The Returning Doctor Wanted to Live Quietly - Chapter 370



Only Noblemtl

Episode 370. Decided to Live Quietly (2)

Jang Hyuk-jun arrived late.

He asked, having been quite late since he had left the baby with Jeong A-reum.

“What happened?”

“ROSC is back.”

“Already? It hasn’t even been a minute?”

“The sooner you come back, the better.”

“The ambulance.”

“He called.”

Jinhyuk gave a short answer and then started talking to the patient.

The heart started beating again and consciousness also returned.

It could be said to be a stroke of luck due to the quick CPR, but they continued talking to him to keep him conscious.

Then the German who had asked for the name interfered again.

“Doctor Jang! Do you know what happened? What were you talking about with the person next to you just now?”

“This is my colleague. My name is Dr. Lee.”

“Doctor Lee? Is he a doctor too?”

“yes.”

Jinhyeok answered briefly and turned his head towards Jang Hyukjun.

Jang Hyuk-jun with a bewildered expression.

No, I was more than embarrassed; I was dumbfounded.

As he tried to open his mouth.

Jinhyuk immediately shut his mouth.

“I’ll borrow your name for the time being.”

“yes?”

“You look like a reporter at first glance. They asked for your name.”

“… … .”

“They introduced me as Doctor Jang.”

“Wow… … . What the hell are you doing… … .”

Jang Hyuk-jun, who realized belatedly what was happening, was shocked.

Lee Jin-hyuk is imitating himself.

In truth, there was no one who was surprised.

* * *

Korea is 119.

America 911.

All European countries use 112.

An ambulance will come running at a single phone call, anytime, anywhere.

So it wasn’t long before the arrival of what the Germans called the Rettungsdienst.

Those who quickly ran to the patient shouted.

“Patient! Are you awake?”

“yes…….”

“How is your physical condition now?”

“that is…….”

The communication continued for a long time.

It was nothing special.

Interaction through conversation.

It could be said that it was a sympathetic approach to assessing the patient’s level of consciousness and neurological function in a short period of time and providing psychological stability.

Cerebral responses after cardiac arrest.

So you can immediately check the extent of the damage.

While they were talking to each other and moving the patient.

Another paramedic shouted.

“Who is the reporter? Who is the reporter?”

“I’m done!”

“What happened!”

“that is…….”

A short conversation.

The paramedic’s head immediately turned to Jinhyuk.

He came running and asked after hearing that the doctor had come out and administered emergency treatment.

“Are you a doctor?”

“Yes, this is Dr. Jang.”

“What happened?”

“I don’t have any guesses. I think we’ll have to get a detailed examination to find out. But how long will it take to get to the hospital?”

“It will only take five minutes.”

“It’s close. His vitals are stable, but I think we should go quickly.”

“Yes, excuse me, but could you please accompany us… … .”

The paramedic who had confidently asked to accompany me trailed off in the middle of his sentence.

Now that I think about it, taking emergency measures and having a medical license are two different things.

He thought that maybe they were tourists, as the city was famous for the Potsdam Declaration.

but.

“I have an Approbation (German medical license).”

When Jinhyuk revealed his identity, he was delighted.

“I don’t know what will happen during the transport. I need a doctor to issue a Transportschein (a transport ticket that exempts you from the ambulance fee).”

“Isn’t that something you can get at the ER?”

“No, if he had arrived collapsed, I wouldn’t know. He had achieved ROSC (recovery of life from injury).”

“yes?”

“I might refuse to issue you a Transportschein. Come with me.”

The paramedics even urging him on.

From the way he spoke, it seemed like he was more concerned about issuing a transportation ticket than any vital changes that might occur during the transport.

Although it varies from state to state, the cost of an ambulance is approximately 400,000 won.

Knowing that there would be frequent disputes over this, Jinhyuk turned his head and looked at Lee Hyeon-ah.

She nods quietly.

Jinhyeok quickly got into the ambulance, and Jang Hyukjun, who had become Doctor Lee, followed him.

* * *

Eeeeeung-

Eeeeeeeeng-

A loud siren sound.

And the vehicle splitting like the miracle of Moses.

Although they are different countries in many ways, I was jealous of this one thing.

Suspicion that there will be no patient in the ambulance.

There was no such thing at all.

No, whether he suspected it or not, he himself could become a patient someday, so it was certain that he had to step aside for now and see.

Creak.

Dull.

“Please get off.”

“Shall we help too?”

“No, it’s okay!”

The disembarkation process began immediately.

Jang Hyuk-jun and Jin-hyeok followed at a brisk pace behind the paramedics who were pushing the stretcher cart in.

If it’s the Plattenbau Hospital, I don’t know.

This is a small hospital in Potsdam.

They felt that there was no space for them to be active.

so.

“Let’s just watch for a bit and then go back.”

“Okay. Okay.”

He just went into the ER saying these words.

Soon, they saw a young doctor who appeared to be a resident and an old professor running towards them.

“What happened!”

“This is a patient who collapsed after cardiac arrest and then achieved return of spontaneous circulation (ROSC)!”

“Did you suddenly collapse?”

“Yes, the doctor on the scene immediately started CPR, and they said that ROSC was achieved in less than a minute.”

“Let’s look at the pupil response first!”

“Yes, teacher!”

First, a young resident held up a penlight and checked the pupillary reflex.

A procedure to check for abnormalities in brain function after cardiac arrest.

The procedure was not much different from deliberately striking up a conversation.

“Pupil reactions are alive!”

“Really? How’s your mental state? Are you mentally stable?”

“There was no hesitation! We were even able to converse normally in the ambulance!”

“What was your blood pressure?”

“60 out of 100! Slightly depressed! Pulse 90 beats per minute! Respiration rate 20 breaths per minute is normal!”

“Hmm… … .”

Vital values ​​are stable.

Suddenly, the old professor’s tension suddenly died down.

He judged that it was the same as falling down and then coming to his senses right away, so he said it nonchalantly.

“Check for underlying diseases. Get an EKG right away! Run a routine checkup!”

“Net! Come this way!”

“Let’s go!”

Those who go in to find a bed after a long time.

Jang Hyuk-jun whispered to Jin-hyeok, who was walking behind him.

“Are you going to sell my name here too?”

“Well, that’s how it is. Why? Do you not like it?”

“No, it’s good.”

“Is it good?”

“Well, I wish I could be famous.”

“Then please give me your business card.”

“A business card? Aha… … .”

He quickly took a business card out of his wallet and handed it to Jinhyeok.

If only one of them was a doctor, it would be a problem for impersonation, but in this situation, both of them majored in general surgery.

I didn’t think it would be a big problem.

rather.

‘Well, I’ll just use it often later.’

Jinhyuk thought that it would be useful when he was involved in other matters.

Jang Hyuk-jun gave him that advice.

“Let’s stop fighting.”

“Don’t fight?”

“Yes, they say to kill your temper here.”

“and…….”

“What the heck. It’s the same in Korea, but in Germany, people don’t like it when doctors from other hospitals nag. There’s a health insurance system here too.”

It means that the numbers won’t be the same as in Korea.

Hospitals with a doctor’s office write prescriptions in the name of the doctor and charge a fee.

It was obvious what would happen to the German doctors, who had absolutely no flexibility.

No, maybe.

‘If it was from another hospital, they wouldn’t even let me see it.’

They might have brought up principles just because they belonged to different groups.

As expected.

As I approached the bed, the young doctor who was moving with the nurse asked,

“What is it?”

“I’m Dr. Jang, who works at the Plattenbau Hospital. I’m also the doctor who gave emergency treatment to the patient.”

“Thank you for your hard work.”

“… … .”

“You’re being a nuisance, so move away… … .”

As he waved his hand, Jinhyeok shrugged his shoulders, and so did Jang Hyukjun.

A typical German was a young man who looked very old-fashioned.

* * *

He attaches electrodes and checks the electrocardiogram.

The young doctor, who had been examining the waveform for a long time, tilted his head.

It was clear that there was cardiac arrest.

I didn’t see anything special.

In fact, it was that difficult of a case.

The waveform appears normal enough that you should have your electrocardiogram results read out.

As the young doctor pressed the print button, Jinhyeok turned his head towards Jang Hyukjun.

“The ST segment is slightly popping. Very slightly.”

“Why are you suddenly speaking German… … .”

“Ah, a little… … .”

“Aha. Where does it pop out?”

“It jumps from V2 to V4. Look closely. It’s still jumping a little bit, isn’t it? It’s strangely different from the normal waveform.”

As Jinhyeok pointed to the monitor, Jang Hyukjun belatedly joined in.

“Oh, that’s right. But it’s very small.”

“1mm. No, it sticks out about 2mm.”

“In times like this, um.”

“First, we should consider it as an acute myocardial infarction due to ST segment elevation and proceed accordingly.”

“Oh, that’s right. As expected. Doctor Jang. He’s really great. Hahaha. Doctor Jang Hyuk-jun. He’s really a great talent. A talented person.”

When Jang Hyuk-jun started praising himself, Jin-hyeok immediately frowned.

Although he looks fine, he is in front of a patient.

Jang Hyuk-jun’s self-praise was ridiculous, and I really wondered when this person would ever grow up.

Jinhyuk said, trying hard to suppress his emotions.

“Now is not the time to request an electrocardiogram.”

“Then what should I do?”

“We have to wait for the test results to come out. We have to start taking the drug right away.”

“Right now, drug shot?”

“Yes. There is no time to delay.”

“That’s right. If something happens later… … .”

Those who tried to turn back wisely because it was obvious that they would not be recognized anyway.

As expected.

The young doctor, who flinched whenever I spoke German, ripped open the printed electrocardiogram paper and examined it for a long time.

hereto.

“First, prescribe aspirin.”

“Are you suggesting we start with antiplatelet agents?”

“Yes, because it could be cardiac arrest caused by a blood clot.”

“Then you should also take clopidogrel. It loads faster than aspirin.”

“Well, that’s good because the mechanism is different. Plus, if you add 60mg of enoxaparin (a drug to prevent arrhythmia), it would be perfect.”

Those who do not tell you the dosage, except for enoxaparin.

But I thought you would figure it out.

He’s not an idiot either, he’s a resident working in the emergency room.

Interpreting an electrocardiogram is difficult for anyone but an expert.

The young doctor who had run to the old professor rather than ask another department to interpret the electrocardiogram results soon returned and shouted.

“Take 300mg of aspirin! Add 600mg of clopidogrel! Let’s also shoot for 60mg of enoxaparin!”

Jang Hyuk-jun said as he watched him move as Jin-hyeok had said.

“As expected from Dr. Jang! He’s great! He’s great! Dr. Jang Hyuk-jun! He’s outstanding!”

It was Jang Hyuk-jun who overused self-praise.

* * *

An X-ray examination taken late.

The young doctor flinched as the results of his portable X-ray were displayed on the PACS.

A doctor from another hospital.

I thought he was an Asian doctor, so I ignored him.

Judging from the judgment he made earlier, there are people who are far superior to him.

Since his stance was different from that of the old professor who was just waiting for the day to retire, he secretly moved his body to open up his view.

Okay then.

“I don’t think it’s heart tamponade.”

“If you have depression, your blood pressure will drop first.”

“Yeah. Hmm.”

“Huh? But Jonggyeok-dong is a bit… … .”

“Why? Huh?”

Just as they both let out a gasp, the young doctor leaned in.

That was also because the mediastinum that the Oriental doctors had mentioned looked strange.

Jinhyuk said, frowning.

“A 3cm lesion in the anterior right ventricle. Hmm. Looks like a hematoma?”

“A hematoma?”

“The sternum is also fractured.”

“Did it happen because of CPR?”

“That seems to be the case. I think we need to inject contrast agent and then run a CT scan.”

The young doctor thought it made sense and immediately called the CT room.

Jang Hyuk-jun smiled brightly and patted Jin-hyeok on the shoulder.

“Dr. Jang, you are wonderful!”

It seemed like selling Jang Hyuk-jun’s name was a mistake.