Chapter 5 of 100
Chapter 5: Genius? (2)
6 min read1,581 words
"Leptospirosis, Weil's syndrome."
Suhyuk immediately followed Baruda's instructions and continued speaking.
When he said, "If you're going to do this, wouldn't it be better if you just said it yourself?" Baruda replied that he could only make very simple statements by his own will.
To be more precise, it was as follows:
[Suhyuk, AI is not omnipotent. Please think before you act.]
If only he could really hit him to death.
Unfortunately, since Baruda was in his head, that was impossible.
While Suhyuk was suppressing his anger, the conversation continued.
"Weil's syndrome?"
Suhyuk's unfamiliar answer made Chief Shin Hyuntae, first-year resident Yoo Jisang, and second-year resident Hwang Seonwoo look at him with bewildered expressions.
However, there was a slight difference in their reactions between Chief Shin Hyuntae and the other two.
'Is he saying this based on some knowledge? Or did he read it in a book? It's confusing.'
It seemed like he might have gone crazy before reading the book.
In any case, Weil's syndrome was a real disease.
It was also a significant disease in South Korea in the past.
Although it has become rare due to improved hygiene conditions, Chief Shin Hyuntae had encountered it frequently in the past.
"Why do you think that?"
In any case, it was a sufficiently intriguing response to catch Chief Shin Hyuntae's attention.
Coincidentally, Weil's syndrome caused by leptospirosis was among the diseases Chief Shin was considering.
'What, is he right?'
Suhyuk, who had spoken the disease name, was also as surprised as Chief Shin Hyuntae.
He could read the curiosity starting to spark in Chief Shin's eyes.
[First, recall why you suspected Weil's syndrome.]
'You crazy bastard, you should be the one to recall it! You were the one who suspected it!'
[Ah, maybe you don't know what Weil's syndrome is? I'm sure you read it 47 hours and 12 minutes ago.]
'If you say it like that... Ah, wait a moment.'
Suhyuk, who was about to vent his anger at Baruda as usual, paused for a moment.
The content about Weil's syndrome became vividly clear in his mind due to Baruda's data accumulation work.
Of course, from the outside, Suhyuk's behavior looked quite terrifying.
'What the hell is going on?'
Suhyuk was staring at some point between Chief Shin Hyuntae and Yoo Jisang, interrupting his conversation with Chief Shin.
From the way his lips moved, it seemed like he was having some kind of conversation.
Everyone hoped it wasn't the case.
Especially Chief Shin Hyuntae, who hadn't prayed in a long time, was now praying to any god who would listen.
"The patient record shows that Park Gitae came to the emergency room on the third day of fever."
After about a minute of making everyone uneasy, Suhyuk finally started speaking meaningfully again.
No one wanted to upset him, so Suhyuk's words continued uninterrupted.
"A week before admission, the patient had entered a sewer for environmental beautification work. This is noted in the nursing records."
"Hmm, a sewer."
"Also, the blood test taken on the morning of the fourth day of fever shows an increase in bilirubin. The value is significantly higher compared to the test done in the emergency room yesterday, and the nursing records confirm the onset of jaundice."
"Hmm."
While others might not have been, Chief Shin Hyuntae was quite surprised.
Suhyuk's reasoning was not much different from that of a veteran internal medicine doctor.
Moreover, it was even more surprising because it came right after his seemingly crazy behavior.
"There is also a record of the patient complaining of muscle pain. According to the patient's description, the pain is concentrated in the back and calf areas."
"Hmm, okay. Go on."
Now, Chief Shin had turned his body completely away from the other two and was looking only at Suhyuk.
It wasn't because he was familiar with the patient records, course records, or nursing records.
That was just the basic work of any attending physician.
'What's important is picking out the information needed for diagnosis. Look at this guy.'
To Chief Shin Hyuntae, this guy seemed very familiar with it.
As if he had already completed his residency.
No, not everyone who became an internal medicine specialist was like this.
Since it was impossible to think that Baruda had been implanted, the only conclusion he could draw was one.
'Is he not crazy but a genius?'
Thinking this way, the strange behavior this guy showed was somewhat understandable.
After all, the best student among his peers was always a bit strange.
That strange guy later became a genius in tsutsugamushi disease, even appearing in textbooks.
Not to mention, Director Lee Hyunjong was also a very strange person.
"The back of the chart shows the sputum the patient submitted today. The sputum contains blood, but it's too red to be hemoptysis. It should be considered a mucosal hemorrhage, likely from a nosebleed that flowed back."
Meanwhile, Suhyuk was continuing his speech as Baruda instructed, while also being impressed by Baruda.
Baruda had said that with accurate information, the diagnosis accuracy rate would exceed 90%.
Indeed, the power was not to be underestimated.
'When you look at it organized like this, everything points to Weil's syndrome.'
[It's not a difficult task. I believe my ability to handle information that can be documented is well-trained.]
Baruda's words might have seemed arrogant at first glance.
But Suhyuk couldn't think that way.
And neither could Chief Shin Hyuntae, who heard Baruda's opinion through Suhyuk.
"Hey... What rank did you graduate with?"
Naturally, he expected the answer to be first, but Suhyuk's response was unexpected.
"Fourth."
"Fourth?"
Considering the current situation of internal medicine, having a fourth-rank graduate was a blessing.
After all, it was often said that dealing with life was a kind of sin among internal medicine doctors.
There were also frequent rumors that the future of internal medicine was bleak.
Interns, who were particularly sensitive to such issues, never applied to departments with poor prospects.
The situation improved somewhat after reducing the residency period to three years.
In any case, being fourth meant he was probably the best in this batch.
'Fourth-rank graduate knows Weil's syndrome? Is it a coincidence?'
But the excellence Suhyuk was showing now was more than that.
It might be a hasty judgment, but he could be the smartest resident Chief Shin had met since becoming a professor.
"Hmm, okay. Anyway, how would you treat it?"
At Chief Shin's question, Suhyuk's movements paused again.
Although it felt a bit unnatural, Chief Shin decided to stick to his bias that geniuses could act that way.
Otherwise, it would be too scary.
[The treatment for Weil's syndrome includes penicillin, ampicillin, amoxicillin, and erythromycin.]
Suhyuk glanced at Baruda's immediate response to the question.
Since Suhyuk had been reading everything Baruda showed, Baruda was puzzled.
[Do you not recognize the listed medications?]
'No, no. How could I not? They're basic antibiotics.'
[Then why are you doing this?]
'Why am I doing this?'
Suhyuk gave Baruda a triumphant smile.
Without his will, Chief Shin and the other two took a step back in surprise, but Suhyuk didn't notice.
He was too focused on the thought that he could finally give this high-and-mighty AI a taste of its own medicine.
'Idiot, what antibiotic is the patient currently using?'
Suhyuk pointed to the data Baruda had organized.
Baruda immediately replied, seemingly not finding anything strange.
[Amoxicillin is being administered intravenously. Ah, I understand the problem.]
'Right. That drug is already being used.'
[Then, what treatment would you recommend, Suhyuk?]
'All penicillin derivatives are out. Erythromycin should be used.'
[I understand.]
'And with jaundice, we need to consider the worst-case scenario. Hemodialysis would be safer.'
[Oh.]
'Don't say that.'
Shaking his head, Suhyuk explained his recent reasoning to Chief Shin Hyuntae, who seemed to be standing even further away than before.
The method of choosing antibiotics and the consideration of dialysis were all impeccable.
"Ah... Yes. Yes. Hmm."
Only after hearing the answer did Chief Shin take a step closer to Suhyuk.
Not close enough to stand shoulder to shoulder, but closer.
"Good. Then, let Suhyuk take charge of Park Gitae. You're qualified for this."
"Ah, yes. I will... do that."
Suhyuk noticed the second-year resident's face crumple for a moment but considered it water under the bridge.
Even if he went and said, "Actually, Baruda did it," what would be the point?
In this situation, it was best to be favored by the chief.
"And... Kim Jincheol, you'll take him too. This patient will be discussed in the case conference next week. If you diagnose this correctly... I'll exempt you from 100 days of night duty. Got it?"
Assigning a difficult case to a first-year resident was essentially saying it was impossible.
The promise to exempt 100 days of night duty was added for that reason.
'If he can do this, it won't just be 100 days of night duty.'
A genius who turns the impossible into the possible deserved appropriate benefits.
For example, a professorship.
Of course, it depended on how the next three years went.
The difference between a smooth path and a bumpy one from the start was stark.
'This... I have to ask!'
Suhyuk, who had lived fiercely enough to graduate fourth from medical school despite a difficult family background, could roughly guess Chief Shin's intentions.
There were also precedents of seniors who had done the same.
"Yes, Professor. I'll try."
Suhyuk accepted the challenge.