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ALL CHARACTERS, NAMES, ORGANIZATIONS, AND EVENTS ARE FICTITIOUS

ANY RESEMBLANCE IS PURELY COINCIDENTAL

EPISODE 5

How long do you expect the strike to last?

We'll have to see how the foundation responds.

We'll end it as soon as they withdraw the order.

Is there a special reason for taking such an extreme measure?

As you know, there are factors specific to the field of medicine.

But if you completely disregard those, it would cause harm...

It would cause harm to the people, obviously.

Our strike is a means for us

to ask the public for understanding

of the harsh reality we are facing and for help.

Thank you.

Where's Dr. Ye?

He must have gone to Pediatrics already.

To see Dr. Lee No-eul.

Our on-call doctor's gone. Of course he should go there.

I don't think that's why he went to see her.

Forget it.

What would you know about dating?

Which doctor?

Who's dating?

Why would I bother explaining it to you?

There should be articles on our strike.

Well... there is, but... Is this really about us?

-What? When did he... -Hold on.

"The medical staff's assertion about the expulsion

of the unprofitable departments is not true.

-It stems from the difference..." -...in understanding

of the reason behind the relocation to a rural hospital.

I take responsibility for not achieving a mutual understanding sooner.

This is not due to the hostility

between the medical staff and a non-medically trained leader,

but due to the lack of transparency

deeply entrenched in the field of medicine.

Nonetheless, despite the opposition from the medical staff,

the management has assessed operational efficiency

of all the departments for the first time since the hospital's establishment.

Through the assessment,

we have uncovered a medication error that had resulted in a patient's death.

We consider it a small success amidst misfortune.

Strike that.

"Amidst heartbreaking misfortune."

"We consider it a small success amidst heartbreaking misfortune."

Done.

The foundation immediately notified the victim's family

of the result of the investigation.

Likewise,

we promise you all that we will do our all to come to an agreement

with the medical staff to prevent the strike before it starts.

That's all.

"Announcement of strike.

Sangkook University Hospital

will go on a strike to demand that the expulsion order

on Obstetrics and Gynecology, Pediatrics, and Emergency Medicine..."

MANAGEMENT'S STANCE ON HOSPITAL STRIKE

HEAD OF MANAGEMENT WITH NO MEDICAL BACKGROUND

UNCOVERS MEDICAL ERROR

MEDICATION ERROR REVEALED

CANCER CENTER REMAINED SILENT

SANGKOOK HOSPITAL MEDICATION ERROR

The parent complained that the child keeps waking up in the middle of the night.

No. Keep administering Clamoxin.

We are only changing the dosage from QID to TID.

Okay.

What--

Sorry.

Yes. Who?

Kim Ye-jin?

KIM YE-JIN, PNEUMONIA

Is there any PRN order for her?

How high did it go?

ATTENDING PHYSICIAN: LEE NO-EUL

Then switch to Denogan.

Okay.

Everything is a mess.

Isn't this what residents are supposed to do?

What is up with this?

I have no clue.

What's going on? Almost all the patients are assigned to you.

What about the other fellows?

They must be preparing for the relocation.

What does giving you all the work have anything to do with it?

We'll have much less manpower there than we have here.

But why must you...

Did you even eat breakfast?

If I eat now, it'll just make me sick.

Let's go.

Our end must be near,

seeing what Mr. Gu is doing even with our threat of striking.

Is this all his doing?

Who is he to change the schedules?

That jerk is out of his mind.

It's just my guess. Don't be so negative about him.

He isn't wrong. It's all true.

Everything is way too concentrated in Seoul.

It's not just some imbalance. It'll topple over soon at this rate.

If he were really trying to fix that, I wouldn't complain.

I've been thinking a lot about it,

whether it's right to stay in Seoul.

It's different from going voluntarily.

But I didn't go. I only thought about it.

Who would go if they're not forced?

No-eul.

Everyone in this hospital can go, but you...

Me? What about me?

You...

You can't. Not today.

You're on call for us today.

I don't care how busy you are. Brace yourself.

Jin-woo.

Hi. I'm coming.

It got much better.

Hey, No-eul...

Skin tags are for Plastic Surgery.

Why do you keep including them in the charts?

You can explain those to the guardians directly.

That's hot.

Why are you breathing down my neck?

I almost got the wrong idea.

I heard about a chief getting revenge on a fellow

by dumping patients on her.

Are you saying I did that?

Of course not, Chief.

But seriously, who messed with the schedule?

I don't know, either.

It seems like the Restructure Team will meddle with things like this too.

Restructure Team? That means this is Mr. Gu's doing.

Do you think he's teaching us a lesson? For not leaving when he told us to?

Then why would he dump all the work on one person?

I've never heard of any fellow questioning a chief incessantly

for dumping work on his friend.

Whom should we call today instead of Dr. Lee?

-You? -Shoot. Wait.

We're short-staffed already.

PEDIATRICS DEPARTMENT SCHEDULE

He was on call last night, so not him.

The foundation immediately notified the victim's family

of the result of the investigation.

Likewise,

we promise you all that we will do our all to come to an agreement

with the medical staff to prevent the strike before it starts.

If we go on strike, Mr. Gu won't sit still.

He has something huge on us.

Even if we push Mr. Gu out, the foundation will just send another one.

It's not like we'll replace the foundation.

Getting rid of him would not make much difference.

If all the doctors go against him and get him kicked out,

they will appoint more docile one to the position.

What if they send someone worse than him

to avoid a repeat of the predecessor?

Let's push Mr. Gu out first

and get involved in the appointment of the successor.

It's all up to the chairman. How could we get involved in that?

Is there anyone here who hasn't treated politicians,

people in law, and wives of chairmen

of huge corporations at some point?

We have a massive network. How dare they disrespect us?

How dare they disrespect us?

He says to submit a plan

before his inauguration.

That's in less than ten days.

What will you do?

You need to take action.

You need to put an end to it before he starts officially.

I told you,

my brother-in-law says Gu Seung-hyo is no joke.

The cargo union is super tough, but he destroyed them.

That young kid did.

Director Lee.

This is the fourth time already.

This is your fourth term as director.

If we had not voted for you, it would have been impossible.

In other words, everyone is looking to you.

You need to do something.

Dr. Kim. I'm sorry.

You said to let you know if interview requests came in.

Sorry? What did you say?

They're called Saegeul21. Should I tell them you'll do it?

"Saegeul21"?

Yes. I think it's a new media company.

Where have I heard that name before? Saegeul...

We're done.

SAEGEUL21

Why don't you do it yourself?

You like giving interviews.

Chief.

I'm not making anything up here.

SAEGEUL21 REVEALS HWAJEONG GROUP HEIRS' EVASION OF MILITARY DUTY

Okay. I understand.

It's that company.

The one that exposed Hwajeong heirs for not going to the army.

That's why he...

Gosh.

EMERGENCY MEDICINE CHIEF LEE DONG-SU

We measured it, and it was 130 over 80.

Yes.

There was no problem. Okay. Got it.

VARICOSE VEIN SURGERY DEATH

Why did they send their mortality conference schedule to us?

SAEGEUL21

What's this?

If I had half your looks, I would've done it myself.

What do your looks keep you from doing?

Must you ask me that question?

My mother will be hurt.

Give an interview later at 7 p.m.

What?

Mr. Gu put up a powerful defense.

We need to fight back.

Make them understand why we must go so far

as to go on strike.

Since you...

know well.

Don't be too... you know...

Try not to drag Hwajeong Group into it.

I heard Saegeul21 is full of anti-authority reporters.

Just give them enough.

"Saegul21."

Also, I heard you sent up that varicose vein patient.

The one who died during the surgery?

They're holding a conference soon.

I think you should attend.

Why did they call us about an anesthesia-related death?

To avoid ending up like the Cancer Center?

They were told to, that's why.

-By who? -Who else?

You should be fine. Dr. Yang is the one I'm worried about.

Anyway, you take care of the mortality conference

and the interview later.

Chief...

Since you...

know well.

SAEGEUL21

In our university,

we hold mortality conferences only to learn from different cases.

"Our university?"

Yes.

But he wants us to criticize ourselves in front of other departments.

This is a warning that the management will interfere with everything.

We didn't get anyone new since early last year.

We're all stretched too thin, and we're barely hanging on.

If they truly want to evaluate efficiency, they should consider that

rather than publicly shame someone who did his best.

Chief.

How long are you going to keep quiet?

RESULT OF THE VOTE ON THE STRIKE

RESULT: 81.3% AGREE

DEMANDS: GRANT REGULAR STATUS TO TEMPORARY WORKERS

OPEN TRAUMA AND BURN CENTER, HIRE MORE PERSONNEL

He opened a can of worms.

It's not his fault. Everyone is set to go on strike.

That's because someone blabbed about the reason behind the relocation decision.

They're all selfish, so they would've been fine

as long as it didn't concern them.

Following two private hospitals

and one public university hospital,

Sangkook University Hospital is fourth in revenue.

So, we don't dominate the market,

and the profits are barely there.

But it's impressive that they've been maintaining their Big Five status.

The other hospitals

strive to make it into the Big Five.

It means that it can lose its place in a second.

Everyone makes money the same way.

There are two very basic methods.

Charge the consumers more

or cut labor costs.

Which of the two should we go with?

A hospital's consumers are patients.

We can't just raise the price of treatments.

If those departments are gone,

it'll be a considerable reduction on labor costs.

-And the OR utilization rate? -Even if we designate three ORs

only for emergency operations,

we can raise the utilization rate by 12%.

We have 35 ORs in our hospital,

but setting aside three does that? How?

The chiefs don't like to wait,

so they book a few in advance,

but no one can complain.

Then the surgeries keep getting delayed, and the utilization rate drops.

If a hospital is particularly good at certain types of surgeries,

ORs can be specialized for those specific surgeries.

However, Sangkook's evaluation was that although it is good overall,

there is nothing that it is the best at

in particular.

Let's say we maximized the utilization rate. Are there any surgeries

that lead to more losses if we perform more?

There are surprisingly many.

Since patients don't pay for the surgeries in full,

the hospital must collect fees from the health insurance service.

But they don't even pay enough to cover the cost.

It's our first time evaluating a hospital, so we only just found out.

It's like when production creates losses in factories.

So, if you want to convert those losses into profits...

We can't do anything about how much the health insurance service pays.

The quickest way is to provide more non-covered treatments

that require patients to pay 100%.

Those treatments don't really have a fixed price.

-Okay, then we can set aside three ORs. -Okay.

Let's start with the areas that are not covered

such as obesity, smoking cessation, hair loss, and anti-aging.

Cosmetic procedures are specialties of midsized

and small hospitals, so we could do harm...

Yes, sir.

Ms. Kang, where do you want to hold your parents' funeral when they pass away?

Pardon?

Why is he mentioning...

What about you, Mr. Gu?

Funeral parlors in this country aren't just for funerals.

It's a means to display

the child's social status and filial love.

Even people who don't care where their own ashes are spread

won't send their parents off at some hick town hospital.

Why not?

Because they'll look bad.

Let's expand the funeral parlor, which people will not skimp on cost,

and the Health Examination Center, which guarantees a high return.

Expand the pay-for-performance program.

Yes, sir.

Schedule a meeting with Chairman Hong Seong-chan of QL.

With QL's chairman? Okay.

And let's start a subsidiary.

What needs to be done?

I'll look into it.

What else is there

that patients will pay regardless of what we charge?

There is something.

When my baby got sick recently, the cost of surgery was insane.

Your child was sick?

Oh, my. No, not my child. My dog.

There's no insurance for pets.

How much was it? They charged me millions of won.

Mr. Gu. Everyone wants to interview you

about uncovering the medication error. Do you want to do it?

Since we don't know anything, we have no choice

but to believe what the doctors say.

They said it was meningitis.

They said there was nothing they could do.

But they...

killed my husband.

How is this different from murder?

If it weren't for the president, we would have...

The president of Sangkook University Hospital told you first?

Yes.

Thanks to him,

at least we know the truth now.

At least he apologized

for the doctors covering it up, but...

My husband is dead.

He died because he was given the wrong medication,

but the doctors didn't notify you,

and the management uncovered it?

I had no idea...

It's been the most trending article all day.

They already found out about the resident who gave the wrong medication.

I think he's a first year.

Isn't the timing a bit suspicious?

It diverted attention from the strike.

We just need to do our jobs.

We don't get involved in hospital management.

What's going on in there?

JIN-WOO

JIN-WOO...

SANGKOOK HOSPITAL STRIKE

MANAGEMENT REVEALED PAST MEDICATION ERROR

MEDICATION ERROR IN SANGKOOK HOSPITAL

MOM

Mom.

Seon-woo.

My gosh. My son.

My gosh.

Why are you dressed so lightly?

Although it is spring, it is still cold.

You should've at least worn a scarf.

Spring is over. It's summer now.

Listen to me.

I can never stop worrying about you.

Aren't you old enough to know better?

Don't forget to take this home later.

I made your favorites including scallion kimchi and braised lotus root.

I made these all day long.

You come back from Europe and bring us side dishes?

There's nothing to buy in Europe.

We have all the pretty stuff here.

Jin-woo likes scallion kimchi, not me.

I don't even eat that.

How old are you? You shouldn't be so picky.

You need to eat better.

I've gained weight from eating so well.

Don't be ridiculous. You're so scrawny.

Am I?

Yes. You're all skin and bone. Goodness.

Hello.

This way, please.

Hold on. Let me get the chairs.

May I take your order?

Two dried corvina sets, please.

All right. It will be right up.

Where did you like the best? France?

Spain.

The food was a bit salty,

but the men are so good-looking.

All the men I ran into were as handsome as James Bond.

Put sunglasses on them, and they'd all look like actors.

It must not have been fun for your husband.

The women were...

-Mom. -Yes?

He says he'll go back by himself next year.

He saw young people... Was it Santiago?

He saw them walking the pilgrimage route, and he wants to do it too.

He said to make sure to thank Jin-woo for him.

-He did? -Yes.

For what?

His brother was at Jin-woo's hospital

for colitis before.

I didn't know, but I guess

he asked the doctor to take extra good care of him.

He said he was treated like a VIP thanks to him and was super happy.

Having a doctor son paid off. You got to look good to your in-laws.

Of course.

And I don't have just one, but two.

At this age, bragging about your children

brings more joy than bragging about wealth.

Everybody calls me a doctor's mom, you know.

What did your brother say?

About what?

I heard that his hospital is going on strike.

I only read articles about it.

He wasn't answering his phone.

It's nearly impossible to speak with him on the phone.

Seon-woo.

It's really cold out today.

Let's hurry home.

Put this on.

How was class today?

Let's just go home.

I don't think things are the same anymore after Director Lee passed away.

Gosh. Every time I think about it...

Had I known he'd pass away like that,

I would've called him...

and asked him how he was doing at least one more time.

Mom.

Yes?

It's getting cold.

When I saw his picture at the funeral,

I wondered how such a thing...

could happen to him all of a sudden...

You went to the funeral?

Of course, I did.

With your husband?

No. Why would he go? He doesn't even know Director Lee.

You should've gone with me.

I just ended up going alone.

What about Jin-woo?

You should've stopped by to see him.

I stopped by the ER,

but he seemed busy.

At least I got to see his face.

Should I ask him to come?

Do you think he can?

Or should we go to him?

Jin-woo, can you come out?

Tell him we'll go to him if he's busy.

Yes, I'm with Mom. Yes.

Okay.

Oh, well.

Okay.

Plans? At this hour?

Don't give it to me.

Eat up.

Eat this. I deboned this for you.

My gosh. You're all grown up.

Of course, I am.

TA patient. A truck hit his chest and ran over his hip.

Get a CT and find out if we can get a cardiothoracic surgeon right away.

Okay.

Can anyone operate on a TA patient right away?

In 15 minutes? Okay.

-Contact Orthopedics later. Get GS first. -Okay.

He has a tension pneumothorax. Prepare for a CTA.

-Run a blood test for transfusion. -Take these.

Rosette K is available. Dr. Joo can operate in an hour.

Okay.

Scissors.

Here's the tube.

Right now? Okay.

Dr. Joo just arrived. He'll start right away.

Excuse me.

I'm sorry I'm late.

You're with Saegeul21, right?

I'm Choi Seo-hyeon. It's nice to meet you.

I'm Ye Jin-woo.

I've never met anyone with the last name Ye.

You should say, "I've met many."

You always do.

It isn't a common last name.

I'm sorry I'm late.

Excuse me. Where can I find Dr. Ye Jin-woo?

He's treating an urgent patient right now.

Why aren't you eating this?

What happened to the patient?

-Pardon? -He was bleeding a lot.

Did you think I would just sit here and wait around for someone

who was an hour late without even calling?

I'm sorry.

You apologized three times already.

I thought you'd need this.

Excuse me.

Yes?

-Do you mind if I get some coffee? -Go ahead.

One iced Americano, please.

I'll ring that up for you.

She's pretty.

Go away.

By the way,

doesn't she seem familiar?

Ask her if you've met before--

Get lost.

That malicious jerk is making life hell for all of us.

Do I really have to look through all these old records?

Cardiothoracic Surgery is freaking out too.

Even we, doctors, don't interfere in other departments' business.

Who is he to talk?

He knows nothing. Who gives him the right to judge and evaluate us?

Shit. He's not even a doctor.

Someone has to make a fuss about things like this.

We, doctors, couldn't do it,

and that is why the Cancer Center incident occurred.

Was it you?

-What? -Only one person in our department

voted against striking.

Gosh. You must feel so wronged.

You're the only one who took Mr. Gu's side,

but he dumped all the work on you.

-I didn't take his side-- -Gosh.

JIN-WOO

"Malicious jerk."

Is he really one?

NO-EUL

Sorry.

You were talking about the pay-for-performance program.

We are not opposed to it

because we don't like competition or being ranked.

It's fundamentally different from seeing

who sells more of the same product manufactured in a factory.

It's about who orders more tests

and performs more of costly surgical procedures.

For example, a doctor can order

a million-won test for a patient when a much inexpensive one

is enough to diagnose the disease.

It would be worse for surgeries.

So it must vary drastically based on the doctor's judgment.

This was the first thing the new president initiated as soon as he started.

I can only say that he made it clear

what his objectives were.

Was the report about the death at the Cancer Center

fabricated by the management as well?

No.

You can't criticize the management entirely, then.

Does that happen often?

Medical errors are prevalent in the hospital, right?

At times,

when I ask something difficult to answer, an awkward silence persists.

It becomes obvious that the person is trying to protect him or herself.

I don't think cornering an interviewee for an answer

necessarily makes a good interview.

But not answering is an answer in itself.

I've decided to ask the difficult questions myself,

so...

There are different levels of medical errors.

What levels?

Near miss, adverse, and sentinel errors.

Those are the three levels of errors categorized by the level of danger.

Based on how fatal the error was?

Yes. It also varies by who made the error.

If it was a doctor, it's a prescription error. A nurse, an administration error.

If it was a pharmacist, we call it a preparation error.

Sometimes it's the patient's fault.

The names are so detailed.

The fact that they've been categorized like that

means errors occur that often, whether they be mistakes or accidents.

We're human too.

How bad must it be for you people to announce it publicly?

You never do, do you?

You'd never announce it before it somehow gets out, right?

Like anyone would know.

You assholes.

I repeat. Like anyone would know.

What's your problem?

I'm not like that.

You only care about profit. Why do you care about such a thing?

They're not mutually exclusive. I'll accomplish both.

Quality and profit.

You'll see once you've been through it.

If you'd like, I'll send you the draft before it gets published

so that you can review it.

Okay. Thank you.

By the way...

Yes?

Well...

By any chance, have we met before?

I think it's a bit clichéd line...

No. It's not like that.

I really feel like we've met before.

Thank you for your time today.

Are you expecting someone?

Who...

You know. The one I told you about.

-Who? -Dr. Lee No-eul.

Why is she here?

So, that's her.

Yes.

I'm Lee No-eul from Pediatrics.

Okay.

Mr. Gu.

You haven't been to all of our wards yet, have you?

I thought it'd be easier for you to do your job

if you saw things for yourself.

Do you have some time?

Shall I show you around?

Sure.

You're still up?

When is my mommy coming?

It's too dark for her to come right now.

Go to sleep and let's wait for her tomorrow.

Go to bed.

Or you'll get sick and need to get a shot.

Go on.

Good night.

This is the general ward.

That's the Neonatal Intensive Care Unit.

When is my mommy coming?

She'll be here soon, so go inside and get some sleep.

What is his condition?

He had pneumonia.

Where's his guardian?

We can't reach her.

The child is sick, but the parent can't be reached?

His mom had him admitted.

She came with him at first, but...

He doesn't require treatment,

so it doesn't cost us much.

He won't be here forever, either.

He'll be moved soon.

This way.

You need to put this over your shoes and sterilize your hands here.

KIM TAE-MIN

MOTHER'S NAME: CHOI SEONG-JU

How's the cyanosis?

The baby didn't show cyanosis today,

but the heart isn't beating normally yet.

Keep checking the blood pressure.

The mother had preeclampsia.

The baby suffered hypoxia, so we almost lost him.

We adopted kangaroo care a few years ago.

We prohibited all contact in the past.

It's the first time in 74 days

that the mother and son are nestling together.

This unit is for premature babies born weighing 2.5kg or less.

This is the area that requires the most care.

Well, it is the same for everywhere.

Dr. Lee.

Excuse me.

Yes?

What time?

There's a risk of a hernia...

Thank you.

Mr. Gu.

No. Please prepare for ultrasonography.

I'll be right there.

Okay.

Should I not have done that?

Is he really a malicious jerk?

Why aren't you asking me about your mommy?

Mommy?

My mommy?

Oh, no.

My goodness.

Why are you out here? Don't cry.

Go to sleep. That way Mommy will come.

She'll be here tomorrow. Come on.

Good boy.

A bug will fly into your mouth.

You're going into where?

It's nothing.

INSIDE OCEAN

You're still up?

It's all stuff you like. Eat them all this time.

I read about your hospital.

Mom saw the articles, too. I think she came because she was worried.

She's always worried.

She went to Director Lee's funeral by herself.

She must've needed to get closure alone.

Closure? Why would she need that?

You know about them.

Too bad it didn't work out between them.

It could've worked out well.

What are you talking about?

Don't make it sound like they had an affair.

From the day we first met him, Director Lee was a married man.

And if he wasn't? It would've been okay then?

He isn't Mom's type.

He has no sense of humor.

We should've let her start over with someone new sooner.

Whether it be Director Lee or someone else.

Why did we think

we were protecting her back then?

I'll pick it up...

Sorry.

For what?

Turn that on.

I told you to eat the food.

She worked hard to make them.

SAEGEUL21

I'm not sleeping.

Sleep in the bedroom.

Your dad's snoring.

Gosh.

Gosh.

Go sleep in your bed. You'll hurt your back.

Mother.

Was I sick often as a child?

Children get sick all the time.

Are you sick?

No.

You scared me.

Your hospital...

Yes?

It keeps coming out on the news.

I know.

So?

What?

MORTALITY CONFERENCE ON VARICOSE VEIN SURGERY DEATH

It had been 15 months since the initial diagnosis.

It had been 15 months since the initial diagnosis, and...

Where's Dr. Yang?

He went ahead.

It is unusual.

Nothing is usual in this hospital these days.

I was referring to the death during phlebectomy.

Do you enjoy throwing stones at us

along with the others?

A long time ago...

MORTALITY CONFERENCE ON VARICOSE VEIN SURGERY DEATH

We'll begin with Dr. Ye Jin-woo from Emergency Medicine.

The patient was admitted through the ER on April 7.

He had difficulty walking due to severe pain.

Like he'd understand what we are talking about.

Does that matter right now?

-He's here to show off his authority. -"Show off"?

I performed the initial examination.

The sonogram showed varicose veins, so I transferred him

to Cardiothoracic Surgery.

The patient said his previous doctor had said he had varicose veins

and had taken naftazone.

Why did you conduct a basic examination knowing that?

At the time--

At the time, it had been 15 months since the initial diagnosis.

He had stopped taking the medication for four months as well.

Thus, I considered the chance that his condition had worsened.

Any special conditions?

None. That was all for our department.

Dr. Choi Yeong-jin from Anesthesiology.

Yes.

What was the cause of death?

The cause of death was anaphylactic shock.

ANAPHYLACTIC SHOCK: SHOCK FROM SEVERE ALLERGIC REACTION

Around 3:15 p.m. on April 8,

I administered Robinul and Midazolam via intramuscular injection,

then I administered 2.5% solution of Pentothal for his anesthesia.

At the onset of the anesthesia,

his blood pressure was 110 over 60, heart rate was 80 beats per minute,

his breathing rate was under 20 breaths per minute,

and his body temperature was normal.

About five minutes after the anesthesia,

his blood pressure dropped to 90 over 50,

and about ten minutes later,

it dropped drastically to 50 over 30,

and his heart rate went up to 140 beats per minute.

His vitals showed that he went into shock.

Did his surgery consent form

indicate any history of anaphylaxis?

No. As Emergency Medicine mentioned earlier,

there was no history of receiving surgery or anesthesia,

so I'm sure even the patient did not know.

Any other conditions?

He had minor bronchial spasms, but according to the order...

from Dr. Yang,

I administered dopamine and ephedrine.

What was the patient's state after that?

The low blood pressure persisted for 15 minutes, and...

his heart stopped.

Cardiothoracic Surgery...

Dr. Yang Jun-hui.

Please explain why you deduced

it was shock and what you did to treat it thereafter.

After his blood pressure dropped and heart rate increased,

he had bronchial spasms,

but his arterial blood gas and electrolyte analysis

didn't indicate anything unusual,

so I deduced that he went into anaphylactic shock.

When did you administer epinephrine?

I administered it immediately through continuous IV infusion.

Just a minute.

Why was it via IV?

According to the guidelines, aren't you supposed to

administer it intramuscularly due to potential volume errors

or risk of cardiovascular complications?

Why didn't you administer it intramuscularly?

Well...

I saw redness on his skin,

so I removed the drape,

and he had red spots all over his body.

And his blood pressure dropped... I mean,

his blood pressure had already dropped,

so I didn't think it would be effective via IM.

That was why I went straight for an IV injection.

Was that purely your decision?

The chart stated Dr. Joo Kyung-moon was brought in near the end of the operation.

Another reason... Another reason for ordering the IV

was because there were signs of circulatory collapse.

The question was not

why you ordered the IV, but who gave the order.

Oh, I see.

I gave the order.

And what happened to the patient?

His heart stopped,

and he died.

What's the risk of anaphylactic shock during general anesthesia?

Pardon?

It's 1 in 10,000. It occurs in 1 in 10,000 anesthesia.

I'm Joo Kyung-moon,

the chief of Cardiothoracic Surgery.

I'm a native of Gimhae.

I was born there, grew up there, and studied there.

I left that place in 2013

because I lost my patients.

I lost 160 patients.

I lost them all

when the medical center where I worked was shut down.

I saw

a medical center get shut down.

I read countless comments.

"Neglect of duty.

Waste of taxes.

Unfriendly.

Huge losses."

There were countless comments that criticized the medical center

and agreed with the closure.

You, my colleagues, probably remember it best.

Even if it was old and unfriendly,

those welfare recipients, the elderly, and children

had to get treated at the public medical center.

The primary reason for kicking them out onto the street

was financial loss.

The medical center had been losing three to four billion won a year.

Three to four billion won.

That's a lot of money. And it came from our taxes.

However,

do you know what the province's annual budget of that year was?

It was 12 trillion won.

Only 10% of public medical centers remain

because they're getting pushed out by private hospitals

due to financial losses,

but three to four billion won

was only 0.025% of the budget.

I have

always wanted to ask this.

Was that money that precious to you?

Did you want

that money that badly?

The real problem isn't in the center being shut down.

The medical center had many problems. Yes, I admit it.

But discovering a problem

is a chance to fix it and make improvements.

But they just shut it down.

It was our final chance to salvage the rural medical center,

but they got rid of it instead.

Mr. Gu.

We, at Cardiothoracic Surgery, are always short-staffed.

People are quick to explain why.

They say young doctors nowadays flock to fields that are easy

and help them make good money.

But not all of the young doctors are like that.

Then why...

are there fewer than 20 new cardiothoracic surgeons

in Korea every year?

It's because...

hospitals won't invest in cardiothoracic surgery.

Too many of the surgeries lose money.

It's because

hospitals won't hire them. There's nowhere for them to work.

But we will...

keep walking into the operating room.

Even if we are criticized

and accused of killing a patient...

because of a 1 in 10,000 risk.

Did you give Clamoxin to the patient in Bed 11?

It wasn't checked off.

What if I didn't check and ended up giving him double doses?

I'm sorry.

We're no better than the Cancer Center. We've just been lucky.

What do you think Mr. Gu is planning to do next?

What will he try to get?

What do you see these people as, Mr. Gu?

These people who came here in pain, asking for our help...

What do you see them as?

What do you think is the duty of employees?

Isn't it to provide service and get paid?

I can't understand why you're bringing up your sense of shame.

Mr. Gu will keep doing stuff. Do you think it'll be his last?

We'll kick him out right away.

Will the new director be able to do it?

Please support me.

I'll push out Mr. Gu.

Subtitle translation by Jeong Lee