Martial Surgeon – Episode 51
Chapter 9: Next Destination (1)
The patient was sitting on the bed.
Jun-hoo stood behind the patient, placing his hand on the patient’s left shoulder blade.
It was a desperate measure Jun-hoo had chosen.
That was to put his hand on the back side, not the patient’s chest.
Blood vessels are bound to circulate and connect somehow.
Therefore, the method of shooting internal energy [Qi or vital energy] from the back towards the cardiovascular direction would also be useful.
It had to work properly….
Jun-hoo fought off the anxiety that was there.
This was also an experience.
It was an experience to develop coping methods when things didn’t go as planned.
Since he had studied anatomy under an anatomy professor during medical school.
Jun-hoo continued to channel internal energy from the blood vessels on the back to the heart vessels without wandering.
However, the consumption of internal energy was severe because it went a long way around.
Before he knew it, cold sweat formed on his forehead.
It was also difficult not to lose concentration from the surrounding noise, and if he made a mistake, both the patient and Jun-hoo could be in danger.
A precarious and arduous examination.
A lonely examination that only Jun-hoo could perform.
Here it comes.
After confirming that the internal energy had reached the cardiovascular system, Jun-hoo sharpened his mind.
From now on, it was the decisive moment.
Right coronary artery.
Left anterior descending branch.
Left circumflex coronary artery.
He had to send internal energy to these three places to check the speed of blood flow.
If there was a place where the speed of internal energy passing through the blood vessels was fast.
That place would be where the blood vessels were narrowed due to arteriosclerosis, etc.
Jun-hoo penetrated the coronary arteries with his concentration sharpened.
Normal blood vessels and constricted blood vessels.
While he was sweating profusely to distinguish between the two.
Jun-hoo felt a sense of discomfort at the midpoint of the right coronary artery.
The internal energy had briefly sped up and then slowed down.
Would this be about 60% blocked?
For reference, even if a blood vessel is about half blocked, the patient may not feel any major discomfort.
“Hoo. Thank you for your hard work.”
Jun-hoo, who had finished the diagnosis, took his hand off the patient’s back.
He was happy that he had succeeded in the internal energy angiography performed from behind.
He was happy that the patient would not be diagnosed with nothing wrong and go home, only to come to the emergency room.
But there was still work to be done.
He had to induce the patient to have an angiography at the hospital.
Because the results of the internal energy angiography were only known to Jun-hoo.
“Doctor. Is there something wrong with me?”
the patient asked with innocent eyes.
“Yes. I think you should have another test because there is a suspected symptom. This test will reveal why your chest hurts.”
“Dr. Seo. Come over here for a second.”
Just as he was about to get to the point, Sung-min called Jun-hoo.
He’s really an expert at interfering.
When Jun-hoo moved to the station, Sung-min asked with his arms crossed and a bad attitude.
“Hey, how can you still be seeing that patient?”
“…….”
“Looking at the chart, the electrocardiogram, blood test, and chest X-ray are all normal, so you should tell them it’s probably due to stress and send them home quickly.”
“…….”
“Are you going to keep acting tactless? I clearly told you to see patients quickly because they’re backed up, didn’t I? Do my words not sound like words? Or are you doing this on purpose to screw with me?”
Sung-min scolded Jun-hoo in front of the nurses and other residents.
As if to demonstrate, ‘Everyone, look here because Jun-hoo is causing trouble.’
You’ve used your head a bit.
Are you going to publicly humiliate me?
But Jun-hoo was rather glad.
He would flatten Sung-min’s nose at this opportunity.
“That patient’s chest pain doesn’t seem like ordinary chest pain. So I’m going to order an angiography.”
“What? Angiography?”
Sung-min made a dumbfounded expression.
“You’re ordering an angiography because you have chest pain?”
“…….”
“Then all headache patients should get a brain CT scan?”
Sung-min sneered, and Jun-hoo laughed inwardly.
Jun-hoo was fighting a battle he could never lose.
Why?
Because he had already confirmed with internal energy that the patient’s right coronary artery was more than half blocked!
“I know that in the case of early angina or unstable angina, the tests may be normal.”
“…….”
“I think that patient is one of those cases.”
“You’ve become a famous doctor. You’ve become a famous doctor. How does an intern like you know that?”
“You’ll know if you do an angiography.”
“If you do an angiography and the patient is normal, can you take responsibility?”
“Is there a doctor who treats patients without that much responsibility?”
Jun-hoo retorted rather boldly.
Now it was time to counterattack.
Sung-min had to realize exactly this opportunity.
The bitter mistake that he chose the wrong person to mess with.
“Conversely, what will the senior do if the angiography results show something wrong with the patient?”
“Ha… look at this cheeky bastard? If you’re right, I’ll call you ‘hyung’ [older brother or senior male] all day today.”
“If I’m wrong, I’ll crawl under the senior’s crotch.”
“Make sure you keep that promise. Everyone, did you all hear the story well?”
Sung-min told the surrounding staff to remember the promise between the two.
He had no idea that he was digging his own grave.
Jun-hoo returned to the patient and mentioned the need for an angiography.
“Do I have to get that kind of test? It doesn’t seem that painful.”
“Wouldn’t the test be expensive too?”
The patient and guardian expressed concern.
“Since you have symptoms and are old, it would be good to get it this time.”
“…….”
“If symptoms are found in the angiography, you will be covered by insurance.”
Jun-hoo was able to coax the patient and guardian well, receive consent, and even issue a test order.
Only then did he feel relieved.
Now, all that was left was to hear Sung-min call him ‘hyung’?
* * *
Ha… a little bastard who’s not even seasoned is acting up so much.
Sung-min, who was organizing the charts at the station, glanced at Jun-hoo, who was treating patients.
He couldn’t deny that Jun-hoo was good at his job.
Treatment is treatment.
Traffic control is traffic control.
Treatment of emergency room inpatients, etc.
Jun-hoo showed a skillful appearance like a veteran intern, not a rookie intern.
But that’s it.
No matter how good you are at your job, isn’t an intern still an intern?
But how dare an intern climb over a resident?
In an instant, irritation surged, but Sung-min endured it.
He had no doubt that a refreshing cider-like situation would come soon.
He would find out when he crawled under the staff’s crotch.
How foolish he was.
Sung-min checked the time and looked at the PACS (Picture Archiving and Communication System) data of the patient treated by Jun-hoo.
As a result of checking the angiography results of the long-awaited.
“…….”
Sung-min doubted his eyes.
There was about 60 percent stenosis in the patient’s right coronary artery.
In the end, Jun-hoo’s diagnosis was correct.
This unbelievable thing….
Unable to believe it, unwilling to believe it, Sung-min rubbed his eyes and looked at the video again.
Terribly, nothing changed.
Only the phrase that stent insertion was being prepared was flashing as the patient’s condition was notified to the cardiology department.
“Senior, did you check the test results?”
Turning his head at the familiar voice, Jun-hoo was smiling brightly at Sung-min.
But that appearance was rather eerie like a ghost.
“Oh? Uh.”
“The patient’s chest pain didn’t seem normal, and he had coronary artery stenosis.”
“You should know you’re lucky. There aren’t many coronary artery stenosis patients without abnormalities in the electrocardiogram and blood test!”
Sung-min said as if protesting.
Honestly, he couldn’t help but feel wronged.
It was because the patient’s case was so unique.
There would be only 2-3 patients like that out of 100.
“Isn’t it the role of emergency medicine doctors to identify such patients?”
“…….”
“And there’s a big error in what you just said.”
“What? Error?”
“It’s not ‘you’ but ‘hyung.’ Did you forget what the senior said with his own mouth?”
“Ugh….”
Sung-min sighed, feeling humiliated.
If they had made a bet alone, they could have somehow glossed over it. But didn’t they make a bet in front of all the staff?
It seemed pathetic to go back on the bet now.
In fact, the staff at the station were shining their eyes and paying attention to him.
“A promise is a promise, right? Isn’t that right?”
Adding fuel to the fire.
So-jin, a 3rd year, came and stimulated Sung-min.
Sung-min found himself being driven to the edge of a cliff.
He endured the humiliation and tried to say the word ‘hyung,’ but his lips didn’t form properly.
His voice didn’t come out as if it was blocked.
He just hoped that this moment was a dream.
He just hoped that it was a terrible nightmare and he would wake up soon.
“Hy… Hyung.”
Sung-min said with a flushed face.
In an instant, laughter erupted in the emergency room. It was the first time that so much laughter had erupted in the emergency room while Sung-min was working.
The problem was that he was the laughing stock.
“No? What if the senior really does it? Then I’ll become a bad guy.”
Jun-hoo suddenly pretended to take care of Sung-min.
He pretended to be nice.
Did this guy calculate everything up to this point?
I thought he was a clueless bear, but he was actually a sly fox?
“I thought the senior was joking, so I was joking too… I’m sorry.”
“…….”
“I unintentionally caused trouble.”
Jun-hoo even bowed his head and apologized politely.
Because the ending was good, no one thought Jun-hoo was rude.
In other words, Jun-hoo succeeded in taking only the benefits in this bet.
Son of a b*tch, I got hit properly?
Greatly shocked, Sung-min couldn’t concentrate on work for a while.
* * *
Emergency Medicine Department lounge.
Jun-hoo was sitting on the sofa with So-jin, a 3rd year, and having a conversation.
“You’re really something.”
So-jin continued, admiring.
“How can you be so brave in that situation?”
Because I had already finished the diagnosis with internal energy.
…Since he couldn’t answer that, Jun-hoo made excuses that he had carefully examined the patient.
“Well done. When there are a lot of patients waiting, you tend to get impatient and look at the patients in front of you roughly.”
“…….”
“You shouldn’t do that. It’s more important to see one person properly than to see ten people roughly.”
“Yes. I’ll keep that in mind.”
After answering, Jun-hoo drank a can of coffee.
The internal energy angiography performed in the field was a great success.
In addition, he flattened the nose of Sung-min, a 1st year, with the feeling of killing two birds with one stone.
Jun-hoo felt a sense of accomplishment and pleasure at the same time for the first time in a while.
Sung-min must be trembling with humiliation and shame right now.
But Jun-hoo didn’t feel even a bit of guilt about it.
Everything was karma.
It was just the fruit that Sung-min had sown.
“Jun-hoo, you seem to have a talent, why don’t you major in emergency medicine?”
So-jin changed the subject.
“Well. I’ve never thought of anything other than surgery….”
“Why is surgery so good?”
“I guess it’s because I feel like I’m fighting directly. It feels like a real sword fight with diseases.”
Was it because he had been cutting down villains in the Murim [martial arts world] ?
Jun-hoo wanted to directly cut out the lesions that were tormenting the patients.
With a scalpel instead of a sword.
He also liked the fierce feeling of struggling in the operating room.
“You already have a determined look in your eyes.”
“Yes.”
“It’s a shame. It would be nice if a smart kid like you came in as a resident.”
The conversation with So-jin continued for about 10 minutes.
Just as he was about to get up.
So-jin’s eyes suddenly turned fierce.
“Is something wrong?”
“There is. A very important thing.”
“What is it?”
“The work of predicting today’s fortune.”
So-jin, with a serious expression, threw the can of coffee she had finished drinking into the trash can.
Clang!
The can hit the edge of the trash can and bounced out.
“It’s the worst. I think something will happen today. Something always happened when the can hit the edge and came out.”
So-jin smiled bitterly and picked up the fallen can and put it in the trash can.
“Is it like a jinx?”
“It’s a terrible jinx. The accuracy rate is over 80 percent.”
Bang!
Just in time, Dong-gi Myung-hoon burst into the lounge in a hurry.
“Senior So-jin. They told me to come to the emergency room quickly.”
“Why?”
“There was a chain collision in the city. T.A (Traffic Accident) patients are all being transferred to our hospital?”
The urgent news that Myung-hoon delivered froze the air in the lounge.
“How many patients are there? Is it an emergency?”
“I haven’t heard that far yet….”
“Then that’s it.”
So-jin fluttered her gown and left the lounge, and Jun-hoo and Myung-hoon followed her.
When they arrived at the emergency room, the situation was so serious that even the professor was waiting.