Medical Return
31 31. PK-Patient Killer (4)
“It's a fast-paced arrhythmia... Yes, Digoxin! Digoxin, please!! ”
“Yes!”
Medicines are always available in intensive care in case of this emergency.
The nurse quickly filled the syringe with a skilled move.
However, Jinhyun, who was locked in his thoughts, was surprised to see him.
It's usually the right drug choice, but it's not right for that patient right now.
“Sir, I suspect a delta wave in the shape of a heart rhythm. Digoxin can be dangerous, so what about type 1A drugs? ”
“What? Delta Wave? ”
Minho Seong blinked.
Jinhyun said in a hurry.
The patient's life is at stake.
“Giving digoxin to arrhythmias in patients with delta waves can be a big deal. Use type 1A medication. ”
“ ……. ”
However, I don't notice that Minho Seong didn't understand.
Although, the delta waves of the heart rhythm can be seen in books. Rare diseases are not easily discernible.
I wish Jinhyun hadn't met me when I was working at the previous Great Hospital.
At that time, I saved the patient with a cardiologist who made it really difficult.
Then the nurse shouted.
“Sir, your blood pressure is dropping! ”
His blood pressure, which was maintained at about 120 by the sprint of the heart, began to drop by twenty-two.
A panic cried out.
“Quickly give me the medicine!! Quickly!!”
“Yes!”
Jinhyun shouted in surprise.
“No!! ”
The nurse stopped in shock.
Minho was furious.
“What are you? Stay on student topics!! Quickly!! ”
“If you give me a digoxin when there is a Delta Wave……! ”
Jinhyun said in a hurry, but it was too late. The nurse took the pills.
‘Ah..! ’
Jinhyun was stunned.
I looked at the monitor's heart rhythm with a palpable heart.
After the medication is given, it usually shows a quick reaction.
Soon after, the heart rhythm changed.
That too is considered the worst.
“Eh…? ”
I groaned because Minho was dumb.
The heart rhythm shook like a whip. And like Noise, his heart rhythm fluctuated in chaos.
“Is this...? ”
At the same time, the monitor that showed blood pressure dropped to 100, 80, 60, 40, 20… and stopped at 0.
In less than a second, it was a change.
Jinhyun seemed to have a low head.
‘Damn it, damn it. ’
But there was no room for panic.
“V.FIB! Cardiac arrest! Bring me the electric shocker!! ”
After overcoming the dull complaint, Jinhyun went up to the patient's bed and began a heart massage.
The nurse screamed.
“Heart arrest, cardiopulmonary resuscitation!! Bring me the electric shocker!!! ”
The intensive care unit was in a mess.
Minho Seong lost his mind in Asura.
‘This, this..... ’
Other nurses brought an electric shocker in less than 10 seconds.
Jinhyun cried out during a heart massage.
“Sir, electric shock!! ”
“Uh, uh……. ”
However, the sensitivity was completely frozen and did not react.
‘Damn it..! ’
I didn't want to step up, but it wasn't a situation to pick.
If the heart stops and the brain doesn't bleed for 12 minutes, the patient's brain dies.
If you miss this moment, the patient will either die or become a living plant.
“Someone here needs a heart massage! ”
Jinhyun, who gave the nurse a heart massage, caught the electric shocker.
“Charge! ”
Cheers!!
Electricity was charged with a disturbing sound.
“Clear! Everybody fall!”
To avoid an electric shock, the nurses around him retreated heavily.
“Shock! ”
200 J of electricity crossed the heart.
All the rhythms of the heart were erased by electrical shock. Violent arrhythmias that paralyzed the heart were also swept away.
“Ah……. ”
And... tick. Tick.
As the drought sprouts, an electrical signal is generated one by one. It was the same normal rhythm as before.
“Ha.... ”
Jinhyun sighed.
The nurses also breathed relief.
“Ha, thank God. I thought the heart was really stopping. But the teacher...? ”
The nurses looked suspicious when they saw the progress. Who is this teacher?
“I'm a trainee.”
“Yes, a trainee? ”
The nurses looked unbelievable.
Jinhyun smiles bitterly and turns his head to Minho Seong, who is still dumb.
It wasn't over yet.
“Sir. Why don't you do a blood test or another test to find out why? There seems to be a higher probability of electrolytes in the body.... ”
“Ah... Ah! Well, yeah. ”
Only then did the sober Minho place an order.
Soon after, the late Chief Lee Junsung came and cleaned up the situation.
“Hey, man! What do you do if you give a degoxin to someone with a Delta Wave?!! Are you crazy?!”
“Sin, sorry. ”
He woke up fondly.
Seeing that, Jinhyun came out of the intensive care unit at the time of the sweep.
‘Oh, you can't be rumored. Why did you go out?’
But the patient tried to die in front of his eyes, and he couldn't get out.
* * *
It starts quickly with the hospital's work.
The next day, Jinhyun, who enrolled early for the practice, was called by the largest professor like dawn.
Jinhyun, I'm the biggest. Can you come to my room now?
It's only 6: 15 in the morning. What's going on? ’
Jinhyun frowned.
Is it because of the ICU patient the other day? ’
Anyway, he nods.
“Yes, I will go now. ”
Soon after arriving in the teaching room of the hospital, he found another guest.
It was the attending physician's complaint.
He bows his head with a contemplative face.
“I heard what happened yesterday. ”
As soon as I heard that, Jinhyun realized what was going on. Yesterday you called because of a patient in intensive care.
“I heard there was a bit of a problem with the patient's treatment... I called to check. ”
Minho Seong bowed even more.
It was a difficult arrhythmia, but what was clear yesterday was his mistake.
If Jinhyun hadn't gotten rid of it quickly, the patient would be dead.
“Can you tell me more about yesterday? ”
Choi said with cold eyes, unlike when he usually looked at Jinhyeon.
Warm to the patient, he was strict about the doctor's fault.
Jinhyun slowly opened his mouth.
“There was no particular problem. ”
“Yes?”
Professor Choi frowned slightly with a curious face.
“After Digoxin was given, there was a heart attack... but it's not really my fault. The Delta Wave wasn't clear at the time. ”
I looked back with surprise at Minho Seong.
At that time, Jinhyun accurately identified the Delta Wave. But Jinhyun was the same face as usual.
“Are you sure?”
“Yes.”
“Then what about the aftermath? I heard you had an electric shock. ”
“That's because there was only one doctor there at the time. You were in charge of the whole situation, and I just gave you an electric shock, as you instructed. ”
Minho's eyes trembled greatly. Jinhyun was protecting him now.
‘I kept being mean... This guy..... ’
Jinhyun smiled bitterly at Minho's eyes.
He's ugly and hateful... But he was dumb like that sometimes. No, there are times when all doctors are that immature, as well as Minho and Jin.
“Really?”
Jin-hyun nodded at the question as if questioned.
“Yes.”
Sharp tension poured into the faculty room.
But for a moment, Choi smiled softly as before.
“That's what you would do. You got it, Dr. Min. ”
“Yes, yes?! ”
“Good work yesterday. ”
“Yes, yes? Yes!! Thank you!! ”
In the words of praise I didn't think of, Choi Hyeong lowered his back.
Choi turned his head to Jinhyun.
“Well done, too. You must have been surprised in practice.”
Then he confronted Jinhyun.
“ ……! ”
The moment I saw those deep eyes, Jinhyun realized.
‘You know everything. ’
What kind of person is Professor Choi, and you probably didn't know yesterday?
After a thorough investigation, I will call them.
His eyes were saying:
I'll just move on. Good job.
Jinhyun was sweating. He hurriedly bowed his head.
“I'll be going now. ”
“Yeah, we'll eat soon enough. ”
I never wanted to eat, but Jinhyun nodded.
“Yes, thank you. ”
That's how he and Minho left the classroom, Choi said.
“You can't do that... but the doctor can't help but learn from the patient. Don't forget your sorry, endlessly sincere. It's the doctor's duty to look at the patient. ”
* * *
They rode an elevator to the ward. There were only two in the elevator this morning.
An awkward silence passed.
Until I went up from the fifth floor to the twelfth floor, I opened my mouth.
“Do you... do you smoke? ”
“I don't smoke now. ”
“Yes?”
Jinhyun said again quickly.
“But I love second-hand smoke. ”
At that time, Choi Hyeong had a ridiculous expression.
“Yeah, then let's go smoke for a while. ”
The entire building was headed to Raccoon Gull, a shelter for smokers within the hospital, a gold research station.
Of course, this is also a golden research station, but it's a place that the hospital knows and is blinding.
“Ha.... ”
Minho Seong sighed after exhaling deeply.
When the cigarette burned briefly, he turned to Jinhyun and suddenly bowed his head.
“Sir?”
“I'm sorry.”
“ ……! ”
“I'm so sorry. And... I really appreciate it. ”
It's a sincere voice.
Jinhyun smiled deeply.
“No, don't mind. ”
“No, I'm so sorry so far. I don't usually do that either... I'm busy, but I'm annoyed because I have a student. And I don't like kids who are good at studying before... Anyway, I'm really sorry. ”
Though I think it was a michael when I wasn't busy... Jinhyun nodded.
“No, you really don't have to care. ”
“Don't worry about the report I gave you. I'll give you a score of zero. ”
That's nice to hear.
“Thank you. Anyway, I'm fine, so don't mind. ”
“Thank you for saying that. ”
And Choi Hyeong, who raised his head, asked in a curious voice.
“But... let's ask one thing. ”
“Yes?”
“How could you do that yesterday? ”
Minho Seong recalled the previous day's work.
Now, the first student to practice at the hospital to deal with that?
He knows he has to give an electric shock when he has a heart attack.
But with embarrassing knowledge, he was unable to put his actions into practice.
Jinhyun pondered for a moment.
‘What do you say? ’
I couldn't say that I had lived the life of a surgeon before... I didn't really have anything to say.
“I learned it in a book. ”
“Really?”
Speaking of which, he decided to be audacious.
“Yes, I really learned it in a book. ”
“... a monster. ”
Minho Seong tongued with an unreliable expression.
If Jinhyun's words are true, he really is one of the monsters.
* * *
That's how the internal medicine practice went.
Soon after, Jinhyun witnessed a remarkable scene in the ward.
A patient who had a problem in the intensive care unit was walking through the ward.
‘Ah... You're better. ’
At that time, Jinhyun advised to carefully drain the water from the lungs, and as a result, several systemic conditions seemed to have improved.
The patient was smiling with a handsome face.
Seeing that laugh, Jinhyun felt an unexplained feeling in his chest.
Its emotional identity was rewarding, which could not be bought with money.
But Jinhyun pretended not to know his feelings.
‘That's it. Last life is enough. I'm gonna be a dermatologist. Now we don't have to go any further. ’
He made a commitment.
* * *
In the middle floor of the Korean medical school there was a floor reserved for professors.
Among them, a young professor took a short breath in a faculty room located in a good view.
“Hmm, I'm tired. ”
A face of thick lines that everyone likes. Lee Hye-mi and Lee Byung-soo were the youngest brothers and sisters.
Young and competent, he was always at work.
Even now, his desk seemed like a pile of paperwork to handle.
But despite his hard work, he didn't always lose his kindness, so he was impressed by his patients and colleagues.
It ranked first among the girls who came out of practice.
Knock, knock.
Someone tapped the visit.
“Yes, come in. ”
But he who opened the visit was unexpected.
It was a smooth face with a sharp line, a soft smile that was always on the edge of the mouth, and an idealist.
(Continued on next page)
“Yes!”
Medicines are always available in intensive care in case of this emergency.
The nurse quickly filled the syringe with a skilled move.
However, Jinhyun, who was locked in his thoughts, was surprised to see him.
It's usually the right drug choice, but it's not right for that patient right now.
“Sir, I suspect a delta wave in the shape of a heart rhythm. Digoxin can be dangerous, so what about type 1A drugs? ”
“What? Delta Wave? ”
Minho Seong blinked.
Jinhyun said in a hurry.
The patient's life is at stake.
“Giving digoxin to arrhythmias in patients with delta waves can be a big deal. Use type 1A medication. ”
“ ……. ”
However, I don't notice that Minho Seong didn't understand.
Although, the delta waves of the heart rhythm can be seen in books. Rare diseases are not easily discernible.
I wish Jinhyun hadn't met me when I was working at the previous Great Hospital.
At that time, I saved the patient with a cardiologist who made it really difficult.
Then the nurse shouted.
“Sir, your blood pressure is dropping! ”
His blood pressure, which was maintained at about 120 by the sprint of the heart, began to drop by twenty-two.
A panic cried out.
“Quickly give me the medicine!! Quickly!!”
“Yes!”
Jinhyun shouted in surprise.
“No!! ”
The nurse stopped in shock.
Minho was furious.
“What are you? Stay on student topics!! Quickly!! ”
“If you give me a digoxin when there is a Delta Wave……! ”
Jinhyun said in a hurry, but it was too late. The nurse took the pills.
‘Ah..! ’
Jinhyun was stunned.
I looked at the monitor's heart rhythm with a palpable heart.
After the medication is given, it usually shows a quick reaction.
Soon after, the heart rhythm changed.
That too is considered the worst.
“Eh…? ”
I groaned because Minho was dumb.
The heart rhythm shook like a whip. And like Noise, his heart rhythm fluctuated in chaos.
“Is this...? ”
At the same time, the monitor that showed blood pressure dropped to 100, 80, 60, 40, 20… and stopped at 0.
In less than a second, it was a change.
Jinhyun seemed to have a low head.
‘Damn it, damn it. ’
But there was no room for panic.
“V.FIB! Cardiac arrest! Bring me the electric shocker!! ”
After overcoming the dull complaint, Jinhyun went up to the patient's bed and began a heart massage.
The nurse screamed.
“Heart arrest, cardiopulmonary resuscitation!! Bring me the electric shocker!!! ”
The intensive care unit was in a mess.
Minho Seong lost his mind in Asura.
‘This, this..... ’
Other nurses brought an electric shocker in less than 10 seconds.
Jinhyun cried out during a heart massage.
“Sir, electric shock!! ”
“Uh, uh……. ”
However, the sensitivity was completely frozen and did not react.
‘Damn it..! ’
I didn't want to step up, but it wasn't a situation to pick.
If the heart stops and the brain doesn't bleed for 12 minutes, the patient's brain dies.
If you miss this moment, the patient will either die or become a living plant.
“Someone here needs a heart massage! ”
Jinhyun, who gave the nurse a heart massage, caught the electric shocker.
“Charge! ”
Cheers!!
Electricity was charged with a disturbing sound.
“Clear! Everybody fall!”
To avoid an electric shock, the nurses around him retreated heavily.
“Shock! ”
200 J of electricity crossed the heart.
All the rhythms of the heart were erased by electrical shock. Violent arrhythmias that paralyzed the heart were also swept away.
“Ah……. ”
And... tick. Tick.
As the drought sprouts, an electrical signal is generated one by one. It was the same normal rhythm as before.
“Ha.... ”
Jinhyun sighed.
The nurses also breathed relief.
“Ha, thank God. I thought the heart was really stopping. But the teacher...? ”
The nurses looked suspicious when they saw the progress. Who is this teacher?
“I'm a trainee.”
“Yes, a trainee? ”
The nurses looked unbelievable.
Jinhyun smiles bitterly and turns his head to Minho Seong, who is still dumb.
It wasn't over yet.
“Sir. Why don't you do a blood test or another test to find out why? There seems to be a higher probability of electrolytes in the body.... ”
“Ah... Ah! Well, yeah. ”
Only then did the sober Minho place an order.
Soon after, the late Chief Lee Junsung came and cleaned up the situation.
“Hey, man! What do you do if you give a degoxin to someone with a Delta Wave?!! Are you crazy?!”
“Sin, sorry. ”
He woke up fondly.
Seeing that, Jinhyun came out of the intensive care unit at the time of the sweep.
‘Oh, you can't be rumored. Why did you go out?’
But the patient tried to die in front of his eyes, and he couldn't get out.
* * *
It starts quickly with the hospital's work.
The next day, Jinhyun, who enrolled early for the practice, was called by the largest professor like dawn.
Jinhyun, I'm the biggest. Can you come to my room now?
It's only 6: 15 in the morning. What's going on? ’
Jinhyun frowned.
Is it because of the ICU patient the other day? ’
Anyway, he nods.
“Yes, I will go now. ”
Soon after arriving in the teaching room of the hospital, he found another guest.
It was the attending physician's complaint.
He bows his head with a contemplative face.
“I heard what happened yesterday. ”
As soon as I heard that, Jinhyun realized what was going on. Yesterday you called because of a patient in intensive care.
“I heard there was a bit of a problem with the patient's treatment... I called to check. ”
Minho Seong bowed even more.
It was a difficult arrhythmia, but what was clear yesterday was his mistake.
If Jinhyun hadn't gotten rid of it quickly, the patient would be dead.
“Can you tell me more about yesterday? ”
Choi said with cold eyes, unlike when he usually looked at Jinhyeon.
Warm to the patient, he was strict about the doctor's fault.
Jinhyun slowly opened his mouth.
“There was no particular problem. ”
“Yes?”
Professor Choi frowned slightly with a curious face.
“After Digoxin was given, there was a heart attack... but it's not really my fault. The Delta Wave wasn't clear at the time. ”
I looked back with surprise at Minho Seong.
At that time, Jinhyun accurately identified the Delta Wave. But Jinhyun was the same face as usual.
“Are you sure?”
“Yes.”
“Then what about the aftermath? I heard you had an electric shock. ”
“That's because there was only one doctor there at the time. You were in charge of the whole situation, and I just gave you an electric shock, as you instructed. ”
Minho's eyes trembled greatly. Jinhyun was protecting him now.
‘I kept being mean... This guy..... ’
Jinhyun smiled bitterly at Minho's eyes.
He's ugly and hateful... But he was dumb like that sometimes. No, there are times when all doctors are that immature, as well as Minho and Jin.
“Really?”
Jin-hyun nodded at the question as if questioned.
“Yes.”
Sharp tension poured into the faculty room.
But for a moment, Choi smiled softly as before.
“That's what you would do. You got it, Dr. Min. ”
“Yes, yes?! ”
“Good work yesterday. ”
“Yes, yes? Yes!! Thank you!! ”
In the words of praise I didn't think of, Choi Hyeong lowered his back.
Choi turned his head to Jinhyun.
“Well done, too. You must have been surprised in practice.”
Then he confronted Jinhyun.
“ ……! ”
The moment I saw those deep eyes, Jinhyun realized.
‘You know everything. ’
What kind of person is Professor Choi, and you probably didn't know yesterday?
After a thorough investigation, I will call them.
His eyes were saying:
I'll just move on. Good job.
Jinhyun was sweating. He hurriedly bowed his head.
“I'll be going now. ”
“Yeah, we'll eat soon enough. ”
I never wanted to eat, but Jinhyun nodded.
“Yes, thank you. ”
That's how he and Minho left the classroom, Choi said.
“You can't do that... but the doctor can't help but learn from the patient. Don't forget your sorry, endlessly sincere. It's the doctor's duty to look at the patient. ”
* * *
They rode an elevator to the ward. There were only two in the elevator this morning.
An awkward silence passed.
Until I went up from the fifth floor to the twelfth floor, I opened my mouth.
“Do you... do you smoke? ”
“I don't smoke now. ”
“Yes?”
Jinhyun said again quickly.
“But I love second-hand smoke. ”
At that time, Choi Hyeong had a ridiculous expression.
“Yeah, then let's go smoke for a while. ”
The entire building was headed to Raccoon Gull, a shelter for smokers within the hospital, a gold research station.
Of course, this is also a golden research station, but it's a place that the hospital knows and is blinding.
“Ha.... ”
Minho Seong sighed after exhaling deeply.
When the cigarette burned briefly, he turned to Jinhyun and suddenly bowed his head.
“Sir?”
“I'm sorry.”
“ ……! ”
“I'm so sorry. And... I really appreciate it. ”
It's a sincere voice.
Jinhyun smiled deeply.
“No, don't mind. ”
“No, I'm so sorry so far. I don't usually do that either... I'm busy, but I'm annoyed because I have a student. And I don't like kids who are good at studying before... Anyway, I'm really sorry. ”
Though I think it was a michael when I wasn't busy... Jinhyun nodded.
“No, you really don't have to care. ”
“Don't worry about the report I gave you. I'll give you a score of zero. ”
That's nice to hear.
“Thank you. Anyway, I'm fine, so don't mind. ”
“Thank you for saying that. ”
And Choi Hyeong, who raised his head, asked in a curious voice.
“But... let's ask one thing. ”
“Yes?”
“How could you do that yesterday? ”
Minho Seong recalled the previous day's work.
Now, the first student to practice at the hospital to deal with that?
He knows he has to give an electric shock when he has a heart attack.
But with embarrassing knowledge, he was unable to put his actions into practice.
Jinhyun pondered for a moment.
‘What do you say? ’
I couldn't say that I had lived the life of a surgeon before... I didn't really have anything to say.
“I learned it in a book. ”
“Really?”
Speaking of which, he decided to be audacious.
“Yes, I really learned it in a book. ”
“... a monster. ”
Minho Seong tongued with an unreliable expression.
If Jinhyun's words are true, he really is one of the monsters.
* * *
That's how the internal medicine practice went.
Soon after, Jinhyun witnessed a remarkable scene in the ward.
A patient who had a problem in the intensive care unit was walking through the ward.
‘Ah... You're better. ’
At that time, Jinhyun advised to carefully drain the water from the lungs, and as a result, several systemic conditions seemed to have improved.
The patient was smiling with a handsome face.
Seeing that laugh, Jinhyun felt an unexplained feeling in his chest.
Its emotional identity was rewarding, which could not be bought with money.
But Jinhyun pretended not to know his feelings.
‘That's it. Last life is enough. I'm gonna be a dermatologist. Now we don't have to go any further. ’
He made a commitment.
* * *
In the middle floor of the Korean medical school there was a floor reserved for professors.
Among them, a young professor took a short breath in a faculty room located in a good view.
“Hmm, I'm tired. ”
A face of thick lines that everyone likes. Lee Hye-mi and Lee Byung-soo were the youngest brothers and sisters.
Young and competent, he was always at work.
Even now, his desk seemed like a pile of paperwork to handle.
But despite his hard work, he didn't always lose his kindness, so he was impressed by his patients and colleagues.
It ranked first among the girls who came out of practice.
Knock, knock.
Someone tapped the visit.
“Yes, come in. ”
But he who opened the visit was unexpected.
It was a smooth face with a sharp line, a soft smile that was always on the edge of the mouth, and an idealist.
(Continued on next page)
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