Dr. Shin Seonhan: The Doctor Who Sees The Future [EN]: Chapter 179

Taking a Step Forward (2)

#179 Taking a Step Forward (2)

Over a hundred interns.

Among them, the honor of is bestowed upon only one person.

They get to go on stage and receive the award at the Yeonguk University Hospital year-end awards ceremony.

“Hey, seriously, isn’t Seon-han going to get the award?”

Geun-wook is excited, as if it were his own accomplishment.

“Honestly, you’ve been the most noticed among our interns this year! I think it’s totally possible!”

“I appreciate you saying that, but I’m not expecting it in the first place.”

I laughed off Geun-wook’s excitement.

It’s not humility.

It’s because I’m not from Yeonguk University.

also carries a symbolic meaning of representing the entire class.

So, the probability of that spot being given to me, who is from Ilwoon University, is close to zero.

“Well, they’ll probably give the Intern of the Year award to someone from Yeonguk University… Still, getting an A-turn [achieving the highest grade in a rotation] is something, right? Good for you for getting a good score!”

Geun-wook pats my shoulder, deeply moved.

I think it’s a great improvement too.

Because, back in March…

…I was the one who received all that prejudice.

So, receiving the highest score in the intern evaluation was significant.

“Hehe, just thinking about those guys who were secretly looking down on you getting their noses flattened makes me happy!”

Geun-wook, who is also from another university, was even happier than I was.

And as he said, the rumor spread quickly among the interns.

Yeon-seo got a mid-A.

Hyung Joong-won got a mid-B.

So-dam got an upper-B.

And so on…

For a while, what scores everyone received became a constant topic of conversation among the interns.

And my story seems to have become quite a hot topic.

“Hey, A-rank!”

Hyung Joong-won even changed his way of addressing me instead of calling my name.

And every time he did that, Ryu Myung-in rekindled his competitive spirit towards me.

“Are you calling me?”

“No, not you, you idiot!”

Watching Ryu Myung-in react immediately even from afar just by hearing the sound, Hyung Joong-won shook his head.

On the other hand, there were also cases where rumors spread in a bad way.

“Is that him?”

“Yeah, that’s him.”

“The legendary D-turn actually exists….”

“Hey, don’t say it so loud. He’ll hear you.”

Whisper, whisper—

Some interns at the cafeteria glanced at someone.

It was D-turn Jo Jin-gi.

He was now working as if he had completely given up.

“You guys know Jo Jin-gi has been acting crazy lately, right?”

“I heard he doesn’t even come to work in the morning?”

“No wonder the open call has been ringing constantly these past few days.”

Open call.

It refers to a call that looks for a person through the hospital-wide broadcast.

The voice calling his name twice quietly echoes throughout the hospital.

If an intern receives an open call, their hair can’t help but stand on end.

It’s like feeling like a wanted criminal?

But Jo Jin-gi has received that open call three times recently.

“I even heard he swore at the nurse who made the open call?”

“Wow… what is that guy going to do?”

“He must have lost his mind since he’s already ruined.”

It was a moment to realize once again that there is a really diverse range of human beings among doctors.

‘Well, those who fall behind are those who fall behind….’

Our interns, who have undergone a year of training, were finally heading towards the final gateway.

* * *

As November came to an end.

The scenery of the intern dorm had changed quite a bit from a few days ago.

It’s because the is approaching.

“…….”

The interns’ nerves become sensitive.

At this point, one year after taking the .

All interns across the country must take the to become residents.

To prepare for this, interns juggled their familiar intern duties with studying for the exam.

The lounge in the intern dorm, which was always bustling, also had more quiet time.

The notes and books that they had seen when preparing for the national exam a year ago began to appear everywhere in the intern dorm.

Some interns had been preparing for this exam for two months, while others hadn’t even started properly due to being overwhelmed with work.

—Hey guys, is studying going well?

—Instead of writing here, look at one more practice questionㅋㅋㅋ—That’s a blow to the headㅋㅋㅋ—Ah, seriously, GS (General Surgery) doesn’t give me even a minute to study the transplant part… I envy people whose schedules are free in Novemberㅠㅠ—I’m applying to a department with low competition, so the exam doesn’t really matter. Everyone, fighting!—Is that a boast? Applying to a department with low competition? Who will be laughing in 10 years?

—Why is the guy above suddenly exploding?

—Why are you fightingㅋㅋㅋ

—Everyone’s become sensitive bosses before the examㅎㅎ They say you only need to do average on the residency exam, so don’t worry too much~Interns who were applying to departments where resident arrangement was already finished hardly studied.

For interns whose acceptance was a foregone conclusion, the and the department/directorate interview were merely formalities.

So, some of them covered the shifts of intern colleagues for whom exam scores were important.

“How are you doing, Teacher Seon-han? Is studying going well?”

After the ward round, Teacher Han Jeong-sik from the Department of Family Medicine asked me.

For a resident to take care of an intern’s situation, he was truly a teacher with plenty of 余裕 [leeway/flexibility].

“Yes, thank you for your concern.”

“Have you definitely decided on your major?”

“I’ve made up my mind, as I told you last time.”

“Wow, that’s a unique decision, really cool. I’ll support you!”

Teacher Han Jeong-sik encouraged me with a deep smile like scorched rice water.

Now the interns were deciding on their respective choices.

Yeon-seo is internal medicine.

So-dam is radiology.

Hyung Joong-won is anesthesiology.

Geun-wook is pediatrics.

Nuna Mi-seon is rehabilitation medicine.

And so on…

Everyone chooses their own path.

Although they were interns for a year, they are now scattering on different paths.

And, me?

On a rather chilly evening.

I was accessing the hospital website with a computer in the lounge.

My colleagues gathered behind me, paying attention to my fingertips.

“Are you really going through with this?”

“Seon-han, are you going to do it?”

“Are you finally crossing that river [making a big, irreversible decision]?”

“Hey, think about it one more time, even now, before you click that mouse! Is it real that you’re going down a thorny path after getting an A-turn?”

Exaggerated reactions poured out from around me.

Of course, there was no hesitation in my mouse click.

Because my mind had been made up a long time ago.

“Ugh, I can’t watch.”

Hyung Joong-won covered his eyes with an exaggerated pose.

I chuckled.

I had thought about it enough, and I had also talked to the Department of Thoracic Surgery.

Click—

I pressed the thoracic surgery support button without hesitation.

[Support Completed]

—Thoracic surgery support for trainee Shin Seon-han has been completed.

That’s how November passed, and December came.

D-4 until the exam.

* * *

December 6th.

The morning of the residency exam dawned.

Feeling a bit chillier than usual, the interns left the hospital after a long time.

“Wow, I was in the operating room until 5 AM and now I’m going to take the exam!”

“I barely slept yesterday either. Calls always explode on days like this!”

Some interns had been on duty until dawn on the day of the exam, and some had been in the operating room until dawn.

Regardless of the exam, the hospital had to run 24 hours a day, and some of us had to work until 7 AM.

8 AM.

A bus to take us to the exam site was waiting at the hospital gate.

There were even interns receiving calls until the moment they got on the bus.

“I’m going out for the residency exam today. I told the attending physician, so please call them!”

“Are you getting calls even on the morning of the exam?”

“I combined my call phone and personal phone. It seems like the handover to the ward wasn’t done properly.”

From colleagues eating bread and milk they bought urgently at a convenience store, to kids who fell asleep as soon as they got on the bus, to kids studying with notes even on the bus.

The scene inside the bus was bustling.

That’s how we split into three chartered buses and headed to the exam site.

It’s been a while since I’ve seen the scenery of an exam site.

Interns from nearby hospitals, including Yeonguk University Hospital, gather in one place.

As with the college entrance exam or the TOEIC exam, there were women selling water-based markers for computers in front of the school.

“Everyone, do well on the exam~!”

“Thank you.”

I took a warm canned coffee that the Yeonguk University Hospital Education and Training Department had prepared and headed to the classroom.

‘Why is it always cold on exam days?’

The wind is quite chilly.

There was a saying once.

It is said that this eerie energy gathers and lowers the temperature of the exam site.

Of course, it’s a ridiculous joke, but it means that the exam is a place of infinite competition.

‘Looking back, half of my life was really exams…….’

It’s really exhausting.

Not to mention the internal grades in high school.

I took the college entrance exam three times.

6 years of studying at medical school.

The fierce national medical licensing exam.

And this residency exam until now…….

Doctors spend their entire youth clinging to exam scores.

That fact sometimes feels bitter, but it is also understandable if you think of it as part of the process of becoming a doctor.

‘Well, once I get past this, there won’t be any exams in my life for a while!’

There will be another exam waiting for me after 4 years of residency, but that’s a matter for then.

“Seon-han oppa [older brother/male friend]!”

Just as I was about to enter the classroom, someone tapped me on the back.

It was Yeon-seo.

She smiled with flushed cheeks due to the chilly weather and handed me something.

It was a small, cute disposable hand warmer.

“Why are you wearing so little on such a cold day? You’ll catch a cold.”

“Are you giving it to me?”

“Yeah. I picked it up on the way!”

I chuckled at Yeon-seo’s joke.

The canned coffee I had put in my pocket was already cooling down quickly.

“Thank you. I’ll use it well.”

“Good luck on the exam! Anyway, you’re an A-rank and you’re applying to TS (Thoracic Surgery), so you’ll pass even if you just write your name well.”

“Okay, Yeon-seo, good luck to you too!”

After parting with Yeon-seo, I sat down on the chair where a cold air was felt.

—Internal Medicine

—Surgery

—Pediatrics

—Obstetrics and Gynecology

The exam is limited to these four major departments.

Each with 20-30 questions.

Total of 2 hours.

The content and scope of the exam do not differ significantly from what was covered in the national medical licensing exam.

It is more of a test to see how much you have grown by adding the experiences you have gained by directly facing patients during your internship.

Compared to the two-day national medical licensing exam, the 120-minute exam may seem simple.

Still, an exam is an exam.

Exams are always nerve-wracking.

Whirr—

The exam papers are soon spread out on each desk.

The sound of flipping papers fills the classroom in an orderly fashion.

I started to solve the problems calmly from the front page.

[Surgery Question]

Here is an explanation of inguinal hernia [a type of hernia that occurs in the groin area]. Which of the following statements is incorrect?

1) Indirect inguinal hernias are more common on the right side.

2) Indirect inguinal hernias……

3) Femoral hernias are……

4) The most common form in women is femoral hernia.

5) Recurrence after direct inguinal hernia surgery is……

‘Indirect inguinal hernias are more common on the right side than the left…….’ As I quickly checked each of the options, I stopped at number 4.

‘The most common type of hernia in women is also inguinal hernia? The answer is 4.’

I checked the answer.

Most of the problems were not very difficult.

However, there were also problems that had discriminating power among them.

As I moved on from one problem to another, I eventually reached the obstetrics and gynecology part.

『A 30-year-old nulliparous [never given birth] woman who is 38 weeks pregnant had persistent vaginal bleeding after a vaginal delivery of a 3,150g male infant…….

Blood pressure 85/60mmHg, pulse 120 beats/min, respiration 25 breaths/min…….

On abdominal examination, the uterine fundus [top of the uterus] was palpated firmly below the navel, and there were no lacerations of the cervix on pelvic examination.

A 10cm painful mass was seen on the left vulva. Blood test results were as follows.

—Hemoglobin 7.8g/dL, white blood cells……

Choose two of the following (1-8) that are appropriate treatments in this situation.』

A case where the hemoglobin level dropped with a decrease in blood pressure and an increase in pulse rate after normal vaginal delivery.

Since the uterine fundus was said to be well palpated, it doesn’t seem like uterine inversion [when the uterus turns inside out]…….

There were also no lacerations in the cervix, so it is not bleeding from the cervix.

But a mass is found in the vulva?

The following 8 options were available.

1. Observation

2. Ritodrine

3. Packed red blood cells

4. Manual reduction

5. Pessary [a device inserted into the vagina to support the uterus]

6. Incision and ligation of blood vessels

7. Intrauterine ballooning

8. Hysterectomy

At first glance, it seems like a difficult problem.

But.

‘I think I know.’

Is it thanks to my experience so far?

I was able to recall it quickly.

Knowledge one step above the knowledge learned from books was knowledge connected to experience.

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

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

Dr. 신선한 : 미래를 보는 의사
Status: Completed Author: , Native Language: Korean
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[English Translation] Imagine a world where a doctor could glimpse the future. At Yeonguk University Hospital, where 10,000 patients seek help daily and over 6,000 medical staff work tirelessly, the stakes are impossibly high. Every second counts. Enter Shin Seonhan, a determined intern with aspirations of becoming the best surgeon. But his life takes an extraordinary turn when he suddenly gains the ability to see the future! Experience a gripping medical drama brought to life by a real thoracic surgeon, filled with vivid scenes and a diverse cast of characters. Dive into a world where medicine meets the impossible, and the fate of patients rests on the visions of one extraordinary doctor.

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