Emergency Heart Normal Clinic, 6:50 a.m.
“Yejun, say ah~.”
Dowook shone a pen gentle by way of the open mouth of a four-year-old boy. After inspecting whether or not there was any wound on the floor of the esophagus or whether or not the larynx was swollen, he turned to the guardian standing subsequent to him.
“He swallowed it straight down. His respiration appears good.”
The daddy, who appeared relieved, requested.
“Then what in regards to the coin he swallowed?”
“If it went down his esophagus then it’s going to come out of his stool. The placement of the coin is…….”
Dowook seemed on the X-ray he simply took. The placement of the coin was the higher esophagus. On this case, it was higher to push it down with an esophageal dilator and await it to emerge by itself.
He was going to inform the daddy about this, however he heard the nurse’s voice.
“Dr. Dowook. The physician on obligation is right here.”
When he turned his head, he noticed an emergency medical resident approaching. It was Noh Myeong-deok, who firmly endured his first 12 months of residency whereas being instantly or not directly educated by Seong Chang Soo.
“Thanks in your arduous work, physician. I am going to take over this affected person.”
As a resident who had reached his second 12 months, he was now a bit mature.
“Do you wish to? It’s a pediatric case with a overseas object within the esophagus. The respiration is okay, however the affected person finds it troublesome to swallow.”
“Phew, child. You must eat one thing scrumptious.”
Noh Myeong-deok patted the top of the boy sitting, with tears in his eyes and checked the X-ray.
“Sir, if you happen to push the coin into the esophagus with the expander, you simply must test the stool for about 4 days.”
Noh Myeong-deok’s response was the identical as his, so he thought he was liberated from the 12-hour lengthy coaching session.
Dowook, who was barely bowing and backing away, all of the sudden stopped strolling in entrance of the kid’s X-ray. The ratio was subtly completely different to name it a coin. One thing that wasn’t the identical dimension as a 100 or 500 received coin. Was it overseas foreign money?
Ji Hwi-gwan’s sense gave the impression to be exerting a robust warning, so Dowook instantly requested the kid.
“Yejun, what you swallowed, was it a coin?”
“A spherical one.”
The kid didn’t appear to have the ability to distinguish it effectively, so he took out his cellphone and looked for an image of a 100 received coin and confirmed it to the kid.
“Like this?”
The kid shook his head. A 500 received coin acquired the identical response.
Dowook turned to the kid’s father and requested.
“What was Yejun doing earlier than swallowing the coin?””
“He was taking part in with toys.”
Dowook looked for an image of a button battery on his cellphone and confirmed it to the kid.
“This one?”
He glanced and shortly nodded. Dowook turned severe and instantly shouted on the nurse.
“Please put together a catheter package. The affected person swallowed a button battery.”
At this, Noh Myeong-deok was additionally shocked and turned again in direction of the X-ray image.
Dowook spoke shortly to the kid’s father whereas getting ready for the process.
“When a toddler swallows one thing that’s not meals, they usually do not know what it’s. If it’s a coin ready for it to return out is okay however it is a battery. It is safer to take it out as quickly as doable. For those who agree, I am going to attempt to take away the overseas matter instantly.”
Each the kid’s father and mom nodded in shock.
“Yejun, are you able to lie in your facet?”
He stood subsequent to Noh Myeong-deok who shortly assisted Dowook.
The mouth opener held on the kid’s mouth, and the airway was secured. A serving to catheter was lifted to gauge the size of the esophagus.
“Do you wish to do it?”
“I’ve by no means completed an endoscopy on a pediatric affected person…”
Dowook didn’t have any expertise in responding to emergency pediatric sufferers both, however his fingers naturally knew what to do since he had Chief Ji’s sense.
“I am going to do it then.”
Spray anesthetics had been sprayed on the kid’s neck.
Dowook slowly inserted the catheter into the kid’s mouth after checking the balloon hooked up to it.
“Rely as much as 10 in your head, Yejun. Then every part might be over.”
Dowook felt that he had reached the place the place the overseas substance was situated due to the sensation on the finish of the catheter. 3 ml of saline was inserted into the catheter.
As quickly because the catheter was pulled out, the battery appeared by way of the kid’s throat.
He used forceps to seize it, and put it on the cart’s plate.
Clatter.
“Phew.”
As anticipated, it was a battery.
“It ended effectively, sir.”
When the kid burst into tears, his father shortly ran to hug him.
“Yeah, okay, okay. Our Yejun. You had been actually courageous.”
Dowook smiled as he seemed on the baby who was crying loudly sufficient to wake everybody within the emergency room.
Noh Myeong-deok approached Dowook, who took off his sterile gloves after ending his work.
“As anticipated of Dr. Park. If I had recognized it, I’d have dealt with it as a coin. How do you know what it was by simply trying on the X-ray?”
“That is….”
Dowook couldn’t simply say that he had a sense so he was making an attempt to consider an excuse when somebody all of the sudden approached.
“Myeong-deok. As an emergency surgeon, don’t you do X-ray evaluation coaching?”
It was Chief Ji Hwi-gwan who was on obligation at present.
Chief Ji touched the monitor on which the X-ray of Yoon Yejun was proven.
“Right here. This circumference. It is completely different from cash. Dr. Park figured it out without delay. If you wish to make the appropriate medical resolution, make that effort.”
“I am sorry, chief.”
“Go to the DB, analyze and write a report about 100 charts of sufferers who’ve swallowed overseas substances. And, did you permit the process to a physician from one other division since you lacked endoscopic expertise?”
“I am sorry about that, too.”
“There are quite a few sufferers receiving gastroscopy on the common examination heart, go apply for it and are available again after performing it 100 instances.”
It was a brutal follow-up.
Dowook had no alternative however to cheer for Noh Myeong-deok, who was coping with Chief Ji.
It had been 2 years since he first began. Nevertheless, the duty as a physician required of a second 12 months was not gentle. Dowook hoped this 12 months Myeong-deok may proceed to endure.
Chief Ji turned to Dowook, who was about to depart the emergency surgical procedure clinic.
“Dr. Park Dowook.”
“Sure, chief.”
“I feel I see you usually after I’m on obligation as of late.”
“I utilized on objective as a result of I needed to look at your emergency response technique.”
Dowook shortly considered an excuse though it was additionally the reality.
“By any probability, are you…”
Chief Ji’s eyes turned intense as if taking a look at Dowook’s internal ideas. Dowook turned nervous below the extreme gaze.
‘Professor Choi’s fashion is so completely different.’
To place it in film phrases, Commander Ji was a righteous hero, and Final Choi was extra of an selfish hero.
Even when they had been each heroes, Chief Ji was the sort who you couldn’t discuss to and would solely proceed his personal approach.
“…Are you planning to use for the place of a professor as soon as the regional trauma heart is set?”
“What?”
“I do not suppose it is a unhealthy thought as a result of there might be a gap for a professor in neurosurgery. Identical goes for Seodaemun Fireplace Station. Seeing this silent enthusiasm, I like the way you’re taking the initiative and serving to us on the emergency heart. I sit up for your variety cooperation.”
Misunderstandings had been intertwined and surprising phrases got here out.
He stated goodbye to Chief Ji, and tilted his head whereas strolling within the hallway of the emergency room.
“He simply stated he would help me if I utilized for the professor place within the regional trauma heart, proper?”
He wasn’t positive at first, however the which means behind these phrases had been as he thought.
The metropolitan trauma heart was not determined, and the title Professor Park Dowook was a really enticing name.
“Anyway, it means he is aware of I comply with him round each time I’m on obligation however he doesn’t thoughts. Let’s simply give attention to studying shortly.”
Seong Chang Soo yawned and walked out of the medical workplace when he encountered Dowook.
“Huh? Dowook, why are you coming from that course? Have been you on obligation once more?”
“You are purported to be in at 7 PM and also you determine to crawl out at 7 PM?”
“I am a workers member from this 12 months. A daily shift is an choice.”
“Oh, choice. That is why Chief Ji was fortunately ready so that you can be on obligation. He was caring for the workers choices.”
Seong Chang Soo flinched at this.
“You are so playful at present. Chief Ji wasn’t on obligation yesterday.”
“Cannot you see this face and not using a smile? You did not even test the modified work card…….”
He didn’t end his sentence as Seong Chang Soo had already began working like lightning towards the emergency room.
-Hey! Get out of my approach!
After getting on the elevator and getting off the seventh ground, Dowook went straight to the bathe room used earlier than surgical procedure.
Shhhhhh!
After relieving the fatigue amassed over 12 hours with a scorching bathe, he was planning to break down and put together for the afternoon surgical procedure. Dowook, who was opening the door to the evening shift room, recalled that there was a briefing session at 9 o’clock.
He picked up his cellphone and located info within the textual content piled up.
[1st quarter outpatient briefing – 6th floor auditorium]
This was an indispensable assembly as a result of he needed to work within the outpatient clinic beginning subsequent week.
The auditorium that would seat 300 was about half full.
Dowook sat leaning towards the outer seat.
“Dr. Park?”
When he turned to the acquainted voice, Professor Lee Received Seok caught his eye. Jeong Woo-seok, a pianist, who was below the cost of the Neurology clinic was the explanation they knew one another. He was additionally one of many professors whose sense Dowook had borrowed.
“Whats up, Professor Lee.”
“It has been fairly arduous to see your face as of late. Joyful New Yr.”
Professor Lee waved to the opposite professors within the division he entered with and sat subsequent to Dowook.
“Is that this the primary time you take on outpatient instances in your title?”
“Sure.”
Actually, there had not been so many outpatients. For surgeons, the ward therapy that they’d whereas following professors was precedence and every day life.
“I am not frightened a lot as a result of it’s you, however to let you know one factor. You will need to construct friendships with the medical doctors within the inside medication division. Once you diagnose, you’ll have quite a lot of sufferers that you simply’ll have at hand over to that facet.”
“It is… I’ve already had an argument with Chief Received Dong-gil. Due to Tom Model.”
“That is why I am saying this. Chief Received complained overtly at an organization dinner in the beginning of the 12 months. It had quite a lot of jealousy in it.”
These on the board of administrators’ facet and people on the dean’s facet.
The built-in inside chief was the previous, and the final time Dowook talked to him, he had been compelled to take the dean’s facet.
“Possibly as a result of the dean and vice-dean are all former surgeons, the inner medication division is mostly dissatisfied with how the hospital is being run. If something uncomfortable occurs within the course of, let me know. I am going to attempt to mediate as a lot as I can.”
“Thanks in your consideration.”
“As a substitute of thanks, would it not be alright if we cooperate on different instances on the clinic over sufferers who will be operated like final time?”
“I’d like that, too.”
Throughout the dialog, the director of the outpatient affairs division of the secretariat, who hosted the briefing session on the rostrum, was appointed.
-Ah, since it’s 9 o’clock, I am going to begin. To start with, there might be a change within the variety of outpatients from this quarter, so please test your electronic mail. For those who do not test and contemplate that your allowance has decreased, our individuals in cost might be in a really troublesome scenario. Key notifications for Q1 are…….
For about 20 minutes, options requested by the nursing division continued on the information of inside development within the outpatient public ready space.
Dowook yawned out of exhaustion and coated his mouth.
‘I feel you’ll be able to simply test your electronic mail for this. Why are there so many skilled professors right here?’
He could not ask Lee Received Seok about this half. As a result of it could be apparent that he was tired of this briefing session.
-……Then, any further, the vice dean has one thing to say.
“Huh?”
Dowook had no alternative however to focus and sit correctly. Now that he was sitting up, he realized that the vice dean was within the entrance seat.
The vice dean acquired on the rostrum and commenced to speak.
-You’re the faces of our hospital the place you obtain an appointment below your title and deal with sufferers. Subsequently, I feel you’ll perceive what I’m suggesting is for the way forward for the hospital.
The vice dean continued to speak, slowly inspecting the 150 medical doctors.
-A 50-year-old man got here to the hospital emergency room with a fever and extreme headache. The examination confirmed a coronary heart aortic abnormality. Which division ought to the affected person go to first? Neurology? Cardio? Or, suspecting the virus. Infectious medication? Within the course of, the hospital’s picture is certain to fall as time is delayed, the affected person is exhausted, and even the physician is confused.
According to the vice dean’s remarks, the phrase “first stage of the brand new 12 months’s marketing strategy” arrived on the rear display screen of the auditorium.
-Our hospital has been treating sufferers centered on medical doctors to this point. And so they gained their very own repute of their respective departments. However what is the consequence? Regardless of the scale of the medical workers belonging to the Huge 5, we now have by no means ranked first within the analysis of common hospitals. No, within the final 10 years, we now have by no means even been in third place.
When the introduction phrase “built-in outpatient operation” appeared on the display screen, most of these watching couldn’t take their eyes off the display screen.
It was as a result of the participation reward written on it was so unconventional.
-It is time for us to start out patient-centered prognosis and therapy. According to that, we plan to open the primary built-in outpatient room. It is the second quarter. The variety of members is just probably the most appropriate from every division. As you’ll be able to see, the reward is like this.
A health care provider within the entrance raised his hand.
-Sir, is it doable to really get a further wage? Just a few months in the past we had been within the purple.
-The funds has already been secured by an exterior guide.
-How do you select the appropriate particular person?
-We are going to watch your whole outpatient programs within the first quarter and consider them. The primary analysis issue isn’t the quantity of sufferers or the advantages dropped at the hospital, however the cooperation with different departments. A powerful case might be broadly disclosed to the general public by the newly established content material advertising staff.
There was a sound of murmur all over the place. Dowook additionally turned to Professor Lee.
“Do you know that the vice dean would announce such a plan?”
“Simply roughly. I solely talked about you since you visited the clinic and located a case of built-in therapy. Oh, I can see it over there.”
The display screen moved on to the following slide. The article was about Jeong Woo-seok. The vice dean seemed on the display screen as soon as and stated.
-I am positive you all know this case. Earlier this 12 months, I acquired a report that the variety of sufferers booked for Neurology doubled in comparison with final 12 months.
“Wow. Twice as a lot?”
“On the finish of final 12 months, it was 3 times extra.”
“That is why Jae-geol cursed me on the finish of the 12 months.”
“Ha. Did Dr. Son do this? It is comprehensible. We have been busy.”
-The time when hospitals competed on the premise of solely being good at therapy is over. If it’s a hospital that may take heed to the affected person’s situation and current an correct prognosis and imaginative and prescient after therapy. I feel we will be reborn as one of the best common hospital on the planet past one of the best in Korea.
-Vice dean, is Tom Model’s case going to be included within the chosen rating?
The vice dean’s gaze moved towards the built-in inside chief who requested.
-The surgical procedure was over within the first quarter, so we are able to embrace it if you’d like.
-Properly, I used to be solely of little assist on the time of the session, however it’s what it’s. You realize that professors from the highest 5 hospitals within the U.S. visited not too long ago, proper? I used to be amazed by the truth that I caught this esoteric tumor at first and returned.
The chief’s intention was to take the lead within the analysis and take a place, so different medical doctors’ eyes turned sharp. Even professors in the identical division seen the built-in inside medication’s chief with an undesirable view.
‘Which means I will be mirrored within the analysis too.….’
Revenue even if you happen to simply stayed nonetheless. Nevertheless, Dowook shook his head and raised his hand.
“Sir! You do not have to incorporate Tom Model’s case. The prognosis was final 12 months, and he was not an outpatient.”
The chief of the built-in inside affairs division within the entrance seat turned his head in anger on the cry.
-Who’re you to determine on…?!
The pinnacle of the built-in inside medication division’s embarrassed gaze was targeted on Dowook, who performed the most important position within the collaboration.
-Why is Dr. Park right here…….
“From this 12 months on, I am additionally taking part in outpatient actions.”
The pinnacle of the built-in inside medication division, who was coughing in embarrassment as if he had a respiratory an infection, turned in direction of the rostrum.