30 30. PK-Patient Killer (3)

Jinhyun was surprised.

“What's wrong with you? Are you sick?”

“Ah... Ah... no. ”

She stutters, shaking her head. Then I hurriedly picked up the bag next to me and turned my back.

“Me, I'll go. Sorry!”

“Eh...? Now, wait a minute. ”

But she didn't stop. I left the classroom without taking my jacket.

The rest of Jinhyun murmured.

“What's wrong with him? ”

I tilted my head.

“Did you hate to stroke your head so much? ”

* * *

The next day, Jin apologized to Hye-mi seriously while practicing.

“I'm sorry about yesterday. ”

“What?”

“I think I stroked my head. I think it would have felt bad. ”

Jin-hyun thought deeply about why Hye-mi had reacted so late at night. And the conclusion was unpleasant.

‘I should have been careful, even though I'm a friend. It's my fault.’

But comedy's reaction was strange. His face is red again.

“Hye, Hye Mi? ”

I wasn't angry... I was close to embarrassment, but unfortunately, I couldn't discern the fact that my eyes were close to the primitive.

“Why, why did you stroke me? ”

Comedy turned his head and asked.

“That's..... ”

He thought.

I wanted to comfort you with something, but it didn't seem good because it reminded me of sexual harassment yesterday. So he said,

“Because you're cute.”

She was like a brother to him.

But when she heard the answer, her face became even more red.

The apple is not ripe. It looks like it will burst.

Jinhyun was embarrassed.

‘No, why do you do that every time you talk? ’

He muttered faintly, so that no one could hear him.

“Idiot……. ”

At that time, a man came in with a door open in their conference room.

Jin Hyun and Hye-mi, both faces hardened. It was messy, it was the doctor's complaint.

His expression was not good either.

Something is full of complaints, but it is impossible to establish authority after being humiliated in front of the professor.

“There are challenges. I'll assign each of you a summary of the patient's condition, how to diagnose it, and how to treat it in the future. You're getting into the score, so work hard. ”

“Yes.”

He then assigned the patient to Hye-mi first.

“If you have enteritis, you can focus your treatment on the causes of enteritis and infectious enteritis. ”

It is not a difficult topic.

Comedy nods with a hardened face.

Minho Seong told Jinhyun in a tone full of unpleasantness.

“You can do this patient. ”

I just threw in the patient number without any specific explanation.

Jinhyun immediately entered the patient number using the hospital computer connected to the computer next to him.

Lecture O Men/52 years old

And on the computerized chart, it was briefly written:

Anti-cancer metastases found after gastric cancer treatment, during intensive care with undetermined lung function deterioration during radiotherapy. Pulmonary embolism, respiratory failure, pneumonia all undifferentiated. It is currently considered pneumonia and is being treated or continues to worsen.

Comorbidities: Diabetes, Hypertension, Chronic Renal Failure, Delta wave?, R/O WPW?), heart failure, hepatitis B, hepatic cirrhosis…….

“ ……. ”

Comedy, who saw the chart next to him, opened his mouth slightly.

It's written in Korean... Is this Chinese, Japanese, blown, alien? It is a face that needs to be changed.

The attending smiled bitterly.

“What do you think? If you're the first, you can do enough, right? Good job getting into grades. ”

“How do you do an assessment? ”

“We will look at and evaluate access to diagnosis and treatment plans. ”

Jin Hyun sighed at the words.

‘I can see what you're talking about. ’

The trainee's credits are managed by a resident, not a professor.

It was clear that the intention was to take on a difficult task and cut the score.

‘The problem is that this is not usually a difficult task.... ’

In these patients, there was no clear answer.

In fact, I don't know the cause, I don't know how to treat it, and I'm not feeling well. How do I get an answer?

‘The eternal challenge of mathematics, Ferma's theorem, is to cut scores. ’

If I hung my nose, I hung my nose, and if I hung my ear, I would definitely cut the score.

‘The score for Internal Medicine Practice is 14 credits, even though it is a subject. If C hits here, the ball will collapse. ’

In fact, there was a student who was pushed out 10% of the time in the medical school where he was in first and second place for a C in internal medicine practice.

Of course, one assignment would not come up with a C, but it was possible to choose and shave it.

If everyone gets the top 20 points, it goes straight to C or D.

“Do your best.”

Minho laughed.

Jinhyun stared at his face.

His sensitivity to the unknown intimidation in his eyes was flawed.

“Why, why? Can't you?”

“No.”

Jinhyun shook his head slowly. And he said in a resolute voice.

“I'll write and submit it. When can I submit my application? ”

His unshakeable voice stiffened his face again.

“Until the weekend.”

‘Hm, I don't know anything about that. ’

He felt confident that Jinhyun did not know the seriousness of the situation.

‘I think I'm good at answering a few questions in front of the professor. Understand.'

Captivated by inferiority, he grinds his teeth.

* * *

“Jinhyun, can you do this? This patient seems too difficult……. ”

“Well, we should try. ”

Comedy's big black eyes were filled with worry.

“This assignment will be very important... If you get 14 credits wrong and the subject's grades are wrong..... ”

14 credits.

Medicine usually has less than 30 credits in a semester, which is the equivalent of half a semester.

Quarter credit. If you achieve a grade of C, the tower you've built will collapse.

"Skincare will fly. ’

Comedy said again.

“I'll help you with that. ”

“No, it's okay. You focus on your assignment, too. ”

“But……. ”

“It's really okay. However, this kind of assignment is not very helpful for many people to work with. ”

Jinhyun took place in his place.

She looks up at him with her eyes wide open.

“Where are you going? ”

“ICU.”

“Ah... Start the assignment right away? ”

“Yes.”

Jinhyun nodded.

It's late Thursday afternoon, and it's less than two days before the weekend.

Before that, I had to complete the assignment and submit it.

‘I've tried so far, but I can't get my ankle caught in this. ’

He immediately headed to the intensive care unit where the patient he was assigned to was located.

* * *

“Ha, ha. ”

The patient assigned to Jinhyun was lying in the corner of the ICU.

Breathing was rough even when applying high concentrations of oxygen masks.

“Patient, patient? ”

I spoke for a simple answer, but I couldn't answer it.

Only the eyes are barely open, and the body's state is deteriorating and the consciousness is falling.

“Who's there? ”

The nurse in charge of making a slight impression asked Jinhyun.

“I'm a practical student. I'm here to see a patient. ”

“Yeah? This guy's not so good right now. ”

It's annoying, so you should go quickly.

Jinhyun laughed bitterly at Pudong.

‘Well, I can't help it because I'm a student. ’

However, Jinhyun did not care much, but carefully looked at the patient.

‘Physical examination first……. ’

From head to toe, I scoured, touched, listened, and knocked.

‘My lungs are so messy. But it's not sputum. Pneumonia should have a lot of sputum... I don't think it's pneumonia. ’

Removing the stethoscope from the area where the lungs are located, Jinhyeon frowned.

‘But why is my whole body so swollen? This isn't just a bad lung, is it? ’

The patient was thoroughly examined by accessing the hospital computer to view the test results.

‘Pulmonary X-ray... CT... ’

He pondered over the X-rays and CT photos.

Then, I heard a loud voice.

It was the attending physician's complaint.

“How are you doing? ”

He laughed at Jinhyun as he watched the footage.

Don't you see that? It's a look.

Minho approached the patient and shouted out in a loud voice.

“Patient, you'll get better with antibiotics in no time! ”

“Uh-uh……. ”

But the patient only moaned and did not answer at all.

Minho Seong laughed like Hyena.

“Well done. It's a big challenge to score. ’

‘I'll give you a bakery. ’

Then Jinhyun, who was about to go up to the ward, asked him.

“Sir... ”

“Why?"

“Do you use any other medicines besides antibiotics to treat pneumonia? For example... a medicine to drain cold water from the lungs... ”

“Why do you use that? It's the most likely pneumonia, so you should use antibiotics. ”

Minho Seong made an impression and went up to the ward.

The rest of Jinhyun made a bitter laugh.

‘I don't think it's pneumonia... I don't have much inflammation... I don't have sputum... ’

It is also strange that the whole body is pouring tangentially.

X-rays and CT are also far from typical pneumonia.

It's not pneumonia, it's water in the lungs. I think that's probably because he's a bad patient. ’

Anatomically, the heart and lungs are directly connected, so if the heart is poor, the lungs often have difficulty breathing.

Of course, it is not easy to distinguish between inflamed pneumonia and watery cases, but several clinical circumstances suggest the possibility of watery cases more strongly.

‘I think we should talk about this. If you're using the wrong antibiotics like this, I'm gonna skip the patient. ’

It was clear that the complaint would be temperamental, but it may not be enough to see the patient getting worse with the wrong treatment.

‘Oh, I don't want to go out there. Let's just be good. ’

Jinhyun sighed and tried to meet Minho Seong.

But it was then!

His eyes found something strange.

“Pulse rate?”

I also saw the nurse next to me. She cried out in a panic.

“Eh, eh?! What's with the pulse? ”

The heart, which was steadily beating 80 times per minute, suddenly started to run like crazy 180 times per minute!

What happened in the blink of an eye was a change that occurred in less than a second.

“Me, sir? Come quickly, something's wrong! ”

A nurse called the attending physician in an emergency that suddenly occurred.

What happened? ’

Jinhyun quickly analyzed the cardiac rhythm shown on the monitor.

Heart rhythm is shaking! It's a big deal. ’

Fortunately, as he was smoking nearby, Choi Seong soon arrived.

“Oh, why are you calling me again? It bothers me..... ”

He was surprised and embarrassed when he saw the grumbling pulse.

“Uh, uh... Why is that? I didn't do it before. ”

Then the patient snapped. It is a sign that consciousness is about to move on.

“Uh, what do I do? ”

Since then, he pretends to be arrogant, but he's only in his early first year.

In other words, he was less than a few months old when he started seeing patients properly and was vulnerable to emergency preparedness.

“Chi, your phone number is……. ”

He urgently called Chief Lee Junsung.

However…….

I am not answering the phone.... to the sound gland.

“Damn it! What the hell is this chief!! ”

Minho Seong uttered a profanity.

The nurse next door asked in a restless voice.

“Sir. What do we do? If we don't act quickly now, it's going to be a big deal……. ”

Minho Seong was white and tired and swallowed his saliva.

I don't know what's gonna happen if I don't get my hands on that reckless heart.

At worst, the patient may die.

(Continued on next page)