The Returning Doctor Wanted to Live Quietly - Chapter 352



Only Noblemtl

Episode 352. Overseas Dispatch (4)

If you are a doctor, you are a doctor.

I wasn’t stupid.

I’m starting to feel a sense of uneasiness.

That makes sense.

The thoracic surgeon who gives excessive praise.

Jinhyuk Lee reciting the surgical protocol.

There was definitely something there.

but.

‘You clearly said it was the first year.’

I said it with my own mouth.

It’s been a year.

Please take care of me.

It’s highly unlikely that he lied about his years of service.

Especially when we work together in the emergency room.

There was no reason to lie.

When you are struggling because you don’t know English.

“Hmm.”

As Lee Jin-hyeok let out a deep sigh, Gian, who had come to his senses, turned his head toward the operating room.

A heart that still doesn’t stop.

I couldn’t move on to the next step.

Of course, now I don’t even think, ‘Well, that’s how it is.’

A situation that even the head of thoracic surgery acknowledged.

It can’t be a wrong prescription.

It was clear that there had to be another reason.

Kian, who was unfamiliar with heart surgery, turned his head again and looked at Jinhyuk Lee.

Then you see his hand wriggling.

Looks like you want to jump in right away.

He looks like he wants to hold the scalpel and operate instead.

so.

‘Is he crazy?’

A sense of resentment rises along with a sense of discomfort.

Korea, which was said to have been completely ruined.

Just another underdeveloped country.

No, it was a fallen nation.

Even though they graduated from the IMF system, wasn’t it a place like Argentina?

And Asians from such countries.

No, just an so-so doctor.

It’s clear that they came here to learn advanced medical technology.

really.

No, it was really weird.

* * *

Jinhyuk opened his mouth again.

“It looks like plaque (fatty lumps) has built up in the coronary arteries.”

“Maybe so. Maybe not.”

“I couldn’t see the chart properly… …. I wonder if his vitals were okay.”

“It’s not an electrolyte imbalance.”

“Then there would be no reason for heart cells to react abnormally.”

“Yeah. Hmm.”

“Shouldn’t we first add more potassium?”

Lee Jin-hyeok speaks English for smooth communication.

And the thoracic surgeon is quietly thinking.

Although it was natural for Germany to exchange opinions, an idea emerged that could not be left alone.

“Then cell damage occurs. Cell damage.”

“I didn’t mean to give you that much.”

“You may get hyperkalemia.”

“First of all, it seems like the electrolyte balance is further off. We need to adjust it. And lower the temperature.”

“No, really… … .”

“Oh, I’m preparing the medication.”

At Jinhyeok’s words, Gian’s head quickly turned.

The operating room at your feet.

The anesthesiologist was moving.

In addition, even the professor who was standing there shouted.

“Lower the temperature!”

“four!”

“Anesthesia! What are you doing! Try doing something!”

“Net! I’ll give you some extra potassium!”

“First, minimize the capacity!”

“Of course! I have to go and see the reaction!”

An awkward situation.

Kian remained silent, thinking that he should just keep his mouth shut.

Common sense.

Common sense was collapsing.

* * *

Increase the potassium concentration little by little.

Looking at the reaction.

The reaction was so subtle that my heart still wouldn’t stop.

Jinhyeok then expressed his opinion again.

“At this point, it seems like there is resistance in the coronary artery itself.”

“Hmm.”

“It seems like the heart muscle is not being perfused to the entire body.”

“Are you circling the heart muscle?”

“Yes. I think we need to change to RCP (retrograde cardioplegia) first.”

The head of thoracic surgery shook his head.

“Release the forceps. We can operate on ventricular fibrillation.”

“Then we need to lift the ventricle.”

“Is the reflux getting worse?”

“Yes, left ventricular dilatation. And the resulting decrease in arterial perfusion pressure is also a concern.”

“Hmm.”

The thoracic surgeon’s worries were short.

He immediately grabbed the microphone.

“I think it would be better to switch to RCP.”

Only then do they raise their heads and check the observation room.

They were surprised to see a strange Asian man, as if they didn’t even realize that they were observing.

Of course they heard it too.

That thoracic surgeon Kim Hyun-soo is coming.

But it’s a group viewing.

Professor Soo-Dun Ashi responded.

“You could have told me in advance, right?”

“Well, does that matter?”

“Let’s change it to RCP for now.”

“Okay. Just change it.”

“My fucking heart won’t stop.”

“I’ve already tried enough.”

Those who move according to Jinhyeok’s suggestion.

They were the ones trying something new.

* * *

Perfusion via retrograde cardioplegia.

It wasn’t literally a classic.

Not the coronary artery.

To the coronary vein.

Because it is injected against the flow of blood.

This was due to the judgment that the coronary artery was blocked by plaque.

A new catheter was installed.

Doing vital checks, etc.

Swift action was taken.

straight.

“Inject at 150 cc per minute.”

“four!”

“Monitor the perfusion pressure.”

“If it goes over 40mmHg, I will notify you.”

“Check the myocardial surface!”

“yes!”

Instead of the surgeon, the professor kept shouting.

Whether the superficial veins of the heart are filled with blood.

Because I had to check if blood was coming out of the coronary artery opening.

One after another.

“Injecting cardiac arrest medication!”

“Start counting again!”

“four!”

“30 seconds, 25 seconds, 20 seconds!”

The medication started again.

And those who watch the reaction.

slowly.

Very gradually, your heart rate slows down.

Then soon.

“My heart stopped.”

“Bypass?”

“It’s working properly!”

All problems have been solved.

Now, full-scale surgery can be performed.

but.

“hmm…….”

When Jinhyeok tilted his head again, the head of the thoracic surgery department next to him asked.

“Why, what? Is there something on your mind?”

“The left superior vena cava (LSVC) is involved.”

“what?”

“It’s a rare case… … . In fact, it may be an overly worrying case.”

“What’s excessive? This is a matter of human lives.”

“Yes.”

“The possibility is slim. You never know. As expected. As expected. And the attitude is there too. As expected, he’s a genius, a genius! Haha. It’s just like Dr. Han said!! Hahahahaha.”

The head of thoracic surgery smiled brightly and laughed.

Kian, who didn’t know what the situation was, just blinked.

Of course, there was only one thing he knew.

Everyone is crazy.

okay.

It was clear that they were both crazy.

First year or head of thoracic surgery.

* * *

Left superior vena cava.

Or a blood vessel called the left superior vena cava.

It was located behind the heart.

It is a blood vessel that returns blood to the right atrium together with the right superior vena cava (RSVC).

However, in rare cases, there were cases where blood flowed back to the left atrium.

This would allow the cardiac arrest fluid to drain.

Even if your heart has stopped now, you may wake up earlier than planned.

So, the thoracic surgeon who warned the operating room began to praise Jinhyeok again.

“Genius, genius.”

“No. I still have a lot to learn.”

“They say that if you see it once, you can do it all. It really was. It was real.”

“That’s not necessarily true… … .”

“Haha, this guy. He’s so humble. Asians are really different. Unlike us, they’re not arrogant. They like everything. They like everything. But you know. There’s no need to do that. It’s a thorough meritocracy! That’s right. Haha.”

The head of thoracic surgery who always laughs heartily.

His peers, including Jang Hyuk-jun, showed an attitude that they were no longer surprised because it was something that happened all the time.

Only Dr. Kian kept rolling his eyes here and there.

If you see it once, you can follow it all.

What kind of nonsense are you talking about?

Then soon.

“uh?”

Gian’s eyes widened.

Now that I think about it, I’ve heard that before.

Korean doctor.

There was a doctor who completely changed the CPR algorithm and even won an award from the World Congress of Emergency Medicine.

And that’s just for a resident.

Of course, I didn’t know the exact name because it sounded like an alien language and it was hard to even pronounce.

“Sir, really?”

“Hey, Gian. Why are you reacting like that?”

“Sir, is this the Korean doctor I heard about…? I don’t know his name. No, that can’t be true. He’s a first-year student.”

When Dr. Kian belatedly denied it, the head of thoracic surgery laughed.

“Oh, you didn’t know? Doctor Lee is that guy. Why? He changed the CPR algorithm. He won a big award. He’s currently challenging the double board.”

A wedge-breaking remark.

Dr. Kian’s eyes vibrated.

It’s been a year… … .

He introduced himself as a first year student.

Fuck!

It wasn’t really a year.

* * *

The surgery was over in no time.

While Gian was away for a moment.

Jinhyuk asked.

“Well, it’s a bit different from what I heard from the guide, but… … .”

“huh?”

“I heard that everyone is really looking forward to it. I heard that everyone is just waiting for it to come.”

“Ah, I know you’re coming, but only your superiors know your true identity.”

“yes?”

“This is true, young people these days. They all think about going abroad. So only the old people are waiting. They say that something will give them energy.”

“iced coffee…….”

“I didn’t say it on purpose. It’s supposed to be fun to be surprised, isn’t it?”

“So that’s what happened.”

“Well, it’s just a fight. I’ll get through it. Just let it be.”

“Yes, it happens everywhere.”

It is also common for it to be like a sack of barley left lying around.

The situation of the dispatched person was originally as it was.

A person who stays for a short time.

A person who stays for a long time.

Every situation was different.

I think he’s going to leave anyway.

Or a deeply rooted perception.

Anything was fine.

so.

“I will do my best.”

“Yes, let’s do that. Patients who are turning away from our hospital. They are widespread. We have to bring patients back.”

* * *

At this point, it was time for the tone of speech to change.

Older age.

No, because he himself has a professional board.

But where is the person like that?

No one wants to admit their mistakes.

On the contrary.

“Why did you introduce yourself as a first-year student?”

It was a draft that he had to ask himself.

Now, rather than racism… … .

Something seemed twisted.

why.

Why.

Why on earth?

After parting ways with the head of thoracic surgery, Jinhyeok was deep in thought as he watched Gian start to argue.

Actually, I did a lot of research before coming to Germany.

Why I want to become a doctor.

It was different from Korea.

First, because I want to treat patients.

Second, because I want to serve the community.

Third, because of honor.

Fourth, because of money.

It was surprising that money was a secondary priority.

I was able to confirm again how poor the treatment was when I came to the site.

Similar wages to a cleaner.

Maybe it’s because of the minimum wage system.

Or maybe I didn’t know it was right to pay fair wages to the 3D industry, but the treatment of doctors was terrible.

‘But is it because you feel wronged?’

Jinhyuk said, although I couldn’t even guess the reason.

“I’m late because of the observation. Let’s go eat something.”

“Rice. Hmm.”

“Why? Do I have to go right away?”

“No, that’s not it. Hmm. Then, let’s eat and come.”

“Just us?”

“yes.”

“Well, I guess so.”

Jinhyeok and his classmates immediately moved to their seats.

The restaurant we arrived at like that.

It was a restaurant near the hospital.

“Oh my. You did a great job. Comrade Ramen!!”

“Heh heh. That guy’s expression. I should have taken a picture.”

“It was absolutely killing me.”

“good job.”

Friends who are dying to love each other.

They knew it too.

Once you lose a fight, you get tired.

The problem is.

“But why aren’t you coming?”

The waitress who is supposed to take your order doesn’t seem to care.

5 minutes, 8 minutes, 10 minutes.

I called him several times in the middle, but he just pretended not to hear me and passed by.

Jinhyuk smiled bitterly at that sight.

People from West Germany look down on people from East Germany.

People from East Germany look down on people of Asian descent.

Maybe it was a natural part of human history, but being tired was being tired.

An order that was barely placed.

Food isn’t coming out anymore.

An angry Lee Tae-hee said.

“Let’s turn on the recorder.”

“A recorder? Why that all of a sudden?”

“I brought it because I was going to do shadow speaking anyway. Let’s just take it out for now.”

A phrase that means to prepare for the unexpected.

Jinhyuk quickly took out the recorder that Lee Hyun-ah had given him as a gift.

* * *

“Why are you so late?”

Gian was very angry.

It’s annoying that I got dragged here on my day off.

Those who went out to eat didn’t come back, so it couldn’t be helped.

Of course, it’s not like I had nothing to say.

“They were late in delivering the food.”

“What did you say?”

“They took our order late and the food didn’t come out for over 30 minutes.”

When I was annoyed, Lee Tae-hee answered in an angry tone.

At this, Gian remained silent.

Actually, he knew it too.

A gloomy atmosphere resulting from the economic gap after unification.

East Berlin was somewhat less severe, but other areas were the worst.

Because everyone was leaving their hometown and suffering all kinds of persecution.

It is to the extent that the saying, “If you are wronged, you must succeed” became popular.

So it’s clear that there was a needless burst of noise.

but.

‘Huh. You say everyone will copy you once they see it. That’s ridiculous. Thesis? Maybe someone above you pushed you to do it.’

He himself had no intention of bending.

Instead, I heard him arguing with me.

Don’t lie.

Is this how you don’t keep your promises?

hereto.

“Hey, take it out.”

“Comrade Ramen! Let’s go again!”

“Wow, really. This is the truth.”

“This, Jeong, Do,ro, Ba, Bo, didn’t, exist, … .”

His classmates poked Jinhyeok in the back.

Jinhyuk took out the recorder late.

At that sight, Gian’s face turned pale.

The person who had called the hospital director a mother-in-law.

It seemed like everything was recorded.

He staggered around with a blank expression on his face.

Jang Hyuk-jun said.

“What is it? Why are you like that? Does it hurt somewhere?”

Because we recorded from the restaurant in the first place.

These were people who could not even imagine that there could be any unnecessary misunderstanding.