Subtitles brought to you by the Pediatron Team @Viki.
It's a CBD perforation.
Episode 4
The bile is seeping out and
creating bile tumors.
We have to quickly remove the bile tumors,
and we must start a cholangiojejunostomy.
There's a huge risk of infection.
You cannot perform a 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 the small intestine is too short for that.
Then
do you have an alternative plan?
There's none.
If we take more time, the baby will be in danger.
The baby is utterly fatigued.
But how did the biliary duct spontaneously perforate?
A gallstone blocked the biliary duct and the pressure created from that made it rupture.
For a while, we couldn't feed anything to the baby because of the poor condition of the bowel.
That's why the gallstone was formed.
This is why one shouldn't cavalierly take on the surgery of premature infants on critical conditions.
There's not much time. What are they doing just standing around and thinking?
He will be utterly humiliated.
How can you laugh in this situation?
The patient might die.
Is there any other way?
At this moment, there's none.
Even if they remove the bile tumor and close it, there's no use of doing that if they don't prevent the perforation.
Also, the intestinal fistula which was created for feces
is definitely going to cause a major complication.
Oxygen saturation level went down to 80%.
Hurry and check the endotracheal intubation tube.
The tube is too thin and even when I hold it in place, it keeps turning.
Body temperature also declined below 36 degree. Overall, it's very unstable.
D..Drainage tube. Aspiration.
If we drain, it will only draw the bile out.
It will not be the solution!
After the first suture,
position the drainage tube to the side of biliary duct and we'll finish the operation.
Pardon?
Hurry and bring the drainage tube, the thinnest one.
Yes. I understand.
If we do the drain, there might be a risk of infection.
The pressure within the bile duct is currently low
Even if we can't suture the perforation, we can still drain the bile with the tube.
We can prevent peritonitis.
And we can expect natural sealing of perforation post surgery.
PDS 6-0 suture.
PDS 6-0: Kind of suture. 6-0 indicates thread thickness. Higher the number, thinner the thread.
-Tie. -Tie.
The part that looked like the artifact from the sonogram,
was a small gallstone which was the cause of perforation in the biliary tract.
That's why there was small amount of bile leakage around it.
Park Si On's assessment was correct.
The biliary tract is too thin, wouldn't it become narrow after the first suture?
In case it gets severed, it'll become difficult for the natural sealing.
So we will just make a few stitches to keep it together.
I brought the drainage tube.
At a fast rate close the abdomen. Suture.
Tie.
There's no simple surgery.
Director, did it end well?
Yes. I think it ended well.
Thank you for giving permission to do a surgery out of the OR.
I'm the one who is grateful, for letting me see an exceptional operation.
Thank you Doctor,
for not giving up on my baby till the end.
There are still risk factors, so we have to watch the progress.
If the baby stays strong, all other issues can be resolved as time progresses.
Thank you.
Thank you very much.
We're the one who should be thankful to the baby.
The baby withstood it well.
Now put aside your worries and take a rest, Mother.
You didn't receive good postpartum care.
Professor Kim, thank you for your effort.
It's no trouble.
Still, we should cross the t's and dot the i's. Come to the conference room with Park Si On.
You can go to your station.
No. I have to go as well. I have to go and receive my punishment ~
If I tell you to go, then go.
Go, quickly.
What are you saying, lower the severity of punishment?
If this surgery on the premature infant becomes known externally,
an innumerable amount of consultation requests will pour in.
So if professor Kim Do Han is absent from his post for a month
will be an inconceivable loss.
Be that as it may, what's punishable must be punished.
What do you mean "be that as it may"? It's directly connected to the profitability of the hospital.
And as of Park Si On, I think we should just lightly let it go.
How can we just let it go when he's the one who started this problem?
Clarifying where the responsibility lies is the very principle of punishment.
Park Shi On was just following professor Kim Do Han's orders.
Hey, where did doctor Park Shi On go?
I'm planning on taking all the responsibility.
If you have any punishment for Park Si On, I'll pass it on to him.
Just proceed director.
Though the surgery was initially successful,
the fact that internal rules have been violated can't be overlooked.
so, professor Kim Do Han
we will mete out a punishment of one week suspension and one month's pay reduction.
The official suspension will start after the treatment for the patients scheduled for this week are over.
It will start next Monday.
Do you have objection, professor Kim Do Han?
No.
As for Dr. Park Si On, the punishment will end with him submitting an employee report.
What happened?
They said one week suspension and one month pay reduction.
I thought may be... It's really pissing me off.
It's not like there's a medical accident but rather he conducted a very difficult surgery successfully.
Does this make sense?
That's what I'm saying.. Then what about Park Shi On?
No punishment except for submitting an employee report. I think the professor decided to bear all responsibility.
You punk. How can you show your face around here?
What are you doing in front of your seniors?
Aren't you angry, Sunbae? Just who do you think is responsible for all this?
He's right. Why does the professor have to receive that type of punishment?
Hey. Can you not even utter a simple "I'm sorry" "I've made a grave mistake" or something?
You can't say those things because your cognitive level only reaches around elementary school, right?
Wool Gyo! Mind your tongue.
You too know that this punk doesn't listen unless we speak harshly.
Quiet down, everyone.
I won't cut any slack for you punks anymore.
When the professor comes, act as usual.
If you go overboard, you're all dead.
During residency,
anyone can cause trouble unintentionally.
I did it too.
However, the accident itself isn't what's important but the attitude is what's important.
You really...
don't have any sense of guilt?
Now the baby can live.
So it's really fortunate, and...
I...
am talking not about the baby but about you and our team!
Going forward, if you continue in this manner,
no matter what accident you cause, I won't be able to cover for you anymore!
I can't feel the need to protect a staff member who doesn't even know teamwork.
Stop if you're going to ask whether I'm alright.
I'll stop.
If you have nothing to report, you may leave.
Professor.
The premature baby's drainage surgery today,
honestly, I wasn't even able to imagine it.
I was wrong about the artifact too, and
I misjudged Seong Woo too last time.
However, Park Si On was accurate about everything.
Just as you, Professor, said in the past,
in terms of medical knowledge,
Park Si On is ahead of me by three, four steps.
I acknowledge it.
What is it that you want to say?
It's not anything like envy or inferiority complex, but
I am a little confused admittedly.
If we look at skill only,
we must somehow get him to remain at Pediatric Surgery, but
on matters beyond that, I also can't judge so well now.
Let me ask you just one thing.
There are two options.
First,
An extraordinary doctor with no common sense.
Second,
An ordinary doctor with common sense.
Who would you pick?
A genius with deficiency becoming a hero is something that's possible only in comic books.
Rather than a comic book hero, I need a partner with whom it's possible to communicate.
In terms of results, that's what's good for the patient.
Then, the reason for continuing to let Park Si On be,
is it only because of the Director?
If you don't have anything more to say, you may leave.
The decision that the upper-level seniors made
its just something like this.
It's always like that in an organizational society.
I ask for your understanding.
Was Park Si On alone not enough?
The Director and Park Si On,
I thought only those two people stood in the path of the dominoes.
However,
it occurred to me that Professor Kim Do Han might also be stuck in that line.
It seems there's some big misunderstanding.
I'd rather that it was a misunderstanding.
However, in case,
if Professor Kim Do Han becomes a victim in that ridiculous battle,
I also won't just sit there.
As long as I am in this position,
no one will become a victim.
Wow, meal over! My stomach's full.
Is the condition of the infection ok?
Yes, fortunately, the antibiotic was effective, so it's greatly improved.
Now, she'll be alright.
Still, you have to keep taking the medication regularly.
By the way, Senior Nurse!
Can I see you for a bit?
I have something to ask you.
Why? Why don't we just talk here?
Ah, well, I told you it's something for only the two of us to discuss.
It seems you've become a bit thin since the last time.
Yes, because work was a bit heavy.
Please be sure to take care of your health as you work.
If you don't feel well somewhere, please feel free to let me know.
That's okay.
Anyhow, you're clueless!
No, why...
You really have no sense.
If you see, you should get it.
Yah, it's very...
Yah, Doc Han too has a sensual look in his eyes as he's looking at her, doesn't he?
When you, Senior Nurse, were in school,
your friends didn't set you up on dates, did they?
This kid!
You, you've no idea how popular I was.
With each one trying to take me, such a ruckus happened that...
Stop. Only so far with the fiction.
I do date a lot.
Yeah right.
A gent who doesn't go home even on off days and sticks around in the hospital
goes on what dates?
Perhaps, is there someone you like in the hospital?
If he has someone, so what then.
Who'd like a monster?
What? What? What?
Even though I may be this way now,
in my youth, I used to be showered with praises that I was a statue (jo-gak) of male beauty.
A statue (jo-gak) of male beauty?
You're right about being a piece (jo-gak) of work.
Shattered to pieces (jo-gak)!
This little thing!
Aw, a nurse is beating up a patient!
Doctor Cha, please go see Seo Joon.
No, right now, are you thinking or not?
What's the matter, Mother?
No, well...
This doctor brought this type of thing for Seo Joon to eat.
He can't eat flour, but
what is this?!
It's not a flour but a rice cake.
And, as for cocoa, it's okay if the sugar content is high.
Sugar has no bearing on Seo Jun's condition so...
Even so, how could you feed him something like this?
Don't you, who's supposedly a doctor, have any common sense even?
It's okay for him to eat.
For now, consuming carbohydrates and sugar-
Enough!
Doctor Park, leave!
Leave!
Mother, I'm sorry.
I'll make sure that something like this doesn't happen again.
Don't, so that we can throw it away!
Oxygen consumption of the brain is 20% of total body oxygen consumption.
It receives 15 of the cardiac output.
For these processes, it consumes more than 20% of intake calories.
So, if he doesn't ingest food and liquids,
the brain activity would become unstable and also, stress and sleep deprivation could result.
So, it's because you were worried about Seo Joon that you brought him that.
For Seo Joon's smooth brain and sleep activity.
I got it.
I will think of it as a good thing.
Instead, I'm giving you a warning.
Don't change patients' diet on your own.
Yes.
The Assistant Director, this person!
What exactly is he doing?
Why have you been watching only? You should have done something at least!
I'm sorry, brother-in-law. The situation is a little bit ambiguous...
Don't you know how important time it is right now?
Only by kicking out the Director and Chairman Lee will I become the Chairman, no?!
And when I'm the chairman, you can become the strong deputy!
Without the Assistant Director knowing,
you plan out a strategy this time.
Yes?
How could I...?
Until when will you continue to eat rice that someone else is feeding you?
Do you go around with your head only as some interior decoration?
Truly, here's an actual human scanner.
If you just read it, can you memorize it effortlessly?
Yes, I can memorize it all.
That must be good.
You can memorize as you read... Huh? Huh?
That's enough. Don't do it.
Let go. I won't hit him.
Hey, but
even if you talk like professors in the operation room, we don't envy you. What should we do?
You know, instead of becoming a doctor, why don't you make a television appearance on a talent shows, huh?
Like "King of Memorization Park Si On". Something like that.
That fits you perfectly.
That's enough. Stop it.
Let go. I get it.
Since you get it, stop it.
Think carefully on what your superior has told you.
Just think of it as having a break for a week.
Oppa, you haven't been able to rest even for a day.
On Monday, let's go to Ahnmyeondo. It's been a while.
What about work?
Who's going to say something when I say that I'm going to rest?
I've been thinking. Can't you quit working at the Department of Pediatric Surgery?
You can go to HPB and be manager there after kicking out Chief Kim.
I'm sure Chairman Lee will be able to do that for you.
Then you can work with more ease which will be incomparable to working at the Department of Pediatric Surgery.
That's an apparent reason.
I also don't like that you're in between the Director and Park Si On.
You don't need to be a part of this trivial political game.
I'm not a politician, but a surgeon.
Don't worry about unnecessary things.
Oppa, you're my fiancee.
How do I not worry?
Also, don't tell me what to do about my work ever again.
I have no intention to leave the Department of Pediatric Surgery.
Why?
Because of the Director?
No.
Then why?
That's enough. Let's stop here.
Do you know that you've never told me the reason?
If you're done eating, let's go.
I'm a bit tired today.
Thank you for being sick.
Excuse me? What did you say?
Ah, no that's not what I meant.
I meant, thank you for giving us a chance to showcase our great product.
What kind of insurance do you have?
One dragonfly.
Two dragonflies.
Three dragonflies.
Four dragonflies.
You're really busy these days, right?
It's always like that.
Father's checking his insulin levels often, right?
Of course.
By the way, Do Han. Let me ask you one thing.
Yes.
By any chance, have you visited Soo Han recently?
I went too, and I saw that there were flowers.
No, I haven't.
I just thought that maybe you did.
Okay. Then eat well, and when you have time, come home some time.
Yes, Mother.
Okay.
Hi.
Did you not sleep well last night?
Your condition doesn't look well.
I'm fine. I'm just a bit tired.
You can't collapse on us.
Who will take care of our children's surgeries?
You're thinking of giving me work until the end?
You should perform surgery soon.
What?
Is it okay for me to do so already?
I started when I was a 1st year fellow.
Aren't you 2nd year?
Then Professor, select one for me and give me the order.
When there's a case with esophageal atresia, you can take charge of the operation.
Okay, I understand.
Here.
You can urinate and fart well, right?
Yes, they come out well.
I told you. You got better fast because you listened to me.
Can I go home now?
Let's stay just a little bit more.
About 3, or actually 4 nights.
That long?
Aren't you glad to see more of this beautiful doctor? Aren't you?
You always call yourself beautiful.
Doctor.
Can we talk for a bit?
What are you guys doing here?
You can't tell our moms.
It's been so long since we had a snack.
Okay. I won't.
You really won't, right? Right?
Yes. But
can I play with you guys?
With us?
Yes.
But to come into our team, there's a condition.
If you want to play with us, there's a condition.
Hyung...
We have a limited number of doctors in our department, so it's hard to make changes in their shifts.
We understand the situation, but we feel a bit uneasy.
There was that food situation with Seo Joon yesterday.
What if he makes a mistake with prescribing medication for pills or IV?
That won't happen, so don't worry, Mother.
What in the world...
What's going on?
-What happened? -What's going on?
-What happened? -Mom...
Song Jin!
-Why are you crying? -Oh no, Yea Eun!
-Why are you crying? -What's wrong?
-Are you bleeding? -Mom...
The doctor did it!
What?
He knocked over everything that was stacked there.
Why, why did he do that?
Because we wouldn't play with him.
What?
Doctor! What do you think you're doing?!
I... I... It's not that.
I... It's not that.
I knew it. I knew this would happen!
What did I tell you?
I told you that he would create trouble!
I'm sorry.
Nurse Jo, please move the children to the treatment room.
Okay.
Hurry.
What is all this?!
Yea Eun!
Hey, emergency measures! Emergency measures!
What good does it do if you can memorize all of the materials in these books?!
What good is it that you're skilled?
There is no one who wants you as their doctor!
B... but I have to be a doctor.
What do you want to do as a doctor?
Do you think it's all good when you finish a surgery successfully?
I'm angry and sick of being disappointed in you everyday, Park Si On.
I know I shouldn't be angry, but I can't help it!
This is a huge deal, huh?
I mean how can a doctor assault a patient?
When I heard about it,
it wasn't an assault but a simple mistake.
What?
I will report this to the Director.
Please go do your work.
No.. This isn't enough with reporting.
I will do it on my own.
Please focus on the hospital work, Chief Go.
Without letting the Assistant Director know, come up with your own plan.
This is also my work.
As chief of the Pediatric Surgery Department,
I will do this myself.
We cannot just move on like this.
Please get rid of him from this hospital ward.
I wish I could do that as well for you. But there's such a thing as "the person of authority" in the hospital.
Is getting rid of a resident under you, Chief?
Of course, yes. However, in case of Dr. Park,
but he's a special case for the hospital's rehabilitation effort with persons with disability.
So it's a bit different.
Then, who should we talk to?
Well, Director to begin with.
If you have a specific complaint or a group statement that's pretty good.
If you are going to do it, it would be best if you tell the foundation of this hospital.
Foundation?
Foundation? And gather signatures?
Then you can do it?
Yes. Of course we would do it.
Oh my god, really.
OK then.
If there's any problem, please report it to me.
Then Doctor Park did it on purpose?
On purpose?
I don't think he did it on purpose. It just shook after he was holding on to it.
Then why do you guys make it seem,
he did on purpose to scare you?
Back then,
I was really terrified.
He only did it just to get close to you.
Still, I don't like him. I am scared.
He's so weird, that doctor.
For now, remove all patients from Dr. Park's care.
The, rest of the doctors have too much on their plates.
This is not what I want, but the guardians.
If he keeps going at it like that, he might kill a kid.
Isn't that jump to the conclusion too much?
After seeing with your two eyes, you still say that?
I saw it with my own eyes,
but he didn't hurt those kids on purpose.
But at the end, the kids ended up being hurt.
That bastard, we should've never accepted him from the start.
Everything he says is just..
For now, remove all his patients and leave him in the ward.
Just have him do the rounds.
What hurts and how?
Here. Right here.
Here?
Yes. There..
It's an achy, achy, and throbby, throbby, kind of pain.
Achy, achy, throbby, throbby?
What are you trying to say by that?
I will try looking at it.
What are you trying to do?
You got kids hurt, and now what are you going to do?
He, Ahjumma.
How can you say "what deed" to the doctor?
You. Don't say anything.
Don't ever come near our kids again.
Well, I still need to look at her condition.
There's no need.
You get out. Now.
Ouch.
Work hard for one week. If there's an emergency, call me right away.
We will do it on our own.
Don't worry and rest up.
I am most afraid of you guys "doing on your own".
Follow Doctor Cha's words well without me here.
Yes, we will.
Doctor Cha. Go see that premature infant's parents once.
I will.
Work hard.
Without me here, don't do anything besides eating, sleeping, and breathing.
You. You don't like people hurt and suffering, right?
No, I don't.
I don't like it a lot. I really really don't like it.
Then think about it.
You doing on own behalf, how it hurts and suffers your co-workers.
Here here here.
Nice.
Aww, it didn't make it.
Aigoo! Oh, man!
Are you from Pediatric Department?
Yes.
We are NS. (Neurosurgery) Do you want to play a game?
Hey! Hey! Behind, behind you!
Here, here!
Are you ok?
Thanks to you.
How's our baby?
He's breathing weakly but he will be okay soon.
Who drew this?
He drew really well.
That doctor. Park Si On.
I gave him a name.
Dong as 'move'. Soo as 'hand'.
It means he will move his hands well.
Dong Soo, when he grows up, like my brother,
will be good at basketball, volleyball,
and baseball.
So, we decided to name our kid Dong Soo.
Lee Dong Soo.
Since the person, who saved our baby, named him
he will live a long life.
Well, good job.
Don't hold on too tightly because you will lose all your energy.
Bye.
Chief Nurse, what should we do about Seo Joon?
Why?
He wouldn't eat and couldn't sleep so,
he's sags down.
Well that's not good.
It's not long until he gets discharged.
He wants to sleep but he can't.
So, he's just counting sheep.
Well, we can't put him on sleep indneer.
How about his mom?
She went to work.
Really?
I will go to him.
Wait. Doctor Park. Seo Joon is just.
Let him go for now.
10 Sheep. 11 Sheep.
12 Sheep.
Go. You are going to bully me again?
No. I heard you can't sleep.
Don't talk to me.
!3 Sheep.
14 Sheep.
You shouldn't count sheep.
Why?
Do you know how to speak English?
Of course, I'm the best of my class.
What's sheep (yang 양) in English?
Sheep
Yes, sheep.
Then what's sleep (jahm 잠) in English?
Sleep.
Yes sleep.
The pronunciation of sheep and sleep are similar,
so people who speak English count sheep.
Then, there's no need of counting sheep in Korean.
Yes. People who speak English will only be sleepy.
Then, we should find a word that has the word sleep. (jahm.)
What is there? Sleep.
Sleep.
A dragonfly. (jahm-jari)
One dragonfly. Two dragonflies.
Oh right.
One dragonfly.
Two dragonflies.
I think i'm really going to fall asleep.
Three dragonflies.
Four dragonflies.
Five dragonflies.
Six dragonflies.
Seven dragonflies.
Eight dragonflies.
Nine dragonflies.
Ten dragonflies.
Eleven dragonflies.
Yes, Chairman.
Yeah?
You should've given me a hint...
Ah, yes.
I will leave right now.
Yes.
Don't go out so much. Just sit in the room.
So you can get better soon. --Yeah.
Answering inattentively again...
Look at my face.
Yeah, yeah, Unninim.
By the way, Unni.
What kind of part-time job do you have for nighttime these days?
Convenience store.
No wonder... You don't look so well.
It's very tiring, isn't it?
It's okay.
You just focus on getting treatments.
I will. I'm sorry, Unni.
You are saying that again!
I'm leaving.
In Yeong.
Yes, Doctor.
Since you are in a hurry, I will say it briefly.
Has In Hae gotten worse?
No, that's not it.
Perhaps, are you free this weekend?
Yes?
I have 2 musical tickets.
If you have time, we could go together...
I'm sorry.
It's very nice of you to ask me out but
I feel little uncomfortable as a patient's guardian.
From now on,
I hope this kind of situation won't happen again.
Look...
With a great appearance... Doctor Han is such an idiot. An idiot!
Are all the doctors like that?
Why doesn't he have any skills? Skills.
My words exactly.
That's what he's got?
He can't do it when he's given a chance.
NICE!!!
He has some nice swings!
You should have taken some rest first, but
why did you ask me to come here?
I feel nice when I look at healthy guys.
Don't you?
Yes, you're right.
How much time do you need?
I will finish it in 3 months.
"Blitz tactics" is your forte.
It must be a little bit different this time?
I'm sorry, Chairman.
Ah, no, don't worry.
There must be a reason.
May I ask
why you came to Korea all of sudden?
I came to see your face.
Even it's a goose that lays golden eggs, it can't lay eggs if it doesn't get fed.
Just make sure they don't starve to death.
Don't feed them too much either.
Yes. I will keep that in mind.
Why did you call me to come all of sudden?
What do you mean by all of sudden?
It's because I don't get to see you often even you are in Korea.
You never come to my office these days.
I'm sorry.
You know that my team is hectic.
Right.
Working in the management planning team isn't easy, is it?
When she was little, she would go to you
and ask for this and that...
That was when Chairman Lee became my dad's wife.
Let's just eat.
Well, I don't know.
I'm not sure if I can just eat like this.
Chae Gyeong...
It's a long time since we saw each other... Why are you being so sensitive?
Do Han Oppa got a suspension because of Doctor Park Si On, and
Assistant Director and Managing Director Lee are
desperate to bring you two down.
But you all look too carefree.
It's our business.
Don't mind it. Instead,
you devote to your work.
I can't not mind it.
Have you any idea how hard my father had to work to establish this hospital and foundation?
You have to say it like that?
Yes.
Only then, you would take things more seriously.
R- Right... It's all my fault.
I will make sure you wouldn't need to worry from now.
Eat.
I've said what I wanted, so please, let's eat.
Alright, then eat.
My brother's nails look like the crescent moon.
The Crescent...moon?
♫ To my friend, to my love ♫
♫ Trust me ♫
♫ I can't block the wind for you ♫
♫ But I can walk with you ♫
♫ To my friend, to my love ♫
♫ Trust me ♫
♫ Awaiting today ♫
♫ Dreaming of tomorrow ♫
♫ That beginning and the anticipation ♫
♫ It's still not the end ♫
We have to quickly operate now.
Park Si On.
What kind of person are you?
♫ Nobody, nothing ♫
♫ can replace you ♫
One dragonfly.
Two dragonflies.
Three dragonflies.
Five dragonflies.
Six dragonflies.
I'm sorry but we don't have a pediatric emergency specialist.
What are you talking about? There are other doctors.
Since there are only interns I'm afraid we can't do it. I will contact another hospital.
It's Intussusception.
At our hospital, we don't have a pediatrician.
There are other surgeons.
I mean, they all have their own specialties and
it would be difficult because they don't have much experience of doing surgery on children.
Please go to a bigger hospital with pediatricians.
It feels so nice to be out on a date in a while.
You feel good, too?
Please...
Let's enjoy our vacation as a vacation.
Her icterus is almost gone now.
The icteric index is also dropped to almost the normal range.
Her liver somatic index will be back to normal soon, so please don't worry too much.
Hello?
Yes, got it.
At ER, there is a 8-year old female patient with intussusception.
Transferred from a local branch, and her condition is very critical now.
[Intussusception : caused by the prolapse of a part of the intestine into the adjoining intestinal lumen.]
Doctor Park, you too, come with us!
She was already diagnosed as intussusception, so I just called for you.
Starting from 10 hours ago, she had stomachache and hematochezia (bloody stool),
and currently she's dehydrated seriously.
What about her vitals?
P-bar 39, B/P 80/40, heart rate 150,
minute volume 30 times, and Oxygen saturation 85%.
Her breathing is too unstable.
If respiratory aspiration occurred when she vomited, it can be aspiration pneumonia.
Other hospitals didn't accept her,
so after searching around all night long, we finally came here, Seoul.
We went to 5 different hospitals...
Five different hospitals...
Arrange the blood test and the emergency surgery.
Let's see the test results first.
The range of intussusception is long.
As Doctor Park said, she even has aspiration pneumonia and septic shock.
Give antibiotics in triple, and prepare the surgery quickly.
I think the progress after the surgery would be really bad.
It's totally the worst of all.
I'm worried if arrest comes even before the surgery.
Our Min Hee...
What will happen to her?
For now, we should start the surgery and see the status first.
Immediately call Professor...
no, call Chief.
Yes, I understand.
Arrest, arrest!
Start massaging.
Yes. 1, 2, 3, 4, 5.
Set up more IV lines, and prepare atropine, epinephrine and intubation set!
[List of signatures for Letter of Complaint]
[Letter of Complaint - Re : Changing the attending doctor]
What is it?
A intussusception patient arrived, and Doctor Cha asked to call you, Chief Go.
Got it, I will be there soon.
What?
Are you out of your mind?
It's already too late!
As soon as you open her abdomen, she will have an arrest!
Even so, we can't send the patient to another hospital.
If anything goes wrong, we will be solely blamed and the hospital will be even sued!
So, should we reject an emergency patient just because we're afraid of those risks?
I'm telling you for the sake of our department and our hospital!
Can't you understand what I'm saying?
The surgery...
will be performed.
You... Why...?
Why is any single of you not f***ing listening to me!??
We don't listen to you because your words are unworthy of a doctor's.
What did you say?
Responsibility or what-not, I will think about it later.
Doctor Cha!
DOCTOR CHA!
The OR is arranged.
But, who will operate...?
Chief has no intention to do it.
Then...
will you...?
We can save her.
We must.
For now, move the patient.
[Missing calls - Cha Yoon Seo]
I am going in right now.
I think I have no other option but to be the operating surgeon now.
No, don't, I will operate it.
What are you planning to do?
Put the live video (of surgery) through my cell phone, so that I can operate remotely on my way to the hospital.
No, I will do it.
LISTEN TO ME!
Your first surgery will be decided by me.
Don't do manual reposition by force. First, find the upper and lower part of intestines which look okay.
I will be there soon, so hang in there well.
Yes.
It's an emergency surgery. I should go to the hospital.
There are other surgeons, too.
I will be back quickly as soon as the surgery is done. Wait for me.
Oppa.
Oppa!
How is it going?
Yes, Professor, now the patient is put under anesthesia...
What about Professor?
The phone keeps ringing, but he's not answering again.
Aren't you stopping right now?!
This is my last warning.
Give up this surgery.
The operating surgeon, Cha Yoon Seo,
is starting the surgery now.
Doctor Cha!
Turn it off!
Doctor Cha!
You can begin now.
Scalpel.
The small intestine went far into bottom large intestine.
Then, even large intestine (needs to be removed)...?
We can't remove even large intestine altogether.
For now, the intussuscepted small intestine
needs to be re-positioned manually as much as we can.
I will start it.
Careful, careful,
careful, careful, careful, careful...
Shut the f*** up!
The intestines are out now. Excision of small intestine will begin.
Mosquito (clamp).
- Tie. - Tie.
- Cut. - Clamp.
One more.
Hold it.
Doctor Park. Are you okay?
The ch... the child is not moving well.
Since she's under anesthesia, of course she's not moving!
That... that... that's not what I meant...
Aren't you guys focusing on the surgery?!
The excision of intestine is completed.
Now, I will start anastomosis for the remained parts.
It's arrest!
I will give her atropine.
Change the drip rate quickly and stand by with DC!!
[DC : a defibrillator which convey the electric shock to the heart through the chest wall]
I will start massaging her chest.
1, 2, 3,...
Please stop for a moment.
I'm checking the rhythm of her heart.
You can start massaging again.
The rhythm of her heart seems coming back a little.
DC is ready now.
50 Joules.
Clear!
Shot!
- It's dropping again! - Increase it to 100 Joules!
- Shot!
The rhythm...
is not coming back.
Please... please...
Professor.
Please... please...
♫ I can't express my love to you with words ♫
♫ Even if you add all of the world, ♫
♫ It's not enough ♫
Is choosing patients for surgery what a doctor is supposed to?
I will operate this surgery.
Since when have you drawn a clear line between a doctor and an individual?
I'm jealous of Doctor Cha.
You really don't listen to me!
You are smart, doctor.
Santa Claus and Heaven are the same things.
- Something which really doesn't exist. - Why isn't there Heaven?
What I bet my life on is Pediatric Surgery,
not a "surgery factory".
Do you know you just sounded like Park Si On?
Did you forget that you were on suspension now?
Thank you, Park Si On.
Because of you
I could avoid becoming just a "technician".