Level Up Doctor - Chapter 18
Living as a beginner (1)
Dormitory at Uijin University Hospital.
Choi Ki-seok was filled with emotion as he looked at the doctor’s gown hanging on one wall of the room.
A key symbol symbolizing Uijindae was engraved on the pocket on the chest of the gown.
Above it were three letters, the name Choi Ki-seok.
I passed the internship exam that took place not long ago and will be going to work at the hospital tomorrow.
My heart was already pounding as I started a new life as a doctor.
“It’s an intern…”
Choi Ki-seok muttered in a low voice.
Intern (Intern)
is a name that literally comes from the idea of going around inside.
The training course lasts one year, during which time students visit various departments within the hospital every month to gain clinical experience.
In the past, life as an intern for Choi Ki-seok was like hell.
I always woke up before my classmates and went to bed last. Nevertheless, he was criticized for his poor work ability and could not avoid the so-called C-turn.
In the past, Jinseong University Hospital
took an A-turn on interns who were good at their work.
B-turn on an intern who is doing a decent job.
Because interns who work hard to their core used to be classified as C-turns.
“That doesn’t happen anymore.”
A smile appeared on Choi Ki-seok’s lips.
He is different now.
I have the experience of having achieved 3 years of residency and through hard work, I have achieved greater achievements than my past peers.
And most importantly:
That is, he has the eyes of Hippocrates and various skills.
If you can develop your skills by using them at the right time and acquire new skills, you will be able to make amazing progress during your internship.
While thinking about this and that, I came out of the room.
As I passed by and looked into the room, I saw people packing their luggage.
After the announcement of successful candidates, interns had an orientation of 4 days and 3 nights.
At that time, interns were assigned to departments they had to attend for one year.
Among them, there were personnel who were dispatched externally from the first month.
“hey!”
I heard a familiar voice from behind me.
When I turned around, I saw Kim Geon-woo approaching.
“Where are you going this night?”
“Just going for a walk.”
“Come with me.”
Choi Ki-seok walked with Kim Geon-woo in the garden near the dormitory.
Then I took a seat on the bench.
“Why do you look so calm? Tomorrow is your first day at work, aren’t you nervous?”
“at all.”
“You idiot. Pretending to be strong.”
Kim Geon-woo gently touched Choi Ki-seok’s side with his elbow.
“I feel like I’m really unlucky. I’ve been going to the emergency room since the first month. I’m going to be so stressed out.”
“If you think anything is difficult, there is no end to it. Think about it as simply as possible.”
Choi Ki-seok continued.
“Know just one thing when working in the emergency room.”
“Just one thing?”
“Yes. I think you are a traffic cop.”
“Traffic police?”
Kim Geon-woo frowned.
The work of a traffic police officer and an emergency room intern is completely different. If you’re going to use an analogy, you should use it properly…
“There’s not much you can do in the emergency room. The only thing you can do is identify the patient’s symptoms and provide simple treatment. Isn’t that right?”
“that’s right.”
“So the most important thing is to identify the patient and then contact the relevant department teacher.”
“······.”
“If that’s not traffic control, what is it? If we just get patients into the department, we can at least avoid them.”
“That’s what I heard.”
Kim Geon-woo nodded slightly.
Choi Ki-seok’s words cut to the core of the emergency room’s work.
In reality, interns do not perform extensive treatment in the emergency room. The intern’s job is to primarily meet patients and obtain information.
In addition, some treatment…
“If I may add one thing, there will be no problem tomorrow.”
“What? Now you’re going to pretend to be tweezers?”
“It’s science, not tweezers. Science.”
Choi Ki-seok smiled and pointed to the sky.
The night sky was particularly dark today. The stars and moon were not visible, and a cold wind blew.
“It’s going to rain tomorrow.”
“What’s wrong with that?”
“Don’t you know Yubi Muhwan? Nothing bad will happen tomorrow and the worker will probably die the next day?”
Kim Geon-woo looked stunned at Choi Ki-seok’s words.
“How did you suddenly become Dr. Cheokcheok?”
“Well, I picked it up here and there.”
“The way you spoke seemed like you were talking about something you had experienced?”
“Uh-huh. Don’t dig in. You’ll get hurt.”
Choi Ki-seok tapped Kim Geon-woo on the shoulder and stood up. And naturally, I used encouragement.
[The emotions of the person receiving encouragement brighten.]
[Immune resistance and regeneration power slightly increase.]
Tiring!
[Skill proficiency has increased.]
[Encouragement has risen to Lv.2.]
Active skill
[Encouragement Lv.2]
– A warm word increases the emotional immunity, resistance, and regeneration of patients and medical staff.
– As the level increases, various values increase and the amount of increase also increases.
– The encouragement effect lasts for two days.
– The number of people you can encourage increases slightly.
Choi Ki-seok returned to the dormitory with Kim Geon-woo.
Today is the first time I raised my skill proficiency. But I wasn’t all that happy about that fact.
Quick level up of encouragement skills.
That means only one thing.
This means that there are many people around who are having a hard time who need to be encouraged.
Could there come a day when encouragement skills are no longer needed?
* * *
Jiiiing.
An alarm rang in the darkness.
Choi Ki-seok jumped up from the bed. I turned off the alarm and took a shower in the bathroom.
I packed various things, including my call phone, and put on a gown.
A stiff gown with no length.
The smell of cold fabric flowing from a robe.
I could feel with my whole body the feeling of being reborn as an intern.
Ki-Seok Choi left the dormitory after improving his appearance in front of the mirror.
After walking for a while, we arrived at the gastrointestinal surgery ward.
This is where Choi Ki-seok will live for the next month.
slap!
I patted my cheek and entered the ward.
The current time is 5:30 am.
The hallway lights were off, and nurses on night shift were working at the station.
“who are you?”
Nurse Park So-yeon looked at Choi Ki-seok and tilted her head.
“Hello. I am Choi Ki-seok, an intern who will be working in the gastrointestinal surgery operating room starting today. Please take care of me.”
Choi Ki-seok bowed politely.
Interns are usually divided into ward interns and operating room interns.
Ward interns provide treatment to patients in the ward, and operating room interns assist in the operating room.
“Ah. You are the new intern teacher.”
“nice to meet you.”
The nurses greeted each other one after another.
The last person to make eye contact with Choi Ki-seok is the charge nurse, Han Young-hee.
Han Young-hee looked Choi Ki-seok up and down with a sour expression.
“Do a good job. All of our Reggie teachers are strict.”
“Yes. You have to work as hard and do as well as you can.”
Choi Ki-seok ended the conversation with a round answer.
Even doctors could not ignore the clinical experience of the charge nurse. This was especially true in the early stages of internship, when it was difficult even for nurses to show off their energy.
“Please give me the chart and treatment supplies.”
Choi Ki-seok stared at Park So-yeon.
Since I came early, I plan to take care of the ward myself.
“Here you go.”
I briefly looked at the chart given by Soyeon Park and headed to the hospital room.
Acting nurse Jin Hyeon-ah joined as an assistant.
The first patient is Choi Mi-soon, a 60-year-old patient. The necessary treatment is ABGA (arterial blood collection).
“Okay, shall we begin?”
Choi Ki-seok rolled up the sleeves of his gown and turned on the light in the hospital room.
Choi Mi-soon’s seat is by the window.
“Grandma. Are you awake?”
“······.”
“You just glanced at me.”
“Shibang. Are you trying to draw blood right now? That’s right.”
Choi Mi-soon lay down as if dead, then got up and leaned her back against the back of the bed.
Annoyance was written all over his face.
“Don’t worry. I won’t let you get sick.”
Ki-Seok Choi was quick to use encouragement.
Tiriring!
[The skill failed. You cannot use encouragement on an unfavorable opponent.]
Choi Ki-seok’s brows furrowed.
“How come the people here are so talkative? What was it like not long ago? Do you know how many times that long-faced bachelor stabbed his arm with a needle?”
Choi Mi-soon held out her arms in disgust.
There were significant bruises and needle marks on her arms.
‘I’m tired.’
Choi Ki-seok smiled bitterly.
I was able to understand both the former intern’s perspective and the grandmother’s perspective.
First of all, from an intern’s perspective, ABGA, or arterial blood collection, is quite difficult.
Unlike collecting blood from a vein beneath the skin, ABGA requires puncturing an artery deep within the skin.
The wrist artery is often used at this time.
The so-called radial artery is thin, so if the needle is even slightly misaligned, blood collection fails.
On the other hand, from the grandmother’s perspective, she would be annoyed because she was suddenly showered with needles.
“Grandma, I’ll do it just once. If that fails, I’ll have to go back.”
“Doctor! You shouldn’t make such a promise with a patient carelessly.”
Jin Hyun-ah jumped at Choi Ki-seok’s words.
“Doctor bachelor. Really now? Are you going to let go just once?”
“Yes. Trust me.”
“Then look at your tongue.”
“ha······.”
Jin Hyeon-ah saw Choi Ki-seok and Choi Mi-soon match up and sighed.
“Elder. Move your hands.”
Choi Ki-seok put pressure on Choi Mi-sun’s radial and ulnar arteries and made her open and close her fists.
Soon, Choi Mi-soon’s hands turned pale.
Allen test.
This is a test to check the circulation of the radial artery. If the palm remains pale or it takes a long time to return to normal, it is better not to puncture the radial artery.
“There’s no problem.”
Ki-seok Choi smiled kindly and palpated the radial artery with his finger. After disinfecting the area around the artery, the syringe was laid down at a 60-degree angle and pierced the artery.
Fuuuuuk!
The needle penetrated the skin.
Behind his back, Jin Hyun-ah was watching Choi Ki-seok with bated breath.
Now, if you pull the body of the dice, the result will appear.
If blood comes out, it’s a success, if not, it’s a failure.
If it fails, they will have to bear Choi Mi-soon’s wrath.
“done!”
Jin Hyun-ah let out a voice of joy. Red blood was welling up the body of the dice.
As promised, Choi Ki-seok completed the treatment in one go.
“Press and hold the injection site for about 5 minutes.”
“Doctor bachelor. Are you good at it?”
Choi Mi-soon smiled brightly and stared at Choi Ki-seok. The pouty child-like appearance suddenly disappeared.
“From now on, bachelor, please continue to draw blood. Understood?”
“sure. Just trust me.”
Choi Ki-seok confidently patted his chest.
Tiriring!
[You have completed the past glory mission.]
[You have acquired the dormant title Vampire.]
[You will automatically wear the title.]
[Reputation Slight increase.]
[A new rapport with patient Choi Mi-soon has been formed.]
Alarms came up frantically even after only one treatment.
Choi Ki-seok checked the medical mode window.
Title
[Vampire]: Wearing
– Our hospital has a legendary There is an intern. A terrifying intern who is said to be able to stick a needle in a blood vessel even with his eyes closed. Could that intern have been a vampire in his past life? – The success rate of blood collection increases to 100%. – The pain felt by the patient during blood collection increases by 50
%
. The percentage decreases.
Choi Ki-seok couldn’t help but laugh after seeing the title.
In the past, he was treated like a C-turn and was scolded all the time, but he did an amazing job at drawing blood.
If he hadn’t been able to draw blood, he probably would have quit his internship because he couldn’t overcome the bullying around him. .
However, the ability to draw blood in the past was upgraded and turned into a title.
Reputation: 1.5
Rapport formation
– Jeong Seol-hwa (medical professional): Level 1 – Intimacy
– Choi Mi-soon (patient): Level 2 – Trust Other
reputations increased by 0.5 more than before.
Also, Choi Mi-soon and The rapport immediately rose to the level of trust. Considering that the rapport that can be built with a patient is at the highest level 4, it is an incredible amount of growth all at once.
“Mr. Now you have to go to the next room.”
“Ah. Yes.”
Choi Ki-seok came to his senses late. But the moment he was about to leave the bed, Choi Mi-soon grabbed Choi Ki-seok’s wrist.
“Doctor bachelor. I haven’t given this to anyone before.”
“······.”
“So, make sure you stay alone.”
Choi Mi-soon slipped the bean jelly into her gown pocket.
Choi Ki-seok laughed at the grandmother’s cute behavior.
* * *
Gastrointestinal tract Surgical ward station.
The nurses were busy talking about the new intern, Choi Ki-seok.
Normally, a new character is bound to get people around him talking no matter what.
“This month seems to have been a disaster.”
Young-hee Han sighed.
“Choi. From the beginning, the teacher seems to have no interest in anything. It would be nice if I could follow half of what Teacher Song is.”
“Wouldn’t it be too early to judge based on first impressions?”
“Hey, I’ve been a nurse for 20 years already. People who are good at their work can be seen just by pretending.”
“Then how was I?”
“You weren’t bad.”
Park So-yeon laughed at Han Young-hee’s words.
“But I think Teacher Choi will do well too.”
“Why?”
“What can I say. My eyes were just sparkling. Normally, when it’s your first turn, you tend to look anxious and nervous, but there wasn’t anything like that at all.”
“Nervousness is something normal people do. Because my condition is bad, I can’t be nervous and act fussy.”
Han Young-hee got up from her seat and left the station. As she turned around
the hallway to go to the bathroom, Choi Ki-seok suddenly appeared in front of her.
“Oh my! “I’m surprised.”
“I’m sorry. I didn’t mean to surprise you.”
“By the way… Have you already finished treating Dr. Choi?”
“Yes.”
Han Young-hee clicked her tongue at Choi Ki-seok’s confident answer.
Looking at the clock on the wall, it took less than five minutes. . The treatment time was faster than that of Song Ji-young, who was the ward’s turner and is now a one-year resident.
“Did you properly intubate patient Kwon Tae-won’s nasogastric tube?”
Young-hee Han asked a question of remorse with her arms crossed.
A nasogastric tube is an L-tube or a nasal string. It is also called .
It is mainly used to relieve gas in patients who have difficulty swallowing or have excessive gas, and is one of the procedures that interns have difficulty with. “I finished it in one go.” “Did the tube
go
into the trachea or trachea by any chance? ”
“I already checked with a stethoscope. If you don’t trust me, would you like to check it yourself?”
Ki-Seok Choi pointed at the stethoscope in a relaxed manner.
I acknowledge Young-Hee Han’s clinical experience, but winning and losing in a fight is a different matter. I
couldn’t tolerate being treated like a brat.
“Well. Because it is Teacher Choi who takes responsibility.”
Han Young-hee quickly passed Choi Ki-seok.
“Teacher Park. Teacher Choi is absolutely amazing.”
Jin Hyun-ah, who had been quiet behind her, approached So-yeon Park and made a fuss.
“What?”
“You’re good at ABGA and other treatments. This is my first time seeing an intern like this.”
“That much?”
“That’s right. See for yourself later.
“Don’t put too much pressure on the plane. Then it will fly away.”
Choi Ki-seok scratched the back of his head after hearing the conversation between the two.
This moment was just awkward. In the past, when I was a beginner, I was often ignored by nurses.
“I’m leaving now.”
Choi Ki-seok entered the conference room at the end of the ward.
I briefly cleaned my desk and surroundings, sat in front of the computer, and drew up a list of surgical patients. I laid out the patient list on the table and turned on the EMR (electronic medical record).
This concludes the preparation for the meeting.
Grumble.
I reflexively turned my head at the sound of the door opening.