The Returning Doctor Wanted to Live Quietly - Chapter 325



Only Noblemtl

Episode 325. Giving orders (7)

“Does that tier make you sleepy? I’ve never heard of it before. What does it mean?”

An internal medicine resident who doesn’t know English.

Jinhyuk checked the middle first.

Flexible.

He is a stranger.

He was also a guy who pretended to have a normal conversation.

‘You’re going to take the gun because the vice president drank water? And you’re taking Polycle with you? Ha.’

“Don’t you know? It’s a trendy expression these days.”

“I’m hearing this for the first time. Is it really popular?”

“Well, if you don’t know, that’s fine. I’m not feeling too well right now.”

“The speech is getting shorter. Students from other schools and students from your school should be respectful to each other. Isn’t that the ground rule?”

Well, that wasn’t wrong.

No matter how close you are, it’s culture to only use informal language with fellow students.

Even with Jang Hyuk-jun, who was so close, they treated each other with respect.

Of course, it was close to being semi-respectful.

“Well, I don’t think it’s right for someone to criticize the surgical department in general just because a student from the internship program is at the forefront.”

“under.”

“To be blunt, didn’t you come here just to give it a try?”

“You came here to fight?”

“yes.”

A blunt answer.

Yu Yeon-jae couldn’t continue speaking properly.

‘I’m in front of a patient. Is this how it should be done? This is so different from what I’ve heard.’

Ask the polycle a question that is difficult to answer.

Planning to harass from behind.

But the opponent is strong.

The fight was about to escalate.

Whether Yu Yeon-jae was embarrassed or not, Jin-hyeok turned his head.

“Patient. I don’t want to fight either. Hospitals are places where people live. There are fights and such.”

“I’ve seen it a lot in dramas. They fight all the time.”

“Yes, he’s a secret fighter. He fights with patients. He fights with doctors. He fights with nurses. If you feel uncomfortable, should I leave?”

“No. I was just curious. Why on earth do I have a fever?”

It means that there is a lot of curiosity.

To be honest, I was more excited than curious, but I felt like I needed to focus.

And there was no guardian.

Because there were no other patients.

“Do you see that intern over there? I just asked that question. Can I answer it for you?”

“Yes. It’s a single room anyway.”

“I’ll finish it right away.”

Jinhyuk, who had briefly and boldly asked for the patient’s understanding, immediately turned his head away.

Of course, the target was the trainee who asked the question.

“Professor Park Hyuk-soo?”

“yes.”

“I’ll be easy on you. That question just now. Was it voluntary? Was it involuntary?”

“yes?”

“Are you asking because you’re genuinely curious?”

“I asked because I was genuinely curious.”

“Are you sure?”

“……yes.”

An answer filled with hesitation.

It was obvious it was a lie.

Jinhyuk, who was already excited when he remembered the words written in 『Young Doctor』, smiled brightly.

“Did you know that antacids can cause allergies?”

“I know.”

“Vitals are shaking. It happened after I took the antacid. Then what do you think is the mechanism?”

“That’s. Hmm.”

“Is it hard to explain? That’s because I only memorized the Yama (family tree).”

A reprimand for not studying properly.

That’s actually true.

Medical students don’t take exams all at once.

Take the test in order.

It was a tradition to memorize the answers to the problems and then create and share a yama (family tree).

“Oh, that.”

“Well, excuses aside. Antacids. They’re literally acid suppressants. Stomach acid breaks down proteins. They forcibly block that.”

“… … .”

“Food goes down without being broken down. The proteins that cause allergies cause an immune response. That’s why symptoms occur.”

“yes.”

“What I’m wondering now is, it’s not anaphylaxis, but it’s strange that it causes fever, right?”

“Yes. It’s different from usual. If it was anaphylaxis accompanied by fever, it should have started with difficulty breathing.”

The question comes back again.

Jinhyuk took a moment to catch his breath and asked another question.

“Question here. I’m about to have surgery right now. I only ate hospital food after being admitted. I also fasted since morning.”

“… … .”

“But why did the allergic reaction occur? It’s because the stomach acid was suppressed and the protein wasn’t broken down. That doesn’t make sense. I didn’t eat anything.”

“ah…….”

“Hospital food, you know it’s not tasty?

“… … !”

The implication is that you don’t know how sour it is.

All foods that cause allergies are excluded.

Something provocative too.

Everything that could be problematic is distributed without any problems.

At this, Park Hyuk-soo’s eyes, no, the trainees who were watching this, widened.

* * *

Hypotension that started after taking antacids.

A sudden surge of fever.

It was natural to focus on administering antacids.

Because it was a major act that happened before the vital changes occurred.

but.

‘That’s equivalent to an intern or polycle level.’

The answer couldn’t have been easily derived.

Yoo Yeon-jae, who is in the internal medicine department, could not have been unaware of this.

Because clinical practice involves listing endless causes.

Jinhyuk just stared at Polycle without saying anything.

Park Hyuk-soo, who received Yoo Yeon-jae’s order, stepped forward.

“Now that I think about it, that’s also questionable. There’s no protein that has gone down into the digestive tract.”

“Oh. No.”

“Then that means the protein itself that causes the allergic reaction doesn’t exist… … .”

“Yeah. That’s what’s weird.”

“… … !”

“Let’s go back to the beginning. Was it really true that fever was caused by allergies in the first place?”

“Huh? You said you had an allergy test earlier… … .”

“Allergy test? I did that just in case. We don’t know the cause right now.”

“ah.”

When Park Hyuk-soo let out a short, muffled cry.

Jinhyuk looked over the trainees.

“Everyone is so buried.”

“… … .”

“I’m only concerned with the acting that happened before the vital changes.”

“… … .”

“Isn’t that so?”

Jinhyeok turned his head and looked at Yu Yeonjae.

The implication is, you don’t know.

It would have been okay if you said you didn’t know.

It’s clear that he was trying to find fault with Polycle.

As expected.

The corners of Yu Yeon-jae’s mouth immediately twitched.

“Well, that’s true. But that doesn’t answer the question.”

“Answer to the question of when fever occurs. Should I do that?”

“Yes. Isn’t it still the time to be very curious?”

“Well. I don’t like the idea of ​​using those kids for political purposes.”

“What do you see me as now?”

Yu Yeon-jae immediately got angry, but Jin-hyeok didn’t respond.

Instead, he turned his head and looked straight at Park Hyuk-soo.

“First of all, it’s not anaphylaxis, but it’s a case where fever is induced. It’s not that common. No, anaphylaxis is the same. Fever is usually not accompanied.”

“yes.”

“Well, it’s not like there aren’t any cases at all. Cases like that are being reported quite often.”

Jinhyuk’s explanation continued for a long time.

In the case of an allergic reaction to an infection, fever is present.

There may even be cases where it is due to an immune response.

The explanation went on for a long time.

“It could happen right away from a bee sting. It could happen from playing with a cat.”

“Are you saying it is one of the non-specific diseases?”

“Well, that’s correct too.”

“But if you leave all possibilities open like that, wouldn’t it be difficult to find the cause?”

“So we need to approach it by elimination.”

Jinhyuk smiled brightly.

* * *

Infectious diseases.

Drug-induced allergy.

Abnormal immune response.

Autoimmune disease.

etc.

All allergic reactions that may be accompanied by fever are listed.

For a moment, Yuyeonjae was silent.

‘What the heck? This is worse than the rumors. This is a monster.’

When he showed signs of embarrassment.

Jinhyeok, who had suggested that we approach it through elimination, changed the subject.

“Gelphos for heartburn? Gelphos is also an antacid. An antacid.”

“Are you saying that they all have side effects?”

“Uh, Professor Yoo Yeon-jae, what are the side effects?”

“It depends on the ingredients.”

“Let’s start with magnesium.”

“Are you testing me now?”

“Then it’s not possible?”

Jinhyuk squinted his eyes slightly.

An unusual appearance.

Maybe I was emotionally moved by the writing in 『Young Doctor』.

Persecuting pharmacists.

Most of the time, it’s the internists who deal with the building owners.

I hated that we were all getting cursed at because of those guys.

While Jinhyeok was silent, Yoo Yeonjae immediately answered.

“It can cause diarrhea and hypermagnesemia. If you eat it because it’s good for heartburn, you’ll pay a price for it. Let me ask you. What kind of aluminum is it?”

“Constipation, neurotoxicity, anemia.”

“hmm.”

“Shall I tell you again?”

“no.”

“No, I will tell you. Calcium causes kidney stones, hypercalcemia, metabolic alkalosis, and renal failure. Antacids containing sodium bicarbonate irritate the stomach lining and cause water imbalances in the body.”

The explanation went on for a long time.

Because there was no obstruction, the trainees watching were filled with pure amazement.

A chick who only studied hard for exams in the main department.

It was just an egg that hadn’t even hatched yet.

Given the prejudice against surgeons, this was perhaps a natural reaction.

I’ve heard rumors about Lee Jin-hyuk, but mostly about his drinking skills.

When the conversation continued like that for a long time.

The patient who had been listening quietly suddenly interrupted.

“Excuse me, it’s red. Is this an allergy, benign?”

* * *

There must be many other reasons.

So, that’s the situation where the intern said he would ask for collaboration.

Jinhyeok, who had been suppressing his opponent with the internal medicine knowledge he had accumulated just in case, immediately felt helpless.

Because the patient’s skin was swollen.

The skin test was negative, but the intradermal test, where a needle was inserted into the dermis, was positive.

Yu Yeon-jae opened his mouth with a proud expression.

“It’s over 5mm in size. Is this benign?”

“hmm.”

“You know that skin tests are more sensitive than intradermal tests, right? At this level, I don’t think we even need to watch it.”

“well.”

“You don’t admit it? There’s no need to delay reading it at this point!”

“Just because they’re bisexual doesn’t mean they’re all the same. Does anyone understand what I’m saying?”

Jinhyeok turned his head towards the trainee, ignoring Yoo Yeonjae.

These people carefully examine their skin while wearing large badges with their names written on them.

They may seem innocent now, but they were prospective doctors who could change depending on how they were taught.

Well, most of them will be doctors who only chase money.

One of them.

The short-haired trainee opened his mouth.

“You are saying that positivity is not positivity. Are you placing importance on sensitization?”

“Oh, that’s right. Of course, only half.”

“yes?”

“Jung So-yeon? Okay. I’ll give you a good score when you come to the surgery department later.”

“Oh, thank you.”

Jeong So-yeon nodded, but Jin-hyeok continued his explanation without paying attention to her.

“Food that you were eating well. Sometimes, you suddenly experience an adverse reaction.”

“… … .”

“Why, you suddenly get diarrhea. You get a rash. Your lips feel itchy. That’s called sensitization.”

“yes yes.”

“Suddenly starting to react to a certain substance. It could be positive, it could be non-positive.”

“You’re saying it could be a bias? Then what you said earlier was only half correct?”

“It’s not a sensitization. It’s not an allergy. It can cause a rash. 8% to 30%. That’s the rate of positive results without any specific reason.”

This means that the accuracy is that low.

The trainees opened their mouths.

I knew there were different types of allergy tests.

We also learned that skin tests are not very accurate.

I didn’t know that directly inserting a syringe into the dermis layer and observing the drug reaction would be less accurate.

Well, maybe that was to be expected.

Although the odds were low, you may have learned of a case where a patient experienced anaphylaxis after undergoing a skin test.

Let the trainees be silent.

Internal medicine resident Yoo Yeon-jae intervened.

“That’s true, but isn’t it different when it comes to symptoms?”

“Well, I think it’s something else.”

“What on earth is the cause?”

“We’ll have to find them one by one by elimination. And I think that role should be taken by the teacher.”

Jinhyuk turned his head without listening to the answer.

This time the target was a patient.

“Blood test results will take at least two days. Even if you rush it, it will take three days. That’s why there’s something that’s most often used in these cases.”

“yes yes.”

“That’s a questionnaire. Are you experiencing any allergy symptoms? Is this your first time?”

“Ah, that’s… … .”

As the patient began to answer, Yu Yeon-jae’s eyes trembled.

A classic method to do before the blood test results come out.

That was the question.

* * *

In fact, the questionnaire was not accurate either.

Whether it’s a skin test or an intradermal test.

It is only used as an alternative because the accuracy is low.

To be exact, I had to do an IgE antibody test.

“You’ve never experienced it before?”

“Yes, yes. No allergies or anything. Absolutely not. I’m sure.”

“Well, let me check if the blood test results come back. Just a moment.”

Jinhyuk immediately took out his cell phone.

Contact the blood testing lab directly.

The test results will probably be out soon, even before they’re entered into the chart.

After a long phone call, Jinhyeok looked directly at the general internal medicine resident, Yoo Yeonjae.

“I’m asking if you can sleep in that tier. This is what you use in situations like this.”

“yes?”

“Would you like to answer the phone?”

The fever wasn’t due to allergies.