Dr. Shin Seonhan: The Doctor Who Sees The Future [EN]: Chapter 218

Dr. A Doctor Who Sees a Fresh Future – Episode 218 (Part 1 Epilogue) (218/241)

#218 Part 1 Epilogue

Yeon Guk University Hospital.

The number one large hospital in South Korea.

As befits that title, countless medical staff work there.

Every year, more than 100 interns take their first steps into their professional lives here.

“Hello, I’m Gam Gyurin, an intern from Jeju Island!”

Gam Gyurin was the most noticeable intern among the new recruits.

25 years old, with a baby face.

A fresh new face!

However, the hospital wasn’t easy enough to maintain that freshness for long.

After a month, Gam Gyurin became like a dried tangerine.

“Oh my, our tangerine. She was so plump until recently, but look how dry she’s become.”

“Tangerine is dying…….”

Gam Gyurin returned to her dorm, groaning and collapsing on the bed.

Intern dorms are basically shared rooms for two people.

Every day living with her roommate is a new experience.

Fortunately, she met an older sister [a term of endearment for a close female friend or older female colleague] who she gets along with well, which is a comfort in her hospital life.

“How was your first day in cardiology?”

“Oh, it’s tough. I feel like my fingers are cramping from dressing the PCI (percutaneous coronary intervention) site to prevent bleeding.”

“Yeah, I heard it’s like that.”

“How’s pediatrics?”

“Ugh, don’t even mention it. Pediatrics is…….”

A time to share each other’s daily lives.

The two had a fun conversation for a while in their cozy dorm.

In particular, stories about the resident doctors were a frequent topic.

From the interns’ point of view, they were the closest to their own situation.

“What are the pediatric residents like?”

Then, a grin spread across her sister’s face.

“It’s case by case, but I’m lucky. The pediatric resident I work with in the same ward is famous for being very kind and funny.”

“Really?”

“Yeah. He’s good with kids too… He tells us to talk to him if we have a hard time, which is reassuring.”

“Wow, that’s cool.”

“Earlier, I saw him holding and playing with four crying kids at the same time.”

“How can you hold four kids at the same time? He’s not the Hulk.”

Gam Gyurin burst out laughing, holding her stomach, but her sister was serious.

“No, I’m serious. His forearms are as big as my thighs. He’s a third-year resident, and his nickname is Muscle Monster.”

Third-year resident.

They are neither too far nor too close.

They are also people that interns should watch and learn from like a mirror.

The quality of the month is determined by which resident you work with.

In that sense, meeting a good resident in pediatrics could be considered quite lucky.

“Especially the third-year residents were said to be brilliant since their intern days? They’re called the golden class or something… Anyway, there are quite a few legendary people.”

“Legendary?”

“Like the Muscle Monster I just mentioned, and there’s one in internal medicine where you work now.”

“Ah, I think I know who you’re talking about.”

Gam Gyurin recalled.

The visual of internal medicine.

There was someone famous for her insane beauty.

So much so that everyone agreed that she would have succeeded if she had become a celebrity instead of a doctor.

And she is even rumored to be good at her job.

‘Yes, I’m going to be such a great doctor too!’

Gam Gyurin was determined.

Let’s not lose sight of the goal.

Let’s regain our original intention.

When I came up from Jeju Island, I decided to become a great doctor in Seoul.

As she was rekindling her passion alone, her sister continued.

“But when it comes to the most famous resident, it’s that person.”

“Who is that person?”

“You know, in thoracic surgery…….”

After listening for a while, she suddenly felt sleepy.

Gyurin’s eyelids fluttered as she listened to the story from the lower bunk of the bunk bed.

* * *

1:30 AM.

The 4th album title song of Carbonated Boys rings from the cell phone on the bed in the quiet on-call room.

The sweet voices of them, who have become world stars in a few years.

But it wasn’t so welcome to hear at this time.

“Ah…… I just lay down to sleep!”

Gam Gyurin exclaimed.

Then, her sister on the upper floor also says in a dying voice.

“Hey, turn off the ringtone…….”

“I want to too…….”

“How come you only get calls at times like this, Gyurin? Is there a CCTV in the room or something?”

“I guess so.”

Gam Gyurin presses the call button while still half asleep.

However, the voice of the nurse in the intensive care unit from the other side of the phone is unusual.

“I’ll be right there!”

She wakes up completely.

Bouncing!

Gam Gyurin, who had been whining and fussing just a moment ago, got up as if nothing had happened.

As the intern in charge of the cardiology intensive care unit, there are many critically ill patients.

Gam Gyurin hurriedly got out of the bunk bed, crammed her feet into her shoes, opened the door, and ran out.

‘Ugh, what’s going on? Please, I hope it’s nothing serious……!’

Beep beep-

She entered the intensive care unit on the 3rd floor.

The on-call resident doctor of the night is standing in front of patient number 7.

But, on closer inspection, she is attaching leads to take an EKG herself.

Tap tap-

Gam Gyurin hurriedly ran to the patient and said.

“Hee, hee, Doctor! I’ll do it!”

The on-call resident, taken aback, swept her long hair back and said.

“No, don’t worry about it. When it’s urgent, the person who is nearby does it.”

The EKG test is not a difficult test.

In principle, it is an ‘intern’s job’, but in urgent situations, it is right for the medical staff nearby to perform the test.

Of course, there are some nasty residents who make the interns do it until the end, without lifting a finger…….

At least the woman in front of her was fortunate not to have that kind of personality.

“No. I’ll do it!”

Gam Gyurin’s hands move busily.

She attached the EKG leads to the patient with the on-call resident doctor.

But, the face of the on-call resident doctor, which is slightly visible, shines.

‘Wow…… I can tell just by looking. This person is the representative visual of internal medicine!’

Isn’t she too pretty?

Even a woman would fall for her.

How can you shine this much on a face with no makeup?

That’s what it says on her name tag.

Gam Gyurin was lost in thought for a moment but was startled by the alarm sound from the monitor.

‘Ugh, this is not the time to be thinking about this. Let’s focus on the patient!’

Beep beep-

Not only the heart rhythm, but also the blood pressure is dropping.

Gam Gyurin, an intern of one month, trembles.

What should I do?

Since starting her internship, she has never seen a patient’s blood pressure drop like this in real time before her eyes.

“So, um…….”

Her mind goes blank.

I definitely studied for times like this?

2 years of pre-med, 4 years of med school.

I can’t remember anything I learned.

The moment her mind goes blank, the on-call resident shouts in a calm voice.

“Hartmann’s solution 300 full drip, and norepi (norepinephrine, a cardiac stimulant) doubling!”

On-call resident Lee Yeonseo.

She begins to direct the intensive care unit situation without panicking.

Soon, the patient’s blood pressure begins to return to a stable level.

‘Amazing…….’

Is this the composure of a third-year internal medicine resident?

Gam Gyurin looked at her with sparkling eyes.

But a few seconds later,

The patient’s blood pressure, which seemed to be recovering for a moment, plummeted along with the change in the electrocardiogram rhythm.

The on-call resident’s voice also became hurried.

“V. fib!”

V-fib.

Meaning ventricular fibrillation [a life-threatening heart rhythm problem].

The patient’s ventricles were beating irregularly.

“Defibrillator! Intern, start compression!”

“Yes…… Yes!”

The situation becomes urgent.

The on-call resident skillfully assigns each medical staff member to their respective tasks.

Gam Gyurin climbed onto the patient and began chest compressions.

One, two, three…….

She compressed her chest with the most accurate posture and rhythm possible.

Meanwhile, the nurses move busily and bring the defibrillator.

“200J charge!”

Bang-

After defibrillation, the patient’s rhythm returns to normal for a moment.

The blood pressure also seems to recover a little.

However, abnormal waveforms continue to appear irregularly in the heart rhythm.

Then, it returns to ventricular fibrillation rhythm again.

“Charge 200J again!”

Bang-

Again, the patient’s rhythm looks normal.

But it will probably only be temporary.

It was definitely a moment when additional measures were needed.

“Tell them to send out a CPR broadcast!”

The on-call resident, who gave the order to the nurse, picks up the phone while muttering to herself.

“Looks like Refractory V fib [ventricular fibrillation that doesn’t respond to treatment]…….”

Then she makes a call somewhere.

“This is the thoracic surgery on-call phone, right? We have a patient who received PCI today, and it’s Refractory V fib, so ECMO contact…….”

But at that moment.

Beep beep-

The intensive care unit door opens.

Gam Gyurin looked at the door with surprised eyes.

‘What, the notification isn’t even over yet……?’

Creak-

Several doctors rush into the cardiology intensive care unit, pulling something.

Along with the machine, there is also a cart containing various instruments.

‘That’s…… ECMO [Extracorporeal Membrane Oxygenation]?’

ECMO.

A last resort that can assist the patient’s cardiopulmonary function.

It was the first time Gam Gyurin had actually seen this machine.

And soon, the broadcast echoes a beat late.

The thoracic surgery team for ECMO insertion arrived before the broadcast even went out.

Everyone is surprised.

The man at the forefront says.

“Yeonseo, long time no see.”

“How do you come as if you’ve been waiting as soon as I call?”

“I thought it looked like an arrest was going to happen earlier.”

“Oh, please…….”

“Let’s see the patient first.”

The man’s voice, saying that, was more calm than ever.

“Intern, can you come out for a second?”

“Yes, yes!”

Gam Gyurin stepped back in surprise.

What should I say.

His face is definitely soft and kind-looking…….

But he has a subtle charisma.

Thinking that, Gam Gyurin glanced at the name tag.

There was a unique name written there that you couldn’t forget once you heard it.

Soon, watching the ECMO being inserted, Gam Gyurin was very surprised.

The newly appeared man’s hands were skillful.

Is he really a third-year resident?

He finds blood vessels with delicate hands, directs other residents, and inserts ECMO.

‘This is the person I’ve only heard about.’

Gam Gyurin stared blankly at the sight.

And after a few minutes.

“It seems like the ECMO is running well.”

“Everyone worked hard. Let’s do an angio (coronary angiography) again for now.”

“Okay.”

“Seonhan, you worked hard.”

“You too, Yeonseo.”

The situation is quickly wrapped up.

They saved a patient whose life was at risk.

Even so, the man’s voice is the same as usual without any excited feeling.

As if he had done something obvious.

The two doctors, who had been leading the situation until just now, talked and headed out of the intensive care unit.

Gam Gyurin hesitated and approached them.

“Um, doctors. I’m sorry! I was stuttering and couldn’t do anything earlier……!”

Then the two people looked at Gyurin with wide eyes and burst into laughter.

They were innocent and bright smiles.

The man said.

“It’s okay, you’re still an intern. If you contact us well without being late like Yeonseo did earlier, and respond calmly, it’ll be fine.”

Amazing.

The image of a great doctor that Gam Gyurin had always dreamed of.

She felt like she had finally found the image of the doctor she wanted to emulate before her eyes.

Then the man suddenly added as if he had remembered something.

“Ah, but you were good at compression earlier?”

“Yes, thank you…….”

Gam Gyurin tilted her head, about to bow.

‘……Didn’t Dr. Shin Seonhan not see me doing compression earlier?’

Did he just say that?

He couldn’t have been watching from somewhere else.

A question mark that couldn’t be resolved appeared on Gam Gyurin’s face.

Somehow, that question mark seemed like it would continue in the future.

* * *

“But Dr. Seonhan.”

“Yes?”

“How do you show up at the right time every time a critical patient appears?”

The nurse asks curiously as she passes by the intensive care unit station.

“It’s just a feeling.”

I answered with a smile as always.

I have a special ability.

A slightly strange ability that others don’t know about.