The Returning Doctor Wanted to Live Quietly - Chapter 358



Only Noblemtl

Episode 358. The Poison Miner (2)

A wheezing sensation every time you breathe.

Persistent cough.

Even the uncomfortable chest.

He was always afraid that, like those who had passed away before, he would develop lung cancer.

For that reason, they even refused to treat him.

But it’s a hematology and oncology department.

Lung cancer.

Jeong Yeon-su trembled in fear.

In fact, this was something that should not have been done.

He had to think of Kim Hae-min, who would have been even more surprised than he was, and he, as a man, had to remain calm.

But it was a reaction that occurred without me knowing.

I just couldn’t control it.

“Huh. Huh.”

Suddenly, I feel short of breath and my chest is pounding.

Jeong Yeon-su panicked and clutched her chest as she felt a pain that she had never felt before.

In addition to that.

Knock knock.

Ta-da-dak.

The upper and lower teeth hit each other, making a strange sound.

Just by opening my mouth, my body started shaking and making strange sounds.

okay.

This was terrifying.

The fear of dying in a foreign land.

That immediately led to fear.

Of course, if it was just him, it wouldn’t matter.

But I had a wife who was left alone.

I was so worried about her that I felt devastated.

There are countless people who unknowingly ignore Asians.

It was by no means a good country for an old woman to live alone without a man.

Maybe not if you’re white.

Oriental.

He was an immigrant too.

Knock knock. Kukookook.

Thump. Thump, thump.

A heart that is gradually getting faster.

The pain increases.

It happened in an instant that Jeong Yeon-su’s body, which was at the peak of her stress, fell backwards.

* * *

What happened in a moment.

Jinhyuk was shocked and shouted.

“Elder!”

Ta-da-dak.

Jinhyeok, who ran as fast as he could, grabbed Jeong Yeonsu’s wrist.

Stress-induced cardiomyopathy.

Or even shock due to stress-related stomach cramps and psychological trauma.

Several possibilities came to mind, but I held back and checked the pulse first.

Thump thump. Thump thump.

Thump thump. Thump. Thump thump.

A normal pulse rate is 60 to 100 beats per minute.

But it was so irregular that it was difficult to gauge what was happening.

It soared up to 120 times and then dropped again to a level that could be called a pulse, so it was impossible to control.

“honey!!!!!”

In the meantime, Kim Hae-min screamed with a pale expression, but there was no time to care.

Jinhyuk shouted right away.

It was the nurse who caused this incident.

“Get ready to take an electrocardiogram!”

“four!”

“Hartman will also give a full drip!”

“Shall we start from the line?”

“No! I’ll catch it!”

“four!”

Not only the nurse who had the accident, but everyone who had gathered also started to move as if they were bouncing around. In the meantime, Jinhyeok laid down Jeongyeonsu.

It is still unknown whether it is lung cancer or not.

I couldn’t just let it go like this.

The media is talking about the Miracle on the Han River and such, but in reality, all of that was possible because of people like Jeong Yeon-su.

The number of miners, nurses, and nursing assistants who left for foreign countries exceeded 20,000.

Jinhyuk, with his lips pursed, immediately prepared to form an A-line.

Just take the items out of the tray.

Then quickly disinfect the skin.

I pushed the needle in.

Blood coming up.

The so-called Flash of blood.

I checked the resistance of the cannula by eye and then applied force again.

But I feel like something is hitting a wall.

At this, Jinhyeok turned his hand.

The needles are rotated 180 degrees.

Then it goes in smoothly.

The resistance applied because the tip of the needle was touching the inner wall.

Finished it cleanly.

Jinhyuk, who had finished holding the line and advancing the catheter again, moved without giving her a moment to breathe.

Connect the patient monitor.

Even putting a pulse oximeter on your finger.

I never stopped doing little things.

The nurse who came running in the meantime.

Jinhyuk shouted.

“I’m full!”

“four!”

“Is the EKG far away!”

“Over here!”

“Get out of the way!”

Jinhyeok, who had snatched the handle of the equipment, moved his hand again.

Red, yellow, green, brown, black, purple.

Electrodes were placed from V1 to V6 along the left chest line. Meanwhile, the other on-duty doctor was not sitting still either.

“Setting is complete!”

Jinhyuk’s head quickly turned at someone’s report.

Moving graphs on the patient monitor.

I was in a hurry, but I had to wait for now.

I just pasted it.

Because I had to find a stereotyped style in the irregular movement pattern and figure out the symptoms.

Then soon.

“Stress-induced cardiomyopathy.”

Jinhyuk’s face hardened terribly as he made his impression in a low voice.

The diagnosis was made before the chat was even over. The German doctor’s eyes widened, but it didn’t matter.

ST segment elevation.

T wave inversion.

It was so typical.

It wasn’t unusual.

A cancer patient who has been given a terminal diagnosis.

Fainting or collapsing from shock is a common occurrence.

“Norepinephrine and diuretics! Bring ARB series antihypertensives (angiotensin receptor blockers) too! Any type is fine!”

“four!”

Dadadak.

Nurses heading straight to the station.

From caltecholamines, which help the body respond to stress, to drugs that block angiotensin.

The station was quite noisy.

They came running straight away.

What followed was medication.

Although the primary treatment was over, we could not let our guard down.

“I’m going to take an ultrasound!”

“Yes? Here?”

“Come on!”

“wait a minute!”

A yard with a separate endoscopy room.

The nurse moved late.

I had to go to the operating room to get an ultrasound, but they had a portable ultrasound machine that wasn’t used very often.

Meanwhile, the German doctor was not sitting still either.

He started explaining to Kim Hae-min.

The sympathetic nerves are activated, which increases the contractility of the heart and causes platelets to clump together.

This was followed by a difficult-to-understand explanation that it promotes blood clot formation.

Kim Hae-min, his face turned pale, looked at Jin-hyeok.

But Jinhyuk’s head did not turn.

The patient is in a critical situation right now.

It was not insignificant that more than 30% of patients with stress-related cardiomyopathy were caused by psychological shock.

In the meantime.

“Over here!”

“I’ll do the setting!”

“It’s in German!”

“No need!”

The handle that was snatched away again.

Jinhyuk grabbed the portable ultrasound device and started setting it up.

It’s the same company anyway.

Same model.

There are only a few global medical device companies.

The German displayed was quite unfamiliar, but my body remembered and my head knew.

Tick ​​tick.

Tititic.

Jinhyeok finished setting up in an instant and immediately grabbed the probe and applied the gel.

First, the upper left chest.

interruption.

Bottom.

And again at a different angle.

Again.

I will continue to check.

Click.

Click.

To rule out coronary artery disease due to increased cardiac enzymes.

To accurately check the condition of the heart.

The problem is.

‘LVEF (left ventricular ejection fraction) has decreased by more than 30%. The basal wall movement is also poor. Is there an underlying disease? … . ‘

The condition is not normal.

Jinhyeok’s head turned towards Kim Haemin.

“Did you originally have a bad heart?”

“No, that’s not it.”

“When was your last inspection?”

“That was… … . five years ago.”

“ah…….”

History taking that was missed because it was assumed that the patient had continued to visit the hospital as a pneumoconiosis patient.

It was clear that his heart wasn’t in good shape to begin with.

And at that moment.

“Hey!”

Those standing nearby reacted.

ST segment elevation.

T wave inversion.

It disappeared without a trace.

Rather, the amplitude was expanded in leads II and III, and the height of the P wave was increasing.

“Even the QRS waveform decreases!”

“Could it be because of Norepi… … .”

“Teacher! What should I do?”

“Wait a minute. Just a minute!”

“Oh my, my blood pressure is dropping!”

“ah…….”

A sigh burst out of Jinhyuk’s mouth.

Catecholamines.

In other words, administering norepinephrine (a type of cardiotonic) was no different from injecting a neurohormonal transmitter into the body.

This was supposed to help the body cope with stress, but now the side effects were starting to show.

“VT (ventricular tachycardia) due to catecholamine administration! Bring the defibrillator!!”

“It’s still too early to call it sustained ventricular tachycardia!”

“I know it hasn’t even been 30 seconds! What if you don’t know!”

“Oh, yes!”

A conversation that wouldn’t have happened if it were a hospital you knew.

My hands and feet didn’t match.

But the nurse moved late, and in the meantime, Jinhyuk counted the numbers.

“5 seconds, 10 seconds, 15 seconds, 20 seconds, 25 seconds… … .”

“Hey! I’m back!”

“It doesn’t seem to be sustainable.”

“under…….”

Sighs of relief were heard here and there.

Ventricular tachycardia lasting more than 30 seconds.

I had to use an electric shock device.

Because it is on a different level from non-sustained ventricular tachycardia, which disappears on its own within 30 seconds.

But soon.

“Oh, oh. Here we go again!”

“Count the numbers!”

“Yes! 5 seconds, 15 seconds, 20 seconds, 25 seconds, ah… … . 35 seconds!”

“Damn it! The defibrillator is on!”

“four!”

“Ready to go!”

“Charge 120J!”

“four!”

“Charge complete!”

“Get out of the way! Shot!”

CLANG!

Jeong Yeon-su’s body bent like a bow and fell.

A situation where the heart has not stopped yet.

Jinhyuk’s gaze turned to the damn graph.

“Take it!”

“Net! 140J charge complete!”

“Get out of the way! Shot!”

“Take it again!”

“160J charge is in! Complete!”

“shot!”

“180J charge!”

“Charged!”

“shot!”

A fight that lasted a long time.

When the graph finally returned to normal, Jinhyuk shouted.

“Bring me amiodarone 300mg! Verapamil (calcium channel blocker)! Flecainide (sodium channel blocker)!”

* * *

Jeongyeonsu woke up two hours later.

Jinhyeok headed to the station, leaving them alone, hugging each other and crying.

“After the CT scan, we will immediately perform a bronchoscopy.”

“hmm…….”

“I don’t think it’s worth waiting until morning. Why? Would that be difficult?”

“No, I did something wrong… … I’ll try to do something about it.”

A nurse running without even listening to the answer.

I was thankful that he didn’t say anything even though he had caused an accident.

Well, actually, it wasn’t just her problem.

That makes sense.

Who could have known this would happen?

Not long after that.

She came back and said.

“I decided to rent an endoscopy lab in the respiratory medicine department, but they said it would be difficult to provide personnel.”

“It doesn’t matter.”

“Doesn’t matter? Bronchoscopy isn’t easy… … . Sleep is hard because the patient will be tossing and turning while asleep. Not sleeping is hard in its own way.”

This is said because, unlike an endoscopy, it is more difficult to view the bronchial tubes while asleep.

When Jinhyuk remained silent, she continued speaking.

“Oh, I know this teacher’s skills because I’ve heard of him. But everyone is having a hard time because the organization is small.”

“Is there anyone who will come running if I call?”

“that…….”

“I don’t think he’ll pick up the phone even if I call him. Isn’t that right?”

“That’s true.”

“Well, let’s give it a try anyway.”

Jinhyuk immediately took out his cell phone.

That’s how the phone call started.

As expected, I was as expected.

[Let’s do it tomorrow.]

[It’s past 11 o’clock now?]

[I feel tired after drinking.]

[You shouldn’t be calling at this hour.]

Consistent response.

Most of them didn’t even answer the phone.

‘They say you work like a civil servant. It’s really comfortable.’

It’s not something you can just wait for.

Wasn’t the patient I met at the hematoma clinic just a little while ago also extremely anxious?

So right now.

“Oh, I have something to do.”

Jinhyuk called his classmates.

In less than ten minutes, they all came running.

Without even hearing the reason.

Those who ran without even asking.

It was a truly wonderful thing