Chapter 8 - All Charts in the World (1)
A notification window that suddenly popped up.
Is this what it feels like to experience augnted reality with smart glasses?
It felt as if a bezel-less, translucent tablet PC were floating in mid-air.
“Your first patient already got discharged?” asked Kim Seok-yong, who was writing charts in the ward.
“Pardon? Ah, she just left.”
“Good work. She seed to get better quickly. You must have looked after her diligently.”
Kim Seok-yong only offered words of encouragent and said nothing about the notification window. As expected, it seed others couldn't perceive it at all.
‘A vivid... hallucination.’
Specifically, it was clearly a visual hallucination. Sihyeon had no ti to examine the contents of the notification window. The re fact that he was experiencing a visual hallucination was a huge shock.
‘Schizophrenia, Lewy body dentia, delirium... and even epilepsy could cause visual hallucinations if it affects the visual cortex.’
Since he had been clutching his specialist exam materials until just a few days ago, diagnostic nas that could cause visual hallucinations automatically began to spring to mind.
Knowledge is power, but it can also be a curse. Before the notification window appeared, there had also been a headache unlike anything he had ever experienced.
‘Could it be a stroke? Should I get an ergency MRI?’
Stroke. A disease caused by the blockage or rupture of cerebral blood vessels, which could be life-threatening if treatnt is delayed.
‘Wait a minute... I’m far too fine for it to be a stroke.’
Thinking it over, there were no other symptoms at all. His consciousness was clear, and there was no discomfort in sensation or movent. Not a single thing t the diagnostic criteria.
‘Let's stay calm for now.’
Sihyeon cald his racing heart and began to examine the contents of the notification window.
……
[system: System activation successful.]
[Loading 'All Charts in the World']
[A significant portion of the chart contents has been modified. Would you like to check? Y/N]
When Cheon Si-hyeon touched 'Y', Kim Su-yeong's dical records began to appear. First, the admission note was exactly as Sihyeon knew it. There were also no changes in the personal history or initial outpatient records.
The major difference was in the progress notes.
– HD#30 (Hospital Day 30) Shouting in the ward and arguing with another patient.
– Quetiapine dosage increased to 600mg.
‘30 days of hospitalization?’
The patient had been discharged after only two weeks. In other words, these were prescriptions that could not exist as of now.
‘These are previous records, aren't they? "All Charts in the World"... could it be?’
Looking closely, it was the dical record written by Sihyeon four years ago—that is, before the regression. These records were in light gray text with strikethroughs drawn across them.
On the other hand, the events that occurred during this hospitalization were well-organized in normal black text. While he was examining the dical record in admiration, a patient leisurely passed by in front of him.
‘What was that just now?’
When he turned his head toward where the patient had passed, Sihyeon once again couldn't help but doubt his eyes.
[Park Seong-gyu M/56 Attending R2 Kim Seok-yong / Attending Prof. Lee Gwang-seop]
‘Text in mid-air?’
Basic personal information and the nas of the doctors in charge were floating above the patient's head. When he touched '▼View More' next to the text, the window expanded downward.
[Lexapro 15mg, Ativan 1mg, Trazodone 25mg HS HAM-D scale* 17 points]
‘Good heavens.’
This ti, he saw the dications currently being taken and the psychological test scores evaluating the severity of depression.
But it was too early to be surprised.
[Treatnt Progress 67/100 Ti until discharge: 7 days 2 hours 10 minutes 29 seconds]
‘What is this?’
Treatnt progress. It was an item that looked suspicious at a glance. In fact, dications and depression severity are things that can be sufficiently confird in dical records.
However, at this point, there was no way to know how much better a patient could get or exactly how much ti remained until discharge. He was certain that he hadn't simply pulled up the EMR (Electronic dical Record) server from the dical records departnt.
“Doctor, do you happen to know when patient Park Seong-gyu will be discharged?”
As it happened, the patient’s attending doctor, Kim Seok-yong, was at the ward station.
“Well? I don’t know yet. He did say he feels a bit better than before... Is there a patient transferring from another departnt? Do they need a room?”
Even the attending doctor didn't know the exact discharge schedule. Psychiatric illnesses have significant individual variations. Even if two people are diagnosed with the sa depression, one patient might be discharged in a week, while another might stay for over a month.
Predicting an approximate duration of hospitalization is difficult enough; counting down such a schedule by the second is virtually impossible.
“Um, Doctor?”
“Yes, go ahead.”
In the midst of the confusion, the patient he had just seen spoke to Kim Seok-yong.
“I got a call from my son. He said he’s free next week and will co to handle the discharge process. I feel much better, so it should be okay, right?”
“Yes. I’ll discuss it with the professor and let you know. When did your son say he would co?”
“Next Wednesday. He’s coming after work, so he might be a bit late.”
Calculating it, it was almost identical to the ti indicated in the ‘Treatnt Progress.’
‘Is this really reliable?’
While Sihyeon was wondering, another notification sound rang out.
Ding-dong!
[system: Achievent rewards are being issued.]
[Safe and Sound - The first patient has been safely discharged. Fellow dical staff are relieved. (Normal difficulty, 200P)]
[Publicity Ambassador - The patient evaluates psychiatric treatnt positively. Contributed to reducing prejudice against psychiatry. (Normal difficulty, 300P)]
[Express Discharge - Shortened the patient's hospitalization period by more than 3 weeks. A high bed turnover rate is good for both the patient and the hospital. (Hard difficulty, 500P)]
[system: All 3 available achievents have been achieved, and an additional 100% bonus points will be issued. (Hard difficulty, 1,000P)]
Sihyeon’s eyes widened as he checked the contents.
‘A status window... and rewards?’
The genre of the story in which he was the protagonist was turning into a dical ga fantasy.
……
Achievent rewards.
Usually in gas, it refers to rewards given when a scenario is cleared by fulfilling specific conditions. Sihyeon had resolved to live like a novel’s protagonist when he returned to his first year, but the sights unfolding before his eyes far exceeded his expectations.
If it were a novel, he had only thought of a regression story where he grew into a genius psychiatrist; this was going way too far.
‘The setting of returning to four years ago is unrealistic enough as it is, so I might as well accept this.’
He decided to simply accept everything. The first ti is always the hardest; the second ti is easy. He didn't want to repeat the mistake of slamming into the stabilization room door because he couldn't accept the regression.
The sa went for the points. He had acquired 2,000P by achieving three achievents, but he didn't yet know how to use them.
‘Well, I’m sure there’ll be a use for them soday.’
At this point, he wouldn't even be surprised if a white-haired hermit suddenly appeared out of nowhere and handed him a secret martial arts manual.
In truth, he quite liked this system called ‘All Charts in the World.’ It seed like it would be a significant help in treating patients.
‘It’s great because I won’t get patient nas and dications mixed up, and it’s great because I don’t have to type while simultaneously conducting an interview.’
It wasn't just convenient; it was practically a cheat code. Specifically, the information regarding ‘Treatnt Progress’ and the ti remaining until discharge was excellent data for evaluating the current treatnt being attempted on a patient.
‘I can see the response to treatnt in real-ti.’
If the treatnt was going well, the progress would rise quickly; if there was a mistake or sothing overlooked, the hospitalization period would be extended. Normally, it would take weeks to start a new treatnt and observe a response, but now he was essentially able to evaluate the treatnt response almost in real-ti.
‘I want to see the next patient soon.’
His body was itching with the desire to test out his newly acquired ability. It was an emotion he was experiencing for the first ti, including his past four years. Just then, the ward door opened and Hwang Jin-ho entered.
“Your patient already got discharged? I’m so jealous....”
Hwang Jin-ho looked at Sihyeon enviously. The way he let out a deep, ground-shaking sigh suggested that things weren't going well with the patient in his charge. As Sihyeon rembered, Hwang Jin-ho’s first patient was a schizophrenic with severe persecutory delusions.
‘He was a patient who refused to eat.’
He was suffering from the delusion that soone might poison him. He was so wary of the people around him that he hadn't eaten anything at all even before being admitted. Even after admission, he was refusing both dication and IV fluids, leaving the path to treatnt bleak.
The patient happened to be passing the station toward the bathroom.
[Lee Gong-ho M/29 Attending R1 Hwang Jin-ho / Attending Prof. Jin Cheol-yeong]
The sight of text floating above a patient’s head was still strange.
‘Let’s take a look.’
When he pressed ‘▼View More,’ additional information appeared. He felt he needed to adjust more to the sense of perspective, but he managed to touch it as intended.
[Underlying Diseases: Diabetes ( ), Hypertension ( ), Hyperlipidemia ( )]
[Risperidone 5mg, Benztropine 1mg, Clonazepam 0.5mg]
[Treatnt Progress 13/100]
[Ti until discharge: 32 days 23 hours 10 minutes 00 seconds]
‘The hospitalization period is about a month.’
It matched his previous mory. The fact that the ‘Treatnt Progress’ had risen to 13 despite almost no therapeutic intervention taking place after admission was because the patient had perceived the ward as a safe place.
In reality, if soone had intended to harm him, sothing would have happened while he slept. Lee Gong-ho was currently relieved simply to be alive after over a week. However, his anxiety regarding food and dication was still great.
“If only he would at least take his ds... no, at least eat so food, but there’s no way.”
Hwang Jin-ho shook his head.
“What does Professor Jin Cheol-yeong say?”
Sihyeon asked, suddenly curious. If it were that Jin Cheol-yeong, wouldn't he have tried sothing with the patient using so sort of novel approach?
“He said to wait and see. Asked if he wouldn't just eat when the ti cos.”
“Really?”
“But I don't know how long we can wait. I’m worried he’ll get dehydrated at this rate.”
“Dehydration....”
[10:28 AM - Visited bathroom]
[10:28 AM - Visited bathroom]
[12:31 PM - Visited bathroom]
[01:44 PM - Visited bathroom]
Sihyeon was stroking the tip of his chin while examining the patient’s nursing records through the system window.
“It won’t happen for the ti being.”
He then answered as if telling him not to worry.
“Huh? Why?”
“His urine output is probably normal. Just looking at how often he goes to the bathroom.”
“He could just be going to wash his face.”
“No. Look over there. Look at what the patient is holding in his hand.”
Hwang Jin-ho’s gaze followed where Sihyeon was pointing.
“Ah! Is he perhaps drinking tap water?” Hwang Jin-ho said, clapping his hands.
“Exactly. It’s a rinsing cup, but there’s no toothbrush.”
“That ans...”
“The fact that the patient is refusing dication might not just be because of the dicine itself. Maybe he’s wary of the drinking water provided in the ward.”
“Right. Now that you ntion it, he wasn't refusing his ds every single day.”
“You’ve increased the Risperidone to 5mg now, right? And you added Benztropine starting two days ago.”
‘He has the dication schedules of other patients morized?’
Hwang Jin-ho looked at Sihyeon with a look of surprise.
“But since there are days he spits out the dicine, I don't think it's actually having the effect of 5mg...”
“For starters, it would be better to go with an orally disintegrating tablet.”
An orally disintegrating tablet (ODT). It was a formulation that dissolves imdiately upon entering the mouth, allowing it to be taken without water.
“Oh? I thought of that too, but they said production of the ODT was discontinued...”
“There’s still one dostic pharmaceutical company that produces it. Inquire with the pharmacy departnt.”
“Uh... okay, I’ll do that.”
It was a strategy well worth a try. Though he wondered how Sihyeon, a fellow first-year, knew such specific details.
‘The dicine is one thing, but what about food?’
Hwang Jin-ho still looked at Lee Gong-ho with a worried gaze. After coming out of the bathroom, the patient was sitting at the central table in the ward, watching TV. He saw other patients attempting to strike up a conversation with him.
It was then.
Ding-dong!
[system: Lee Gong-ho's treatnt progress is rising!]
[Treatnt Progress 13/100 -> 15/100]
‘Just from being spoken to... the treatnt progress rose?’
Sihyeon’s eyes widened at the new notification window. And simultaneously, images of the patient before the regression flashed through his mind.
‘The first food the patient ate in the ward was definitely...’
Sihyeon grinned as he looked at the patient.
“Will the delusions improve just by getting the dication right? He’s a patient with diabetes too; I hope he doesn't get hypoglycemia at this rate.”
On the other hand, Hwang Jin-ho still had a worried expression.
“It’s not like there’s no way at all to get him to eat...”
Sihyeon spoke up cautiously while looking at Hwang Jin-ho.
“What? There’s a way? We have to try everything we can for now!” Hwang Jin-ho asked, brightening up.
With his colleague Sihyeon’s patient having improved so quickly and being discharged, he couldn't just let his own first patient starve to death.
“Will you be okay with it? It’s a thod that might cost a bit of money.”
“Of course! Is there so new non-reimbursable drug or sothing?”
Sihyeon shook his head.
“What is it? Tell . Don't keep it to yourself.”
“When you’re on call, order delivery food to the ward. A very generous amount.”
Huh? Hwang Jin-ho seed a bit flustered by the unexpected answer.
“I think chicken would be good. Don’t forget the carbonated drinks.”
Sihyeon said with a completely serious expression.
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