Dr. Shin Seonhan: The Doctor Who Sees The Future [EN]: Chapter 155

#155 Happy Birthday (14)

36 hours.

The time remaining until the surgery.

This is the only chance to change this worst-case scenario.

At least before the conference where the professors gather tomorrow, I had to change something.

I returned to the station and started searching.

‘The moment the problem occurred in the future I saw was…….’

Typing, typing—

I was soon able to find a paper about the crisis situation after general anesthesia that the anesthesiology professor had mentioned.

‘Yes, the exact same situation described in this paper unfolds!’

One of the many risk factors that can occur during the delivery process of an Eisenmenger’s [a heart defect that causes abnormal blood circulation] mother.

The professors suspected it, but they probably didn’t know if this risk factor would actually occur.

Of course. Because they couldn’t see the future.

I, who saw the future, must somehow change their plan.

‘The problem is, how?’

An intern is at the bottom of the hospital.

Some doctors even use the old expression, ‘Interns are the 3 gods.’

A god of food when eating, a god of sleep when sitting down, and a god of X when working.

It’s a derogatory expression, so it’s not used now, but the perception of interns in the hospital hasn’t changed much.

In other words…….

—Professors, am I not right?

—Oh, you are right!

—Oh my, the intern’s insight is amazing! Let’s all do as the intern says!

……There’s no way that’s going to happen.

So, something is needed to change the flow of the professor’s meeting (discussion) even a little.

Something more influential than me.

‘What if it’s a resident instead of an intern?’

Resident.

Of course, they are also infinitely small beings in front of the professors.

But there is an essential difference.

Interns are like floating duckweed on the water, but from residents, they are officially ‘members of the organization.’

So, they are more likely to express their opinions than I am.

‘Okay, if I can’t do it, let’s try through someone else!’

I have a few people in mind right now.

“Okay, it’s worth a try.”

After organizing all my thoughts, I got up from my seat.

There is no time.

The decision will be made at the professor’s meeting tomorrow, so I have to move diligently before that.

* * *

9 PM.

I ran to the on-call room next to the thoracic surgery ICU first.

‘Thinking back to when I was an intern in thoracic surgery…….’

The thoracic surgery schedule just ended, so this is where she would be at this time.

“Teacher Song Yu-ju!”

Thud!

I barely made it.

I spoke to Teacher Song Yu-ju, who was opening the ICU door and heading to the elevator.

Then Song Yu-ju, who was in plain clothes, looked at me with a puzzled expression.

“What’s going on?”

It’s been a while since I’ve seen Teacher Song Yu-ju in casual clothes.

She really has the aura of a doctor no matter when I see her.

I feel like instead of crying ‘Wah’ when she was born, she would have checked the vital signs of the delivery room equipment first…….

“Do you have something to say?”

I shook my head after having some absurd thoughts for a moment and said.

“I have something to ask you for a moment, do you have time?”

“I have an appointment.”

“It will be quick. I’ll tell you while we walk.”

“Suit yourself.”

I quickly got on the elevator with Song Yu-ju.

My first target is this person.

Song Yu-ju.

She is only in her 3rd year of residency, but she is receiving the full support of the professors.

She is also called , using the prefix ‘pan-‘ which is used in medical terminology to mean ‘including everything’ [meaning she is very thorough and knowledgeable].

She is truly precious.

So, she was the person I had to win over first.

“It’s not that, it’s about the patient Jeong No-eul.”

“The Eisenmenger patient?”

“Yes. Regarding the timing of the ECMO [Extracorporeal Membrane Oxygenation, a life support machine] insertion…….”

I carefully brought up the idea that it would be safer to insert ECMO from the beginning.

“Is that what you want to say to someone who is leaving work at 9 PM?”

Song Yu-ju looked at me strangely for a moment.

Of course, even I think I’m a strange guy.

Still, knowing that I have this kind of personality, she doesn’t say much and asks.

“Why do you think so?”

I immediately showed her the paper I had just found and told her.

“Pulmonary hypertension mothers…….”

When exposed to a ventilator, pulmonary artery pressure increases and venous circulation can be impaired.

Also, systemic resistance decreases with anesthesia.

If systemic circulatory disorders occur due to this complex mechanism, the heart of an Eisenmenger patient cannot withstand it and may stop.

After listening to my explanation indifferently and glancing at the paper I was holding, Song Yu-ju opened her mouth.

“ , A paper written by APHP Hospital in Paris, France?”

As expected, Song Yu-ju.

She also saw this paper.

I was amazed by her memory, which memorized the name of the paper and the hospital, but not people’s names.

“That’s right.”

“Yes, there is such a risk.”

I felt relieved by that answer.

I was worried that it would look like an intern was presumptuously messing around in front of a resident, but it was unfounded.

This person moves strictly with logic rather than hierarchy.

Teacher Song Yu-ju continued.

“For that exact reason, Professor Heo Jun-im is also wondering if it would be better to use ECMO from the beginning.”

“What about Teacher Song Yu-ju?”

“I think so too.”

Then the story is fast.

I decided to ask more honestly.

“Then, in tomorrow’s meeting, will we proceed in the direction of inserting ECMO in advance……?”

However, Song Yu-ju’s answer was sharp and cold.

“Did you read that paper to the end? The real danger for mothers starts after childbirth (postpartum period).”

“…….”

“Postpartum bleeding problems can develop into snowballing problems. That’s why I’m hesitant about ECMO, which can increase bleeding tendencies.”

Of course, I know. Because I read it to the end.

But I wanted to say.

This patient will have ECMO anyway, so it’s better to put it in in advance.

Of course, I couldn’t say that.

“Still, wouldn’t it be a little safer to put ECMO in advance? CPR situations would be bad for both the mother and the fetus.”

“You’re very concerned. Is it because you know the patient?”

“I would have said the same thing even if I didn’t know the patient.”

I said in a firm voice.

As a doctor.

Toc, toc.

Song Yu-ju’s finger, who was lost in thought for a moment, tapped the edge of her cell phone.

“……I’ll think about that direction one more time. I need to do some more research and have a discussion with the professor.”

Teacher Song Yu-ju, who confidently talks to the professor and discusses it.

She is still trustworthy.

How many resident teachers can speak so confidently?

Maybe Song Yu-ju is the only one if you search all the hospitals in the country.

“Thank you.”

“Nothing is confirmed yet. It will be decided at tomorrow’s meeting. And…….”

“?”

“……No, it’s nothing.”

Beep—

The elevator door opened and Song Yu-ju walked towards the parking lot.

The last words she left were somewhat ambiguous, but it was fortunate that my words got through anyway.

‘Nice!’

I got the first insurance.

I got the strongest ally, but it’s not enough yet.

I quickly moved on to the next.

* * *

11 PM.

I asked the interns in the Department of Obstetrics and Gynecology.

Soon, I was able to easily find the next target in the hallway of the obstetrics and gynecology ward on the 8th floor.

“Teacher Cheon Sa-yeon!”

Clack, clack—

The sound of shoes crossing the hallway stopped, and Cheon Sa-yeon, who was on duty, turned her head.

“What is it? Weren’t you rotating in obstetrics now?”

Cheon Sa-yeon, Department of Obstetrics and Gynecology.

This person is also favored by the professors.

It’s ironic that the ‘villain’ that everyone avoids is favored…….

She is good at matching the mood of her superiors, so maybe she can communicate with the professors.

“I remembered that you told me to come back if I needed help last time, so I came.”

Then Cheon Sa-yeon asks sharply.

“Are you here to get your debt back?”

“Not necessarily.”

“I think so?”

Cheon Sa-yeon’s tone of voice, which was scolding me like that, is slightly softer than usual for some reason.

“I heard you have a patient you know in obstetrics.”

“How did you…….”

“The rumors have spread throughout our department. I heard that an Eisenmenger patient is pregnant?”

If you already know, the story is fast.

Spread—

I spread the prepared printout on the station.

And I repeated and conveyed the opinion I had told Song Yu-ju once again.

Teacher Cheon Sa-yeon’s reaction was not as bad as I thought.

At first, she looked at me with an expression as if I was a persistent guy, but after listening to me carefully, she said.

“Did you study a bit?”

“Yes, a little…….”

“But I don’t know much about this part either. You should ask the anesthesiology or thoracic surgery department, what are you going to do by talking to me?”

“I already talked to TS Teacher Song Yu-ju.”

Then, she widens her eyes, which are already as big as sweet buns, even more and looks at me like a strange guy.

“……Do you know you’re a little weird? You’re the most toxic person I’ve ever seen in our hospital.”

Is that a compliment?

It doesn’t feel like a compliment, but it also feels like she’s acknowledging me.

“Anyway…… No matter what, a resident can’t dare to interfere with the opinions decided by the professors. Do you know what I mean?”

It’s a reaction I expected enough. It’s also a very common sense thing to say.

I took out the prepared comment.

“I’m asking you because Teacher Cheon Sa-yeon is not just a resident.”

Ugh, my hands and feet!

I get goosebumps from what I said myself.

But now I have to achieve my goal by using any strategy.

As expected, Cheon Sa-yeon’s lips, who is weak to compliments, slightly twitch upwards.

“Let’s see, the professor in charge of patient Jeong No-eul is…… Professor Jo Jae-yong?”

“That’s right.”

“I have to visit him tomorrow morning to get confirmation on the fall conference presentation ppt [PowerPoint presentation] anyway, so I’ll ask about the surgery and tell him while reading the room [assessing the situation].”

“Thank you.”

“Send me that paper by email now. I’ll talk to Yu-ju too.”

That’s a relief.

Teacher Cheon Sa-yeon has a prickly personality, but she still tries to keep her word.

“But don’t expect too much. Even if they are residents, they don’t have much influence in front of the professors.”

“Yes, it would be nice if you could just add a word.”

“We’re even with this!”

“Thank you.”

I smiled.

It’s the second capture.

It’s still not enough, but like raindrops gathering to overflow a glass, I’m accumulating changes.

‘And the next person…….’

I thought of the last of the three residents I was aiming for.

It won’t be easy, but this time it might play a key role.

‘How do I target this person?’

It’s already difficult.

He came to the last meeting, so he’s rotating in cardiology now…….

I looked up his name on the cardiology duty roster.

Today is off.

That means he’s off work.

I have no choice but to wait for a chance tomorrow morning.

* * *

Surgery D―1.

The dawn broke.

I woke up earlier than usual and waited for the third target to come to work.

“Teacher.”

Swish—

I approached with the eyes of a hawk aiming for its prey.

Then the target flinched and harsh words came back.

“Ah, damn it, you scared me. What is it, you crazy bastard!”