Subtitles brought to you by The Pediatron Team @ Viki
Kim Do Han!
Episode 3
I told you not to be cocky.
What do you mean?
Let go of me, and then talk.
I warned you,
And you dare steal my patient?
What?
I think this is a misunderstanding.
After that day, I never interfered with the Hepatoma--
Shut your mouth up!
I really don't know what you are saying.
Who stole your patient?
A male resident from the Pediatric Department.
The patient's parents told me that
If it's one of the residents from the Pediatric Department, it must be one of you.
I did it.
We . . . can save your baby.
Not in the HPB Deptartment
but the Pediatirc Department can save your baby.
And I told them,
that Professor Kim Do Han
will perform the surgery.
Park Si On...you
Nice training you gave them.
A mere resident "thought" independently and caused trouble on his own.
I did it.
Professor Kim Do Han did nothing wron-
Kim Do Han.
Do I look easy, like your department chief?
Does the Pediatric Department run a business with kids?
As doctors, do you resort to "enticing" customers?
I understand why you're mad
but your insult doesn't sit well with us.
Be quiet Cha Yoon Seo.
If you don't want to hear these sorts of words, then maintain professional conduct.
Kim Do Han,
fix this mess and straighten out the situation.
If you don't,
the hospital will surely hold you responsible.
Let's just say Seung Woo's case was clearly obvious,
the last time you caused trouble.
Under what grounds did you say you could save this premature infant?
Hurry up and tell me!
Since HPB doesn't operate,
the pediatric surgery unit should.
That's your only reason?!
Yes.
Did you just really say that?
Excuse me..
We came to see Doctor Kim Do Han.
They are that premature infant patient's parents.
What do you mean you can't do the surgery?
Professor Kim Jae Joon is the utmost authority in the nation.
My assessment most likely
will not vary much from the professor's.
However, the doctor outside said
that you could save...
He is still a doctor in training.
Out of of his feeling seeing you parents suffering,
he seems to have made a mistake.
It's all my responsibility.
Please forgive me.
You're too much.
How could you knock down our last hope?
What have you been doing from the moment you walked in?
Hey. If you can't help them,
you shouldn't make a mess, huh?
I couldn't care less about you being an idiot alone,
but why do you also have to get the professor in trouble too?
That's right.
I also thought I was going to die of embarrassment.
If this keeps up, none of us will be safe.
Why did you do that?
You can't do that to us!
Leave it.
Let's go.
What are you all doing?
Aren't you going to go on the rounds?
Yes.
It hurts a lot, doesn't it?
Stay strong.
Stay strong a little while longer, my baby.
What do we do now?
Should we transfer to another hospital?
This..
This hospital is the best hospital in our country.
Where else would we transfer to?
We should at least try!
How did our baby come to be?
As soon as he was born..
I couldn't give him my breast milk..
We haven't even been able to hold him once.
I couldn't even change his diapers once.
Not even once..
We should at least once though!
That's what would make me a mom!
Let it all out.
I returned your patient.
I'm sorry for bothering you.
If another incident like this happens again,
what are you going to do then?
There will not be another problem like this again.
Let me ask one thing.
Just why are you sticking to the Pediatric Department?
Because of the Director?
I don't think I'm in the position to answer that question.
Pediatric surgery is a unit barely subsisting on life support.
If you decide on your position after the life support unit is removed,
it'll be too late.
If you'd like to come back now without further ado, I can guarantee you an assistant professorship.
I will leave now.
Did you come?
Park Si On only thinks about healing the patient.
That thought doesn't rise from either rational judgement or conviction.
It's just a mechanical reaction made from training.
When I see it, Park Si On is a robot.
"Must heal a patient no matter what."
A robot that has already been programmed.
Have you still not found your right state of mind?
Why do you keep looking at that patient?
Let's not make work more tiring.
Ok?! You haven't a notion, a concept!
Despite the drainage, the baby's condition is not getting any better.
We must perform surgery quickly.
Hey. He really is an idiot.
There's even stuff like this?
What are you guys doing?
Are you bullying him for pocket money?
Should I hand over $5 each?
No, it's not that..
isn't it a case already decided from above?
It has been covered.
But he can't even look?
In the NICU, if it's not your patient do you have to walk around with your eyes on the ground?!
How dare you abuse him?
And someone under me, at that.
Do you guys want to die?
Follow me, Dr. Park Si On.
No, that...
Hey, you, why didn't you tell me that before?
If I told you, do you think you could have managed the traffic?
Huh?
If you're ambiguous in terms of skill, you should have a firm grasp on the kids at least.
I'm saying this out of consideration for you,
what do you think of just going back to a branch hospital again?
This way, you won't have to suffer indignity and shame your peers.
Isn't that good?
Park Si On.
What is a doctor to you?
The Hippocratic Oath - 3 :
"I will think first of the patient's health and life."
A doctor is someone who thinks first of the patient's health and life.
Then, to you, what does it mean to be a patient?
A patient is someone who needs a doctor's help.
If patients need help, we must treat them no matter what.
How did you end up having such a thought?
Director Choi Woo Seok told me about Teacher Hippocrates.
Other than what Director has said,
on the occupation of a doctor, do you have any thoughts of your own?
If someone sick needs help, no matter what...
That's enough.
I got it.
All the uproar that you've caused in the past few days,
I regarded them positively.
Although it was hard and gave me a headache, still, I liked it.
It felt like I was seeing the way I looked in the past, bursting with a physician's enthusiasm, and
I also had felt great because it seemed like a junior fit to be a doctor had entered.
However, after thinking it over,
it seems that you don't work of your own volition.
A doctor without a soul is no different from a robot in an operating room.
Develop your own conviction and thoughts,
before you treat and save patients.
Mm?
After you cause such a problem, you have not a word to report to me?!
This is disrespect not just toward me but toward all superiors. It's disrespect for me and the entire hospital.
Then, is it alright to ignore basic ethics?
If you weren't disregarding it, you probably wouldn't have used a junk medication like Heta Vizen.
Since I have an appointment,
I'll get going now.
Professor Kim Do Han.
Ok,
I know well that you don't respect me.
However, at the least, inside the hospital,
can't you at least pretend to do so?
Like this?
You, from now on, listen carefully to what I say.
From today on, if Professor Kim and Park Si On cause any trouble, report to me right away!
Furthermore,
do absolutely whatever I order you to do on my own.
Got it?
Uh...
What is it?
You don't want to?
No, that's not it.
Who pulled you up, who used to grovel on the ground in this field?
Think carefully.
Because I figured you might be busy, I came over myself.
If you're planning to talk about the wedding, I'd like to cancel the order.
Because I think I'll lose my appetite.
Chae Gyeong.
I won't talk about that. If I want to feed you, I shouldn't.
Thank you.
You two, go to America.
Professor Kim, push things up a year and go to Boston's Children Hospital as an exchange professor, and
Chae Gyeong, you start the American corporate division of our foundation.
But, at Pediatric Surgery, there's no one suitable to be my successor.
Don't worry about that. The Director and I'll take care of that as we see fit.
Chairman Lee.
This, your move is too apparent.
Your goal to have us two go to America and end up together naturally,
and
to demote the Head of Management Planning who doesn't listen to you, by sending her to America.
She's not saying it with such a thought, you know.
That's right.
I didn't say that to make you feel bad. Do you really not know?
There's something Chairman Lee is misunderstanding.
I'm not angry because Chairman Lee is rushing my marriage, but
I'm getting angry because you are interfering with my life.
I'm asking a favor,
but please maintain a distance from my life.
I'll get up first.
Although you don't have to treat her as a mother, you should treat her at least as an elder.
I'm doing as much as I can toward her.
Chae Gyeong,
should we just get married?
This kind of proposal is kind of..
I want Oppa's passion.
Then, even if we don't go through with any wedding, that's enough.
Really? Amazing.
They say that Chief Kim Jae Joon turned it into a charcoal field completely!
What do we do? Ever since Doctor Park Si On arrived, there's not a day when the wind has settled down.
Again, again, this again with useless talk.
It's not useless...
We're talking about Pediatric Surgery, no?
Aigoo, what you said about Doctor Park Si On,
why is it because of Park Si On that there's not a day that the wind has to settle down?
Where in any surgery department is there no wind? Everyday, there's a tsunami and hurricane.
Go clean up.
I ought to chase you off!
Aigoo, why are they dragging him over here like that?
Hey, don't hang around the NICU and stay right here.
Check on the patients thoroughly too.
In any case, become a local fixture here. Got it?
If Doctor Park becomes a local fixture here, who will receive the ER calls?
We continued to receive the ER calls. Because the professor told us not to make Park Si On do it.
We'd hoorayed when we heard that a newbie Resident was coming in, but...
You really are a serious threat to my medical career.
No, for real...
Mom, I don't want to eat! I don't want to eat!
Really, I'm going to go crazy! I'm going to go crazy!
Is he not listening again?
Yes, he's raising a fuss saying that he won't eat. What should I do?
Mother, Seo Joon is truly stubborn, isn't he?
Please give him a scolding so that it stings, Doctors.
Doctor Park Si On? Doctor Park, go on over this time.
Yes.
Seo Joon!
I won't eat rice. I said I want to eat pizza!
Well, I told you that you can't eat pizza!
Yesterday, did you not hear what the doctor said?
Seo Joon, you don't digest very well so you can't eat foods with wheat flour yet.
Is this perhaps the Plamodel FS version, isn't it?
How did you know, Doctor?
Woah, this is really cool. Where did you buy this?
My dad bought it for me when he visited Japan.
Wow, you must be so happy.
Then, perhaps, do you have Plamodel FS 2 version too?
Of course! They also make the custom-made HG limited edition!
Wow, you must be really, really happy.
Wow! Doctor, you're the first person who knew the entire series!
This, can you let me borrow this for one day?
Yes? I can't...
One day. Just one day. I'll just look at it for one day and return it to you tomorrow.
You can't! Don't touch it.
I'll just look at it, really.
Mom! He's a bad doctor. He's trying to steal it away from me!
I'm not trying to steal it but just trying to borrow it for a little while.
What should we do, Doctor?
Doctor Park, let's stop there and so that he eats...
If you keep crying, I'm going to pull this part off!
Don't!
Stop crying!
So,
that punk caused trouble without Kim Do Han's permission, right?
But Chief Kim thinks Kim Do Han told him to do it.
He should've just let it be.
If something goes wrong, we could've just gotten rid of them all together.
I know, right?
After looking at the patient's state,
there's no other possibility.
Chances keep popping up but,
there's nothing conclusive.
If this is a baseball game,
there are too many runner left on base.
The team that has more players left on base is more likely to loose.
Then what should we do?
There's nothing that we can cause problems with.
That premature infant patient,
it's hard to recover, right?
Yes,
Not only in Korea, but all in other contries,
it will be hard (to revive that baby).
Do you have a good idea?
We should make them destroy themselves.
And the best way to do that is
one crucial error.
Take baseball game for example.
Chief Go,
do you have a guy we can trust?
I'm so tired from trying to calm him down for two hours.
If he can be a resident, I thought he would be okay,
I guess there is a problem.
I mean it doesn't make sense for someone who once was autistic to become a doctor.
Why did the hospital pick him?
You know as in public service organization or corporations hire people with disability.
For the welfare of disabled people.
Hospitals shouldn't do that though.
People's lives are on this matter.
When I looked into, he didn't even go to SeongWon University.
It was some college in the countryside.
Oh really?
And he even keeps bankers hours.
What kind of resident is that?
But our Seong Woo survived because of that doctor.
Did that doctor do the surgery? No. Dr. Kim Do Han did.
Tell the moms of the kids that he's in charge of.
So that they can think about it.
I will pluck (your hair) for you!
Excuse me.
I want to change the attending doctor for my kid. What should I do for that?
Who's the attending?
We are all mothers of Dr. Park Si On's patients.
But why do you want to switch it?
Well, just switch it.
But, Doctor Park Si On is a very talented doctor, also.
If he has been a resident for only one year, how talented can he be?
Switch it.
And,
he's not completely normal.
What are you doing instead of working?
Did you get in trouble, again?
No.
Then?
I think
everybody hates me again.
But I am not sad.
It's always been like this.
But,
robot that does surgeries
Robot that does surgeries?
No.
I will go work now.
Park Si On.
I thought you were supposed to be at the station. Where did you go?
Spread those shoulders.
If you don't cause troubles during your resident years, when can you?
Well, it was big today,
but don't do it again.
Doctor.
Quickly.
In Hae
In Hae is..
Why? What's wrong?
My eyeballs.
My eyeballs are about to pop out.
Ow..
Doctor Park, please look after her.
Yes.
Where does it hurt? Let me see it.
My eyeballs.
Can you put your hand down?
I welcome you to Pediatric Surgery Department,
Doctor.
Doctor?
Is it that fun?
It's not funny at all to me.
You making fun of me.
Oops.
That's not what I meant.
There must have been some misunderstanding.
I will bring him back.
Hello.
Yeah. Hi.
Long time no see.
Yes.
Na In Hae,
did you cause trouble again?
Me cause trouble?
Who do you think I am?
Yes Teacher.
Do you have some time?
Yes,
I heard about what happened with HBP.
I'm sorry.
And.
And thank you for not getting rid of Park Si On.
Teacher.
Your words of "I am sorry" and "thank you",
it passed the point of burden and now it's maddening.
You yelled at me for the smallest mistakes,
And you reprimanded us severely when we got the wrong response.
I miss that.
Please answer honestly.
Why do you always defend Park Si On?
He does all the things that you hate the most.
I told you last time.
You mean the finger that hurts little more than others when you bite it?
No.
The teacher I know is the one who feels pain equally on each and every finger.
This time you are wrong.
Si On
is a special child to me.
You were the best from the start.
Si On
was the worst.
If he started with same condition as everybody else did,
he might've been the best, like you.
I...
the life that Si On's living,
I wanted to restore that life even if it's a little.
What is the meaning to you?
Because I...
am a doctor.
Treating one person's life,
it's one last wish of this older doctor.
a wish I want to fulfill before I die.
It's finished.
Look at this.
The things look 3 dimensional inside.
So if he
brags about his kaleidoscope again,
show him this.
What do you see?
Butterfly.
Tiger flower,
frogs,
a lizard,
azalea, and cicada.
Wow. You see that many things?
Of course, my brother is a genius.
A genius.
Doctor,
promise me one thing.
What?
Don't back out easily.
You have to endure.
If you just leave like that,
I'm going to resent you forever.
Okay, I understand.
No!
I'm not going to let you leave.
Me! This Kim Do Han won't let you!
Me...
Be careful.
You two drank so much.
You were at the hospital until now?
I was preparing for my thesis paper.
Oh I see. Then be on your way.
Director, you're not in a good state either.
I'll take care of Professor. You should go home, Director.
No, it's fine. You should go home.
I'm not okay. It's the second-in-line's job to take care of her boss.
Okay, I understand.
Please take care of him.
Wow, he's completely drunk.
Be careful, okay?
Okay.
This way... Be careful.
Tomorrow will be the start of your hardships, so drink up!
Okay.
Here's to the Department of Pediatric Surgery!
Cheers!
Drink, drink. Eat too.
Don't wait. Here, here.
If not today, when will we drink this freely? We won't be able to come back often.
If you need anything else, just tell me.
I'll go buy and bring it.
♫ Will he be able to block wind for me?
♫ Since he'll be able to walk along side me.
♫ To my friend.
♫ To my love. ♫ Sunbae Kim Do Han,
I... you see, I...
think that Sunbae, you're...
Hey
stop blowing. I smell the rice wine.
I...
since a long time ago...
Sunbae, I li...
li...
What?
li...
like food boiled in soy sauce? (Starting syllable for 'like' & 'food boiled in soy sauce' is the same in Korean.)
Fish, or meat boiled in soy sauce...
What are you talking about?
♫ Sometimes, I had to try hard to pretend to smile.
♫ Until the end, I had to hold in my tears. To my friend.
♫ To my love, trust me.
♫ Today, the sky is blue.
♫ Tomorrow, we dream. The beginning
♫ And the wait
♫ Hasn't ended yet.
♫
Si Duk..
Ah...Si Duk.. Si Duk..
Hyung...
Hyung!
You went through a lot of trouble yesterday.
It's not a problem.
But you should watch your weight.
You're quite a heavy load.
It's all from stress. You all need to stop causing trouble.
If even your weight is our fault, then we will do our best.
Here. Take this.
What is it?
What is this perfume?
You don't have one.
It's not for you, but for the patients' sense of smell.
Before that, you should control your drinking first.
Well,
either way, thank you.
You really don't understand? Can't you hear me?
Do you think this is for the baby or for our team?
Why do you keep acting according to what you want?
I told you clearly! Think before you act!
I...
am not a robot.
You're not taking care of your patients with your heart.
Your only desire is to save them.
That's not true.
I can feel it.
The baby... wants to live.
Did you see the baby's hand?
That's a way of showing that he wants to live.
He really really wants to live.
No.
It's just a reflex.
No, it's not.
Babies can't talk yet.
Because they're too young, scared, and in too much pain, so they can't talk.
But they want to live.
They want to see their mothers.
Inguinal Hernia in boys is very common. [I.H.: a protrusion of abdominal-cavity contents through the inguinal canal]
An emergency situation like incarceration of hernia might happen,
so we usually do a surgery in prevention but
since there is no symptom of incarceration of hernia,
and furthermore his intestine is going in-and-out, there won't be a big problem.
Don't worry too much.
Ah, and...
not right now, but a surgery would be necessary someday. Listen to me carefully and
tell Professor Kim Do Han as is.
Got it?
Woo Il Gyu!
WOO IL GYU!
Yes.
What are you doing? Put the picture up.
I'm sorry.
Professor.
What?
Well, I don't know how to say this...
What is it?
Ah, it's nothing serious but,
I heard what residents of Hepatopancreatobiliary (HPB) department were talking about while having dinner last night.
About the premature baby with necrotizing enteritis.
They said
you returned that baby because you had no confidence.
Chief Kim Jae Joon might have said like that.
A- And
he even said you did so
because you didn't want to have the blame shifted on to yourself.
I heard the story, right? After hearing that, they got me fired up. So I was going to have a nice scene but then...
I was perhaps crossing the line...
I get it.
Don't spread the words uselessly.
Yes, sir.
Give the chart of the premature baby with necrotizing enteritis.
Professor.
If you do this, it'll be hard for us. We're already doing the best we can.
Hard?
Then I won't make it hard for you.
I will take care of him.
Huh?
You are saying you've been doing the best while the only thing you did was drainage?
You, who did not even put efforts once to save a baby that's as small as a palm,
called yourselves a surgeon?
Just quit it you bastards!
You are surgeons with no basics.
I suddenly got a call and I got startled.
Why did he change his mind?
I don't know the reason either.
Later, tell Professor that you are grateful.
You are not the only one who wants to save that baby.
Keep that in mind.
This baby is an extreme premature infant, born at the gestational age of 22 weeks and 3 days, weighing 547g.
From the X-ray of the abdomen, there was a free air. ["free air" indicates enterobrosia / bowel perforation.]
According to the sonography, it seems like there is necrotizing enteritis of some considerable part of intestine.
But in the case of premature infants, aren't there many variables that cannot be detected by sonography?
That's right.
We cannot know everything by sonography.
There's no way to know a patient 100 percent with any checkup.
That's why clinical experience is most important.
Although this patient hasn't taken a favorable turn after drainage,
it's worth a try since he's been enduring.
The surgery will take place as quickly as possible.
At the latest, we'll be in on it within 24 hours.
Yes.
But remember this.
The surgery success rate for this premature baby is
less than 20 percent.
Uh.
It looks like something is collected under the liver.
About this gall bladder area, it looks like something is collected even though it's very tiny amount.
You can see that?
It might look like that due to artifact.
That's not it. Considering the anatomical structure of baby, I'm right.
Hey, are you a 3D scanner? You can figure the structure by only that?
Enough. During resident years, one can be easily confused by artifact.
What are you guys?
What are you saying you'll do right now?
We're saying we will perform the surgery.
This bastard seriously..
What you did for the patient wasn't treatment, it was only neglection.
I have never heard that
negligence with no alternative plan is a treatment.
You.
I definitely told you.
that I'm going to ask the responsibility at the hospital level.
Yes.
Then get ready to be fully responsible.
I will also hold responsibility.
By the way,
what should I be responsible of?
These punks really...
In the end, could this..
be a matter that we need to call the Justice Committee meeting?
Since it's clearly indicated in the hospital's regulations,
There's nothing we can do about it.
Cheif Kim Jae Joon is also one of the best doctors in the nation.
I believe that we need to respect his dignity.
Then,
we should discuss about my course of action at the meeting, too.
Doctor Park Si On is the one who created this problem in the first place.
Not only Doctor Park Si On, who made the problem,
I also have to take responsibility.
Just as I promised in front of everyone.
Well.
I think you don't need to worry about that.
What do they mean by holding the Justice committee meeting for such a small matter? And it's tomorrow?
They would want to take care of it without delay.
Since the pride of the great scholar of HPB is on the line.
Then can we do the surgery or not?
If the committee says we can't, we can't.
What should we do then?
The baby's condition is getting worse...
Ah... Park Si On, this bastard...
Forget it.
This is Professor's decision anyway.
We just follow him...
What is it?
Thank you.
For doing a surgery on the baby.
You don't need to thankful.
I'm not doing the surgery for you.
To the patient and his parents, you did something you shouldn't do.
You gave them hope with no alternative plan and
that hope made a bigger despair.
A doctor is not a religious man.
You should never give people vague hope or possibility.
Due to that reason, my belief that you are the worst doctor doesn't change.
That's why I...
will not kick you out myself.
Become a real doctor after going through residency and fellowship.
And then,
See how big of mistakes you make on patients you're responsible of.
If you realize then,
take your gown immediately. ("Quit your job.")
With no lingering attachment...
Of course, our Assistant Director.
you've already have assessed the human psyche as well!
Who knew Professor Kim would take the bait so easily like that?
See, for those with high self-esteem, that's their weakness.
Overreacting when provoked.
Since we've induced error,
We'll have to keep watching.
I will target Park Si On at the Justice Committee meeting.
That Park Si On caused the problem on his own and the incident occurred.
And then after that, it's holding the Director responsible.
That's good!
Um, excuse me, but I'll be leaving first.
Why?
No, I have something urgent to take care of.
Detailed Statement of Deposits and Withdrawals Account
Do Han
Soo Han
Erased...
Yes.
The manager and the cleanup hitter are perfect.
I will make both of them remain.
If the owner of the club changes then rebuilding shouldn't be a problem.
Ah, and... there is a
very interesting rookie.
The Mysteries of the Human Body
First, I think we need to clarify what need to be taken responsibility of.
Who is the person who convinced the patient's parents for a transfer to the Department of Pediatric Surgery?
Was it Dr. Kim Do Han's order, or Dr. Park Si On's independent action?
Dr. Park Si On.
Me. It's me.
Without orders, I-
I ordered it.
I heard about the patient's condition from Dr. Park Si On,
and I gave an order.
No, it's not true. I talked to the baby's parents-
It's fine, Park Si On.
What? From what I heard, it was strictly Dr. Park Si On's personal decision.
Let's be reasonable.
1st year residents are not capable of coming to this kind of conclusion, and they're not allowed to.
Then, what's the reason for changing your decision?
It's because of HPB's negligence on their treatment.
The patient was neglected.
What do you mean neglect? Just because you operate on a patient, it doesn't mean it'll cure him.
If it wasn't neglect, was it a cure?
Persisting upon a surgery as a cure to a patient without hope,
it's only a surgeon's conceit and selfishness.
The operation has 20% chance of success.
It's not true that they don't have hope.
Shut up!
How dare you interfere as a resident!
The reason why I chose not to perform surgery
is for the family and the patient.
Because it's clear that the patient will die even though he goes through surgery,
aren't you reasoning that it'll be a waste of time and resources?
What did you say?
Professor Kim Do Han, please have a basic level of respect for your sunbae.
And Professor Kim Jae Joon, please refrain from making statements out of pure emotion.
Either way, Professor Kim Do Han, without HPB's permission, did transfer
the patient by using the parent's right to make decisions as a guardian.
This is one of the actions that are severely frowned upon by the hospital.
There's two choices by the custom until now.
First, send the patient back to the original department,
write a written apology, and a one month's pay cut.
Second, the patient will go through surgery,
but there will be a disadvantage on your performance rating, 3-month suspension of practice, pay cut,
and a cut on the research fund.
Professor Kim Do Han, which will you decide?
I will...
do the surgery.
If the surgery goes wrong, you will be asked to be responsible for the ethics of your actions.
I will make sure that won't happen.
No, this won't work.
If it goes wrong, the hospital might be sued.
What is it? Don't you know that we're having a committee meeting?
I'm sorry.
Professor, the premature infant's vital is not stable.
Heart rate is dropping below 100, and his level of dependance on oxygen is increasing.
What is his pH level?
It's 7.1. Metabolic acidosis is worsening and since 3 hours ago, he hasn't been able to urinate.
Abdominal distention has worsened too.
We have to go into operation immediately.
I'm sorry. I will be back after surgery.
Let's take a break.
Okay. I guess we have no choice.
I'll be going to the NICU also.
Hurry and get ready for an operation.
Okay, I understand.
I'll check the status for an operation room with Anesthesiology.
Don't. Prepare so that we can directly operate in here.
Excuse me?
In here? Why would we-
For premature infants, the body surface area is too large to them to control body temperature well
which makes their temperature drops quickly to the level of hypothermia.
So, it is very hard to control their body temperature while moving them to the operating room.
Also, it's very dangerous to move the baby because the position of tracheal incubation is unstable.
Premature infants can be put in danger even with the smallest shocks.
We'll have to perform the surgery in this state.
Please call for Dr. Jeong from anesthesia and ask the OR to get the operating table ready.
Yes.
Why haven't the operation tools come in yet?
Anesthesia...
Why haven't you prepared yet?
Our Chief is not giving us permission.
A surgery out of an OR has high risks.
He says that it's even more dangerous because the patient is a premature infant with a low vital.
Scrub and circulating nurse, and what about the OR tools?
It's not possible to bring the OR tools to this room.
There is a possibility for loss of equipment, and more importantly,
we don't have nurses who have experience in this kind of operation atmosphere.
This is an urgent situation.
Even so, we must keep the principles in place.
A baby's life is on the line; what principles can be kept?
If something goes wrong here, who will take responsibility?
I won't ask for whose fault it is.
If a reason to take responsibility comes up, I will do it.
Dr. Jeong, please start preparing. Chief Nurse, bring up the OR tools and call up the necessary nurses.
Okay.
You can start now.
Scapel.
Range of necrosis is wider than expected.
We'll check the entire small intestines.
Suction.
From 30cm lower part of Treitz ligament, necrosis is throughout almost entire small intestine.
There's enterobrosia in 3 places.
Remove the part with necrosis tissue,
and make small intestine fistula [making the path for for feces] with the upper part of intestines.
Mosquito (clamp).
Suction.
Gauze.
Clamp.
Hold.
Scapel.
Tie.
Finished removing necrosis tissue, and fortunately the function of small intestine retained.
It retained longer than expected.
From now on, we will make small intestine fistula.
I'm asking because I don't know very well.
Is the surgery going well?
It's beyond 'going well.'
Even amongst the precious few underweight, premature infant surgery cases,
I think this will be the first successful surgery for the smallest premature infant.
This case will be unrivaled even amongst the cases reported by the Academy of Pediatric Surgery.
The small intestine fistula is made now.
Close the abdomen and suture it.
No, you can't. You can't.
I saw something filling up under the liver.
What are you saying is there?
Are you sure you aren't mistaking the artifact?
I definitely saw it there. Definitely.
We have to hurry and finish the surgery. The baby is already at an excessive state.
Wait.
Suction.
It's CBD perforation. (Bile is leaking through inborn hole in the biliary tract)
CBD perforation: Biliary tract perforation. Bile leaks through a innate/inborn hole in the biliary tract.
The bile is seeping out and
creating bile tumors.
We have to quickly remove the bile tumors
must start cholangiojejunostomy! (Remove biliary tract to connect duodenum and jejunum)
There is a huge risk of infection.
You cannot perform cholangiojejunostomy!
What are you saying? Right now, that's the only option.
What Park Si On is saying is right.
His biliary tract is too thin,
and the length of small intestine isn't long enough for that.
Then
do you have an alternative plan?
There is none.
♫ To you, I cannot completely express my love through words.
♫ Even the world cannot fully contain
♫ My love for you.
I'm the one who has to take responsibility, no?
I have to go as well. I have to receive the punishment, too.
When I tell you to leave, just leave.
"I'm sorry", "I committed a sin worthy of death", can't you say these things once?
Can't you quit the Pediatric department?
- Oh my, what should we do? - Doctor!
What are you doing now, doctor?
I'm scared.
That doctor is really weird.
Even if you memorize all these facts, what's the point?
There's not one person who wants you to become a doctor!
If we leave him be like this, he's going to kill someone.
A genius with defects becoming a hero only happens in cartoons.
Park Si On, what kind of person are you, really?