Dowook picked up the telephone and known as the interior medication division. The decision went by means of, and a barely irritated voice answered.

-That is Gu Sang-Do from built-in inside medication.

“That is the emergency heart. It is due to a affected person who visited the hospital attributable to respiratory difficulties.”

-Who’s it this time? You are so persistent.

“Oh, I am Park Dowook. I belong to the Neurosurgery Division. I am on emergency obligation assist.”

-Neurosurgery? So annoying.

A scoffing voice was heard from over the telephone.

“Can I make a notification?”

-Oh, sure. Please inform us.

“It is a 43-year-old feminine affected person who first visited the hospital with hyperventilation signs and stabilized by controlling the respiratory price and administering anti-anxiety medicine.”

Gu Sang-Do instantly minimize Dowook off.

-If it is steady, what’s the issue?

“Her blood sugar stage is slightly bizarre. If that is diabetic ketoacidosis, we have to urgently determine the underlying illness that triggered it.”

-Blood sugar? Then…….

“It is apparent that that is an inside medication affected person. Do you wish to come down or ought to we simply have a checkup right here and take motion? If the underlying illness seems to be myocardial infarction or an infection. I’ll report it on the pc. Signs are inside medication, however emergency surgical procedure and neurosurgery departments have handled it.”

After saying this, Dowook hung up the telephone. Seong Chang Soo’s eyes, which had been listening from the facet, grew larger.

“Hey, we’ll deal with it? If she goes to have a myocardial infarction, she wants a specialist. If we deal with it, it’s our asses on the road.”

“Wait.”

Dowook leaned in opposition to the reception desk. Naturally, Gu Sang-Do ran right down to the emergency room in a few minute.

“Built-in inside medication! The place’s the affected person?”

Dowook pointed to Therapy Room No. 2 within the common space. Seong Chang Soo tilted his head as he checked out Gu Sang-Do, who ran over.

“What? He may have simply come. Why is he operating that quick?”

“It is the built-in medical analysis interval. I stimulated their trauma slightly.”

“Did additionally they get hit by Final Choi?”

“Technically, I’m the one who hit them. Now, there’s additionally the blessing of Judgment Shim.”

“Who’s that?”

Dowook’s gaze turned towards Shim Pan, who was speaking to the top nurse in a pleasant method.

“That man.”

“The bearded grandfather? The one who seems just like the KFC grandpa?”

“Be well mannered. He is a really outdated senior.”

Within the meantime, the physician from built-in medication came to visit to Dowook with an expression of absurdity.

“What is that this? That affected person has stress-induced easy ketoacidosis. She has a historical past of diabetes however it’s not critical sufficient to take insulin.”

Dowook pretended to know nothing.

“So? Are you saying that my notification is mistaken? The place are you going?”

“It is not mistaken, however the data is form of…”

After figuring out the affected person’s downside, he intentionally modified it to a extra critical symptom that had wanted pressing care, however the different physician didn’t have to know that.

Gu Sang-Do sighed and continued to speak.

“It is not dangerous sufficient for her to be hospitalized. Simply prescribe fluids and discharge her.”

“A prescription for infusion? I see. Good job.”

“Oh. So drained.”

Gu Sang-Do grumbled and disappeared from the emergency room. Yeom Jinsoo approached

Dowook with a brilliant face.

“Thanks, senior. Because of you, we managed to resolve a tough scenario.”

“Go and join her to a line. They are saying that is sufficient.”

“Okay!”

Seong Chang Soo checked out his junior who bowed and returned to the remedy room No. 2 and smiled in useless.

“Our Jinsoo just isn’t the form of one who greets others politely like that. Did she change her angle after you helped her?”

“Why are you jealous of this?”

“What’s with that cheeky angle? The interior medication physician was nice. How may emergency and neurosurgery formally deal with inside medication sufferers? You then’ll get cursed at.”

“It is identical to saying nonsense. I will not cross the road, so don’t be concerned and go house.”

“It feels like you are going to do extra.”

“I have to perform a little extra to make working at evening simpler. It is annoying if my coaching is disturbed due to common remedy.”

Dowook approached the receptionist nurse who was classifying the variety of secondary care staff. He re-accepted Shim Pan’s sense and appeared by means of the sufferers in entrance of the ready room.

Heat lights that stayed at main symptom factors and disappeared.

The medical sense despatched by the diagnostic fairy was very straightforward to make the most of.

Dowook picked up his cellphone and recorded every kind of diagnoses one after the other.

In about half-hour.

Dowook picked up the telephone.

“I am Park Dowook within the emergency room. There’s a male affected person with chest ache. He’s 70 years outdated. However doesn’t have a behavior of smoking, hypertension, and diabetes.”

-If it is such a medical historical past…….

“Do you assume it’s reflux esophagitis?”

-Ah. That is proper.

“Nevertheless, there is no such thing as a vital change in EGC. Hold on. I believe he’s traveled overseas. Pulmonary thromboembolism brought on by not with the ability to transfer on a small aircraft can be a giant downside. In the event you’re not going to come back down, I am going to simply…….”

-I’m coming!

Gu Sang-Do, who got here operating, shortly checked the affected person. Panting, he appeared on the affected person and turned his head away.

“It’s only a chilly. Do not what a chilly is?”

“Actually?”

It was one other troublesome case, so Gu Sang-Do went as much as the interior medication division whereas attempting to not present his anger.

After measuring the time, Dowook known as once more.

-Why!

“Oh, my. Dr. Gu. Your voice is so sharp.”

-What’s it?

“A feminine affected person with gastroenteritis signs. She’s 41 years outdated. With extreme belly ache and common feebleness.….”

– By no means thoughts. It appears to be a easy symptom of enteritis, so simply hydrate her.

“Actually? That is bizarre. She has reactive arthritis. If it is contaminated with Yersinia micro organism, it will be very harmful. Okay. We’ll take measures after a radical examination. Relaxation.”

-…….

Gu Sang-Do got here operating down and headed to the place Dowook was pointing, appeared on the affected person and screamed.

“Spoiled milk一!”

The feminine affected person, who visited the hospital attributable to a slight abdomen ache after consuming the mistaken milk, checked out him with puzzled eyes.

An hour handed like that.

Ring, ring.

“That is Park Dowook. Dr. Gu.”

A bit silence adopted.

And

-…Why are you doing this to me?

Gu Sang-Do, who’d ran down 13 instances within the final hour, continued in a tearful voice.

Dowook thought this was sufficient, so he spoke in a critical tone.

“Dr. Gu. I do know very nicely that the connection between the interior medication departments and the surgical procedure departments on the hospital just isn’t going so easily today. Nevertheless, is there a necessity for such issues to come back out when on obligation like this? Isn’t being on obligation tiring sufficient for everybody with out it?”

-That is…

“Please do me a favor. Please inform the opposite inside medication colleagues or medical workplaces. Or, I’ve no selection however to have them expertise the way it feels to run down each three minutes throughout evening obligation. I am additionally defending myself.”

Warning that there could also be infinite emergency calls. Past the telephone, he heard a sound of somebody gulping in terror.

– I… Dr. Park Dowook.

“What?”

-I perceive what you imply.

Now that they gave the impression to be on the identical web page, Dowook spoke evenly.

“There’s a affected person who visited the hospital for belly distension.”

-What?

Dowook smiled on the astonishing voice.

“I am simply kidding. In the event you perceive, I will not have something to do tonight, however you may settle for others sincerely, proper?”

-After all. Please save me. I am going to preserve that in thoughts.

Two individuals on emergency obligation approached Dowook after the decision.

Dowook knowledgeable Hong Chul-soon of the end result.

“I do not assume there will likely be an issue with cooperation with built-in inside medication anymore. Different inside medication departments will quickly hear the rumors, so they are going to reply equally.”

“Wow. You had been nice in opposition to the Hansung Hospital in the course of the fireplace preventing occasion, and also you’re wonderful as we speak, too, Dr. Dowook.”

Yeom Jinsoo, who didn’t know in regards to the story of volunteer work on the fireplace station, appeared puzzled.

“Senior. What fireplace preventing occasion?”

“No method. It was no joke. Hansung Hospital dispatched professors specializing in trauma surgical procedure to the occasion.….”

Hong Chul-soon started to inform her about that day’s occasions.

Dowook stepped again and turned to Shim Pan, who disappeared after checking the products.

‘Thanks for as we speak, senior. Because of you, it labored completely.’

Afterward, he reached out to Chief Ji, who was sitting in a chair within the extreme remedy space.

Weewoo weewoo!

He heard an ambulance arriving exterior. To any extent further, it was time for emergency coaching till the morning.

* * *

At 9 a.m., the workplace of the most cancers surgical procedure group.

The affected person’s main medical historical past was listed one after the other on the whiteboard.

29 years outdated, male

Two months in the past, stage 4 liver most cancers attributable to hepatitis B was confirmed. Affirmation of radiation resistance whereas performing radiation and chemotherapy on the identical time.

Since then, most cancers metastasis had progressed, and the medical employees at S Hospital had decided that it was not treatable. Transferred to the most cancers heart of the hospital.

Behind Min Bo-Hoon, who was filling out a chart with a board marker, there have been a variety of college members from the Division of Pancreatic Surgical procedure.

“That is the overview of the mixed surgical procedure. When performing surgical procedure that inevitably causes extreme bleeding on one facet, the opposite group must sustain the tempo. The chance of sufferers who must open their stomach and mind on the identical time relies upon solely on this.”

Kim Byung-seop, the top of the hospital’s pancreatic surgical procedure clinic, who was wanting on the data on Min Bo-hoon introduced, spoke up.

“Professor Min. Very important care is unattainable in an surprising scenario the place either side have main bleeding. Why do not you attempt step-by-step collaboration surgical procedure to complete one facet and function the opposite facet?”

“In the event you attempt to take away it individually, the affected person should endure a state of vastly weakened immunity in the course of the hiatus in between. Most cancers cells usually tend to unfold all through the affected person’s physique.”

“That is stage 4 liver most cancers. Is not it a life-long surgical procedure at finest? Does the affected person must threat his or her life merely to cut back the surgical procedure to 5 hours?”

“We’re on the lookout for a treatment. The affected person additionally agreed to take dangers.”

“Fully cured? Are you able to try this?”

“Younger age. Resistant tumor. Immunity. This affected person is a really uncommon case.”

“What did the oncologist say?”

Kim Byung-seop appeared across the workplace and requested.

“Wait. Why are we the one ones discussing such a troublesome surgical procedure?”

Hong Yoo-sun, who was standing quietly subsequent to the door, answered this query as a substitute.

“Tumor inside medication is lacking from the high-level most cancers surgical procedure group.”

“They’re leaving? Chief Hong, How does that make sense? How will you contact a number of cancers with out a session? In the event you do that, aren’t you sending the ace of our division to a dead-end?”

“I simply revered the ace’s opinion.”

Kim Byung-seop turned to Min Bo-hoon.

“What? How may you resolve to do that?”

“We now have no selection however to affix fingers with neurosurgery to function on this affected person correctly. The oncologist mentioned he would depart as a result of he could not tolerate that half.”

“You bought the way forward for the most cancers surgical procedure group for only one affected person cooperation? Professor Min, are you loopy?”

“I do not assume it is but to be concluded whose future has been bought.”

“I am going to speak to Lee Ki-chul, so let’s depart this cooperation. This is not how we must always do that. I heard that S hospital additionally gave up on this affected person.”

Min Bo-hoon shook his head firmly.

“No. There’s not a lot time left till the surgical procedure is viable.”

“Who did you maintain your fingers with? And. How come neurosurgery did not even present up on the preoperative assembly? Who’s the collaborator?”

“It’s Park Dowook, and I received a name that he can be late for about 5 minutes as a result of surgical procedure of a affected person carried in at evening.”

Rattle.

“Sorry!”

The workplace door opened and Dowook, dressed as if he had simply run out of the working room, entered. The blood splattered round his eyes instructed of the working room’s wrestle.

Kim Byung-seop’s sharp gaze was targeted on Dowook who was catching his breath.

“I puzzled who it was, and it was Choi Hoo’s child, Park Dowook.”

“Whats up, sir.”

“Okay. You are the neurosurgery consultant, proper? Are you right here alone?”

“Uh… Sure.”

“Oh, my.”

Whereas Kim Byung-seop swallowed a sigh, Dowook stood subsequent to the whiteboard. And he briefly apologized to Min Bo-hoon for being late.

“How far did you get?”

“I used to be speaking in regards to the define of the surgical procedure.”

“No. Professor Min was avoiding answering my query.”

Kim Byung-seop, who intervened on this dialog, requested Dowook.

“Dr. Park. That is an try and cope with each the stomach and the mind on the identical time. Irrespective of how nicely the 2 elements work collectively, sudden bleeding at all times happens. Professor Min did not point out the countermeasures. Are you going to do the identical? Then, this may be very suicidal.”

Dowook had rushed from the working room, however as quickly as he got here, steady criticism flew in. Dowook was slightly understanding of Dr. Gu’s ache, who he’s known as down consecutively yesterday.

“I agree along with your opinion that sudden bleeding can’t be prevented.”

“However you are still going to do the surgical procedure? I heard there will likely be two most important surgeons, and it appears they’re each out of their minds.”

Dowook felt that not solely Chief Kim Byung-seop but in addition the opposite professors’ eyes weren’t good so he checked out Min Bo-hoon and requested in a small voice.

“Did I miss something? Everybody just isn’t offended due to my tardiness, are they?”

“It could be due to the information that the oncology division refused to cooperate.”

“Oh, inside medication. Is it the identical right here?”

Following outpatient clinics and emergency rooms, to the most cancers heart. The test gave the impression to be ongoing.

“Professor Min, maintain on. The board marker.”

Dowook spoke whereas including to the outline of the surgical course of on the whiteboard.

“I am not saying I am going to do that operation with none measures. We are going to trigger synthetic mind loss of life to extend the response time at each bleeding second.”

Kim Byung-seop’s eyes widened when he heard the phrases “synthetic mind loss of life.”

“What?”

Dowook wrote down the mechanisms corresponding to inhibiting neurotransmitters that triggered mind harm, defending blood vessel obstacles, and reducing mind stress, after which tapped the whiteboard.

“Low physique temperature remedy. Additionally known as “coma remedy.”

Everybody was buzzing, however Hong Yoo-sun, head of the middle, who was standing nonetheless, raised her hand and requested.

“Have you ever ever had most cancers surgical procedure that added this type of remedy?”

“There are various mind tumors alone. Professor Choi additionally did it twice previously. Nevertheless, the liver has no instances in Korea, as soon as at Hansnipper Hospital in Germany, and twice at Mayo Clinic in america. After all, contemplating resistant tumors, will probably be the world’s first case.”

For the primary time on the earth.

The glory of setting a precedent for surgical procedure that others would cite, which might emerge because the primary search phrase on the worldwide medical portal.

The eyes of the hostile college became eyes of aspiration without delay. Sensing the power, Hong Yoo-sun slowly smiled.

Dowook returned the board marker to Min Bo-hoon and spoke shortly.

“It is not a straightforward operation, however we additionally want assist from two assistants within the excerpt half. Let’s resolve shortly and proceed the assembly. Who needs to take part?”

All of the professors raised their fingers.

Chief Kim Byung-seop, who learn the define of the surgical procedure on the whiteboard once more, coughed in useless. The findings of neurosurgery cooperation had been flawless.

It was doable to deal with the bleeding scenario, which was judged to be probably the most deadly.

Park Dowook, who made unconventional proposals casually, gave the impression to be unshakable.

Kim Byung-seop pretended to cowl his coughing mouth along with his hand and slowly lifted it up.