Chapter 251
Episode 251. Wrapping Up (1)
"Training? What kind of training at all?"
I was dumbfounded. What was this sudden talk about training?
ㄴ Korean Slave 1 (Male): What training?
ㄴ Mes of the God (Male): This is punishment for delivering the baby without our possession or help!!!
I couldn't help but feel even more flustered by that response. It would be a different story if they said training was necessary for another case or a patient case where I had recently experienced major ups and downs. It was a fact that the ghosts' teachings were of great help to me.
However...
"There shouldn't be anything to train for regarding a PMCD, right?"
The mother was saved, and the baby was saved. The PMCD ended successfully, so what kind of training were they suddenly proposing?
"Ah, could it be that?"
A rational suspicion crossed my mind that rather than taking issue with the process from delivering the baby to achieving ROSC as the mother’s pulse returned, they were trying to find fault with the subsequent re-bleeding process. The comment I left in the Gallery earlier felt like it had been explained a bit too simply. Perhaps because I skipped over the management of the re-bleeding too briefly, Mes of the God might have missed it, or he might have forgotten it even if he did see it.
Thinking that way, I was about to reply to let him know about the packing. However, my mindset was shattered into pieces before long.
ㄴ Mes of the God (Male): Didn't you say you did packing?
"What, you already know?"
If so, what at all were they trying to train for? What was wrong with packing? Shouldn't they be complimenting me instead?
"Even though you know I packed it, what at all do we need training for?"
ㄴ Korean Slave 1 (Male): Yeah, yeah, yeah, yeah, yeah, yeah, I packed it because the bleeding burst again after the mother achieved ROSC.
I left a reply filled with as much annoyance and unfairness as possible.
ㄴ Mes of the God (Male): Why didn't you do clamping?
?
I could only tilt my head askew at that comment left by Mes of the God. No, what is this sound, you damn old gentleman? There was an obstetrician present, so why would I do clamping?
ㄴ Mes of the God (Male): Clamping special training period starts now.
ㄴ Operating Room Ghost 3 (Male): Lmfaoooooooooooooooo
ㄴ Thoracic Surgery Old Timer: This is malicious.
"Ah."
Only then could I realize the true intention of that bastard Mes of the God. This ghost guy. Because I performed the PMCD so close to the textbook, he couldn't find anything to criticize, but he just wanted to roll me around somehow.
"Sigh."
He could have just told the truth, but why did he have to drag me down by even asking why I didn't do clamping?
ㄴ Korean Slave 1 (Male): ???
I just... decided to go along with these ghosts' play.
"Well, it has been quite helpful."
And it wasn't long after that I came to regret that decision.
"Yaaawn..."
Today, without fail, I arrived at the usual place. Exactly where? The hospital.
"Damn it."
At this beautiful time when the sunset was gradually fading and the sky looked yellowish, why was I entering the Emergency Medical center building? The answer to that question was very simple. Because I am a doctor. Damn it.
"Hello. Good evening, everyone~"
As I entered the Emergency Room and greeted the triage nurses, they greeted me back warmly.
"Are you going to work, Teacher Han?"
"Yes, yes. It's the night shift today."
One nurse nodded with a pitiful smile.
"Then have a hard work."
"Yes, you too, teachers."
When I tagged my employee ID on the side of the automatic door, the door opened.
[The entrance door is opening.]
Zzzzz-ing-
As soon as I opened the door and stepped inside, the one in my eyes was, as expected, my junior Kim Jihun (Male).
"What's up~"
At my friendly approach, Kim Jihun (Male) pushed me away in horror. The subtly furrowed brow was a bonus.
"What is this? What's wrong with you today?"
"What is what, you punk."
"You seem out of your mind today of all days."
This guy really wants to get hit.
"Just hand over the shift quickly and go home, this person."
"You know Bed B-4, right?"
Kim Jihun (Male) started handing over the shift while tapping the monitor.
"Yeah."
"They said they've had diarrhea since yesterday. Vomiting, diarrhea, nausea, they have it all. There's neither tenderness nor rebound tenderness. There are no specific findings on the lab, so for now, we're keeping an eye on them while hydrating with IV normal saline."
Hm. It was just a typical case of enteritis.
"We can just give them stomach medicine and send them home."
"Yeah, and for B-15, the chief complaint came in as... abdomen pain. Right lower abdomen."
Right lower abdomen?
"If it's like this, usually it's appendicitis, after all."
Of course, there were quite a few things to check, such as whether there was rebound tenderness or pain when pressed, but if they complained of severe pain in the right lower abdomen, the probability of what we commonly call appendicitis goes up.
"Did the CT go out?"
"Of course. It looks like acute appendicitis, so I put in a GS consultation. We're waiting while giving antis. The lab hasn't slashed significantly yet, and the vitals are fine, so just monitor them well."
"Okay~ Good job."
With that, Kim Jihun (Male) and I said bye-bye while exchanging mutual middle fingers, the symbol of friendship and true besties.
Today's duty section consisted of 1st Year Jeong Seungrok, 2nd Year Yun Taehyun, 4th Year Han Hyeonjae (Male), and staff Lee Minjae (Male). Having just heard the handover details and Jeong Seungrok's briefing, I was expecting that today would not be peaceful either, but...
"Hyeonjae!! The shaman of our emergency room! Long time no see! Have you been well?"
Looking at Lee Minjae (Male) approaching brightly, I furrowed my brow.
"Why is this person working with me today too?"
In fact, it wasn't that I met Lee Minjae (Male) on duty often recently. But the reason I said "today too" was just because it felt like my duty overlapped with that gentleman mainly on days that were uniquely tiring...
"Whenever I meet that gentleman, my energy drains."
In my judgment, Lee Minjae (Male) was definitely an extreme E. I felt like I was somewhere between a moderate E and an I, not an extreme E.
"Hello, Professor."
As I greeted him, Lee Minjae (Male) sat down with a smile.
"Right. Anything special?"
At Lee Minjae (Male)'s question, I clicked the computer and replied. Time to gradually get to work.
"Nothing. But earlier, Seungrok said an old lady was coming from a nursing home who needs to be ruled out for sepsis."
"What kind of patient?"
Looking at the monitor, I started delivering information.
"From around this evening..."
"When is around evening?"
Lee Minjae (Male) turned to me with an unsatisfied face and asked.
"I don't know. The onset time isn't in the chart..."
"They worked sloppily..."
I internally agreed with those words and continued the briefing.
"Anyway, it could be due to UTI or aspiration pneumonia. It's not shock yet, but the vitals are bad. If you look here..."
I pointed to the patient's vital records from the nursing home before the transfer started.
"We'll have to decide whether to catch a line and give IV fluid as soon as they arrive and start norepinephrine."
"Yes, yes."
11:24 PM.
The old lady from the nursing home also finished her treatment in the Emergency Room and went up to the internal medicine intensive care unit. The regional emergency medical center was also in a state of relative peace.
"You sons of bitcheeees-!!!"
"Patient, please don't yell~"
Well. Let's just say this was also a part of a peaceful scene. Surprisingly, this was the scene of regional and local emergency medical centers located all over the country. Stop coming, drunks. Go home and sleep.
"Teacher Han."
Not long after, a nurse urgently sought me out.
"What is it?"
"You know that patient in Bed B-11."
I opened that patient's chart. Hm. It was that gentleman who was making a scene earlier.
"The patient keeps self-removing the IV line. They keep yelling and making a scene."
It meant the drunk patient kept removing the intravenous injection line inserted in their wrist by themselves. This was a really bad sign.
"Did you call the security guard?"
One of the essential personnel for maintaining an emergency room. Exactly the cleaning lady and the security guard. This time, the latter was needed. The lady's back smash was painful, but I didn't know if it would be effective against a drunkard.
"Even when we call them, they are reckless."
"Um... I'll check the chart and do an arbitrary discharge if it's okay. Tell the security guard to call the police. We should transfer them to a drunkard emergency center or something."
"Yes, yes. I will do that."
Sigh. This damn emergency room never has a quiet day.
It was not long after that drunkard incident.
"Teacher Han."
A nurse sought me out again. It was already around 12 o'clock, the time when I should go into the duty room, tuck myself in, and get 3 hours of sweet sleep. To try to give me something to handle at this hour.
"Yes?"
Hiding such a desire to rest as much as possible, I calmly put on a straight face and replied.
"It's an acute psychosis patient. They are saying admission is not possible because our closed ward is full..."
"Did the 119 ask us to accept them?"
"Yes."
Hm. I walked over to the station phone and picked up the handset.
"Yes, this is the on-duty doctor at Cheongjin University Hospital Emergency Room."
[Ah, yes! This is the Dongnae Sajik ambulance crew.]
The urgent voice of the ambulance crew was heard.
"Yes, yes, go ahead."
[The patient is seeing hallucinations and complaining of paranoia while running wild, you see?]
Hallucinations and paranoia. Was it a psychiatric emergency disease? I checked the remaining beds in our hospital's psychiatric ward and replied.
"Yes, yes."
[For now, there are empty medicine wrappers, and they also did vomiting. Substance-induced psychosis is suspected.]
"Just a moment, Boss."
Click-
I clicked the e-gen message.
[Neuropsychiatry] Acceptable after consultation with the on-duty doctor.
Okay. I immediately called the psychiatric duty room with the call phone.
"Teacher. I am Han Hyeonjae (Male), a 4th-year resident in emergency medicine..."
...
...
[If so, please see them in the ER first, and contact us if consultation or emergency hospitalization is needed. What about the guardian?]
"Teacher Yun. What about the guardian?"
"They said they are in the ambulance."
"They say they are there."
[Ah, then I understand... Just give us a consultation later, and we will head down.]
"Yes, yes, understood~"
Thanks to the psychiatric resident on duty who cooperated actively. Well, I didn't know if "thanks to" was the right expression. Anyway, we became able to receive the patient.
"And one more important fact."
I turned my head and looked at the clock. It was time to go to sleep. Since Lee Minjae (Male), who was a staff member, was on duty now anyway, and Yun Taehyun, who was taking over, belonged to a quite smart side, nothing major would blow up. The treatment that could be given to an acute psychosis patient was limited too.
"Oh? Teacher Han, are you going in now..."
Just then, my eyes met Yun Taehyun, who had just come out after a sound sleep. He was just about to come out.
"Uh, yeah. Did you sleep well?"
"Yes, I did..."
With that, Yun Taehyun, who came out of the duty room, and I safely started the shift handover.
"Taehyun. If you look at this here, it's a suspected acute psychosis, and it's suspected that they overdosed on cold medicine, and there was also vomiting..."
Look at him not paying attention.
"Taehyun. You're listening, right? You're staying sharp, right? Since it's a first-episode psychosis, rule out organic causes first before seeing the psychiatric consultation. Huh?"
Well. Surely the shift handover was completed safely.
After waking up from about an hour of peaceful sleep in the duty room, I fell into deep thought.
"Should I just go back to work now?"
There were still two hours left during which I could sleep, but there was a somewhat uneasy feeling. In the first place, I had unintentionally become a bit of a workaholic...
Since my condition was good, waking up now to build a better image would only be a plus, not a minus.
The moment I decided that way and opened the door.
Whoosh-
"Patient seizure!"
"Uh, please check vitals! Quickly!"
"..."
I froze right there.
"Should I just close the door again?"