(Angioplasty for Fetal Aortic Valve Stenosis)
Can you save her?
Pardon?
I asked if you can save her if you operate.
- I should at least operate. - Five people died.
Five patients to whom I first handed my business cards.
Two on the operating table,
and three never woke up in the ICU.
When another hospital sends a patient,
it means it's that difficult to save them.
Not that you don't want to save them?
Why did you hand out your business cards?
Was it to save a patient who had nowhere to go?
Or was it to survive yourself?
Send her to Taesan.
I'm Yoon Soo Yeon of Cardiothoracic Surgery.
What?
She's on her way to another hospital?
Which hospital?
Okay.
Haemin Hospital?
I've never heard of them, but they took on an emergency triple-A?
Send me look patient record. I'll take a quick look.
They'll operate on this?
(Haemin Hospital)
(Department)
(Chief Kim Soon Yong Specialty: Varicose Veins)
Him?
Haemin ER.
Yes, we're receiving the emergency triple-A patient.
She'll arrive in an hour.
- Who will be operating? - Sorry?
Why do you ask?
I'm just curious.
I can't tell you that.
Okay, I understand.
Someone who knows only varicose veins...
is doing an emergency triple-A?
Dr. Yoon.
Is it an emergency patient?
Yes.
10cm, with RH- blood?
There's only one surgeon who can operate.
Professor Choi Seok Han.
- He refuses. - Then there's no one else.
- Right? - Yes.
With RH- blood, it's a good excuse to say they don't have the blood.
Who would operate?
I'm leaving.
But Haemin Hospital is taking this patient?
(Emergency Room)
(Haemin Hospital)
(Taesan University Hospital)
(Haemin Hospital)
Where's Dr. Park Tae Soo?
He just went into the OR.
- It burst. - What do we do?
We have no blood.
- Her BP's dropping. - Suction.
Cardiac arrest!
I got it.
Give her CPR. Now.
Please, stay with us a little longer.
- We have no blood. - Give her water then.
- She won't last long on that. - Where's the blood?
It's coming. They say they'll be here in 30 minutes.
She'll die then! Tae Soo.
What do we do?
What do you mean, what do we do? We give her blood.
Doctor!
Why aren't you setting up the blood? RH-, right?
It's been a while, Dr. Park Tae Soo.
Let's save the patient first.
Let me go scrub first.
Woo Jin, stop compression.
She's back.
Since Dr. Yoon is here, I'm going to go.
I can't even hold forceps. My arms are shaking.
Okay. Go.
Let's talk after the surgery.
We'll talk later.
Please do a good job assisting me.
- Okay. - Forceps.
(Angioplasty for Fetel Aortic Valve Stenosis)
Why did you hand out your business cards?
Was it to save a patient who had nowhere to go?
Or was it to survive yourself?
(Taesan University Hospital)
(Professor Choi Seok Han, Cardiothoracic Surgery)
(Operating Surgeon: Professor Choi Seok Han)
It was both.
But I don't need to anymore.
(Authorized Personnel Only)
Hold on.
Chan Young.
Doctor.
What about my mom?
Her surgery went well.
- Do you want to go see her? - Yes.
All right. Come with me.
Mom.
She's sleeping right now. No need to worry now.
Thank you.
(Heart Surgeons)
(Emergency Medical Center)
Thank you for the blood.
Since it was urgent, we couldn't wait for the blood.
Luckily, Taesan had the blood...
your hospital requested.
Why did you bring it here personally?
Professor Choi didn't take the patient.
Lately, we've been having more of the patients he turned down.
Does Taesan not accept urgent patients anymore?
It's a small hospital. I figured the hospital didn't have the blood,
but it still took the patient with triple-A. I thought you'd be here.
Are you saying that I was rash?
Yes. Very.
However, if you started surgery after receiving the blood,
it would have been too late.
At times, I think your reckless...
makes the right calls.
Just like with this patient.
I've looked for you.
A lot.
I wanted to tell you...
that I was sorry.
You were gone when I woke up.
I am...
truly sorry.
It's all in the past.
You should forget about it, Dr. Yoon.
How could I forget?
I can't...
and neither can you.
Won't you consider returning to Taesan?
I like where I am now.
I hope people at Taesan don't find out where I am.
Including Professor Choi.
Right now, Taesan...
needs a doctor like you.
Drive safely.
Dr. Park.
I'm glad that you're healthy.
I mean it.
(Emergency Medical Center)
Everyone tried so hard to find you.
Why didn't you tell anyone?
His contract at Taesan wasn't renewed.
Do you think other hospitals with big CS departments...
would hire Tae Soo?
He's been doing surgeries here and accepting emergency patients.
At night...
After losing his mom like that,
he wanted to forget everything through surgeries.
(Professor Choi Seok Han)
Yes, Professor.
Where are you, Dr. Yoon?
I hope people at Taesan don't find out where I am.
Including Professor Choi.
I'm sorry. I stepped out for a moment.
I don't want this to repeat in the future.
Yes, Professor.
(Record of Blood Supply)
Dr. Yoon from CS took five bags of RH- blood.
Right now, Taesan needs a doctor like you.
How dare you say that to a doctor?
How dare you...
You can't...
You can't do this to a doctor. The police will arrest you.
There you go.
I'm good at fighting too. You little...
[VIU Ver] SBS E13 Heart Surgeons "Come Back to Taesan University Hospital" -♥ Ruo Xi ♥-
(Tae Soo, I'm fine.)
(I lived...)
Tae Soo,
I'm fine.
I lived four extra years thanks to my son.
Seeing my son become a doctor...
and working at a great hospital like this,
I am very happy.
Tae Soo.
Even if I die and am gone,
listen to the Professor,
and become a good doctor.
And meet a nice girl, too.
Are you really leaving?
Yes.
Tae Soo. I'll talk to the higher ups for you.
Wait a little longer.
I didn't belong at Taesan.
What?
If only I hadn't come here,
my mother would've gotten a heart transplant elsewhere.
I shouldn't have trusted you.
What would you have done?
Dr. Yoon, who would've died if she didn't get a transplant immediately,
and your mother who had time to wait.
I would not have given it up.
You knew that.
You knew my mother didn't have much time either.
I'm sorry I couldn't keep my promise to find another heart, but...
Because of that promise, my mother died.
Thank you for everything.
What do you think you can do if you leave Taesan?
- I'll have to figure it out. - This is where you belong.
You'll return here soon.
You said you'd leave Taesan.
Why are you so obsessed with it now?
Hey.
Why aren't you sleeping?
I'm having crazy dreams tonight.
Did Chan Young's mom wake up?
Yes.
Good work.
Tae Soo. Let's go back to Taesan now.
My leave is almost over,
and you should operate in a nice hospital now.
We're always out of blood and this and that.
How long will you do this?
Taesan is the only place you can do all the surgeries you want.
I think Dr. Yoon Soo Yeon hopes you'll return too.
You can take the surgeries Professor Choi won't.
- I like things the way they are. - Stop lying through your teeth.
How can we get you back to Taesan.
Hello?
I'll be there in an hour.
- Okay. - Another part-time job?
Yes. I'll go straight to the hospital in the morning.
Gosh. He can't sleep again.
He'll collapse at that rate.
(Taesan University Hospital)
Professor Choi doesn't seem to be interested in operating anymore.
What do you mean?
He used to seem obsessed about surgeries before,
so it was scary.
But now, he won't accept emergency cases...
and passes all the surgeries to Dr. Yoon.
Professors always focus more on cases that go toward research...
the higher up they go.
They give the junior surgeons opportunities to operate.
- Is that it? - Yes.
Even if something goes wrong,
he'll take responsibility, not Taesan.
We won't lose anything from this.
You're just taking the board certification test.
Why are you studying?
Just go and wing it.
- Dr. Koo. - What?
How did you pass the board certification test?
The test for CS is a joke.
It's less than a quarter of Internal Medicine.
When why did you come in last in the country?
Dr. Son said Dr. Park came in first.
Hey.
You think coming in first is so great, don't you?
It isn't difficult to come in first.
During the board certification test,
countless kids leave the children's heart questions blank.
Why? Those surgeries are so rare, that they've never seen one.
So, if you watch children's heart surgeries carefully,
you'll come in first. Okay?
I found out too late.
Really? Children's heart. Okay.
Dr. Yoon. What happened?
Give me my phone.
Okay. Sorry.
Where did you go?
How could you leave like that?
To better express what I mean,
I was worried, and...
am saying if this happens again, at least tell us first.
I will.
I'm tired. I'm going to sleep.
Good night.
You're sleeping here tonight?
Okay. Sleep tight.
I'll sleep at home.
Doc. Why are you so afraid of her?
It's just my instincts.
I can sense my position in the food chain.
Let's start preparing for the live procedure starting tomorrow.
I found all the articles.
Just bring yourself.
It's all in the past. Please forget it.
It's good to see you healthy.
I mean it.
- Thank you. - Thank you.
If you take on side jobs like this, when do you sleep?
I hear Professor Choi Seok Han at Taesan is doing a live procedure.
Did you see?
They've been publicizing it like crazy.
Are they making him their star surgeon?
Star surgeon? As if.
- Let's go. - Okay.
(Taesan Hospital Choi Seok Han)
(Live Angioplasty for Fetal Aortic Valve Stenosis)
(Nation's First Angioplasty for Fetal Aortic Valve Stenosis)
(Professor Choi Seok Han To Perform it Live)
(Taesan University Hospital)
Okay.
I put this painkiller patch on,
so don't say it hurts anymore.
Thank you.
Won Joon. You can't take this off, okay?
Promise.
Good boy.
Hey. What is it this time?
Who knows? He already blasted through the ward.
He should operate properly if he has the time for that.
(Intensive Care Unit)
- Hello, Chief. - Hello, Chief.
How is he?
Kim Yong Hoo. He had surgery for his valve.
He was given extubation,
and his blood oxygen content is being maintained above 98 percent.
His vitals are good,
and the amount of blood removed through the blood went down a lot.
Remove the NPO order and send him up.
Yes, sir.
How's she?
Ms. Ko Young.
It's been four days since her dissection surgery.
Other than delirium, there's no big problem.
There's no big problem, but there are small problems?
No, sir.
If there are no problems, why is she still in the ICU?
The bill is too much for her,
so her family won't send her up...
- unless it a six-person room. - What?
That's why my patient is still in the ICU? That's absurd.
- Dr. Jung Gong Yi. - Yes?
Why didn't you look into government sponsorship?
I'm sorry.
Next.
Oh Won Joon. He received AST surgery.
It's his third day after surgery.
He has a fever, so he was given a fever reducer.
- We're observing him for now. - Oh Won Joon?
Yes, this is Oh Won Joon.
My gosh, does it hurt?
I see. Hang in there, buddy.
If you sleep for a few nights like a brave boy,
I'll let you go home. Okay?
My goodness. Is he urinating regularly?
- Yes, he is. - What's the volume per hour?
Hold on.
His urine bag is over there. That's for his chest.
It's 30cc.
How much do children's hearts produce per hour?
As for children...
It's 10cc per 10kg of their weight.
You're giving him the correct amount?
How much of the drug do you inject him with?
- Moon Seung Jae! - Yes!
Are you even taking care of my patients?
I'm sorry.
Hold on. What's this? What happened here? What is it?
I just dressed the wound. It must have come off.
Mr. Lee Mi Ran.
- I'm sorry. - Do it right. Will you?
How could I trust and put my patients in your hands?
I'm sorry.
- Bye. - Bye.
He's going to scare his patients. What's wrong...
It's today, you know.
(Central Surgery Center)
(Live Broadcast, Balloon Dilation, Professor Choi Seok Han)
Are you all right, Chief?
- They're going to come. - Pardon? Who?
If that goes well, patients will only ask for Choi Seok Han.
But shouldn't it go well for the baby's sake?
Of course, it should.
I must come up with a way not to lose my patients to him.
I need a way.
Chief.
If anyone can, I'm sure it will be you.
- Right? - You bet.
It's you, Chief Koo.
Then please take this.
I wish you good luck.
You punk.
Sorry for yelling at you earlier.
You're the best resident.
I can do this!
Okay.
(Approval Request, Hospital Chief)
Sir.
The hospital chief position has been vacant for a year.
It's been a year already?
Yes. Of course, Taesan has you as the director.
If the position is vacant, it might not look good to other people.
Who would be good for the position?
Pardon?
Tell me who would be good for the position.
Since you asked, in my personal opinion,
considering the length of experience and age...
Age isn't important.
If age isn't important, who do you have in mind?
Is Professor Choi Seok Han's...
live procedure prepared?
Pardon? Yes.
A lot of people will come and watch his surgery today. Don't you agree?
Of course. You have an interview at 2pm.
We'll begin at 3pm.
Convince the mother to stop the live procedure by all means.
Luckily, the results of the surgery are good.
All the test results are normal.
Thank you, Doctor.
Thank you for trusting me and letting me do her surgery.
I heard you had a heart surgery when you were young.
I could trust you more because of that.
Medicine has improved much more compared to when I was young.
I'm sure your daughter will grow up as a healthy girl.
Don't worry too much.
Okay.
(Episode 18 will air shortly.)
(Episode 18)
Don't skip any meals.
(Prof. Lee Joong Do)
(Convince the mother to stop the surgery by all means.)
Professor Lee sent it to me.
Why didn't you stop her then?
Why should I?
What? It's a dangerous surgery.
Do you think he was worried about that?
He didn't like that things are going well for Professor Choi.
We must stop it for the patient's sake.
Someone has to be the first patient.
No matter what the surgery is.
Ji Na.
Do you think that's what the patient wants?
She would lose so much if the surgery goes wrong.
Do you know how open-chest surgeries started first?
While the professor in charge went on vacation,
the assistant professor opened up a child's heart behind his back...
and tied the arterial tubes.
The professor found out about it in the newspapers on vacation.
Because that surgery was successful,
Cardiothoracic Surgery could start. That's my opinion.
That's how medicine improves.
Think about when we were in med school.
Professors were so nervous after inserting a stent...
that they couldn't even go home. Remember that?
Whatever the surgery may be, there is always the first patient.
I just want to see that.
20 weeks.
I can get on board with everything, but it's 20 weeks old.
If something happens, we won't be able to help the baby.
The baby can get surgery after the delivery.
If it goes wrong, we're robbing the baby of that chance.
What if...
the surgery is successful?
The baby could be born with a normal heart.
The mother probably wanted to give that baby the chance.
That's why she probably trusted Professor Choi.
I really hope that this surgery goes well.
For the baby and Professor Choi's sake.
He must know as well...
what this surgery means to him.
That's why he cannot perform it.
This surgery isn't for his patient, but for his career.
In Korea, this surgery has never been successful.
I'm aware.
Even if something goes wrong during surgery, we can't save your baby.
I'm also aware of that.
But then why...
The baby still can have surgery after birth.
The baby would need several surgeries...
We were...
going to get an abortion.
Our families didn't approve.
They couldn't let a baby with a sick heart into the family.
We were going to give up on our baby.
Then we met Professor Choi.
He told us that this kind of surgery was done in the US.
He asked if we would be interested.
If this goes well,
our baby would be born with a healthy heart...
just like other babies.
Did you persuade them?
I'm sure it seems reckless...
for me to try to do something Boston Children's Hospital won't.
That's not what I meant.
I simply thought you should think more...
What does thinking more change?
We'll end up losing the timing.
Will you stop if you fail this time?
Or will you do it again later?
What about the children that will be sacrificed in the process?
You must expect such sacrifices when introducing a new procedure.
- Professor. - So help me...
succeed.
Choi Seok Han speaking.
Dissection?
(Artery tear)
I can't do it today. You should look elsewhere.
- Professor. - What?
Will you take him again?
What will that change?
I took emergency patients for five years.
So, what do you think I've gained?
Nothing.
My identity at Taesan had always been the same...
until I saved your life.
I'll build the Children's Heart Center, no matter what.
That will save many more lives...
than saving a handful of emergency patients.
(Haemin Hospital)
He fell off his bike?
Yes. He keeps saying his arm hurts.
Let me take a look.
It's very swollen.
This hurts, right?
Let me look at this arm for comparison.
Is it fat?
- Pardon? - Pardon?
Well... I don't think he broke a bone or anything.
You can go home.
Just go?
He doesn't need an x-ray or anything?
The ER is very expensive.
You should just go.
Let's go.
You can come down on your own, right?
- Because when you ride. - Okay.
- Louder now. - Okay.
- Bye. - Thank you.
- Goodbye. - You too.
Gosh.
Hey, Woo Jin.
This is why the ER is in deficit.
- Did you get some sleep? - Yes.
Won't they complain from above because we don't take enough x-rays?
Hey. They have you, who take on more emergency patients...
than they have beds. Why would they worry?
Dr. Park. It's Daeil Hospital.
Can you take an emergency aortic dissection patient?
Daeil Hospital?
That's right next to Taesan, but they're coming here?
Taesan won't take him.
He should be here in two hours.
Ask them for his CT scan first.
Yes, you may send him. Send us his CT scan too.
Your surgeries never end.
You are so blessed.
People will think you were handing out your business card.
Why did you decide to attempt a procedure like this?
As a doctor, I wanted to help...
treat a fetus with congenital heart defects so that it can...
be born as a healthy baby.
Do you know which city has the lowest birth rate of babies...
with heart disease?
- I don't know. - It's Seoul.
And the wealthiest neighborhoods. Why do you think that is?
Because their kids are the healthiest?
No.
All the babies with heart disease are being aborted.
If these procedures are attempted and developed,
that tragedy will be reduced.
The babies that are being aborted...
solely for having heart disease.
I want to save at least one more.
Taesan will take the first step.
Of course, we'll have to succeed,
but I hope you'll see the great meaning behind the attempt itself.
Do you know why I permitted the live procedure?
Because it's like me.
I worked so hard to beat my brother.
My father didn't respect me.
Just as no matter how hard you try, a Haeundae graduate...
will never be respected at Taesan.
Gain the other people's respect.
Then who knows?
I may respect you.
Then why...
did you choose me to come to Taesan?
Because you were like me.
That's not a good thing.
- Tae Soo. - Yes?
Is the patient here?
He isn't coming.
- What? - He expired on his way.
The ambulance turned around.
(24 Hour Specialist Treatment)
Don't think about it too much.
He died on his way here.
We couldn't do anything.
If only Taesan, which was close, had taken him,
he would've lived.
Yes, coming.
Okay.
See you later.
He's doing well.
Ji Na. Why aren't you stopping this?
Hi there.
Hello. I'm a Cardiothoracic Surgeon...
at Taesan University Hospital, Koo Dong Joon.
We will begin shortly.
The mother was informed after getting a sonogram,
that the fetus had an aortic valve stenosis.
If the fetus were to grow in this state,
the blood would not be able to flow...
from the left ventricle to the aorta,
and the left side of the heart will be unable to form correctly.
Thus, the baby will be born with Hypoplastic left heart syndrome,
which is a congenital heart defect.
The goal of this procedure...
is to insert a balloon into the fetus' aorta,
and inflate the balloon,
thus widening the aortic valve, which is presently narrowed.
If this procedure is a success,
blood will flow normally from the right ventricle...
to the aorta.
We can expect the fetus' heart to develop...
normally.
We will begin the live procedure.
Needle.
The fetus is 20 weeks old. 16cm long.
Weighs 300 grams.
The size of the heart is 1cm.
The video you see on the left...
is a computer-generated image of the fetus...
based on the sonogram, to help you understand.
At this stage,
the fetus drinks the amniotic fluid, spits it out,
and... It can yawn.
In order to precisely approach...
the aorta passing the left ventricle with the 16 gauge needle,
getting the fetus into a proper position is the most important.
The best position is...
having the fetus' chest forward and the fetus' left foot upside down.
As you can see,
when the fetus takes the position the surgeon desires...
We will inject an anesthetic into the fetus' muscles.
[VIU Ver] SBS E14 Heart Surgeons "The Live Procedure Commences" -♥ Ruo Xi ♥-
Everyone, the fetus is in sleep now.
The anesthesia will only last an hour.
Raise the volume.
The sound you're listening to now is...
the heartbeat of the fetus in the OR.
It's beating nicely, isn't it?
All right. Now, Professor Choi will...
perform the surgery.
(Balloon Dilation of Aortic Valve Stenosis in the Fetus)
Needle.
What you are seeing now is...
the 16-gauge needle passing through the amniotic fluid.
In order to reach the fetus' heart with the shortest distance,
it requires an extremely exquisite technique.
Right now, the needle passed through the fetus' chest wall.
It will penetrate into the heart shortly.
The needle penetrated into the left ventricle.
It stopped precisely in front of the aortic valve.
Professor Choi Seok Han is indeed amazing.
Stylet.
I'm going to put the tube with the balloon into the needle.
- Pass it to me. - The wire is out.
The tube with the balloon just passed through the aortic valve.
It went...
into the aorta.
I will blow up the balloon and expand the aorta.
When the balloon is blown up, the diameter will be 3mm.
Inflator.
We will press six times.
One,
two,
three,
four,
five,
and six.
While holding the balloon, I'll remove the wire and needle at once.
And the surgery will be over.
Deflate.
It's deflated.
(Live Broadcast for Balloon Dilatation)
It's slowing down.
- What is this? - What's going on?
Isn't that cardiac tamponade?
Yes. What?
The fetus' heartbeat is slowing down.
Turn off the microphone.
Okay.
It looks like a cardiac tamponade.
He can't have a cardiac arrest.
What is he going to do?
Stop talking. The reporters are here.
It's about 1 to 2mm. It's cardiac tamponade.
Professor, we should hurry and...
I'll do it.
Give me the long needle.
No, I'll do it.
I need your help to see this.
Syringe.
- My goodness. - That was so close.
What is it?
I think I just saw Dr. Park.
- What? - What?
You saw Dr. Park Are you sure?
I'm not sure.
He might have come after hearing about Professor Choi's surgery.
- Let me step out for a second. - Okay.
The number you have dialed is not a working number.
Right, I forgot. He changed his number.
(Balloon Dilatation for Aortic Valve Stenosis)
I wonder if the live procedure is going well.
They named the hospital wrong. There's so much work here.
What is it?
Dr. Park?
- Dr. Park? - Dr. Park!
Did I get the wrong guy?
Yes, it seems so.
The blood is flowing well from the fetus' left ventricle.
I expect the fetus' heart function to go up by 20 percent.
I announce that today's surgery was successful.
Okay, this concludes the live procedure.
After a 30-minute break, Professor Choi Seok Han...
will come in for a question-and-answer session.
Thank you.
Who took this out?
I'm going to use that now.
Ms. Kim.
Please be more vigilant about guarding the drugs.
There was a big mess last year because a tranquilizer went missing,
- remember? - I'm sorry.
We're a bit sensitive.
The ethics committee actually met about it,
and the nurse who had taken it out was almost disciplined.
Ms. Lee begged and prevented that.
Let's be careful.
Yes, ma'am. I will.
That's the day Dr. Yoon got her heart transplant, right?
Dr. Park was brought in an ambulance after his accident.
Did they find the thief?
I don't think so.
Do you think there's a druggie in our hospital?
It wasn't caught on camera?
The CCTVs...
I don't think that showed who took it either.
You did great.
You must have been worried.
Our baby...
will be okay now, right?
Yes.
I'll do everything I can to make sure...
your baby grows up healthy.
Thank you very much for entrusting me.
Thank you.
Hey, Tae Soo.
Where did you go?
That came for you.
What is that?
It's that day.
The day Dr. Yoon got the transplant.
Isn't that Professor Choi?
This is the ER.
That's you.
(Emergency Medical Center)
What did he do to you?
I heard a drug went missing from the ICU that day.
It wasn't a dream.
What?
Professor Choi put me to sleep.
What?
Congratulations.
Thank you.
Cheers.
Why do you think caused the cardiac tamponade?
The live procedure was almost a failure.
But then again, it's very common for blood to leak...
after removing the needle,
because the muscles don't close in right away.
There's no way you would've made a mistake, is there?
No.
So, what is it?
You were going to ask for a favor if you succeeded.
Dr. Park Tae Soo.
Please bring him back to Taesan.
Park Tae Soo?
The fellow who left last year?
Yes.
Is that all you want?
I must have misjudged you.
What is...
that fellow to you?
Tae Soo.
It's been a while, Professor Choi Seok Han.
(Heart Surgeons)
A doctor can't be criticized for not operating.
You know that.
I said I wanted to return to Taesan.
What? After what he did to you?
I want to know why he did it.
- We cannot accept the patient. - It seems very urgent.
There's no one at Taesan that will do surgeries like this.
Dr. Park Tae Soo will do it.
Professor, it's an emergency.
I don't want to be a doctor that gives up...
on the patient before him.
We will begin the surgery.