1 00:00:00,000 --> 00:00:04,000 Medical Top Team 2 00:00:18,600 --> 00:00:20,480 His heart 3 00:00:23,860 --> 00:00:26,210 has stopped. 4 00:00:41,580 --> 00:00:44,700 First, we'll open the chest and drain the tamponade. 5 00:00:44,790 --> 00:00:48,840 Tamponade: Fluid pooled in the pericardium, the sac holding the heart. Often occurs 24-48 hrs after surgery. 6 00:00:48,840 --> 00:00:50,200 Wire holder. 7 00:00:50,200 --> 00:00:52,190 Wire cutter. 8 00:00:55,790 --> 00:00:57,670 Rib spreader. 9 00:01:00,380 --> 00:01:02,980 Nurse Kim, please administer epinephrine every three minutes. 10 00:01:02,980 --> 00:01:05,570 -Yes. - I'm going to do heart massage. 11 00:01:22,690 --> 00:01:25,280 Is the heart beating? 12 00:01:25,320 --> 00:01:27,410 Not yet. 13 00:01:33,700 --> 00:01:35,710 What do we do? 14 00:01:37,480 --> 00:01:39,160 Nurse Yoo, what happened? 15 00:01:39,160 --> 00:01:43,120 They opened the chest and doing a heart massage but the heart is not beating yet. 16 00:01:46,730 --> 00:01:48,450 What happened to Director Song? 17 00:01:48,450 --> 00:01:50,410 Right now, they opened the chest again 18 00:01:50,410 --> 00:01:54,490 and are extracting body fluids, so he will be okay soon. 19 00:01:54,490 --> 00:01:56,590 Here, 20 00:01:57,480 --> 00:01:59,610 they opened the chest? 21 00:02:19,430 --> 00:02:22,430 ECG is coming back. 22 00:02:28,280 --> 00:02:30,190 Maintain the epinephrine dosage, and do the full lab. 23 00:02:30,200 --> 00:02:31,340 Yes. 24 00:02:31,340 --> 00:02:33,700 Nurse Kim. 25 00:02:34,480 --> 00:02:36,930 Heartbeat is getting stronger. 26 00:02:36,930 --> 00:02:40,210 Then I'll stop the heart massage. 27 00:03:09,450 --> 00:03:12,370 The blood pressure is maintained. 28 00:03:19,040 --> 00:03:21,860 Ah. After the anesthesia wears off, 29 00:03:21,860 --> 00:03:25,250 we'll just have to wait for him to wake up well. 30 00:03:25,250 --> 00:03:28,730 Ah. My heart. 31 00:03:28,730 --> 00:03:30,410 Ah. 32 00:03:37,050 --> 00:03:39,420 Chief Han, didn't you say that you'll put everything you have 33 00:03:39,420 --> 00:03:42,090 to save my son? 34 00:03:42,890 --> 00:03:44,820 The cardiac surgery patient 35 00:03:44,820 --> 00:03:48,130 can have temporary signs of a cardiac arrest. 36 00:03:48,130 --> 00:03:51,580 I believe that your son was passing through that process. 37 00:03:54,900 --> 00:03:57,560 I'm sorry to have worried you. 38 00:04:01,950 --> 00:04:05,680 I didn't think that tamponade would occur. There was definitely nothing wrong. 39 00:04:05,680 --> 00:04:09,480 This can sometimes occur, when you were glad that the patient woke up well, 40 00:04:09,480 --> 00:04:13,080 but then something surprising happens again. 41 00:04:13,110 --> 00:04:15,850 I hope there aren't any more complications. 42 00:04:15,930 --> 00:04:17,160 Why? 43 00:04:17,160 --> 00:04:19,630 I feel a little leery. 44 00:04:20,400 --> 00:04:22,630 I hope nothing's wrong. 45 00:04:22,640 --> 00:04:25,560 Mr. Beom Joon told me that I was insensitive. 46 00:04:25,560 --> 00:04:28,140 That's because Professor Seo, you're very chic. 47 00:04:28,140 --> 00:04:30,070 And that's your charm. 48 00:04:30,070 --> 00:04:33,290 For some reason, those words have been on my mind. 49 00:04:39,000 --> 00:04:40,580 Yes. 50 00:04:42,610 --> 00:04:44,850 Mr. Song Beom Joon? 51 00:04:44,850 --> 00:04:46,390 Can you hear my voice? 52 00:04:46,390 --> 00:04:48,530 Mr. Song Beom Joon? 53 00:04:51,040 --> 00:04:52,710 The patient's consciousness is not returning? 54 00:04:52,710 --> 00:04:54,010 Yes. 55 00:04:54,010 --> 00:04:55,510 How much the time passed? 56 00:04:55,510 --> 00:04:59,780 From the time anesthesia wore off, about 1 1/2 hours have passed. 57 00:05:04,320 --> 00:05:06,040 Mr. Beom Joon, can you hear my voice? 58 00:05:06,040 --> 00:05:08,350 If you can hear me, can you grip my hand tightly? 59 00:05:09,850 --> 00:05:10,980 Mr. Beom Joon? 60 00:05:10,980 --> 00:05:12,760 The time heart stopped was short, 61 00:05:12,760 --> 00:05:14,610 I don't think there was any brain damage. 62 00:05:14,610 --> 00:05:16,750 I heard that the patient is not waking up yet. 63 00:05:16,750 --> 00:05:19,600 I'll take a look. 64 00:05:21,980 --> 00:05:24,080 It seems like we need to do EEG (Electroencephalography). 65 00:05:24,080 --> 00:05:25,590 We should also do a brain MRI, right? 66 00:05:25,590 --> 00:05:28,640 Yes. Please proceed with any additional examination deemed necessary as well. 67 00:05:39,200 --> 00:05:43,150 Other than the intermittent observation of the slow wave in patient's EEG, 68 00:05:43,150 --> 00:05:47,160 there's no abnormal findings and vitals are all stable. 69 00:05:47,210 --> 00:05:51,530 The result from brain MRI, it's certainly not hypoxic damage. [Hypoxic Damage: Brain damage due to lack of oxygen.] 70 00:05:51,540 --> 00:05:55,250 It's strange since the patient's condition is all normal. 71 00:05:55,250 --> 00:05:56,570 What about the blood test result? 72 00:05:56,570 --> 00:05:57,270 Yes. 73 00:05:57,270 --> 00:06:00,660 Inflammation level and white blood cell count are increasing. 74 00:06:00,660 --> 00:06:02,740 The blood test result are not good. 75 00:06:02,740 --> 00:06:04,360 It could lead to septicemia. 76 00:06:04,360 --> 00:06:07,740 I think we should do a cerebrospinal fluid examination first. 77 00:06:07,740 --> 00:06:10,390 Even though there's no abnormality in the brain MRI, 78 00:06:10,390 --> 00:06:14,280 the patient continuing to be unconscious means that there must be problem in some other area. 79 00:06:14,280 --> 00:06:16,020 Let's do that. 80 00:06:26,280 --> 00:06:29,530 What are you going to do about this matter, Chief Han? 81 00:06:29,530 --> 00:06:31,900 Madam went back home. 82 00:06:31,900 --> 00:06:34,360 Why did she leave, not staying with her son? 83 00:06:34,360 --> 00:06:37,270 Probably to find different measures. 84 00:06:37,270 --> 00:06:41,110 She probably made a judgment that she couldn't trust the unreliable medical staff. 85 00:06:41,110 --> 00:06:45,270 That's why I told you so many times, to just let them go to America!! 86 00:06:45,270 --> 00:06:48,300 Why would you just do what you wanted to do, and make this big of a mess? 87 00:06:48,330 --> 00:06:49,670 Don't worry. 88 00:06:49,670 --> 00:06:52,480 I'll take the responsibility and make sure the patient Song Beom Joon lives. 89 00:06:52,490 --> 00:06:54,620 Right now, the important thing is not about someone like you, Dr. Park Tae Shin 90 00:06:54,620 --> 00:06:57,380 taking responsibility or not. 91 00:06:58,830 --> 00:07:01,630 You're right. Apart from taking the responsibility, 92 00:07:01,630 --> 00:07:03,550 the patient's life is more important. 93 00:07:03,550 --> 00:07:05,790 The hospital is more important. 94 00:07:05,790 --> 00:07:08,440 Because of a mere doctor who came from the outside, 95 00:07:08,440 --> 00:07:12,150 our entire hospital sank into a pit that we can't get out of, 96 00:07:12,150 --> 00:07:15,610 I don't know how we can resolve this mess. 97 00:07:26,940 --> 00:07:28,670 Yes, yes. 98 00:07:28,670 --> 00:07:32,600 Yes. I'll go there right now. 99 00:07:33,930 --> 00:07:36,630 Did something happen to the patient? 100 00:07:36,630 --> 00:07:39,710 No. I'll be back soon. 101 00:07:45,930 --> 00:07:47,520 Vice President. 102 00:07:47,540 --> 00:07:49,750 103 00:08:01,900 --> 00:08:03,860 Lead me to your office!!! 104 00:08:17,260 --> 00:08:19,550 Did you intend to do this? 105 00:08:20,130 --> 00:08:24,670 Did you intend to ruin our company and scare me to death? 106 00:08:24,670 --> 00:08:28,160 Are you taking revenge on me because of your mom? 107 00:08:32,010 --> 00:08:33,800 It's not that, Chairman. 108 00:08:33,800 --> 00:08:37,360 Although the patient is unconscious right now, 109 00:08:37,360 --> 00:08:38,580 we're going to find the cause and... 110 00:08:38,580 --> 00:08:41,890 The investment for Jordan project has been cancelled completely. 111 00:08:41,890 --> 00:08:43,960 The deals that we've been doing with Se Hyeong Group, 112 00:08:43,960 --> 00:08:47,850 are about to get cut off. 113 00:08:48,500 --> 00:08:51,540 Top Team or whatever. When you were running around trying to establish that team, 114 00:08:51,540 --> 00:08:54,800 I should've stopped you from doing that. 115 00:08:54,800 --> 00:08:56,370 Chairman, 116 00:08:56,410 --> 00:08:58,460 the Top Team doctors are now, 117 00:08:58,460 --> 00:08:59,460 trying to save the patient... 118 00:08:59,460 --> 00:09:03,900 I shouldn't have taken you in as my son from the start. 119 00:09:05,690 --> 00:09:08,960 You useless bastard that came into this world by mistake. 120 00:09:08,990 --> 00:09:14,450 I took you in reluctantly because I thought I would feel as if there were some unfinished business when I die. 121 00:09:14,490 --> 00:09:19,010 Now you're striking the back of my head? 122 00:09:19,920 --> 00:09:25,350 Han Seung Jae, you solve this even if you have to put your life on it. 123 00:09:25,400 --> 00:09:28,850 Take measures and do everything that other side wants. 124 00:09:29,860 --> 00:09:33,910 After everything is resolved, you get out of here. 125 00:09:34,400 --> 00:09:37,020 You get out from my sight! 126 00:09:37,020 --> 00:09:38,770 Chairman. 127 00:09:39,720 --> 00:09:42,390 You never took me in. 128 00:09:42,390 --> 00:09:44,140 What? 129 00:09:45,500 --> 00:09:48,520 I came here only with my own strength and effort, 130 00:09:48,520 --> 00:09:51,920 I didn't get benefits from you, Chairman. 131 00:09:51,920 --> 00:09:53,560 What did you say? You bastard. 132 00:09:53,560 --> 00:09:57,810 However, I will definitely save the patient. 133 00:09:57,810 --> 00:09:59,980 Because he's my patient. 134 00:09:59,980 --> 00:10:01,890 And I'll take full responsibility. 135 00:10:01,890 --> 00:10:05,680 Since I'm the person in charge of Top Team. 136 00:10:06,770 --> 00:10:11,360 So don't give me orders whether I can leave or not. 137 00:10:12,140 --> 00:10:14,190 Chairman. 138 00:10:14,210 --> 00:10:17,170 You don't have the right to do that. 139 00:10:17,170 --> 00:10:19,460 What did you say? 140 00:10:22,510 --> 00:10:26,540 Secretary Kang! 141 00:10:26,540 --> 00:10:28,620 Chairman! 142 00:10:28,620 --> 00:10:30,300 Please stand up. 143 00:10:32,620 --> 00:10:34,820 Take care. 144 00:10:38,050 --> 00:10:40,490 Buster! 145 00:11:10,970 --> 00:11:14,160 Father-in-law. I'm very sorry. 146 00:11:14,160 --> 00:11:18,310 I don't know how to apologize to you. 147 00:11:18,310 --> 00:11:21,310 For now, let's go to my office... 148 00:11:23,230 --> 00:11:26,720 If you don't take care of this matter properly, 149 00:11:26,720 --> 00:11:31,310 you also get out of this hospital with Han Seung Jae. 150 00:11:37,760 --> 00:11:40,900 How could it be... so fast? (How could the situation change so quickly?) 151 00:11:46,480 --> 00:11:49,750 1. Hypoxic brain damage 2. Septic embolism 152 00:11:49,750 --> 00:11:53,710 If I were to analyze the reason why Song Beom Joon is not waking up... 153 00:11:53,710 --> 00:11:57,760 We could view it as hypoxic brain damage, or septic embolism. 154 00:11:57,760 --> 00:12:01,280 However, in my opinion, 155 00:12:03,390 --> 00:12:08,120 there's high probability that it is meningitis. 156 00:12:08,120 --> 00:12:10,160 Can we be sure that it's meningitis? 157 00:12:10,160 --> 00:12:13,100 There were no symptoms of vomiting, or headache before the surgery. 158 00:12:13,100 --> 00:12:17,600 In this kind of case, we have to look for the most common factor that could cause unconsciousness. 159 00:12:17,600 --> 00:12:20,980 Based on the patient's test analysis, I suspect sepsis. 160 00:12:20,980 --> 00:12:23,990 I think we should think of bacterial infection first. 161 00:12:23,990 --> 00:12:30,530 That's strange. If that's the case, something should have grown in the blood culture test. 162 00:12:30,530 --> 00:12:33,200 I see that the result for cerebrospinal fluid came out. 163 00:12:33,200 --> 00:12:36,570 I guess it's not meningitis. 164 00:12:36,570 --> 00:12:40,460 But, according to this picture from the pathology department, 165 00:12:40,460 --> 00:12:42,930 although it's very small, 166 00:12:42,930 --> 00:12:45,300 I see cryptococcus stained in india ink. 167 00:12:45,300 --> 00:12:49,810 Cryptococcus is a fungus people get infected with through contaminated soil. 168 00:12:49,810 --> 00:12:52,640 They get infected when their immune system is weak also. 169 00:12:52,640 --> 00:12:57,420 But if you look closely, even though they're very small, I see some other fungi as well, 170 00:12:57,420 --> 00:13:00,760 so I don't think we can conclude it to be a certain type of infection as of now. 171 00:13:00,760 --> 00:13:02,560 No. 172 00:13:02,560 --> 00:13:07,440 If it's cryptococcus neoformans, only patients with a deteriorated immune system get infected, 173 00:13:07,440 --> 00:13:10,970 but if it's cryptococcus gattii, a normal person can be infected as well. 174 00:13:10,970 --> 00:13:15,590 Cryptococcus gattii is a fungus that was prevalent in Canada in recent few years, 175 00:13:15,590 --> 00:13:17,810 and there's no report of such infection domestically yet. 176 00:13:17,810 --> 00:13:19,810 Then that makes it further from being the cause. 177 00:13:19,810 --> 00:13:24,590 As far as I know, Song Beom Joon didn't travel abroad, at least within the past year. 178 00:13:24,590 --> 00:13:26,450 Is that so? 179 00:13:26,450 --> 00:13:29,280 For now, let's conclude it as sepsis caused by embolism, 180 00:13:29,280 --> 00:13:32,370 and add vancomycin to cover for MRSA (methicillin-resistant Staphylococcus aureus). 181 00:13:32,370 --> 00:13:34,820 Please maintain the fluid well so that there's always enough volume. 182 00:13:34,820 --> 00:13:35,770 Okay. 183 00:13:35,770 --> 00:13:38,180 Doctor Bae, please check if there is pulmonary edema or not. 184 00:13:38,180 --> 00:13:39,650 Yes, will do. 185 00:13:39,650 --> 00:13:43,480 I'll check the volume condition as I monitor the central venous pressure. 186 00:13:43,480 --> 00:13:45,730 Yes, please. 187 00:13:53,480 --> 00:13:55,540 Chief! 188 00:13:56,720 --> 00:13:59,760 I think it's cryptococcus gattii. 189 00:13:59,760 --> 00:14:02,980 The fact that the patient didn't travel abroad... You probably found out by asking them questions, right? 190 00:14:02,980 --> 00:14:05,910 Yes, I confirmed it with both the mother and the patient. 191 00:14:05,910 --> 00:14:07,830 Then there's a possibility that it wasn't true. 192 00:14:07,830 --> 00:14:11,880 It should be, since the patient's mother was always with the patient. 193 00:14:11,880 --> 00:14:14,460 I'll find that out later, and anyhow, 194 00:14:14,460 --> 00:14:17,940 the patient should be treated with antifungal medicine against cryptococcus gattii. 195 00:14:17,940 --> 00:14:21,570 Amphotericin B. That's the only way the patient can regain consciousness. 196 00:14:21,570 --> 00:14:23,550 Amphotericin B is too risky. 197 00:14:23,550 --> 00:14:28,330 He's already getting too many antibiotics, and it's not been long since we administered CPR. 198 00:14:28,330 --> 00:14:29,250 I agree. 199 00:14:29,250 --> 00:14:33,560 If it goes wrong, he can get acute heart failure and multiple organ damage. 200 00:14:33,560 --> 00:14:37,790 For now, we'll proceed as the team decided. 201 00:16:01,020 --> 00:16:04,200 Amphotericin 202 00:16:06,990 --> 00:16:09,300 Save prescription 203 00:16:40,560 --> 00:16:42,600 Mr Beom Joon. 204 00:16:43,260 --> 00:16:45,790 I believe I'm right. 205 00:16:48,180 --> 00:16:49,970 You must wake up, please. 206 00:16:56,840 --> 00:17:01,610 Then, as for Kwanghye Hospital being constructed in the new city of Do Myung... 207 00:17:01,610 --> 00:17:05,890 You're saying you're going to change its usage to a Royal Medical Center? 208 00:17:05,890 --> 00:17:08,220 That's right. 209 00:17:08,220 --> 00:17:10,200 But with the public opinion as well... 210 00:17:10,200 --> 00:17:13,270 We have to get agreements from the residents in that area as well. 211 00:17:13,270 --> 00:17:15,070 It won't be easy. 212 00:17:15,070 --> 00:17:17,410 Yes. 213 00:17:17,410 --> 00:17:20,630 There are a lot of problems that we need to take care of as we move on. 214 00:17:20,630 --> 00:17:25,140 The first task we have to tackle is 215 00:17:25,140 --> 00:17:27,140 to build the medical staff pool that is suitable for a Royal Medical Center. 216 00:17:27,140 --> 00:17:31,780 Currently, Medical Top Team can be its signal flare. 217 00:17:31,780 --> 00:17:35,330 Then, Chief Han's Top Team should become quickly famous first. 218 00:17:35,330 --> 00:17:37,220 That's right. 219 00:17:37,220 --> 00:17:41,170 But, Chief Han's idea only 220 00:17:41,170 --> 00:17:46,080 doesn't seem enough to vitalize Top Team in a short period of time. 221 00:17:46,080 --> 00:17:50,970 Chief Han has a side of being a dreamer, which is also his weakness. 222 00:18:01,360 --> 00:18:04,930 Doctor Park! - Nurse Yoo. 223 00:18:04,930 --> 00:18:06,420 Are you just finished with the surgery? 224 00:18:06,420 --> 00:18:08,860 Yes. It look pretty long. 225 00:18:08,860 --> 00:18:10,560 Are you sleeping at the hospital tonight as well? 226 00:18:10,560 --> 00:18:12,890 I think so. 227 00:18:12,890 --> 00:18:15,210 It must be uncomfortable every night... 228 00:18:15,210 --> 00:18:17,590 Would you like me to find a place for you to sleep in? 229 00:18:17,590 --> 00:18:21,060 It's fine. I can sleep in the ward, so... 230 00:18:21,060 --> 00:18:24,860 --Doctor. --Oh, my heart! 231 00:18:26,390 --> 00:18:30,580 Look, do you want to go somewhere with me? 232 00:18:30,580 --> 00:18:31,700 Where? 233 00:18:31,700 --> 00:18:34,580 You'll know once you get there. 234 00:18:34,580 --> 00:18:37,100 This way. 235 00:18:39,200 --> 00:18:41,710 Startling people! 236 00:18:46,310 --> 00:18:49,080 Storage Room 237 00:18:50,650 --> 00:18:52,220 Do you sleep here? 238 00:18:52,220 --> 00:18:57,100 Yes. This place is the same as my home. 239 00:18:57,100 --> 00:19:00,360 You probably shouldn't use this place as your personal space. 240 00:19:00,360 --> 00:19:03,070 Of course you shouldn't. 241 00:19:03,070 --> 00:19:05,660 Here. Lie down. 242 00:19:05,660 --> 00:19:07,360 It's already cramped, and with me... 243 00:19:07,360 --> 00:19:08,910 I can sleep in the office as well. 244 00:19:08,910 --> 00:19:12,440 Even if you're sleeping just for half an hour, 245 00:19:12,440 --> 00:19:17,350 you have to sleep deeply in a proper place like this to get rid of your fatigue. 246 00:19:17,350 --> 00:19:19,930 Here. Just try lying down. 247 00:19:19,930 --> 00:19:21,940 Shall I, then? 248 00:19:22,860 --> 00:19:26,430 Just consider it your home and... 249 00:19:26,430 --> 00:19:27,970 Here. 250 00:19:32,270 --> 00:19:35,470 Isn't it nice? Comfy? 251 00:19:35,470 --> 00:19:37,270 Yes. 252 00:19:38,600 --> 00:19:43,740 Aigoo... I saw you always sleeping 253 00:19:43,740 --> 00:19:46,610 cramped up in an office couch. 254 00:19:46,610 --> 00:19:48,550 You'll get sick if you keep doing that. 255 00:19:48,550 --> 00:19:51,860 From now on, sleep here with me. 256 00:19:51,860 --> 00:19:55,200 Consider it your home... 257 00:19:55,200 --> 00:19:56,650 Ah, it feels nice. 258 00:19:56,650 --> 00:20:00,260 But why are you sleeping on top of a handkerchief? 259 00:20:00,260 --> 00:20:03,020 Ironing effect. 260 00:20:08,100 --> 00:20:09,890 Doctor Park. 261 00:20:09,890 --> 00:20:11,350 Yes. 262 00:20:11,350 --> 00:20:15,000 The fact that I sleep here... 263 00:20:15,000 --> 00:20:17,570 It's secret. 264 00:20:17,570 --> 00:20:21,240 Don't worry. I won't tell anyone. 265 00:20:39,660 --> 00:20:40,320 You were called, right? 266 00:20:40,320 --> 00:20:42,950 Yes, let's go. 267 00:20:53,340 --> 00:20:55,950 The patient's blood pressure is dropping and the tachycardia has increased substantially. 268 00:20:55,950 --> 00:20:58,330 and I think he has chills. 269 00:20:58,330 --> 00:21:01,630 The patient's heart rate has passed 140. 270 00:21:01,630 --> 00:21:06,410 He shows T wave inversion and ST depression. (changes on the EKG that indicate damage to the heart) 271 00:21:08,170 --> 00:21:10,270 It's a little strange to call it a myocardial infarction. (myocardial infarction = heart attack) 272 00:21:10,270 --> 00:21:11,160 That's true. 273 00:21:11,160 --> 00:21:14,730 There's A-fib and the heart rate is too fast. (Atrial Fibrillation is a rapid irregular heart rhythm) 274 00:21:14,730 --> 00:21:19,090 For now, let's check the cardiac enzymes and let's take an EKG every 30 minutes.(EKG = electrocardiogram) 275 00:21:19,810 --> 00:21:22,630 - Please start Amiodarone. - Yes.(Amiodarone is an intravenous drug to treat dysrhythmias.) 276 00:21:22,630 --> 00:21:24,270 No, 277 00:21:24,270 --> 00:21:26,300 we can't use Amiodarone. 278 00:21:26,300 --> 00:21:27,790 Why not? 279 00:21:27,790 --> 00:21:31,380 If the tachycardia continues like this, his blood pressure could fall further. 280 00:21:31,380 --> 00:21:33,580 Amiodarone, use it. 281 00:21:33,580 --> 00:21:35,590 Truthfully, 282 00:21:36,900 --> 00:21:40,070 I administered Amphotericin B. 283 00:21:42,460 --> 00:21:44,830 What did you say? 284 00:21:49,970 --> 00:21:54,480 As per his EKG, he even has QT prolongation (EKG abnormality) and hypokalemia. 285 00:21:54,480 --> 00:21:57,910 If Amiodarone is administered, the patient's condition will worsen further. 286 00:21:57,910 --> 00:21:59,780 For now, we have to start by suspending the Amphotericin B. 287 00:21:59,780 --> 00:22:01,770 The heart has just barely come back, we can't burden it. 288 00:22:01,770 --> 00:22:03,240 We have to decrease the heart rate. 289 00:22:03,240 --> 00:22:06,540 For that we can wait while supplementing the potassium. 290 00:22:06,540 --> 00:22:09,540 We have to keep administering the Amphotericin B. 291 00:22:12,120 --> 00:22:15,020 It would be good to suspend the administration, wouldn't it? 292 00:22:15,020 --> 00:22:17,290 We have to stop it. 293 00:22:18,540 --> 00:22:22,140 For now, give NSAID's and the potassium mix. Anti-inflammatory medications and potassium replacement. 294 00:22:22,140 --> 00:22:24,130 Yes, Chief. 295 00:22:24,130 --> 00:22:26,380 Chief Han. 296 00:22:29,970 --> 00:22:31,820 Doctor Kim Sung Woo, 297 00:22:31,820 --> 00:22:34,750 continue to check the patient. 298 00:22:36,460 --> 00:22:38,740 Yes. I understand. 299 00:22:48,940 --> 00:22:52,730 Chief Han, we have to continue administering Amphotericin B. 300 00:22:52,730 --> 00:22:55,870 The patient's tachycardia being severe isn't because of the side effect of Amphotericin B. 301 00:22:55,870 --> 00:22:58,150 The patient's heart status is that it's stopped and returned. 302 00:22:58,150 --> 00:22:59,500 Watching the amount of his urine diminish, 303 00:22:59,500 --> 00:23:01,770 it's definitive that his kidneys have been affected as well. 304 00:23:01,770 --> 00:23:04,410 The administration of Amphotericin B makes no sense. 305 00:23:04,410 --> 00:23:06,030 The patient is still holding on. 306 00:23:06,030 --> 00:23:07,700 For now, let's hydrate the patient, 307 00:23:07,700 --> 00:23:11,120 We can maintain the urine by using diueretics. 308 00:23:11,120 --> 00:23:15,660 If the kidney function is damaged, then we can use AmBisome (Liposomal Amphotericin B with less side effects). 309 00:23:15,660 --> 00:23:18,220 We can't stop its administration. 310 00:23:18,220 --> 00:23:24,190 Doctor Park, I don't know how you saw me but I'm a person that follows the rules to the letter. 311 00:23:24,190 --> 00:23:27,110 In this case, I believe it to be right to treat 312 00:23:27,110 --> 00:23:29,660 first the certain diagnosis that the patient shows. 313 00:23:30,420 --> 00:23:33,760 What you say is correct. I agree with you. 314 00:23:33,760 --> 00:23:37,750 And I, rather than your certain diagnosis, 315 00:23:37,750 --> 00:23:41,100 I think that my diagnosis is far closer to the correct answer. 316 00:23:42,480 --> 00:23:45,360 What about the evidence? 317 00:23:46,150 --> 00:23:48,490 I'm looking for it. 318 00:23:50,130 --> 00:23:54,120 Doctor Park, I know very well that you're an outstanding physician. 319 00:23:54,120 --> 00:23:57,020 I also know that you have an uncommon gift of intuition about patients. 320 00:23:57,020 --> 00:23:58,820 But still, not this time. 321 00:23:58,820 --> 00:24:03,200 With only your unsubstantiated feelings, there are things that you can't pursue. 322 00:24:04,100 --> 00:24:08,490 The direction of Song Beom Jun's treatment, has already been decided by the team. 323 00:24:09,610 --> 00:24:12,220 Please follow it. 324 00:24:12,990 --> 00:24:17,210 As the team leader, I implore you. 325 00:24:28,400 --> 00:24:29,380 Doctor Jeong. 326 00:24:29,380 --> 00:24:32,760 I was very disappointed in you, Doctor Park. 327 00:24:32,760 --> 00:24:34,700 No matter how urgent the situation, 328 00:24:34,700 --> 00:24:38,220 I believe that you discussing it with me first was your duty. 329 00:24:38,220 --> 00:24:39,730 It's because for Meningitis, 330 00:24:39,730 --> 00:24:44,600 I, a neurologist, have far more experience than you do. 331 00:24:44,600 --> 00:24:46,570 Doctor Jeong. 332 00:24:47,300 --> 00:24:49,340 I'm sorry. 333 00:24:49,340 --> 00:24:53,520 I wanted to discuss it with you but you seemed to be against it... 334 00:24:53,520 --> 00:24:56,110 If I disagree do I have to be excluded? 335 00:24:56,110 --> 00:24:59,600 Was it not that you didn't have the confidence to convince me? 336 00:24:59,600 --> 00:25:01,340 I'm disappointed in you Doctor. 337 00:25:01,340 --> 00:25:04,340 I'm very disappointed in you. 338 00:25:08,010 --> 00:25:12,310 So, why did you do it? You should have discussed it. 339 00:25:28,190 --> 00:25:31,530 When my head is full of stuff folding these things are perfect. 340 00:25:31,530 --> 00:25:34,080 Ahjussi, you're head is full of stuff? 341 00:25:34,080 --> 00:25:35,150 Yes. 342 00:25:35,150 --> 00:25:36,940 Why? 343 00:25:38,050 --> 00:25:41,470 Some ahjussi got his surgery from me, 344 00:25:41,470 --> 00:25:43,660 but he keeps sleeping and doesn't wake up. 345 00:25:43,660 --> 00:25:46,720 Even though you told him, "wake up well?" 346 00:25:46,720 --> 00:25:48,890 I told him. 347 00:25:48,890 --> 00:25:53,840 But what fun dream is he dreaming... Ah, so complicated! 348 00:25:54,630 --> 00:25:56,680 Ahjussi? 349 00:25:58,490 --> 00:26:00,280 Why? 350 00:26:00,280 --> 00:26:02,970 You're going to pluck my grey hair again? 351 00:26:02,970 --> 00:26:04,950 Does it show? 352 00:26:05,960 --> 00:26:08,940 Pluck it, pluck it. 353 00:26:11,200 --> 00:26:12,210 What is it? 354 00:26:12,210 --> 00:26:16,870 So that the stuff filling your head gets blown away. 355 00:26:19,290 --> 00:26:22,100 I think they're flying away. 356 00:26:42,530 --> 00:26:45,920 Cryptococcus gattii from 1999-2008, 357 00:26:45,920 --> 00:26:50,140 was famous in the whole district of British Columbia and 16 people successively died, 358 00:26:50,140 --> 00:26:53,410 and thereafter the disease is slowly spreading towards America. 359 00:26:53,410 --> 00:26:56,030 There is a theory that the global warming is one of its causes. 360 00:26:56,030 --> 00:26:59,420 With the fact itself that Cryptococcus was found imperceptibly, 361 00:26:59,420 --> 00:27:02,740 it's not something we can just let pass. 362 00:27:04,740 --> 00:27:08,070 Do you also think that I'm mistaken? 363 00:27:08,070 --> 00:27:13,230 I can't decide whether you are wrong or right, but 364 00:27:13,230 --> 00:27:16,570 administering a medication without the patient knowing was definitely a wrongful act. 365 00:27:16,570 --> 00:27:17,600 I know. 366 00:27:17,600 --> 00:27:22,510 But for now I felt that waking the patient was more important. 367 00:27:22,510 --> 00:27:28,060 If we don't do it the way that you think, does it mean the patient won't wake up? 368 00:27:28,060 --> 00:27:32,270 It could be that way. It's a matter of time, isn't it? 369 00:27:33,680 --> 00:27:35,780 You said this, 370 00:27:35,780 --> 00:27:39,400 that the words that Song Beom Jun said kept bothering you. 371 00:27:40,610 --> 00:27:43,640 That you were unconcerned towards the patient, 372 00:27:44,980 --> 00:27:48,830 that unconcern, wouldn't that be the meaning? 373 00:27:48,830 --> 00:27:53,710 Not as a patient, but the concern towards a person. 374 00:27:53,710 --> 00:27:58,890 Even if we got to know someone, how much could we really know about that person? 375 00:27:59,830 --> 00:28:03,640 No one knows whether Beom Jun really traveled and came back. 376 00:28:03,640 --> 00:28:06,790 What we know is Beom Jun's disease, 377 00:28:06,790 --> 00:28:10,070 not about who is he is as a person. 378 00:28:17,190 --> 00:28:21,160 Professor Seo Ju Young, please help me. 379 00:28:22,300 --> 00:28:25,170 You want to administer it again? 380 00:28:28,570 --> 00:28:31,120 Do you think I'll help you? 381 00:28:31,120 --> 00:28:32,860 Yes. 382 00:28:32,860 --> 00:28:34,090 Why? 383 00:28:34,090 --> 00:28:36,100 I told you earlier. 384 00:28:36,100 --> 00:28:40,830 I do, and Professor Seo Ju Young also, we are people with intuition. 385 00:28:40,830 --> 00:28:42,300 No, you saw me incorrectly. 386 00:28:42,300 --> 00:28:45,600 I'm a person who only acts based on substantiation. 387 00:28:46,530 --> 00:28:48,140 There must have been something. 388 00:28:48,140 --> 00:28:52,910 As a doctor, there must have been a time that you wanted to believe your intuition. 389 00:28:54,060 --> 00:28:56,540 Isn't that right? 390 00:29:37,160 --> 00:29:38,670 Chief. 391 00:29:38,670 --> 00:29:40,570 How is the patient? 392 00:29:40,570 --> 00:29:42,110 The patient is still unconscious. 393 00:29:42,110 --> 00:29:45,850 The blood pressure is still 120/90, normal. 394 00:29:49,920 --> 00:29:54,230 The patient...is that Amphotericin going in? 395 00:29:54,230 --> 00:29:56,250 What? 396 00:30:10,120 --> 00:30:11,010 I'm sorry. 397 00:30:11,010 --> 00:30:13,760 I was in the operating room and I just switched over. 398 00:30:13,760 --> 00:30:15,630 I didn't see who ordered it. 399 00:30:15,630 --> 00:30:19,680 I suspended the administration of Amphotericin, who ordered it! 400 00:30:19,680 --> 00:30:21,260 I did it. 401 00:30:28,110 --> 00:30:30,730 You can't. We can't stop administering the injection again. 402 00:30:30,730 --> 00:30:33,170 Doctor, seriously. 403 00:30:33,210 --> 00:30:34,730 Stop its administration. 404 00:30:34,730 --> 00:30:36,400 Pardon? 405 00:30:48,030 --> 00:30:50,870 Professor Seo Ju Young, it's Choi Ah Jin. 406 00:30:58,020 --> 00:31:02,280 I didn't know you would break the rule that I ordered so clearly. 407 00:31:02,280 --> 00:31:04,550 Because the patient recovering his consciousness is the most important. 408 00:31:04,550 --> 00:31:08,900 If we stick to the principle like you said, there will be no improvement even till tomorrow morning. 409 00:31:08,920 --> 00:31:12,890 So does that mean that the patient will be able to wake up only if we administer as per your prescription? 410 00:31:12,890 --> 00:31:15,390 Among various causes for unconsciousness, 411 00:31:15,390 --> 00:31:18,280 I thought that my way would be the fastest route. 412 00:31:18,280 --> 00:31:21,490 It might not be the fastest route, and it may even be the wrong route. 413 00:31:23,170 --> 00:31:26,360 I thought you believed in me. 414 00:31:26,380 --> 00:31:28,620 If you had just trusted me, 415 00:31:28,640 --> 00:31:31,370 you would've not taken an arbitrary action this far. 416 00:31:31,370 --> 00:31:34,790 Professor Seo would have looked over everything, but you even excluded her and administered it again... 417 00:31:34,850 --> 00:31:37,290 I got a consent from Professor Seo. 418 00:31:38,630 --> 00:31:40,510 Chief! 419 00:31:45,260 --> 00:31:49,650 Professor Seo, is it true that you consented to administer the injection (of Amphotericin)? 420 00:31:53,820 --> 00:31:55,810 Yes. 421 00:31:55,810 --> 00:32:00,080 I thought that administering Amphotericin would be the best prescription for the time being. 422 00:32:00,080 --> 00:32:03,720 There is also a possibility that the patient went on a vacation secretly. 423 00:32:17,080 --> 00:32:18,540 Yes, Madam. 424 00:32:18,550 --> 00:32:20,620 For your son's consciousness recovery, 425 00:32:20,620 --> 00:32:23,740 we doctors are trying our best. 426 00:32:26,860 --> 00:32:30,250 The medical accident investigation team was assigned? 427 00:32:32,940 --> 00:32:36,060 I think we've done everything that we're capable of doing, now. 428 00:32:36,070 --> 00:32:37,810 What's the reason? 429 00:32:37,830 --> 00:32:42,400 The decisive reason that made you believe that Dr. Park's diagnosis is right. 430 00:32:42,400 --> 00:32:46,030 I just picked the side that gave the patient the greatest odds. 431 00:32:54,480 --> 00:32:56,720 How is the patient? 432 00:32:56,720 --> 00:32:58,220 Not yet . . . 433 00:32:58,270 --> 00:33:01,240 In the case that the patient doesn't wake up by tomorrow morning, 434 00:33:01,240 --> 00:33:05,210 they say that Se Hyeong Group will hire a team to investigate the doctors. 435 00:33:06,120 --> 00:33:08,910 Since you said that you would take responsibility, 436 00:33:08,930 --> 00:33:11,300 I believe that you will do so. 437 00:33:43,740 --> 00:33:45,800 Not as a patient, 438 00:33:45,800 --> 00:33:47,720 but the interest we have for him as a person. 439 00:33:47,720 --> 00:33:50,060 Just because we get to know a person, 440 00:33:50,060 --> 00:33:52,700 how much do you think we really know about that person? 441 00:33:53,460 --> 00:33:56,550 Because what we really know is Beom Joon's illness, 442 00:33:56,550 --> 00:33:59,080 not about the person that he is. 443 00:34:12,550 --> 00:34:15,360 Did you spend the night here? 444 00:34:15,880 --> 00:34:19,230 When you watch a sleeping patient, 445 00:34:20,400 --> 00:34:22,130 what thoughts come into your head? 446 00:34:22,130 --> 00:34:23,610 Pardon? 447 00:34:26,360 --> 00:34:29,120 When I look at him like this, 448 00:34:29,120 --> 00:34:32,170 I think that I'm sharing a conversation with him. 449 00:34:33,080 --> 00:34:35,860 This person keeps talking to me. 450 00:34:36,550 --> 00:34:38,810 About what 451 00:34:39,720 --> 00:34:42,420 I lacked as a doctor. 452 00:34:43,620 --> 00:34:46,340 What more I should have done. 453 00:34:55,420 --> 00:35:00,060 Uh . . . Professor. 454 00:35:14,040 --> 00:35:15,890 Doctors! 455 00:35:15,890 --> 00:35:18,700 The patient has woken up. 456 00:35:27,550 --> 00:35:30,350 Beom Joon. Do you hear me? 457 00:35:31,200 --> 00:35:33,620 If you hear me, blink your eyes. 458 00:35:43,810 --> 00:35:46,580 Mr. Song Beom Joon, please move your fingers. 459 00:35:51,290 --> 00:35:53,870 Will you move your toes as well? 460 00:35:59,690 --> 00:36:02,160 It seems that the patient's consciousness has returned. 461 00:36:17,080 --> 00:36:21,440 Check the patient's Glascow coma scale and if there's any problem, please let me know. 462 00:36:21,440 --> 00:36:22,490 Yes, Chief. 463 00:36:22,490 --> 00:36:25,080 Do a full neurological examination and check if there's any problem. 464 00:36:25,100 --> 00:36:27,280 Yes, I will check them. 465 00:37:13,590 --> 00:37:15,320 You went through a lot. 466 00:37:15,360 --> 00:37:19,800 For ignoring your order and administering Amphotericin, 467 00:37:20,910 --> 00:37:22,530 I'm sorry. 468 00:37:22,530 --> 00:37:25,330 Since they proved to be beneficial in the end, it's fine. 469 00:37:38,370 --> 00:37:41,430 Professor Seo, I was thankful. 470 00:37:41,430 --> 00:37:43,460 Because you believed in me. 471 00:38:03,050 --> 00:38:05,290 Please come in. 472 00:38:05,290 --> 00:38:07,110 Please sit. 473 00:38:12,960 --> 00:38:15,970 Because you administered the proper injection, 474 00:38:15,970 --> 00:38:18,780 I heard Beom Joon woke up. 475 00:38:18,780 --> 00:38:20,810 The surgery was also outstanding. 476 00:38:20,810 --> 00:38:23,590 I don't know how I'll be able to show you my thanks. 477 00:38:24,220 --> 00:38:26,020 Ah, well, 478 00:38:26,020 --> 00:38:28,380 it wasn't just me who did the work, but the whole Top Team. 479 00:38:28,380 --> 00:38:29,910 No. 480 00:38:29,910 --> 00:38:31,920 If it weren't for you, Dr. Park, 481 00:38:31,920 --> 00:38:35,910 I know well that it would have been difficult. 482 00:38:39,770 --> 00:38:44,080 And there aren't many other issues with your life in the hospital? 483 00:38:44,080 --> 00:38:45,860 Yes. 484 00:38:45,890 --> 00:38:49,490 Though you did come here in accordance with Chief Han's wishes, 485 00:38:49,490 --> 00:38:53,400 my expectations towards you are great. 486 00:38:53,400 --> 00:38:58,000 If something difficult comes about, please look for me whenever you need help. 487 00:38:58,520 --> 00:39:00,810 Yes, thank you. 488 00:39:02,380 --> 00:39:04,530 But, 489 00:39:04,550 --> 00:39:07,640 this situation is a little surprising to me. 490 00:39:07,640 --> 00:39:12,780 When Song Beom Joon's situation wasn't very good, you acted like the hospital would be ruined all because of me. 491 00:39:16,010 --> 00:39:20,780 Ah, at that time, I was also very shocked. 492 00:39:20,780 --> 00:39:22,590 Please understand me. 493 00:39:22,590 --> 00:39:25,980 Oh, and also, when you call next time, please don't call for me only, 494 00:39:25,980 --> 00:39:30,310 but call the whole team that worked hard and compliment and give constructive criticism. 495 00:39:31,820 --> 00:39:33,340 I will. 496 00:39:33,340 --> 00:39:37,600 Still, if there is ever a time that you need my help, 497 00:39:37,600 --> 00:39:40,220 please look for me whenever you need to. 498 00:39:40,240 --> 00:39:42,090 Yes. 499 00:39:45,970 --> 00:39:47,900 Dr. Park. 500 00:39:53,150 --> 00:39:54,890 Why is it that you're here? 501 00:39:54,900 --> 00:39:56,690 Because the Vice President called me over. 502 00:39:56,690 --> 00:39:58,110 Is that so? 503 00:39:58,110 --> 00:39:59,930 She complimented me saying that I worked hard. 504 00:39:59,980 --> 00:40:03,760 She only called me and made me feel uncomfortable. 505 00:40:08,490 --> 00:40:10,700 Please make some time. 506 00:40:22,250 --> 00:40:25,410 I wanted to give this to you earlier, but I'm giving it to you late. 507 00:40:25,410 --> 00:40:27,300 This is a present that I'm giving to you. 508 00:40:29,020 --> 00:40:30,530 I don't need a car. 509 00:40:30,530 --> 00:40:33,500 It was included in the terms of the contract when we recruited you. 510 00:40:34,500 --> 00:40:36,650 I don't know if it's really alright for me to be accept this? 511 00:40:36,700 --> 00:40:39,600 You will be needing it going forward. 512 00:40:46,060 --> 00:40:47,550 Also in regards to yesterday 513 00:40:49,200 --> 00:40:51,190 I hope you will be understanding. 514 00:40:51,190 --> 00:40:52,590 Of course. 515 00:40:52,590 --> 00:40:54,130 I completely understand. 516 00:41:15,180 --> 00:41:16,710 Ba Wi, what are you doing? 517 00:41:16,710 --> 00:41:19,120 Ahjusshi, I'm bored. 518 00:41:19,120 --> 00:41:20,000 Really? 519 00:41:20,000 --> 00:41:21,610 Then would you like to go somewhere with me? 520 00:41:21,610 --> 00:41:22,590 Yes. 521 00:41:22,590 --> 00:41:23,890 Let's get you ready. 522 00:41:26,490 --> 00:41:27,810 Do you like it? 523 00:41:41,830 --> 00:41:44,100 You really lack any athletic skills. 524 00:41:44,100 --> 00:41:45,810 Ah, what are you doing? 525 00:41:45,810 --> 00:41:47,360 I almost got hurt. 526 00:41:47,360 --> 00:41:49,270 Do you think I would allow you to get injured? 527 00:41:49,270 --> 00:41:50,220 Seriously. 528 00:41:52,500 --> 00:41:53,720 Are you going somewhere? 529 00:41:53,720 --> 00:41:55,540 Over there. 530 00:41:55,950 --> 00:41:57,710 Unni, let's go together. 531 00:41:57,710 --> 00:42:02,080 Then someone else is giving me a lung? 532 00:42:02,080 --> 00:42:04,340 Long time ago, when Ba Wi had leukemia, 533 00:42:04,340 --> 00:42:06,390 You received blood and bone marrow also. 534 00:42:07,640 --> 00:42:10,680 This time you'll be receiving a lung as a present. 535 00:42:13,500 --> 00:42:14,500 Why? 536 00:42:14,530 --> 00:42:16,990 All I ever do is receive things from others. 537 00:42:16,990 --> 00:42:19,490 I would like to give a present also. 538 00:42:19,490 --> 00:42:22,460 No, you can give a present also. 539 00:42:22,460 --> 00:42:24,910 After living long and healthy, 540 00:42:24,910 --> 00:42:27,700 when you become a grandmother and go to heaven 541 00:42:27,700 --> 00:42:30,340 "I'd like to give sick people presents also" 542 00:42:30,340 --> 00:42:31,820 you can make a promise to give too. 543 00:42:31,820 --> 00:42:33,810 -Really? -Yes. 544 00:42:33,810 --> 00:42:36,310 I've also made a promise to give presents. 545 00:42:38,810 --> 00:42:41,310 What can I give away as a present? 546 00:42:41,310 --> 00:42:43,360 You have been giving a present. 547 00:42:43,400 --> 00:42:44,110 Don't you know? 548 00:42:44,110 --> 00:42:47,220 I didn't give away anything. 549 00:42:50,330 --> 00:42:52,060 Every time you laugh 550 00:42:52,060 --> 00:42:54,660 your laughter spreads everywhere. 551 00:42:55,180 --> 00:42:56,860 Those people over there, 552 00:42:56,860 --> 00:43:00,150 that tree over there and that bird 553 00:43:00,150 --> 00:43:01,930 were all made happy. 554 00:43:01,930 --> 00:43:05,950 That's why it's a present. It's the gift of happiness. 555 00:43:30,970 --> 00:43:32,800 Miss Eun Ba Wi, 556 00:43:32,800 --> 00:43:35,190 what are you doing now? 557 00:43:37,600 --> 00:43:40,200 You're drawing my face, aren't you? 558 00:43:40,200 --> 00:43:43,480 A picture of me with dirt on my head and a runny nose. 559 00:43:43,480 --> 00:43:44,970 What are you drawing? 560 00:43:45,000 --> 00:43:45,500 Let me see. 561 00:43:45,510 --> 00:43:47,010 No.. - Give it to me. 562 00:43:47,010 --> 00:43:48,370 No. 563 00:43:49,350 --> 00:43:51,640 Hey, I'm really sad. 564 00:43:52,770 --> 00:43:55,210 This won't do. I guess I'll be leaving now. 565 00:43:55,210 --> 00:43:58,290 I'm going to be leaving.. 566 00:44:04,400 --> 00:44:09,280 I've received many thankful presents from many people. 567 00:44:09,280 --> 00:44:15,230 I've received, blood, bone marrow, and will be receiving a lung shortly. 568 00:44:15,230 --> 00:44:18,860 So I will also be giving away a present. 569 00:44:18,860 --> 00:44:21,140 Since I have such pretty eyes, 570 00:44:21,220 --> 00:44:23,970 I will give my eyes. 571 00:44:23,970 --> 00:44:26,270 The person who will be receiving my eyes 572 00:44:26,270 --> 00:44:28,830 Will become happy when they smile. 573 00:44:30,800 --> 00:44:33,600 Ahjussi, where are you going? 574 00:44:34,960 --> 00:44:37,610 My nose is suddenly running. 575 00:45:12,360 --> 00:45:14,790 -Is Ba Wi alright? -Yes. 576 00:45:14,790 --> 00:45:16,970 You haven't left yet. 577 00:45:28,080 --> 00:45:30,490 Dr. Park! 578 00:45:32,290 --> 00:45:32,880 579 00:45:33,580 --> 00:45:35,900 It seems she can't breathe all of a sudden! 580 00:45:35,900 --> 00:45:36,920 Ba Wi! 581 00:45:36,920 --> 00:45:38,600 - Bring an oxygen tank, please! - Ba Wi! Ba Wi! 582 00:45:38,600 --> 00:45:40,250 Ba Wi! Ba Wi! 583 00:45:40,250 --> 00:45:41,980 Intercostal retractions are severe. 584 00:45:41,980 --> 00:45:44,110 It looks like bronchiole obstruction. 585 00:45:44,760 --> 00:45:46,300 I don't think I hear her breathing. 586 00:45:46,300 --> 00:45:49,500 Prepare 100 ml of hydrocortisone and intubation. 587 00:45:50,400 --> 00:45:52,290 We'll nebulize her first. 588 00:45:52,290 --> 00:45:55,120 Y..es. 589 00:45:55,120 --> 00:45:57,140 [Nebuliser :Device that causes a liquid or solid to be converted into an aerosol (spray) or a vapor.] 590 00:45:58,210 --> 00:45:59,790 Monitor! 591 00:46:10,960 --> 00:46:12,780 If you look at Eun Ba Wi's CT scan 592 00:46:12,780 --> 00:46:15,230 the part where ventilation doesn't work is increasing gradually. 593 00:46:15,230 --> 00:46:18,810 Steroids and a bronchodilator will do for now, 594 00:46:18,810 --> 00:46:21,510 but her condition is deteriorating. 595 00:46:21,510 --> 00:46:24,680 She doesn't have time to wait until there is a brain-dead patient. 596 00:46:24,680 --> 00:46:28,540 I believe we need to find a living donor and perform a live lung transplant. 597 00:46:30,130 --> 00:46:31,830 Live lung transplant? 598 00:46:31,830 --> 00:46:33,850 From a living person, 599 00:46:33,850 --> 00:46:35,120 we're going to take a living lung lobe? 600 00:46:35,120 --> 00:46:37,750 Yes, because there are no brain dead donors, 601 00:46:37,750 --> 00:46:39,190 so it's difficult to receive a transplant. 602 00:46:39,200 --> 00:46:42,100 A living lung donor, you say. 603 00:46:42,110 --> 00:46:43,990 It's going to be difficult. 604 00:46:43,990 --> 00:46:45,090 Yes. 605 00:46:45,090 --> 00:46:49,510 As far as I know, a transplantation from living donor needs to meet many complicated conditions. 606 00:46:49,540 --> 00:46:52,010 Passing the examination of the Ethics Committee 607 00:46:52,010 --> 00:46:54,390 is also difficult, right? 608 00:46:55,970 --> 00:47:00,640 It will be difficult but for now, I made a schedule for her lung transplantation. 609 00:47:00,640 --> 00:47:02,160 Dr. Park. 610 00:47:03,140 --> 00:47:04,770 It's unfortunate but 611 00:47:04,770 --> 00:47:08,120 our hospital is in a very tenuous position to handle the issue about a transplantation from living donor. 612 00:47:08,120 --> 00:47:11,260 We will need to get the consent (from the hospital board members) through the Ethics Committee, but 613 00:47:11,260 --> 00:47:13,770 I don't believe it will be easy. 614 00:47:13,770 --> 00:47:15,760 There was no precedent, either. 615 00:47:15,760 --> 00:47:18,240 In that case, Ba Wi can become the "precedent". 616 00:47:18,240 --> 00:47:23,240 First, let's pursue Ba Wi's lung transplantation from living donor by our Top Team. 617 00:47:23,240 --> 00:47:25,140 I also 618 00:47:26,030 --> 00:47:28,960 oppose the transplantation from living donor. 619 00:47:34,700 --> 00:47:36,790 The biggest problem of that is the donor. 620 00:47:36,790 --> 00:47:38,630 If the donor is her parent, maybe it can work, 621 00:47:38,630 --> 00:47:41,130 but if something goes wrong with a donor (who has no connection to her), 622 00:47:41,130 --> 00:47:43,710 The problem is who will take on that responsibility. 623 00:47:43,710 --> 00:47:45,720 Also... 624 00:47:45,720 --> 00:47:48,820 I know the risk about the transplantation from living donor very well. 625 00:47:48,900 --> 00:47:53,700 And I know very well that Ba Wi is a child with a small build. 626 00:47:53,790 --> 00:47:55,500 Because Novalung is used for her, 627 00:47:55,500 --> 00:47:59,270 many anticoagulants were in her system, 628 00:47:59,940 --> 00:48:02,690 there is a high possibility for her to have hemorrhage or even death after the surgery. 629 00:48:02,690 --> 00:48:05,460 I'm fully aware. 630 00:48:06,860 --> 00:48:08,980 If we think about all the risk points, 631 00:48:08,980 --> 00:48:11,380 they will be numerous, right? 632 00:48:12,720 --> 00:48:14,970 But I still want to do it. 633 00:48:17,820 --> 00:48:20,520 I must do it. 634 00:48:23,670 --> 00:48:26,440 I completely understand your feelings, Dr. Park. 635 00:48:26,620 --> 00:48:28,570 However, 636 00:48:28,570 --> 00:48:30,180 this can't be done by the Top Team. 637 00:48:30,180 --> 00:48:32,510 If something goes wrong during surgery 638 00:48:33,590 --> 00:48:36,230 it wouldn't reflect well on Top Team, isn't that why? 639 00:48:39,960 --> 00:48:41,690 What do you think, Dr. Bae? 640 00:48:41,690 --> 00:48:45,570 Ah me...for me... 641 00:48:48,670 --> 00:48:52,520 I 642 00:48:52,520 --> 00:48:54,350 agree with Dr. Han. 643 00:48:54,350 --> 00:48:55,860 Up untill now in our country, 644 00:48:55,860 --> 00:48:58,880 this is a reckless try. I'm sorry. 645 00:49:00,990 --> 00:49:03,400 I don't know. 646 00:49:03,400 --> 00:49:07,070 Ba Wi needs to be saved regardless of how it's accomplished. 647 00:49:07,070 --> 00:49:10,390 I agree with Dr.Park's opinion... 648 00:49:14,170 --> 00:49:16,850 I too, believe this problem 649 00:49:16,880 --> 00:49:20,160 should be carefully thought over. 650 00:49:20,160 --> 00:49:25,640 Not because I'm worried about the hospital or Top Team, but because it's also too risky for Ba Wi herself. 651 00:49:25,640 --> 00:49:28,430 If we use TNF-alpha blockers, it may help. 652 00:49:28,430 --> 00:49:31,930 For now, let's use this and waiting for a brain dead donor is a good idea. 653 00:49:31,930 --> 00:49:34,340 No. 654 00:49:34,340 --> 00:49:36,360 Even if that works, 655 00:49:36,360 --> 00:49:38,760 it won't sustain long. 656 00:49:38,760 --> 00:49:43,360 Time will just slip away while waiting for a brain dead donor, and by then our Ba Wi... 657 00:49:47,940 --> 00:49:51,010 Let's put off the discussion about the lung transplantation for now. 658 00:49:53,750 --> 00:49:55,150 I will also 659 00:49:55,150 --> 00:49:57,080 try to find a proper alternative. 660 00:49:57,080 --> 00:49:58,870 Did you say a proper alternative? 661 00:49:58,870 --> 00:50:01,670 Don't we need to extend absolute effort? 662 00:50:01,670 --> 00:50:05,810 If this child is your only family member, could you still say that? 663 00:50:06,760 --> 00:50:10,320 Regardless whether she is family or not, all the patients are the same to me. 664 00:50:10,320 --> 00:50:13,140 Because all of them are the people I must save. 665 00:50:13,140 --> 00:50:15,440 That's why there shouldn't be any failure. 666 00:50:15,440 --> 00:50:17,360 I will not fail! 667 00:50:17,360 --> 00:50:19,980 I definitely will not fail. 668 00:50:23,780 --> 00:50:27,010 Doctor, let's calm down a little. 669 00:50:38,990 --> 00:50:41,540 A lung transplant from a living donor? 670 00:50:42,520 --> 00:50:43,760 To the patient Eun Ba Wi? 671 00:50:43,820 --> 00:50:47,340 The team atmosphere became so awkward this morning because of that. 672 00:50:47,360 --> 00:50:49,430 It's difficult to do a lung transplant from a brain-dead patient, 673 00:50:49,480 --> 00:50:53,020 but if it's a transplant from a living donor, there should be lots of mountains to cross. 674 00:50:53,980 --> 00:50:57,910 It's also a problem that Eun Ba Wi has BO. (Bronchiolitis Obliterans) 675 00:50:57,930 --> 00:51:03,670 As it's even more difficult to find a successful case of the lung transplant from a living donor for a patient with BO. 676 00:51:06,310 --> 00:51:09,770 I also really want to succeed on 677 00:51:10,250 --> 00:51:12,940 living donor lung transplant... 678 00:51:18,910 --> 00:51:20,860 A living lung transplant? 679 00:51:20,860 --> 00:51:22,410 Yes. 680 00:51:23,250 --> 00:51:27,110 There hasn't been a success story for that in the nation yet, and because the dangers are high, 681 00:51:27,150 --> 00:51:30,250 didn't our hospital agree not to perform it? 682 00:51:30,260 --> 00:51:34,070 That also seems to be the reason why Chief Han Seung Jae is opposing it. 683 00:51:34,070 --> 00:51:36,720 Chief Han is opposed to it? 684 00:51:36,770 --> 00:51:38,240 Yes. 685 00:51:38,800 --> 00:51:42,040 Though last time with Song Beom Jun's case, he somehow pushed through it, 686 00:51:42,040 --> 00:51:45,720 I guess Chief Han himself isn't confident this time. 687 00:51:45,780 --> 00:51:47,670 Did Dr. Park Tae Shin 688 00:51:47,710 --> 00:51:49,230 agree with that? 689 00:51:49,250 --> 00:51:54,330 Well, I heard that the two didn't clash fists, but both were broiling. 690 00:51:54,370 --> 00:51:58,430 The patient Eun Ba Wi is someone who is like a daughter and a niece to Dr. Park, 691 00:51:58,460 --> 00:52:00,130 so that's reasonable. 692 00:52:01,110 --> 00:52:05,210 However, now that I think about it carefully, 693 00:52:05,210 --> 00:52:08,390 I also think that it's strange just saying that this isn't possible. 694 00:52:08,440 --> 00:52:10,000 Like you said earlier, 695 00:52:10,000 --> 00:52:14,790 in order to create the Royal Medical Center, you said we need to promote Top Team as much as possible. 696 00:52:14,790 --> 00:52:16,010 This time, 697 00:52:16,030 --> 00:52:19,270 if we safely succeed in performing the living lung transplant, 698 00:52:19,310 --> 00:52:21,850 then what better success could be secured? 699 00:52:21,870 --> 00:52:24,520 That's for when we actually succeed. 700 00:52:25,260 --> 00:52:27,350 If we happen to fail, 701 00:52:27,370 --> 00:52:30,400 it will be even worse than not trying it. 702 00:52:30,440 --> 00:52:34,710 Still, if we say that our hospital cared well for a child with no parents 703 00:52:34,770 --> 00:52:36,540 and succeeded with the surgery. 704 00:52:36,540 --> 00:52:40,890 What if a pitiable child with no parents happens to die? 705 00:52:47,370 --> 00:52:51,320 Even if we say that it was an inevitable result that had nothing to do with the doctor's responsibilities, 706 00:52:51,380 --> 00:52:53,420 It will be difficult to avoid the issues of moral responsibility 707 00:52:53,490 --> 00:52:56,420 and social criticism. 708 00:52:56,920 --> 00:52:58,430 I don't know. 709 00:52:58,890 --> 00:53:02,470 I'm not sure if you're thinking too pessimistically or not. 710 00:53:02,520 --> 00:53:08,410 When I was at San Diego Hospital, I participated in a few living lung transplant operations, 711 00:53:08,410 --> 00:53:10,410 so if I were to be given permission, 712 00:53:11,650 --> 00:53:14,350 I would have the heart to stand up to the challenge. 713 00:53:37,560 --> 00:53:40,750 Yes, it's been a while. 714 00:54:04,630 --> 00:54:07,530 Ba Wi is a child who's like family to me. 715 00:54:07,990 --> 00:54:10,680 This weak child with no parents, 716 00:54:10,700 --> 00:54:12,960 also caught leukemia, 717 00:54:13,470 --> 00:54:16,060 and as she received her bone marrow transplant, 718 00:54:18,410 --> 00:54:20,420 if she happens to leave suddenly, 719 00:54:20,430 --> 00:54:23,070 I won't be able to handle it. 720 00:54:25,120 --> 00:54:27,670 I won't whine for you to take my side. 721 00:54:28,240 --> 00:54:30,550 Since inside this hospital, 722 00:54:30,550 --> 00:54:33,530 you must have your own position. 723 00:54:34,160 --> 00:54:37,410 Please give me time to think about it. 724 00:54:37,410 --> 00:54:40,180 Before a certainty occurs inside of me, 725 00:54:41,350 --> 00:54:44,140 I don't think I can give you an response. 726 00:54:53,040 --> 00:54:54,970 Dr. Park. 727 00:54:57,380 --> 00:54:59,940 I am unable 728 00:54:59,960 --> 00:55:02,500 to follow your thoughts. 729 00:55:02,940 --> 00:55:04,490 I'm sorry. 730 00:55:04,530 --> 00:55:07,570 As for the living lung transplant, I looked into a different hospital. 731 00:55:07,570 --> 00:55:09,280 So 732 00:55:09,280 --> 00:55:13,590 you're telling me to take that sick child from hospital to hospital, 733 00:55:13,630 --> 00:55:15,240 all around the place? 734 00:55:15,240 --> 00:55:16,810 Since I already spoke with Je Il University Hospital... 735 00:55:16,810 --> 00:55:17,970 Chief Han. 736 00:55:17,990 --> 00:55:21,310 Did you forget the promise you made as you brought me to this hospital? 737 00:55:21,310 --> 00:55:24,830 Did you not say that you would be responsible for Ba Wi's treatment? 738 00:55:24,880 --> 00:55:26,940 In the case that Ba Wi's surgery fails, 739 00:55:26,960 --> 00:55:28,670 are you afraid that it will hurt the Top Team? 740 00:55:28,720 --> 00:55:30,270 Please calm down, Dr. Park. 741 00:55:30,270 --> 00:55:33,950 I also want to help you to the best of my abilities. 742 00:55:33,980 --> 00:55:35,260 For now... 743 00:55:35,300 --> 00:55:39,130 It's fine. Normally, I'm not someone that doesn't have a good eye for people, 744 00:55:39,190 --> 00:55:43,070 but I see that you're not the kind of person I thought you were, Chief Han. 745 00:56:04,950 --> 00:56:06,910 If you persuade the Vice President, 746 00:56:06,940 --> 00:56:09,220 there may be a way to do it. 747 00:56:09,220 --> 00:56:11,520 Jang Yong Seob 748 00:56:45,350 --> 00:56:47,480 Please come in. 749 00:56:55,000 --> 00:56:58,860 Dr. Park Tae Shin, what is it? 750 00:57:04,170 --> 00:57:06,490 I came because I have something to say to you. 751 00:57:06,540 --> 00:57:08,760 When I came to this hospital, there is a patient 752 00:57:08,810 --> 00:57:11,060 named Eun Ba Wi that came with me. 753 00:57:11,080 --> 00:57:14,320 Yes, I am aware. 754 00:57:16,760 --> 00:57:19,200 Ba Wi's condition got worse all of a sudden, 755 00:57:20,690 --> 00:57:22,570 so she needs a lung transplant. 756 00:57:22,610 --> 00:57:26,600 But we don't know when a brain-dead patient may occur, 757 00:57:27,110 --> 00:57:30,160 so we're trying to perform a living lung transplant. 758 00:57:30,190 --> 00:57:32,280 I received the report. 759 00:57:32,280 --> 00:57:34,110 Though it is unfortunate, 760 00:57:34,140 --> 00:57:35,750 the living lung transplant 761 00:57:35,790 --> 00:57:38,980 cannot be performed in our hospital. 762 00:57:43,060 --> 00:57:44,880 Yes, Professor Seo Ju Young. 763 00:57:44,920 --> 00:57:47,680 Dr. Park, Ba Wi is having an impending arrest right now. 764 00:57:47,700 --> 00:57:49,410 We're moving her to ICU right now. 765 00:57:49,410 --> 00:57:52,260 We might need to use ECMO (extracorporeal membrane oxygenation), so please come quickly. 766 00:57:53,200 --> 00:57:56,560 Yes I understand. I'll be there soon. 767 00:57:57,690 --> 00:57:59,440 Please help me, Vice President. 768 00:57:59,470 --> 00:58:03,110 It's not a matter that can be decided easily here and now. 769 00:58:03,110 --> 00:58:05,820 Please help me, Vice President. 770 00:58:11,130 --> 00:58:12,910 Please help, Vice President. 771 00:58:12,930 --> 00:58:15,600 I have to save my Ba Wi. 772 00:58:20,740 --> 00:58:22,580 Please help me. 773 00:58:22,640 --> 00:58:24,420 Please save her. 774 00:58:24,430 --> 00:58:26,220 Please save my Ba Wi. 775 00:58:26,250 --> 00:58:28,420 I have to save Ba Wi. 776 00:58:28,420 --> 00:58:31,860 Please save Ba Wi! Vice President! 777 00:58:31,890 --> 00:58:34,110 Please save Ba Wi!