on the table and beat it up. Well, I don’t think I would.”
It even looks like they are taking a step back.
Adjust the intensity.
It was a kind of secret meeting.
The response was immediate, as it wasn’t just a secret recipe that worked for romantic relationships.
“No, no. That makes sense.”
“… … .”
“From their perspective, they think it’s an opportunity. Huh? To be honest, there aren’t many kids who came up from the fountain. There aren’t many close friends yet. And there aren’t many people who can cover for them.”
“That’s right. And if there’s any instigation, the clinical side will be shaken up too. A little bit… .”
“I can’t just leave this alone, right? But I can’t tell the kids not to give orders either. Hmm.”
“… … .”
“Well, isn’t there a better way?”
The words I wanted to hear more than anyone else.
In the end, Jinhyuk, who had drawn out what he wanted to hear, continued talking with a smile on his face.
* * *
There was also a way to visit Choi Jae-won, the head of the integrated surgery department, and have a discussion.
But there is a reporting line that clearly exists.
I thought it would be better to follow the procedure thoroughly.
If you talk about strengthening patient reviews and actually do it, there will be resentment.
So I told the chief of endocrine surgery about this method and then started going to other departments right away.
He is on friendly terms with the chiefs of other departments as they fight over him.
I told the same story from the colorectal surgery department.
There are two reasons.
The internal medicine department is criticizing the surgery department.
He also said that he himself may be embroiled in controversy with the opening of the next-generation EMR.
Of course, I completely left out the nurse story.
Because it might unnecessarily cloud the point.
No, because among doctors who are obsessed with a sense of privilege, there are many who think that nurses should be submissive to doctors.
Of course, it wasn’t easy.
Many people immediately expressed concerns.
“Hey, hey. I’m talking about strengthening patient reviews. Doesn’t that just make the conference time longer? We’re already doing that.”
“Filtering orders? That’s the norm, the norm. We don’t even have time to operate… … .”
“Nurses? It’s their job to double check.”
There were also many departments.
The chief’s job is to arrange schedules and host various events.
Although there were some who found it annoying, Jinhyuk’s organization was neater than expected.
“So, we do it randomly, one person at a time. One person per day.”
“hmm.”
“A patient about to undergo surgery. You’re still looking at them in detail. So, let’s pick one other patient. We’re not just going to brief them on their vitals. We’re going to look at their orders as well. Not the ones the nurses filtered out. Starting with their initial orders.”
“Really? Then I don’t think it will take any time to load.”
“Yes, there won’t be any work burden. Well, it’s also a preventive measure.”
Persuasion continued for a long time.
I had no choice but to tell her my password and ask the nurse to change my initial order.
Still, I thought it was half the prevention.
When you continue persuading like that.
Surprisingly, the chief of the orthopedic department came out in opposition.
“I want to do that too. These days, the kids under me don’t listen to me very well.”
“why?”
“Well, you’re a sergeant in your last year. Will you listen to me? I’m exempt from military service. I’m exempt. I’ll go straight to Busan after becoming a specialist. I’ll work at my father’s hospital.”
“ah…….”
“So I just want to stay quiet and go.”
I mean, I don’t want to make any noise.
It was no different from a lie, because I knew that no one liked to be in a state of insubordination.
Jinhyuk immediately held out a carrot.
“I don’t know who you are, but you don’t like it, do you?”
“What, ha. Okay. Okay. What are you talking about? Just spit in my face.”
“This is a weapon, a weapon.”
“what?”
“They say they’ll just randomly select one patient. They say it’s random, but in the end, someone has to make the decision.”
“The chief makes the designation? Then it’s not random.”
“Hey. Well, you should know that Chief is scary, right?”
“Use it as a weapon?”
“Yes. When you swing, you have to swing.”
The eyes of the chief of the orthopedic surgery, who had been hesitating for a moment, changed.
Actually, it was funny, but having many departments wasn’t always a good thing.
It also meant that I didn’t know where to go yet.
It is said that after mixing up the departments, you fix it to a department where you can complete a subspecialty.
It was natural that there would be people who would give up because they would be going to another department anyway.
Because surgery is also a place where people live.
* * *
Eventually, all the chiefs agreed.
And the newly created plan was immediately reported to the head of each department.
I prepared very thoroughly.
This was possible because he himself was essentially loved.
Of course, there was no one who opposed the exaggeration.
He said he would look at the patient in detail.
What reason would there be to oppose it?
Most people liked it, saying it was just a unique idea.
The enforcement date set in that way was only two days later.
Now, only the notice remains.
Jinhyuk thought everything was going well.
But the next day.
There was an uproar in the endocrine surgery department right away.
Because the patient I was operating on died.
It was table death.
* * *
“Ha. Really. This isn’t it. Ha… … .”
The professor sighed and threw down his surgical cap.
Schedule a Mortality Conference.
An order was even given to prepare a review to determine what the problem was.
The second-year resident who entered the operating room belatedly made an impression.
It’s also unsettling that the patient died.
Let’s do a review in front of all the department members.
It was really the worst.
As he was about to go out for a cigarette because he was feeling uneasy, a new nurse, Seo Yu-jeong, appeared in front of him late.
“Doctor, patient Kim Gwang-tae has diabetes.”
“… … .”
“teacher?”
“Oh, do I really have to do this now? I just got out of the operating room.”
Although there was a harsh reaction, Seo Yu-jeong could not back down.
Of course, she wasn’t unaware.
That the patient just died.
But wrong orders had to be filtered out.
“I don’t think I should eat regular food. Please change my order.”
“Ha… … . That’s. Um. You know my password, right?”
“Yes? Yes, yes.”
“Then why don’t you just figure it out and fix it yourself? Oh… … . Even something like this. Just ask upstairs and do it.”
A long and lingering annoyance.
The sparks were flying in a harsh direction, but Seo Yu-jeong didn’t have enough time to figure out how to fix it on her own.
“I’m sorry, doctor. Patient Kim Gwang-tae. I think you should also discontinue the aspirin.”
“Huh? You haven’t changed it yet? I placed the order.”
“Huh? It wasn’t in the records.”
“Oh, really. You have to make that clear. A verbal order isn’t an order! What are you going to do if you only look at the records?”
“… … .”
“Oh, this is annoying. Seriously. Get out of the way.”
You didn’t stop taking aspirin, an antiplatelet drug that increases the risk of bleeding during surgery.
The second-year resident, whose frustration had exploded, immediately stood in front of the computer.
Dadadak.
Dadadak.
He who quickly modifies orders.
As early as 5 days before surgery.
Since it was right to D/C aspirin starting two days before surgery, I quickly changed the prescription.
The problem is.
“Huh? Why is it like this?”
The other patients also had issues.
“yes?”
“Ha. Doctor Seo Yu-jeong. Seriously. Patient Hwang Seon-il. Didn’t you take Ticaglare (an antiplatelet drug)?”
“ah.”
“What do you know? Seriously. This is going to be difficult. I know you’re new, but you still have to do your job properly.”
“… … .”
“Really. Even though I worked 80 hours, I had to do the homework the professor gave me. I also had an emergency, so I worked almost 100 hours this week.”
“I’m sorry, teacher.”
“Oh, this is annoying. It notifies me of I/O every hour.”
A second-year resident gives a retaliatory order and goes out to smoke a cigarette.
Seo Yu-jeong started to cry right away, but no one thought to comfort her.
And so again the next day.
The chief of endocrine surgery called someone into the conference.
I called in the second-year employee who had been very irritated after I gave him the retaliatory order the day before and asked him to do a review.