Sense Novel - Chapter 70
Due to some copyright issues. I changed some word such god= supreme-ruler. /diviné= supreme. And some Chinese words etc, all of this to avoid copyright *.*
A novel by the same Author of nano machin and the same universe:
https://novelrare.com/novel/myst-might-mayhem-novel/novel/
ăâŠă â talking in English/other languages
When he entered the video room, Dowook could immediately see why Chief Won called him urgently. The new symptoms in the patient were neuro-related.
âHurry up and check it out. Heâs suddenly complaining of a severe headache.â
Dowook approached the stretcher and met Professor Yeon Jung-woong of the VIP Internal Medicine Department. He was the doctor in charge who criticized him about Gabiâs disease.
âDr. Park.â
âProfessor Yeon.â
Professor Yeon, who greeted Dowook with an unhappy gaze, took a step back.
âSir.â
Dowook checked the patientâs level of consciousness as a habit after taking out his penlight and immediately spoke in English when he realized that the patient was an American.
ăSir. Can you see this light?ă
A patient wearing a respirator nodded in response to the light.
Spasms in the left eye. Edema on the eyelids. Cold sweat on the forehead and face. When he organized the information about the symptoms in his head, the Santa fairyâs sense immediately found the guidelines.
âItâs really convenient.â
Seeing the light glistening and disappearing around the patientâs eyes, he found that there was a slight conjunctival hemorrhage.
Dowook, who turned his head away from the patient, said.
âIt looks like cluster headache syndrome. I think we need to relieve symptoms first by administering ergotamine or sumatriptan.â
âWhat?â
Professor Yeon was the first to respond to the diagnosis Dowook gave.
âHey, Dr. Park. I guess youâre saying that because you donât know what symptoms this patient was brought here for. Do you think itâs a correct diagnosis if you only see a part of the symptoms and name any disease?â
âIâm talking with that in mind. Cluster headaches themselves have a wide range of triggers, such as alcohol and stress.â
âHa. In front of an internal medicine specialist, the surgeon discusses triggers.â
âAnyway, if you donât solve that headache quickly, the patientâs consciousness will decrease. Itâs going to be harder to treat.â
Chief Won also called in neurosurgery because he was in a hurry, but he looked at Dowook with little trust.
Ryu Chul, who followed and was watching this process, suddenly asked the nurse next to him.
âI⊠Iâm sorry. Tom Brand, is it a more dangerous disease than pericarditis?â
Professor Yeonâs ears pricked up at Ryu Chulâs question.
âWho are you?â
âAh. Iâm a volunteer who came with Dr. Park Dowook. Iâm actor Ryu Chul.â
Professor Yeon asked with a face that seemed not interested in the fact that a famous actor was in one room.
âWhere did you hear of pericarditis?â
âDr. Park Dowook told me earlierâ.
Professor Yeon was speechless at Ryu Chulâs unexpected answer. Chief Won, who was standing nearby, was surprised and asked.
âDid you hear the diagnosis we just came up with in there from Dr. Park?â
âYes. What was it? If itâs bacterial, it can be dealt with antibiotics, but he was also worried that cancer would be a real disaster.â
When it was revealed that Dowook actually presented another diagnosis name with pericarditis in mind, both Chief Won and Professor Yeon were speechless.
Silence unintentionally descended on the room.
Chief of the International Medical department Lee Joseph told the nurse.
âPlease bring ergotamine. Weâll continue with the CT scans.â
Dowook, who finished his job, completely withdrew from the patient.
âThis is all my diagnosis. Then, keep up the good work.â
Lee Joseph raised his hand to Dowook who wanted to leave after saying his greeting.
âDr. Park Dowook. The patient also showed neurological symptoms, so could you participate in the consultation until that is confirmed?â
âMe?â
âYes, I understand that youâve been in charge of VIP patients before.â
âWell, thatâsâŠâ
When the person in charge said this, neither Chief Won nor Professor Yeon could complain. In the meantime, the nurse came in with a tray of drugs and aerosol injectors.
Cheek and ergotamine were sprayed to the tip of the nose, and Tom Brand lay under the CT machine with a much better expression.
Standing on one side of the video room, Ryu Chul crept up to Dowook and smiled meaningfully. Dowook asked quietly.
âDid you mention it on purpose?â
âThe timing was amazing, right? This is an experienced actor. Iâm a huge fan of the White Tower.â
A CT image of Tom Brandâs chest appeared on the screen. All the medical staffâs eyes gathered on the monitor.
And
All the doctors who realized the meaning of the video let out a groan at the same time.
Ryu Chul asked Dowook.
âWhatâs wrong?â
âThis isâŠâ
Dowook pointed to the crumpled area near the liver.
âThatâs a damage factor, which is mainly found in smokers.â
âSmoking is bad for you. I know it well, but whatâs wrong with that?â
âItâs acute. Cigarettes generally donât cause this much acute damage. Here, you can suspect the action of other drugs similar to cigarettes.â
Ryu Chul also understood and groaned. It was similar to cigarettes but illegal in Korea.
âMarĂjuanaâŠâ
Dowook saw that the Santa fairyâs guidelines on the patient sparkled and disappeared in all directions arbitrarily due to new evidence.
This was probably because all preceding diagnoses were denied.
Joseph said to everyone in the room.
âThe medical history of VIP patients is confidential. Please refrain from contacting the outside world at all until the confirmation is completed.â
To Tom Brand, who was moved back to the negative pressure bed. Joseph began to explain slowly.
ăThe most suspicious cause of Mr. Brandâs illness is the side effects of marijuana. The THC component that causes nervous system disturbance can explain all the symptoms Mr. Brand is currently experiencing.ă
ăSo. Youâre saying that Iâm in this state because I took drugs, right?ă
ăWe estimate so.ă
Tom Brand frowned.
ăWhat if Iâve never smoked?ă
ăThatâsâŠă
ăIf youâre going to say something like, âLetâs take a drug test,â Iâll have to move to another hospital. Itâs unpleasant.ă
Yeon Jung-woong quickly approached next to Lee Joseph, who was embarrassed.
ăWe just checked the symptoms and informed you the results. If Mr. Brandâs words are true, aseptic meningitis would be closer than drug addiction.ă
ăAseptic meningitis?ă
ăIt is an infectious disease in the central nervous system, and most of them recover naturally, but if they were traveling to and from various countries on a tight schedule like Mr. Brand, their immunity would have decreased. Thatâs why it developed.ă
Dowook, whoâd been quietly listening at the back, nodded because it was a reasonable diagnosis. Ryu Chul poked Dowookâs side and asked quietly.
âWhat are they talking about? I think heâs a little angry. There are so many medical terms that I canât keep up with. Do you understand everything?â
âJust roughly. What we read every day are overseas papers.â
Dowook explained that the diagnosis shifted from marijuana side effects to aseptic meningitis.
âThatâs right, thatâs right. Tomâs a good person in real life. No matter how common marijuana is in the United States, Iâve never seen it scattered when filming. Heâs exactly like Jet America.â
âI guess we shouldnât have suspected it.â
âWait. Was it because he was sick during the shoot? He was a bit forgetful. He often forgot his lines.â
âWhat?â
Forgetfulness was not a symptom of aseptic meningitis. However, when combined with other symptoms, a completely different diagnosis came up.
Chest musculoskeletal pain. Pericarditis. Liver inflammation. Cognitive dysfunction.
As the puzzle was put together, Santa Fairyâs guidelines clearly sparkled.
Tom Brandâs head. It shone accurately in the white matter of the right frontal lobe. However, since the diagnosis had been changed several times so far, he wasnât so confident about bringing it up.
It was certainly not easy to communicate and to examine patients with completely different cultures. Just looking at Ryu Chul, Santa Fairyâs guidelines clearly emphasized âhemorrhoidsâ âhemorrhoidsâ âhemorrhoids.â
Tom Brandâs agent asked Lee Joseph.
ăIf youâre sure of that, please do something quickly. Canât you see from Tomâs face thatâs about to die from the pain?ă
Joseph nodded.
âProfessor Yeon?â
ăAntiviral drugs could be injected immediately after a cerebrospinal fluid test confirmed the virus. Until then, we will perform symptomatic therapy with steroids and pain relievers.ă
Flinch.
The old manâs sense suddenly gave off a strong impulse when he heard Professor Yeonâs response.
Spinal tap performed to confirm aseptic meningitis. This could pose a completely contradictory threat to the diagnosis directed by the guidelines.
Dowook spoke to Professor Yeon, who was preparing a long needle for tapping.
âHold on, professor.â
Since the inside of the room was quiet, everyoneâs eyes turned to Dowook at his words.
âIf you have tumor symptoms in your skull, the intracranial pressure will increase with that puncture. Then the patientâs headache will be dozens of times worse than it is now.â
Professor Yeon snorted.
âWhat did you say? Tumor? What brain tumors in the world cause simultaneous diseases that make you suspect hepatic inflammation and pericarditis?â
âIt wasnât at the same time. Liver, heart, chest, brain. Itâs blood vessels that pass through all of these, and there are lymphocytes in them. The symptoms spread.â
âSo what do you want to say?â
Dowook remained silent for a while. And he said the name of the disease that the Santa fairyâs sense claimed more clearly than ever.
âThat patient. I think itâs a primary central nervous system lymphoma.â
Professor Yeon laughed in vain when Dowook mentioned a rare tumor that occurred in 0.5 out of 100,000 people. Chief Won tumbled and clicked his tongue and pointed at Dowook.
âYouâre talking like a movie star to diagnose a movie star. Dr. Park Dowook. Can you take responsibility for that? Can you tell Tom Brand that heâs going to die because of a malignant tumor?â
âIf you do a contrast MRI and biopsy of the tumor, you can confirm it. And then itâs the doctorâs duty to tell you the results.â
âBiopsy? Oh, my ears are itchy. Why do you keep talking nonsense? Professor Yeon. Hurry up and finish the spinal cord examination.â
Dowookâs diagnosis was ignored, and Professor Yeonâs needle dug into the back of Tom Brandâs waist and spine.
Flinch. Flinch.
The impulse was stronger than before, so Dowook clenched his fists and suppressed it as much as possible. Participating in the collaboration did not mean the right to decide on treatment.
Professor Yeon neatly pulled out the spinal fluid and put it in a syringe. Professor Yeon, who put the syringe on a sterile tray held by the nurse, looked at Dowook.
âDr. Park. What did you just say? The patientâs headache will be dozens of times worse? Does it look like that right now? It doesnât even make senseâŠâŠ.â
Professor Yeon stopped talking because Tom Brand suddenly began to shake.
âConvulsions?â
âItâs epilepsy!â
At the same time as Dowook shouted, he ran toward the patient, took out all the anticonvulsants filled on one side of the wall, and put them on the cart.
Topiramate, Ramotrijin, BibabatrinâŠâŠ.
Among the dozens of anticonvulsants, Santa Fairyâs guidelines, which considered the patientâs age, accompanying disease, and interaction with other drugs, selected two pills.
He pointed it out right away and stuck it out to the patient.
ăTake it. The convulsions will stop.ă
âPark Dowook! What are you doing?â
Chief Won, who was screaming, also had to close his mouth because the patient stopped convulsing.
When Professor Yeonâs diagnosis failed perfectly, Tom Brand began to get mad at the agent.
ăI heard that Korea has excellent medical standards! What are they doing? What have you been doing to me for an hour?ă
ăCalm down, Brand. All of these people understand English.ă
ăIâm going crazy because Iâm sick. What do you mean calm down?ă
Chief Lee Joseph turned to Dowook while listening to the conversation with an awkward look.
âDr. Park Dowook. Are you sure about the diagnosis?â
âIf it werenât, I wouldnât have intervened rudely.â
âOkay.â
Lee Joseph approached Tom Brand.
ăMr. Brand. Our neurosurgeon strongly claims that your disease is a primary central nervous system lymphoma.ă
ăHow can I trust a simple claim? You made me a drug addict earlier.ă
ăThat part is my mistake as the person in charge of diagnosis, but one thing is certain. If lymphoma is correct, that doctorâs clinical reasoning ability to find it in just an hour is among the worldâs top. It is rare and difficult to find this disease so quickly. In ordinary hospitals, it may take weeks to be confirmed.ă
Tom Brandâs eyes moved toward Dowook who relieved his pain by taking action immediately after the convulsions occurred. Come to think of it, that doctor had prescribed him something when he suffered from a headache in the previous room.
ăWhat should I do to trust that argument?ă
ăThere are a few tests we have to do.ă
Tom Brand nodded and showed consent. Lee Joseph turned to Dowook and said.
âFrom now on, please lead the examination. Brain tumor patients are under the charge of neurosurgery. AndâŠ.â
Lee Josephâs gaze headed toward Won Dong-Gil and Yeon Jung-woong.
âChief Won and Professor Yeon, please refrain from getting angry. Weâre here to collaborate. Weâre not here to fight.â
Ryu Chul, who was interested in watching the whole process, saw the twoâs poop-chewing expressions, covered his mouth, and laughed.