Dr. Shin Seonhan: The Doctor Who Sees The Future [EN]: Chapter 82

Breath (13)

#82 Breath (13)

“What’s wrong?”

The nurse answers my question with a worried expression.

“Patient Yang Song-i. Her urine output seems a bit low per hour since she came up to the ward after surgery today.”

Urine (urine output) – the amount of urine a person produces.

Good urine output is an important sign that our body is functioning without major problems.

Conversely, what if urine isn’t coming out?

There’s a problem somewhere in our body. A big problem that can’t be ignored.

“How much has there been?”

“20, 10, 20cc in the last 3 hours.”

That’s too little.

Normal urine output should be at least half the body weight (in kilograms) in cc’s per hour.

If urine continues not to come out?

The patient’s body swells, and the lungs become filled with fluid, impairing their function.

“Her weight is 51kg, so the urine output is indeed low. I’ll go see the patient now.”

I get up from the chair and head to room 74 where patient Yang Song-i is.

“Song-i, I’m coming in.”

Swish—

I pull back the curtain and enter.

“Huh.”

Quickly!

Song-i hurriedly tidies something up.

Several sheets of printouts, like copies of a friend’s notes, are scattered on the bed.

And it seems Song-i was watching something on her tablet instead of focusing on studying.

“Why are you so surprised?”

“Oh, you startled me… I thought it was my mom. I just turned on a music video while studying.”

“Music video?”

Come to think of it, she said she was a fan of the idol group called Carbon Boys.

I chuckle.

Seeing her watching videos diligently even on the day of her surgery, her affection must be considerable.

“But Doctor, what’s up?”

“Her urine output seems a bit low, so I’m going to do some tests to check things out.”

Song-i reacts to the word ‘tests’ with an anxious expression.

“Am I sick again? Are you going to poke me somewhere…?”

“It’s going to be simple this time, so don’t worry.”

My hands are empty as I say that.

Because the examination tool I need right now is my… intuition.

If urine output decreases after thoracic surgery, three main things should be considered.

I approach Yang Song-i to check the first one.

“Can I have your hand for a moment?”

I take Yang Song-i’s hand.

“What’s the hardest thing for you? Are you okay besides the pain in the surgical area?”

As I say that, I gently take Song-i’s foot this time.

It’s to differentiate low cardiac output [reduced heart function].

In other words, to check if the heart’s function has decreased.

The first reason why urine may not come out well.

It’s a problem with the heart.

Why would there be a problem with the heart after lung surgery?

Should I call it the mystery of the human body……

Because the various organs in our body work together organically and in a chain reaction.

[Undergoing lung surgery]

→ [The lungs are struggling]

→ [The heart, which has to send blood to the lungs, is also struggling]

→ [The kidneys, which receive blood from the heart, aren’t getting enough blood from the heart]

→ [The kidneys can’t do their job of making urine well]

→ [As a result, urine doesn’t come out well]

……A chain reaction like this can occur.

Especially after lung surgery, the state of the lungs, which used to be like soft bread, temporarily becomes a bit like tough bread.

The heart, which has to pump blood to these tough bread-like lungs, can naturally struggle.

‘Fortunately, her hands and feet aren’t cold.’ Yang Song-i’s hands and feet were warm.

This means the heart is functioning properly.

I ask a different question this time.

“Can you stick out your tongue for a moment?”

Second check.

I need to check if the patient’s body is dehydrated.

Checking if the tongue or skin is dry.

“Lift your arm for a moment, too.”

Swish—

I touch Song-i’s armpit.

It’s one of the main ways to assess the body’s hydration.

As much as checking the numbers on a machine, seeing and feeling the patient directly like this is also important.

‘Come to think of it, Baek-ui Shin [likely a respected senior doctor or mentor] once said something like that.’

These days, as I become the attending physician for patients and make diagnoses, I am experiencing the meaning of that sentence.

“Heehee.”

The patient flinches and laughs as if ticklish when my hand touches her.

Ticklish?

Just bear with it a little bit.

Because it’s all part of the diagnosis for treatment.

I concentrate on the sensation felt at my fingertips and think.

‘There’s no moisture in her body.’

Of course, it’s a natural thing.

There’s bound to be a lack of moisture in the body after surgery.

Because moisture in the body evaporates into the air during surgery, and bleeding accompanies it.

On top of that, lung surgery.

The lungs after surgery are vulnerable to a state of excess moisture in the body, so in many cases, they don’t give enough IV fluids.

So it becomes even more dehydrated.

‘Even though the pain is well controlled, her heart rate is also fast, so it seems like there isn’t enough moisture in her body.’

After coming to a conclusion, I say to the nurse.

“Patient Yang Song-i seems to be a bit volume-depleted.”

Then Song-i suddenly says.

“Volume? I’m not that skinny……”

Huh?

What are you talking about.

I make a blank expression for a moment.

After a while, the nurse bursts into laughter next to me and explains.

“Song-i, it seems like a lot of moisture has been lost from your body during the surgery. When there’s not enough moisture in the body, we express it as lacking volume.”

Doctors often call the amount of moisture in our body volume.

For example, when giving IV fluids because it seems like there’s not enough moisture in the body, they express it as ‘giving more volume’.

It seems like Song-i was mistaken because of this.

“Ah, geez…… I thought……”

Song-i’s face turns red.

What were you thinking?

You little thing.

I chuckle and say to the nurse.

“Let’s replenish her fluids a bit. Give her 500cc of Hartmann’s solution [a type of intravenous fluid].”

“Yes.”

“Then tell me if you feel uncomfortable. Don’t watch music videos too late into the night.”

“Yes……”

Swish—

I close the curtain.

After diagnosing Yang Song-i’s problem and coming up with a solution like this, I return to the station.

Oh, I didn’t forget the third check before that.

The third reason why urine output can decrease.

That’s when the urinary catheter is twisted or blocked by foreign substances.

Why does such a trivial reason make it into the top three?

Because in reality, when seeing patients, these minor reasons are often overlooked.

If you don’t know about these simple problems and make a false step, patient management can go in the wrong direction for a long time.

‘Let’s not miss anything one by one.’

I am in charge of more than 20 patients.

But each patient has only one attending physician.

That’s why I can never be negligent in my work.

Until everyone can safely go outside the hospital, managing them is my responsibility.

* * *

POD (Post-Op Day) 2 [Post-Operative Day 2 – two days after surgery].

Song-i was gradually recovering.

Now she has removed the oxygen tube from her nose, and her breathing exercises are showing results.

And Song-i and I have become quite close now.

“Song-i, I’m coming in.”

Swish—

I pull back the curtain.

We’re at a point where we can speak comfortably now.

Song-i, who had been holding onto printouts since morning, peeks her head over the paper and says to me.

“Lai wo jia chi la mian ma?”

“What’s with you all of a sudden?”

“It’s a second foreign language. What do you think I said?”

Suddenly a Chinese class?

How random.

I chuckle and say.

“Good morning.”

“Nope.”

“Then what is it?”

“Want to come to my house and eat ramen?”

“……Why are you memorizing things like that.”

“It’s fun.”

Song-i giggles and says.

“Honestly, it’s not as important as other subjects, but I’m going to study Chinese hard. To join Romance Entertainment later……”

“Is that Carbon Boys’ agency?”

“Yes. After graduating, I plan to enter the entertainment industry, form a relationship with the Carbon Boys oppas [term of endearment for older male idols], and get married.”

“You have it all planned out.”

“Kikikik!”

What an imaginative child.

I wonder if I was like that when I was a teenager.

“Doctor, I’ve been thinking. I had my lung cut out, so there’s space in my chest, right? Isn’t this heaven’s way of telling me to fill this empty chest with more love for our Carbon oppas……”

“Yeah, no. Just lie on your side.”

“Tch.”

I neatly ignore Song-i’s words and start doing my job.

Vital checks are basic.

I check if pleural fluid [fluid around the lungs] is leaking from the place where the chest tube was inserted, check for signs of infection, and carefully dress the area.

And I don’t forget to make her do breathing exercises.

Fortunately, Song-i was a patient who followed my instructions diligently.

Meanwhile, music was flowing from the earphones that had been put aside during the examination.

Looking at it, Carbon Boys were dancing on the phone screen as usual.

Song-i has been playing the same video on repeat for days while studying.

Seeing her playing it on endless repeat like that, I realize there’s a reason why idol music videos have over 100 million views.

“Do you like Carbon Boys that much?”

“Of course.”

Song-i’s passionate speech continues.

She says she needs to regularly consume her favorite idol videos like vitamins or something.

As I watch Song-i, I’m gradually learning about the world of idol fans that I didn’t know before.

“But why do you keep watching the same part over and over?”

“He’s my bias [favorite member].”

“Ban Jin-ho is your favorite member.”

“Wow, Doctor, you know Ban Jin-ho too!”

Song-i exclaims happily, her eyes shining.

Of course, I know.

And I also know that the patient went to our hospital’s emergency room not too long ago.

I also know that So-dam experienced an unspeakable incident while trying to insert a urinary catheter into Ban Jin-ho’s penis…….

‘This kind of story would be a destruction of innocence.’

Of course, I didn’t tell her the details.

Because I have to protect the patient’s sensitive personal information.

Of course, guys like Jo Jin-gi, who like to gossip, might have spread it around here and there…….

I haven’t told anyone outside the hospital about what happened in the emergency room that day.

“But Doctor, I have a question. Is that rumor not true?”

“What?”

“The rumor that Ban Jin-ho came to Yonkuk University Hospital and became…um…impotent due to a medical accident.”

“……”

I sigh deeply.

So that’s how the rumor spread?

This kind of story tends to be exaggerated even after only two or three degrees of separation.

Celebrities must be really tired of being plagued by all sorts of strange rumors.

“It’s not true.”

“Right? It’s just a false rumor, right?”

“I can’t tell you the details. But if that were the case, wouldn’t there have been a lawsuit and a big fuss? And our hospital’s urology doctors aren’t the kind of people who would make such mistakes.”

I defended Ban Jin-ho’s honor like that.

Although we’ve never met, should I call it a minimal sense of solidarity as a fellow man…….

He shouldn’t be misunderstood like that at such a young age.

Then Song-i sighs in relief and says.

“Phew, that’s a relief. I knew it! There’s no way our Ban Jin-ho oppa would do that.”

She’s as happy as if it were her own business.

Is it that good?

I can’t quite understand the heart of a fan.

* * *

That afternoon.

During rounds with the professor.

Song-i’s mother says with a confident expression.

“My child will be discharged now.”

……Did I hear wrong?

For reference, today is the second day after surgery.

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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