Perfect Surgeon 139
Perfect Surgeon chapter 139

episode 138.

138.

“Are there any other symptoms besides being tired?”

“Sometimes I run out of breath while working. I didn’t before… … .”

“Um, I’m out of breath.”

“Sometimes it hurts here.”

The man pointed to his upper abdomen.

In Hyeon-jun’s head, the probability of differential diagnosis was changing whenever new information came in.

’54 years old. I weigh 71 kg, and there is no change in my eating habits.’

“I’m going to do auscultation.”

The auscultation result was clear on both the heart sound and chest.

Hyun-jun changed the question to a difficult patient from the beginning.

“Have you ever been to a hospital?”

“I never went to the hospital, and my joints hurt, so I kept taking medicine. This is the medicine that his son bought from Phnom Penh. When you eat it, your joints get a little better.”

“Did you bring any medicine?”

“Yeah… … .”

The man pulled out a small crumpled box of medicines from his pocket.

“It’s ibuprofen.”

Ibuprofen was a class of NSAIDs (nonsteroidal anti-inflammatory drugs).

Based on his history, Hyun-jun made a diagnosis.

‘Ronnie, I think you must be anemic, can you do a blood color analysis?’

[As a result of the analysis, the values ​​of the conjunctiva, skin, and palm are slightly lower.]

‘Okay, you mean pale?’

On the chart, Hyunjun wrote iron deficiency anemia due to chronic blood loss.

“A blood test, a helmoglobin level test, an iron test, please. Can I write like this? Oh, and… … .”

Since it was the first time writing it down, Hyun-jun wrote down his opinion and listening to the military in as much detail as possible.

upper abdominal pain.

Possibility of erosive gastritis due to long-term ibuprofen use.

“Is this enough?”

Hyun-jun handed the chart to Gong’s table with the patient.

“The next patient.”

This time it was a 58-year-old woman.

“You mean your left hand hurts?”

“It’s not my hand, it’s my knuckle that hurts.”

“Yeah. Well… … .”

“My right knee hurts. Sometimes it doesn’t even move.”

“Aren’t you moving as if something is stuck?”

“that’s right.”

“How long have you not moved?”

“For twenty minutes.”

With the answer, Hyun-jun, who had erased rheumatoid arthritis from the differential diagnosis, continued the question.

“Does it hurt to walk for a long time?”

“Yes Yes… … .”

The female patient looked at Hyeon-Jun, who was examining, as if curiously.

Everyone was just getting old and bruised, but it was the first time that a doctor who looked at his condition in such detail and kindly examined his condition.

When there was nothing unusual except for a slightly high blood pressure, Hyun-jun arranged the chart right away.

“The diagnosis is osteoarthritis. Arthritic stiffness, plain radiographic imaging.”

“Are you okay?”

“Once you start taking a drug called acetaminophen, and change your lifestyle a little, you will feel much better than you are now.”

“Gosh… … I’m glad it can get better.”

The patient, who had been hardened by tension, smiled broadly at Hyun-jun’s positive answer.

There were thick wrinkles all over his face, but it was a smile that made people feel better.

Hyunjun’s voice brightened when he thought that he was also of some help.

“The final diagnosis and drug prescription will be made by the teacher over there.”

“Yes Yes. thank you.”

When we looked at the second patient, Hyun-jun, who was a little used to it, accelerated his treatment.

“Next minute.”

Gong Ji-won, who called the next patient, checked the chart.

It was the first patient Hyun-jun saw.

‘Where can I see how well you did?’

Like a red pen teacher trying to grade a student’s exam paper, she raised her pen.

“Well… … .”

While reading the chart, her hand floating in the air did not come down from the spot for a long time.

There was no place to touch the Gaindan, which was connected to the perfect troop listening.

“Hey, let’s start with a blood test.”

It felt a bit awkward to follow the resident’s order, but he decided that he would have made the same decision.

As a result of the test, the hemoglobin level was 8.2 g/dl.

In general, in men, about 13 is the normal range, so anemia was correct.

The results of the iron test were the same.

‘This isn’t it… … .’

Her plans to show the side of a great senior began to go awry.

With a bitter taste in her mouth, she handed the patient an oral ferrous sulfate.

“Take it twice a day and only take it when you have severe arthritis, as ibuprofen can cause stomach pain.”

After explaining the side effects, she glanced at Hyun-jun again.

His expression looked much more relaxed than at first.

‘Maybe, it must be a coincidence.’

Gong checked the chart sent by Hyun-jun again this time.

“… … lie.”

A chart that was as perfect as a lie, like her helpless recitation, continued to come up on the desk.

All day long, Gong couldn’t give Hyun-jun a word of advice as a senior doctor.

The picture she had hoped for did not come to the end.

Time passed without hesitation, and darkness came over the day without fail.

The volunteers who started treatment as soon as they arrived shared a meal and the events of the day.

The biggest problem was the bathroom.

There were even people who vowed not to see big things for a week in an unfamiliar conventional toilet.

Hyun-jun seemed to understand why he came to this far place to do medical volunteer work in spite of the poor environment.

It was a pleasure to spend the day at the hospital, but it was incomparable to the emotions I felt here.

“I’m grateful, but sometimes I’m envious.”

Dr. Ying, who sat next to Hyun-jun, slurped his coffee and threw the story out.

“Because there are passionate doctors like Dr. Ying, Cambodia will also get better.”

“I want to believe that too, but at the same time I am afraid. Our government is not interested in training doctors.”

When the big topic of government came up, Hyun-jun had no choice but to listen.

“Every year, there are only superficial measures, no fundamental solutions.”

“If more people think like Dr. Ying, won’t change happen in Cambodia?”

“I wish I could. If Korea could become like Korea, there would be no wish.”

After complaining for a while, Dr. Ying entered the building.

Hyun-joon, who had a heavy heart for nothing, tilted his head and looked up at the sky.

When he lived in Korea, he didn’t feel frustrated.

However, in the eyes of the people here, Korea was the object of envy, where you could go to the hospital if you were sick and you could easily see a doctor.

“Whoa… … .”

Putting down his heavy thoughts, Hyun-jun concentrated on the beautiful scenery.

One of the best things about Cambodia is that you can see the stars as much as you want.

“It’s a fundamental solution… … .”

As he looked at the stars with his empty head, he suddenly looked like an influenza virus, each with a pointed projection.

Hyeonjun focused on the stars in the sky for a long time, as if watching a magic eye.

‘influenza… … . A fundamental solution… … . not changing… … .’

“Ah… … !”

Hyeonjun lowered his head again and organized the thoughts that had passed by a while ago through conversation with Ronnie.

“Hey Ronnie. The mechanism of Tamiflu or Rerenza is to inhibit the function of neuraminidase (a glycoprotein present in the viral envelope).”

[Yes.]

Tamiflu and Relenza were the only flu antiviral drugs currently on the market.

Although it is prescribed worldwide with FDA approval, its effectiveness is questioned through many papers and reports, and the side effects are not formidable.

This is why the world looked forward to the development of new therapeutics.

“Most pharmaceutical companies are focusing on neuraminidase, not thinking about what they are going to do with hemagglutinin.”

[Results of thesis search, related contents exist.]

“Yes?”

[However, the mechanism of inhibition of hemagglutinin, unlike neuraminidase, has not been elucidated.]

“also. I mean, if we could just neutralize a specific site of hemaclutinin that didn’t change even when a virus mutated, wouldn’t we be able to cure essentially all of the flu?”

Contrary to usual, Ronnie didn’t answer right away. There seemed to be quite a lot of information to collect and analyze.

Ronnie used to react like this whenever Hyun-jun came up with something new.

Ronnie, who had been silent for a while, gave a positive answer.

[Theoretically possible.]

“Really? Great!”

Hyunjun couldn’t hide his excitement.

It was a thought that never occurred to me when I was locked up in the hospital.

At the hospital, I thought about related topics every day, but when I came to Cambodia, I couldn’t afford to do that.

I had completely forgotten about it, but it just popped into my head as if someone had thrown an idea from the sky.

“When I return to Korea, I can start based on this idea.”

[The Nobel Prize is approaching.]

“Haha, don’t be kidding.”

[It’s not like that. Hyun-jun’s idea can be said to be a new game in Go.]

“is it?”

Ronnie didn’t reply for a while.

‘It’s Ronnie.’

[Hyunjun sometimes makes you feel the limits of artificial intelligence programs.]

“Hey, that’s absurd.”

[Human creativity cannot be replicated by artificial intelligence programs.]

Ronnie’s voice gave me a sense of melancholy.

Are you comparing yourself, an artificial intelligence, to a human?

“it is not so.”

[The idea that solved the problem of stem cell treatment and the core idea of ​​the Panasis project were all created by Hyunjun.]

“that… … .”

[I only played the role of helping Hyun-Jun’s idea come true by examining the potential of Hyun-Jun’s idea using the existing database.]

“Yes. That’s what I mean. If I had an idea but didn’t materialize it, I’d just be dead. All thanks to you.”

[Thanks for the consolation, but Ronnie can’t create. Unlike humans, artificial intelligence has no creativity.]

When Ronnie responded seriously, Hyunjun also had a slightly strange thought.

Since I was young, my goal was to go to medical school, and I only studied, so my grades were always at the top, and even thinking about it myself, my memorization ability was not bad.

However, I never thought that I was creative enough to develop new surgical methods or come up with new ideas like I do now.

After careful consideration, all of his changes were made while he was with Ronnie.

Is living with Ronnie changing her body, including her brain?

[I want to observe Hyun-jun for the time being.]

“What are you talking about?”

[To be precise, I would like to see the activity of the human brain and nerve cells in detail.]

“Aren’t you already watching?”

[The human brain weighs only 1.4 kg, but is complex enough to be called a microcosm. A single nerve cell usually makes 1,000 to 10,000 or more synapses. There are 10 to 100 trillion synapses in the brain alone.]

“I don’t know what you want to say.”

[When Hyeon-jun was immersed during a liver transplantation operation performed on behalf of Professor Joo Kwang-wook at ILTS, brain activity decreased significantly.]

“… … Yes?”

[It is still the same. This is also the case when Hyun-Jun comes up with a new idea. I want to understand. To do that, we need to observe Hyun-jun more closely.]

“Hey, it’s difficult. Ronnie, I still think you’re the reason I’ve got this idea. Ronnie, I don’t know exactly what you want, but I’ll do anything I can to help. Because you did the same to me.”

[all right. thank you.]

The joy of discovering the idea of ​​a flu cure was short-lived, but Hyun-jun had trouble sleeping that night because of his dreary conversation with Ronnie.

Still, the day was bright and the day started again.

As the rumor spread, more patients than yesterday had been camped out in front of the public health center since dawn.

Although his heart was not light, Hyeon-jun was faithful to his role as he did yesterday by looking at the patients.

Yun Seon-ye, a native of Seoul, was also adapting to the environment faster than others.

Because he likes children, he has handled the treatment of pediatric patients well with his unique affinity.

“Why is this like this?”

The father, the guardian, pointed to his son’s swollen forearm.

The puffy eyes were telling him how much he didn’t want to go to the hospital.

“You mean you had chickenpox? Perhaps the child could not stand the itchiness and scratched and got a secondary infection.”

Sunye confirmed the area with severe abscess.

“Then how… … .”

“First, the skin must be incised and drained.”

With her father’s permission, Sunye Yoon took up a syringe to disinfect her skin and apply local anesthesia.

“… … Eww … … crying!”

Tears fell from the boy’s big eyes, which had been shaking since he entered the treatment building.

Everyone in the building looked over at how good his voice was.

“it’s okay. are you okay. It will just sting.”

“no! Aww!!”

It sounded like a mixture of uh-huh and uh-huh.

The embarrassed father and the local medical staff interpreting the reckless child were caught tightly, but it was not easy to insert the needle.

Gong Ji-won looked at Yoon Seon-ye, who was bewildered, and nodded in satisfaction, and then got up from her seat.

“Master Yoon, I’ll help you.”

“Master Ball.”

“Children in Cambodia often see syringes for the first time, so if you cover your eyes like this… … .”

When Gong Ji-won tried to cover his eyes, the child struggled even more.

Now, an eight-year-old child was so strong that he could not keep still even when three adults attacked him.

“No, he… … No, so… … Be still.”

Gong Ji-won, sweating profusely, tried to comfort the grown-up, but to no avail.

She seemed to be the first child to resist so fiercely.

Hyun-jun, who was looking at the patient, apologized and got up.

Perfect Surgeon chapter 139

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