#110 A Stroke of Luck at the Summer Sea (13)
“Clamp, please.”
A clamp. Just like the name suggests, it’s a type of clip.
Compared to the urgency of the situation, Seon-han’s request was for a very simple tool.
Then, Chief Kim Gi-hoon couldn’t stand it any longer and intervened.
“No, the patient’s heart rate is up to 120 now, what are you doing! Did you even insert it correctly?! Maybe you put it in too deep and touched something…”
He flinched.
The chief suddenly stopped talking.
Seon-han seemed to be speaking with his eyes above the mask.
Then, Teacher Pung spoke as if to dissuade him.
“Let’s watch for now.”
“No, this isn’t a situation where we can just watch…”
Chief Kim Gi-hoon’s face turned red, as if he was angry.
However, he couldn’t yell any more in front of the patient.
However, his expression clearly showed that he wanted to scold Shin Seon-han for not following his orders.
‘Okay, let’s see how well you do judging as you please,’ he thought.
Thinking that way, he just watched Seon-han’s actions.
“Clamp here!”
Soon, the emergency medical technician handed the clamp on the tray to Seon-han.
Then, Seon-han clamped the tube connecting the chest tube and the chest bottle.
This is the same as not connecting the tube.
In other words, air no longer escapes from the chest.
“No, what are you doing, putting in the tube and then locking it again?! We need to apply suction to get the air out quickly…”
Chief Kim Gi-hoon tried to intervene again.
However, something unexpected happened.
“Heart rate is dropping little by little and seems to be returning to normal!”
The EMT [Emergency Medical Technician] watching shouted.
The patient, who had been coughing painfully, now looked much more stable.
Everyone was speechless at the unexpectedly simple and easy solution.
“Um… Doctor, there’s no problem, right…?”
As his breathing stabilized, patient Seong Sang-hyeon cautiously raised his eyes and looked at Shin Seon-han.
It seemed he felt uneasy because the surroundings had suddenly become noisy and chaotic.
Then Seon-han replied in a kind voice.
“I’ll watch you as you take slow, deep breaths. Because the pneumothorax [collapsed lung] was so severe, we’re going to control the speed at which you return to normal.”
After saying that, Seon-han said to the emergency medical technician.
“Call for a portable X-ray.”
Seon-han calmly instructed.
Afterwards, the X-ray confirmed that the chest tube was inserted without any problems.
Seon-han watched the patient’s condition and adjusted whether to open or close the chest tube.
Meanwhile, Teacher Pung was watching this entire process with interest.
* * *
It stings.
What stings, you ask?
It’s the gaze of Chief Kim Gi-hoon watching me.
In the treatment room where there were no patients around, I was called out separately and scolded.
“You inserted a chest tube without my permission? On a patient I told you to transfer?!”
It was the expected reprimand.
I had already thought about how to answer.
I put my hands together as politely as possible and answered.
“I’m sorry. But the patient’s oxygen demand suddenly increased, and blood pressure suddenly dropped from the 130s to the 80s.”
“What?”
“So, treatment was absolutely necessary.”
I told the truth.
Then the chief’s anger subsided somewhat.
If the vital signs of a tension pneumothorax patient were fluctuating, it was clear that the situation was urgent.
“So, I remembered what you said earlier about inserting a chest tube, and I proceeded with the procedure.”
His face turned red at my words.
“No, I just meant it as an example. How could you actually insert a chest tube…!”
Then Teacher Pung came into the treatment room and said.
“Now, now, I’ll scold the presumptuous intern, so Mr. Kim, please go home.”
“Should I… should I do that?”
“Today is your wife’s birthday, right? If you’re late, the bakery will close and you won’t be able to buy a cake.”
“Ah, that’s right.”
“If you don’t buy a cake on a day like today, you’ll be tormented all year long! Hurry up!”
Thump, thump.
Teacher Pung pushed him on the back.
Mr. Kim Gi-hoon almost forcibly left the treatment room, pointing his finger at me.
“That, that guy is an intern, but he’s completely fearless. Teacher Pung, please give him a good scolding!”
“Yes, yes.”
Teacher Pung pushed Kim Gi-hoon out, and then came back to the treatment room and faced me.
And then, the words that came out of his mouth were unexpected.
“Tsk tsk. Anyway, Mr. Kim is a complete scaredy-cat. What’s the big deal about an intern inserting a chest tube!”
Teacher Pung seemed to like my judgment after all.
No, he was even more extreme.
He looked at my face, crossed his arms, and said.
“What are you looking at, you rascal? When I was an intern like you, I inserted chest tubes in the emergency room and dragged them straight to the operating room.”
As he said that, his exaggeration grew worse.
“If the professor was late, I would just do the surgery myself.”
“That’s a bit…”
The lies are too much.
What kind of intern does surgery?
As soon as he opens his mouth, lies come out automatically.
Teacher Pung laughed and asked me a question.
“By the way, I was watching earlier and I was curious about something. You asked for a clamp in the middle, right?”
“Yes.”
“Did you know what you were doing and take action? Or did you just shut it off because you thought there might be a problem?”
Teacher Pung’s expression as he asked that was meaningful.
I answered simply.
“I was worried about pulmonary edema [fluid in the lungs].”
Pulmonary edema.
In simple terms, it means the lungs get wet.
The lungs are basically tissues that need to be dry to function properly.
But what if these lungs get wet?
It won’t function properly.
It is natural for the patient to have difficulty breathing.
“Oh, you thought of pulmonary edema in that situation and took action?”
Teacher Pung admired.
How could I think of this so quickly?
Because I learned from a good teacher.
Two months ago.
Teacher Song Yu-ju taught me what to watch out for in the case of Yang Song-i, the patient in whom I inserted a chest tube.
Song Yu-ju looked at me coldly.
No, I might not know, geez.
Aren’t you expecting too much from an intern?
Anyway, Song Yu-ju explained it to me in detail.
Song Yu-ju was a good teacher.
When teaching something, the explanation was intuitive.
I nodded.
Song Yu-ju’s explanation continued.
Song Yu-ju’s trademark.
She says terrifying things without even flinching.
After that, I studied in detail so that Song-i would not experience such symptoms.
At that time, I also paid attention to how to expand the lungs so that pulmonary edema would not occur.
The method was surprisingly simple.
It’s a problem because it expands too quickly?
Then expand it slowly!
It was a simple treatment, but the effect was certain.
“Instead of expanding the lungs through suction, I clamped the chest tube and allowed the lungs to expand slowly.”
Teacher Pung nodded after listening to my explanation.
“You learned well.”
“Then are you going to teach me suture [stitches]?”
“Not yet. You still have a long way to go before you can be taught my skills. Get stronger and come back.”
Teacher Pung laughed like a martial arts master.
“Anyway, watch the patient for about 30 minutes and send them to Gokdam General Hospital!”
“Yes, I understand.”
After a while, I returned to the station and thought.
‘My ability helped again this time.’
What if I hadn’t seen the future through my ability?
I definitely wouldn’t have been able to respond calmly.
I probably would have been embarrassed and not known what to do.
If I wasn’t careful, the patient could have been in a dangerous situation where they had to undergo intubation [insertion of a breathing tube].
‘Should I be grateful?’
While I was thinking that, Geun-wook suddenly came to my side and put me in a headlock.
“Hey, do you feel relieved because you do whatever you want?”
“Yeah.”
Geun-wook gritted his teeth at my nonchalant answer.
“Ugh, I can’t live a full life if I’m next to you. Can’t you just live a normal life?”
I guess so.
At first, I also wanted to spend a normal intern life.
But someone keeps showing me the future.
It feels like they’re trying to trick me, and it feels like they’re helping me.
Anyway, they are constantly putting me in a test.
* * *
A few days later.
Our intern life at Gokdam Emergency Room was also passing a week.
And there was a small change in the emergency room.
“Good morning.”
“Oh, Yeon-seo. Was there anything special yesterday… wait. What is all that?”
Morning shift change time.
Geun-wook and I were surprised while receiving the shift report.
Because there were so many tangerines piled up in the station.
Where did they all come from?
So-dam answered, stuffing her cheeks full of tangerines.
“You know the patient who had sutures on his forehead from Teacher Jangpung last time, right?”
“Yeah.”
“That patient brought them last night. He said thank you for stitching him up well so that the scar wouldn’t be visible.”
No…….
Even so, there are too many.
Is the tangerine hell after the ginseng candy?
It’s enough for the emergency room staff to eat for a whole month to barely get rid of it.
“Why did you get so many tangerines in the summer?”
“I heard the patient’s father was a tangerine farmer.”
While we were chatting, Teacher Pung, who was on night duty, walked out of the duty room and said.
“So I thought about it last night. A way to get rid of those tangerines effectively.”
What are you going to say again?
We already knew that 80% of the sounds coming out of Teacher Jangpung’s mouth were nonsense.
And because of his unique informal personality, we were getting along intimately, transcending age.
“Let’s see… this much would be appropriate.”
Teacher Pung picked up a tangerine and started peeling it.
He tore it into about four pieces and handed it to me.
“Here.”
“Thank you for the food.”
“Who told you to eat it, you rascal?”
Teacher Pung gave me a hard time and said.
“You said you wanted to learn suture from me, right?”
“Yes.”
“Then suture this tangerine peel and restore it to its original state.”
“Yes?”
My eyes widened.
I thought I heard wrong.
He’s telling me to sew up a fruit peel?