The Returning Doctor Wanted to Live Quietly - Chapter 355



Only Noblemtl

Episode 355. Overseas Dispatch (7)

Sudden spooning.

Jinhyuk whispered.

“What are you doing now?”

“Oh, wait a minute. Just stay still.”

“why.”

“In times like this, we need to give them strength. They’re being bullied right now.”

“What is Daguri… … .”

“Oh, a little.”

Jang Hyuk-jun spouts out rude words.

Jinhyuk immediately clicked his tongue.

That attitude is so typical of him.

I was speechless.

But then.

“I think I have actinomycosis too.”

“I have also seen a case.”

“Primary hepatic actinomycosis. It is easy to confuse with malignancy. Multiple low-density masses are easily mistaken for metastatic liver cancer. Don’t you all know that?”

Other motives also came forward.

Even though I don’t know much about it, I’m adding strength to Jinhyeok’s argument.

hereto.

“Actinomycosis? So that means it’s a rare case. Doesn’t it have a higher risk of metastatic liver cancer?”

“But you insist too strongly. Could it be that Korean doctors have handled it? Isn’t it true that they tested positive?”

“A positive Toxocara antibody test result does not disprove that you have actinomycosis.”

“still…….”

The atmosphere began to change little by little.

There are as many as five specialists.

There is a reason why they say that when three people kiss, they can create a tiger out of nothing.

As the atmosphere gradually changed, Gian, who had been watching, stepped forward.

“There was no fever either.”

“I confirmed that there is no fever.”

“You still insist that it is actinomycosis even though you know that?”

“yes.”

“Fever, weight loss, abdominal pain. None of those things apply to me.”

“Actinomycosis. Everyone reacts differently. It’s non-specific.”

That the symptoms are atypical.

Gian, who had little knowledge about actinomycosis, frowned.

Since the other person seemed to know a lot about actinomycosis, it would only be a disadvantage for him to continue to talk about it.

but.

‘But does this make sense? A general surgeon can say this about a hematoma?’

It was absolutely ridiculous.

This is something that only a genius can do.

As his silence grew longer.

Jinhyuk opened his mouth again.

“I feel like I was treated well in the ER (emergency room)?”

“What did you say?”

“Just in case, didn’t you also do a test for parasites that can cause liver infections?”

“… … .”

“ER didn’t rule out other possibilities. It seems like they couldn’t stop the patient or guardian from requesting power because they strongly requested it. Isn’t that right?”

You must be a member of ER too, what are you doing now? That’s a roundabout way of asking.

Gian blushed as soon as he heard this.

Dr. Christie, who had been watching the situation with eyes full of curiosity, stepped forward.

“I tested positive for Toxocara antibodies. I know it could be actinomycosis, but doesn’t that seem a little odd?”

“… … ?”

“Eosinophil counts are too normal for that to be true.”

“ANC didn’t pop up?”

“yes.”

“It doesn’t have to be a standout.”

“No, most of them fry.”

“Then let’s check first. Why not just ask if they have a dog or cat?”

I’m saying that this isn’t something we should do among ourselves.

The head of the hematoma department, who had been quietly watching this, turned to the resident.

Residents moving right away.

He was talking on the phone for a while when he shouted while holding the phone.

“I heard he hates animals. Dogs and cats. He’s never touched one, and he’s never raised one. He just doesn’t go near one.”

“Huh. You were acting all smart and all… … .”

“But you say no?”

“Hey. I expected it to be nothing.”

“Then why did the result come out positive?”

“I guess it’s a false negative.”

A barrage of arrows along with the resident’s answers.

Then, the mood changed again with an expression that said, “Well, that’s right.”

Jang Hyuk-jun, who was impatient, whispered in Korean.

“Comrade Ramen, what happened?”

“Just wait.”

“Oh, if you keep doing this, you’ll end up in trouble.”

“… … .”

Jinhyuk’s head quickly turned as he lightly ignored him.

The toxocara test was positive, but the eosinophil count was normal.

Patients who do not own dogs or cats.

Numerous case studies that I have studied to combat attacks from the internal medicine field flash through my mind.

Then soon.

“Could you please ask if I have any experience with reproduction?”

“If it’s about reproduction… … .”

“I was just asking if you’ve ever eaten raw meat. Oh, and that includes the intestines.”

“Yes? Oh, yes… … . I, the patient… … .”

The call went on for a long time.

Jinhyuk urged the resident who had just hung up the phone.

“What do you say?”

“That’s it. Um… … . I heard they’ve been having sex for the past six months.”

“So you ate raw food? What did you eat?”

“I heard that they ate cow intestines (goat leaves). This is really. This kind of case is not common… … I saw it in the cancer patient community and did it.”

“First, prescribe 400 mg of albendazole (anthelmintic) and then go for a biopsy.”

As Jinhyeok was about to give a prescription order in an instant, Christie raised her hand to stop him.

“Wait, wait a minute.”

“… … ?”

“How did you know?”

“I told you that it wasn’t certain yet.”

“No, but I said it with confidence.”

“I studied.”

“Where? Whose thesis was it? Where was it published?”

“Well, that’s exactly… … .”

It’s impossible to remember the year a paper was published.

Christie was astonished by Jinhyuk’s answer.

“You said you could remember everything once you saw it?”

“I said that you can do it all once you see it. Remembering it is another matter. I told you that I don’t know the activation conditions either.”

“You can follow along even though you don’t remember? But you can’t follow along all the time?”

“yes.”

“You’re saying that you can’t do anything other than medical techniques? You know that’s absurd, right?”

“… … .”

“Actually, it’s really ridiculous. I worked almost 100 hours a week. So you’re saying that all I did was perform surgeries. When on earth did I study?”

“I think you think that from the beginning, it’s some kind of absurd existence. Is that right?”

“Yes, to be honest, it is. It feels like common sense is collapsing.”

“I think there is a term that is usually used in such cases.”

A provocation to wean Christie off like a mad scientist.

She muttered to herself with a blank expression.

“Are you a real genius?”

An entity that cannot be explained originally.

There was a saying that referred to those who went beyond common sense.

genius.

okay.

He was called a genius.

* * *

“Let’s start with the biopsy first. Those who have a schedule, go ahead and do it. Okay, let’s end it now.”

The conference ended with instructions from the head of the hematoma department.

Without reaching a conclusion.

Well, if you do a biopsy, you’ll know right away.

The patient, who was not in good condition, had not eaten since the day before, so even the fasting conditions were met.

We all moved to the procedure room to observe the biopsy and check the test results.

Whether it’s because there aren’t many patients or because they’re curious, the doctors at the hematoma unit are also moving accordingly.

Jang Hyuk-jun immediately raised his voice.

“There is a saying that refers to something that is beyond common sense. Wow.”

“Wow… … When did I ever say that?”

“Okay. Okay. Comrade Ramen. You don’t have to be embarrassed.”

“Ugh, I thought my face was going to burn to death.”

“Ja, ching, cheon, jae!”

“Ugh. This teacher somehow seems to resemble Professor Han Dong-soo.”

When Lee Tae-hee and other classmates joined in and started making fun of him, Jin-hyeok’s face turned red.

It was hard to cover up with lies, so I just went out shamelessly.

His peers were making fun of him.

Just walking along the road, thinking it would be like that.

The nurses came into Jinhyuk’s sight.

Those who have consistently remained indifferent.

Now they are startled and start muttering.

What’s going on?

What happened?

These people are talking noisily for a long time.

Those who heard the story looked at themselves with curious expressions.

Is it really metastatic liver cancer?

Or maybe it’s actinomycosis.

The treatment room arrived with such a fuss.

We went straight into the pre-work.

“Are you sure you fasted?”

“yes.”

“Please sign first. The side effects are… … .”

Permission (obtaining consent) was completed in an instant.

And administering sedatives.

After putting the patient to sleep with midazolam, the medical team started moving.

The patient’s right arm was raised above the head to expose the armpit, and then percussion began.

On the mid-armpit line.

And back up again.

Back down.

Again, a long way down.

Mark the location where the percussion sound is the loudest by tapping it.

Approximate height: between the 6th and 9th intercostal space.

Jang Hyuk-jun, who was watching this, said.

“They’re going in without taking a sonogram (ultrasound)? It seems like all they do is listen to the percussion sound and determine the location… … That makes me feel uneasy. Hmm.”

“Since our numbers are low, we’re trying to go as safe as possible while receiving each and every action. Here… … .”

“What is this place?”

“I’m not sure. I heard there’s a health insurance association, but… … .”

Germany had a different medical system than Korea.

I didn’t know the exact details, but I knew one thing.

The point was that doctors’ salaries were too low.

While we were talking like that.

The medical team continued to prepare for the biopsy.

After disinfection with betadine, local anesthesia is applied with lidocaine.

This is an action to anesthetize the skin.

Next, using a long spinal tap needle that seemed to be about 10 cm long, anesthesia was completed along the rib margin and into the subcutaneous tissue.

What followed was an incision.

Although the needle for the biopsy could have been pushed in as is, an operation was performed to secure a field of view.

hereto.

“But I still do everything I can.”

“There’s not much difference.”

“A little bit different in detail?”

“yes.”

Jinhyeok and Jang Hyukjun had a conversation.

A biopsy needle that goes straight in.

Skin, subcutaneous tissue, muscle layer, peritoneum.

And to the liver.

Carefully break through.

As soon as the liver tissue collection was completed, the doctor who performed the biopsy shouted.

“Put the sandbags on. Check your vitals for 2 hours!”

* * *

“It really was actinomycosis.”

“… … .”

“… … .”

“… … .”

Those who saw the biopsy results stuck out their tongues and remained silent.

I had high hopes, but it really was actinomycosis.

Sulfur granule.

So-called sulfur granules.

The biological responses of the infected host (human) are recorded as they are.

So someone stepped forward.

“Just in case, let’s try again.”

“Okay, okay.”

“still…….”

“Wasn’t the tumor marker test going to come out anyway?”

“That’s right.”

“First, administer antibiotics. Kill time until the marker test results come out. Tell him well so he doesn’t go to another hospital.”

The head of the hematoma department who gave the order turned his head towards Jinhyeok.

Lee Jin-hyuk with an indifferent expression.

You could either look arrogant or be happy and say you won.

There was absolutely no sign of that.

rather.

“I’m glad I don’t have to have surgery.”

He was speaking words that were considerate of the patient.

The head of the hematoma department, who had no expectations of an Asian doctor, immediately asked to shake his hand.

“Liver actinomycosis. Less than 5% of all actinomycosis cases will develop in the liver… … . Wow, really. That’s amazing.”

“Patients with a history of abdominal surgery. I heard that the numbers go up even more.”

“hmm.”

“More than that… … .”

“Ah, you can talk comfortably.”

“What antibiotics exactly should I prescribe? I need to prescribe penicillin and amoxicillin.”

“Haha. You don’t have to worry about that. Hahaha.”

The head of the hematology department laughed for a long time, which was unusual for a German.

The doctor is worried about the patient again.

Regardless of race and nationality, the behavior of Jinhyuk Lee, who was much younger than him, was truly admirable.

Regardless of whether it is true or not, he is definitely a genius.

“Hahaha. Please take care of me. Please take care of me.”

In this way, Jinhyeok and the head of the blood donation department shook hands and became close friends.

Gian’s body trembled.

The most difficult hematoma.

I was speechless.

* * *

Before we knew it, it was lunch time.

I came out of the hospital and went into a restaurant that I could see.

Of course, there were some differences from before.

First, Jinhyuk went to the counter and ordered.

Waiting for someone to come and then being discriminated against.

It was now a specification.

The order was completed so quickly.

The food came out quickly too.

but.

“Ugh. It tastes weird.”

“It’s not racist, it’s just tasteless.”

“I had a feeling there weren’t any people… … .”

This time it was a failure again.

While Jinhyuk was jumping up and calculating the bill.

Jang Hyuk-jun said a word to the food and dishes left behind.

“Earth, I’m sorry.”

The road I ran away on, frowning as if I was wondering if anyone would understand.

When everyone started to walk away, saying they were embarrassed, Jang Hyuk-jun started talking nonsense again.

“Comrade Ramen! You know Choi Baedal! Let’s do it like Choi Baedal!”

It was Jang Hyuk-jun who said that he wanted to destroy other departments even though he was not a gangster.

Oh, I want to learn some culture.

Jang Hyuk-jun was truly a man far removed from culture.