After the vice dean’s presentation, a lot of central college members from the division of inside drugs gathered contained in the workplace of the division director.

“Strengthening cooperation? When individuals hear it, they’ll suppose we was enemies with the opposite departments.”

Kang Beom Seok, the chief of the nephrology division, lamented which led to a sequence of complaints from the heads of different departments.

“Is not this all to assist neurosurgery, which has been the middle of the media today? You’d suppose they’re incomes all the cash for the hospital simply because they’ve handled celebrities a couple of instances.”

“That is proper. The place was the very best yield from final yr? Wasn’t it the most cancers heart? Should not we put the oncology clinic on the forefront?”

Amongst them, Gained Dong-Gil, who was sitting with a misplaced expression, waited for the room to settle down and began to speak.

“Everybody, settle down. I do not suppose we will remedy this simply by getting indignant. The vice dean was a surgeon, so he’s too ignorant about how the outpatient workplace is run. Let’s take this chance to indicate that the middle of therapy is inside drugs.”

“How?”

“I imply we must always all cooperate. We should always diligently ask the neurosurgery division for a second opinion. Have you ever met a affected person who doesn’t have a headache?”

A lot of the professors nodded after realizing the true intentions hidden inside Gained Dong-Gil’s phrases.

Regardless of how skilled a surgeon was, he couldn’t grasp every specialty of inside drugs. It will be humiliating if a physician failed to reply correctly when requested for a second opinion.

“Specifically, I feel we must always present the younger physician who’s beginning this week what occurs if he messes round.”

At Gained Dong-Gil’s subsequent phrases, professors round him coughed awkwardly. As a result of it was not one thing to be mentioned by the one that bought taught whereas appearing up recklessly through the briefing session.

“Director Gained. I feel it is best to change your thoughts in relation to Park Dowook.”

Everybody’s consideration was drawn to the voice of Yeon Jung-woong, a VIP professor and influential particular person within the area of endocrine drugs. Gained Dong-Gil requested again.

“Professor Yeon, you have been additionally there when he identified Tom Model and you continue to say that?”

“Aren’t I saying this as a result of I noticed him within the act? Dr. Park just isn’t a traditional physician. Professor Lee Gained Seok of the Neurology Clinic additionally acknowledged it.”

“Oh, however he’s nonetheless a surgeon.”

Gained Dong-Gil muttered like this, however resulting from anxiousness within the nook of his chest, he turned his head towards Lee Ki-cheol, the top of the tumor division.

“Director Lee, are you near the top of the most cancers heart?”

“Properly, we’re from the identical faculty.”

“There is not any motive for less than the interior drugs to behave. Different surgical departments may also have a number of complaints about neurosurgery. Inform me. There’s additionally the undisputed No. 1 surgical outpatient physician.”

The dialogue on countermeasures held contained in the workplace of the built-in inside drugs division’s director continued till the afternoon.

* * *

Wednesday afternoon.

Dowook was heading to the outpatient space on the fourth ground.

‘What number of sufferers did they are saying had made an appointment?’

When he opened the schedule despatched from the outpatient nursing division on his cellular phone, he noticed that he had 11 individuals.

Contemplating that every affected person had as much as quarter-hour of therapy time, the quantity was not as giant as anticipated. This was sufficient that he might additionally go in for surgical procedure and emergency room responsibility with out a lot issue.

Dowook, who yawned and bought off the elevator, turned to the extensive outpatient space.

From dermatology to respiratory drugs, it felt like he was standing on the entrance of a grocery store.The house was crowded with sufferers ready for medical therapy.

He targeted his consideration within the outpatient space of the neurosurgery division, the place three personal clinics have been hooked up. It was fairly small in comparison with the nephrology division proper subsequent to it with eight clinics.

The rationale why the neurosurgery division occupied such a small space was as a result of the area of backbone was separated into one other clinic.

Even so, he couldn’t assist however be envious that the clinic had a ready room with a superb ambiance.

‘It’s not like our division would not have many visiting sufferers, however it isn’t quite a bit both.’

He approached and bowed to the nurse standing on the reception desk.

“I am Park Dowook.”

“Welcome, physician. It is your first outpatient immediately, proper?”

“Sure.”

The nurse who checked the reception desk’s monitor proceeded.

“Professor Shin is his final affected person, so please wait.”

Dowook waited for a professor who was performing outpatient therapy within the morning, however he did not come out even at 1 p.m.

At round 1:05, Dowook walked again to the reception desk.

“It’s previous the shift. Ought to I nonetheless wait?”

“That is unusual. He took over a affected person on the finish as a result of they mentioned it was a light case.”

“He took over?”

“Oh, there’s the affected person.”

Dowook turned towards the primary clinic.

A frowning affected person walked in direction of the reception desk.

“My physician informed me to get a shot. The place ought to I’m going?”

“Wait a minute.”

The nurse, who checked the pc chart, printed it out and handed it out to the affected person.

“You may full your cost to the Division of Inner Drugs and proceed to the built-in inside drugs therapy room.”

“This time, the built-in inside drugs division? Cannot I get a shot right here?”

“The therapy for thyroiditis just isn’t throughout the jurisdiction of neurosurgery.”

“Ugh. I am dying of ache. Go this manner and that approach. You retain making me go round. What’s mistaken with these normal hospitals?”

The nurse, who didn’t lose her sort smile to the affected person who was grumbling and strolling out, regarded again to Dowook.

“I feel you may go now.”

Dowook left the nurse who appeared excellent at coping with upset sufferers and moved to the primary clinic.

‘Wait. Thyroidism? Why did the interior drugs affected person come right here?’

Standing on the door, he might see yet one more particular person inside apart from Professor Shin Sang-woong, an in depth cerebrovascular specialist.

He had a reputation tag with “Professor Kim Han-sung of Built-in Inner Drugs” on his chest.

Kim Han-sung opened his mouth.

“The medical historical past is simply fever signs for sore throat, so I could not have identified subacute thyroiditis straight away. Anyway, thanks to your assist. No less than it isn’t a cerebral artery illness.”

Kim Han-sung walked outdoors, leaving Professor Shin behind with a disheartened expression. On his approach out, he made eye contact with Dowook.

Dowook bowed barely. Kim Han-sung quickly disappeared from the clinic after receiving Dowook’s greeting with a stiff gaze.

Professor Shin, who was packing his bag, checked out Dowook.

“You’re right here, Dr. Park?”

“Professor, thanks to your onerous work.”

Dowook got here shut and pointed outdoors.

“What was that affected person simply now?”

Professor Shin sighed deeply.

“Did not you hear? Due to the built-in outpatient or no matter, the interior drugs division is set to behave up.”

“Act up?”

Professor Shin pointed to the affected person’s chart on the monitor.

“They bring about in a affected person whose signs are ambiguous to cooperate and make it as tough for us as attainable. After all, I doubted the mind facet.”

Dowook regarded on the chart and groaned.

The most typical motive for somebody to have signs like headache and fever was a chilly. But it surely wasn’t straightforward to diagnose if there weren’t another indicators corresponding to swollen tonsils or coughing.

“Watch out, Dr. Park. Should you do not intend to use for built-in outpatient help, do not even take a request for session. They’re fairly decided.”

Professor Shin walked out of the clinic whereas clicking his tongue.

Dowook sat in his seat and recalled the struggle of rigidity through the briefing a couple of days in the past.

‘One thing troublesome could occur.’

Ring, ring.

The intercom on the desk rang. Dowook answered and heard the voice of the nurse on the reception desk.

-What ought to we do with the 1 o’clock reservation affected person, Dr. Park? Ought to I allow them to in after half-hour?

Reservation No. 1 and the primary outpatient therapy affected person beneath his personal title. He couldn’t assist however really feel a bit nervous.

“No, let him in straight away.”

Two hours later.

Dowook regarded carefully on the left eyelid of a lady in her late twenties and spoke as he felt the slight tremors transmitted by means of his fingertips.

“The facial nerves and close by blood vessels are so shut that they appear to have an effect on one another. On this case, you may strive surgical procedure to cut back nerve stimulation.”

“Different hospitals advisable Botox injections.”

“That is a method. Nonetheless, Botox injections have an expiration date so it’s going to work as much as six months.”

“What about surgical procedure?”

Dowook took his hand off the affected person and smiled.

“If it wouldn’t utterly treatment it, I would not have introduced it up.”

Dowook, who left, made notes on the chart as he mentioned.

“I am going to write you a prescription for migraines. Should you’re pondering of surgical procedure, do not waste your medical bills by transferring round varied hospitals.….”

“I am going to do the surgical procedure.”

“Will you?”

“Physician, I got here right here on function after studying the article.”

“Then I am going to schedule an intensive examination and call you.”

The eleventh affected person left the clinic, and Dowook regarded on the clock. It was solely 3 o’clock.

‘It ended sooner than I believed.’

Choi Hoo’s sense was the quickest and most correct diagnostic software in entrance of signs requiring neurosurgery.

Now, he might get a transparent concept of the surgical course of simply by touching the affected person, and it was onerous to think about this to be somebody’s sense.

Ring, ring.

The telephone rang whereas he was getting into the second examination schedule for sufferers who wanted surgical procedure amongst these he identified immediately. Dowook pressed the speakerphone button and replied whereas typing.

“Sure, that is Park Dowook.”

-I am Professor Lee Il-sang of Infectious Illnesses. I am contacting you as a result of I heard you are carried out with immediately’s appointments. A dizziness affected person visited right here, however the signs appear somewhat sophisticated.

What Professor Shin warned him about instantly got here in.

If he rejected it by saying he was busy, there could be no drawback but when the place of neurosurgery was lowered in an built-in outpatient surroundings beneath the pretext of this course of, it could not solely be a giant loss, but additionally harm the satisfaction of their division.

“What sort of signs?”

– It is the 190117-3501 chart.

“I am going to test and name you.”

-I will be ready.

Dowook jumped up and ran out of the clinic. And instantly informed the nurse standing on the reception desk.

“I’ll the lavatory for five minutes”.

“What? Sure.”

Though he mentioned the lavatory, the place the place Dowook was headed was in entrance of the outpatient clinic of the infectious drugs division.

There have been a complete of 6 clinics right here.

HeI simply pretended to go by and reached out his hand. A tingling sensation was felt coming from two locations.

‘Oh, there are a number of nice docs right here.’

After accepting the extra intense stimulating sensation as a lot as attainable, he shortly returned to his clinic. Then, he opened the chart of the affected person who requested session.

Dowook picked up the telephone and known as Professor Lee Il-sang and slowly began to talk.

“It appears to be a affected person with signs of consciousness dysfunction and a few paralysis.”

-That is proper. There is not any abnormality within the head CT, however paralysis is the one clue.

A state through which anybody might solely diagnose cerebral infarction. Nonetheless, it should have been taken out as a result of it could not be a cerebral infarction.

Dowook rigorously browsed the knowledge on the monitor and stopped on the blood check half from the diagnostic drugs division. At first, he did not perceive it, however he was in a position to acknowledge it straight away as a result of his fingers wrote down the prescription by itself as he regarded on the chart.

“That is unusual. Is not there a physician who can analyze blood antibodies correctly within the Infectious Illnesses?”

-What?

Got here the flustered reply.

“There’s a important rise in influenza A virus antibodies. This isn’t a case of cerebral infarction, however an influenza encephalopathy. It has nothing to do with neurosurgery. Do you continue to need to collaborate? I can assist you, however nonetheless…….”

-Uh…

“I do not know who was in command of diagnosing this affected person, however I am very sorry. If an individual who cannot even decide this a lot is sitting in an outpatient clinic, the hospital picture could possibly be in hassle.”

-Excuse me, physician. This request for session was not from the built-in outpatient case.….

“Oh, my. I’ve already recorded it.”

Faucet faucet ta-tap.

Dowook completed typing the prescription and clicked the mouse on the affirmation button.

-Oh my…

Dowook hung up and bowed briefly towards the path of the infectious ailments division. Come to consider it, this was additionally an accumulation of analysis factors.

Ring, ring.

The telephone rang once more.

-Dr. Park. I am the chief of nephrology.

Dowook was barely stunned by Chief Kang Beom Seok’s name.

“Sure, sir.”

-There is a affected person who’s in shock resulting from dizziness. Are you able to give me a second opinion?

Dowook reached out as soon as as a result of the outpatient clinic for nephrology was proper subsequent door.

Tingle.

The professor within the subsequent room appeared to be an excellent particular person.

“Do you’ve got a chart?”

-Should you have a look at quantity 3613…….

As quickly as he noticed the pc chart, Dowook continued to jot down down a prescription.

“The affected person has an stomach aortic aneurysm and hypertension underlying continual kidney illness, however is taking a hypotension drug. The signs are sophisticated.”

-Proper. That is why we want the neurosurgical division’s judgment.

Dowook, who confirmed the path steered by the sense, mentioned after displaying gratitude towards kidney drugs.

“Wait. Angiotensin 2 receptors may cause hyperkalemia.”

-huh?

“Did not you realize that the affected person’s signs weren’t the issue, however the drug was inflicting arrhythmia?”

-It isn’t that I did not know…….

Click on.

“I am going to write a prescription and ship it to you, so test it out. It’s not a affected person who wants neurosurgical surgical procedure, however I am going to allow you to as a lot as I can.”

-Wait a minute. Hey, Dr. Park. Let’s fake this did not occur.….

Dowook smiled as he hung up. 4th ground, outpatient space. It was actually the perfect place to answer these acts.