All language subtitles for [Eng] My Dear Guardian ep 19

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My Dear Guardian

Episode 19

Durian flavoured?

I'll eat it outside then.

No, eat it here. It's fine.

I'm immune to the smell
of durian now.

Have a bite.

I'll pass, thanks.

So you still don't like it.

Of course I don't.

Then why did you make a durian cake?

Because you like it.

I heard

from Dr Zhang that

you've been transferred to the ER.

Are you adjusted?

To be honest, I'm still trying to.

These past two days,

I've lost three of the patients

under my care.

There's one patient,

she has paraquat poisoning

and is currently bed-ridden.

She may look fine right now,

but when tomorrow rolls around,

her liver will start to deteriorate.

Following that,

pneumonia and atelectasis
will occur,

or pulmonary edema.

She might get pulmonary fibrosis.

At last,

she would suffocate to death.

Up until her last breath,

the patient is aware and conscious.

Isn't that scary?

Isn't there

even one successful case?

There is.

But it's very rare.

It depends on how much and when

the patient consumed the poison.

If it is less than 10ml,

with a timely gastric irrigation

and blood filtering,

plus a bit of luck from
the person themselves,

perhaps...

I mean there is a chance

they could get through it alive.

So what is the condition of

the patient here?

I don't know.

She wouldn't say anything.

Why did she try to kill herself?

How much did she consume?

How long since she drank it?

She wouldn't say.

Her father couldn't explain either.

If she had drunk a lot,

there's no point in emergency care.

But what if?

What if she only drank a little

and there's a chance for her to live.

She's only 18 years old.

18 years old is the prime of youth.

Why did she do it?

She is a cute girl.

Plus she just started university.

She's pretty and is well-liked.

After going out with friends
to have a meal,

she went home that night
and took the poison.

Why?

What exactly happened

that made her do such a thing?

Sexual harassment.

What?

You said the girl is young and pretty,

just started university

and has never had a relationship.

So why did she go out for a meal

and then tried to kill herself later?

She might have been sexually harassed,

so she wanted to die.

Maybe that's why

she wouldn't say anything.

Liu Ran.

Liu Ran, can you hear me?

Liu Ran, listen to me.

You have to tell me
how much you consumed.

Half a cap?

Or one cap?

If you don't tell me,

I won't be able to determine
how much drug to administer.

Can you hear me, Liu Ran?

Liu Ran?

Dr Song, Bed 16 is not doing well.

They need you there.

Watch over Liu Ran.

I'm a resident doctor here.

My name is Xia Chu.

Liu Ran.

Listen carefully.

I know.

You must have felt hopeless.

That's why you made such a decision.

I understand your pain.

Truly.

But what I want you to know is,

no matter...

No matter what harm
your body was subjected to,

you're still you.

There is no reason for you
to feel sorry or ashamed

due to the harm.

Just like...

Just like the ulcer in your mouth.

It's just bodily damage.

It has no other significance.

Remember this.

You did nothing wrong.

The one who should be punished

isn't you.

You didn't do anything wrong.

Liu Ran.

Do you hear me?

You're not at fault.

I'm not at fault.

I'm not at fault.

I'm not at fault.

Doctor.

Please.

Please, save me.

I still want to go to school.

I want to go to university.

Don't be scared.

You'll be fine.

But you need to tell me,

how much did you drink?

Liu Ran's family?

I'm here, doctor.

-How is my daughter?
-Hurry up and pay.

Okay.

It's that way!

Yes, okay. I'll go now.

You guessed right.

She

talked.

How much did she take?

She didn't ingest it.

She held it in her mouth for a while.

She couldn't stand the smell,

so she spat it out.

Can she be saved?

The scary thing about paraquat is that

even if you didn't ingest it,

it can still penetrate into the blood

through the skin

and bind itself to plasma proteins.

That means...

Doctor, I've done the payment.

Okay.

It will be very difficult,

but we have come up

with a complete treatment plan.

The first step is to administer the drug

and continue with hemoperfusion.

The following day, third day,

seventh, fourteenth
and twenty-first days

are very important time frames
during the course of the rescue.

This includes chest CT
and hematuria routine.

A full check-up has to be conducted
at every time frame

to better monitor
the patient's condition.

After the first day,
we wait for the third.

After the third day,
we wait for the seventh.

Typically,

days 7 to 14 is the period
when the condition worsens.

The fourteenth day
will determine the outcome.

Not many have been able
to make it through.

We have to be mentally prepared.

Outpatient Department

Liang Mu Ze.

Dr Xia.

Listen.

I tried the cake.

It was still warm.

So I thought

the person who brought it
must still be close by.

Your love of detective novels has its use.

No,

this has nothing to do with
detective novels.

Because you're the only person

who would bring a freshly-baked cake

straight to the hospital for me.

Forgive me for being too free
during my break.

The cake is good.

It's rum-flavoured.

Yesterday, it was chocolate.

The day before, it was peach
and butter flavour.

Every bite after that,

I've savoured with intention.

I'm glad you like them.

I like them a lot.

Are you getting off work now?

Not yet.

Scarring has appeared

on Liu Ran's left lung.

Is there no other treatment available?

Even if there is,

it's not something I get to call.

Liang Mu Ze, don't you think

I'm so useless?

I'm watching a living person

being stifled to death in front of me.

I really feel like a useless idiot.

I don't get why anyone would invent

a thing like the paraquat.

It is a poison without any proper cure.

-If it didn't exist...
-Dr Xia.

Let me tell you.

Guns,

they can kill.

But it can also stop the killing.

Right?

Heroin.

It kills people.

But morphine?

It alleviates pain.

In this world, nothing is
in black and white.

Paraquat was first invented

to be the most effective herbicide.

But due to being misused
by certain people,

it was then labelled as a poison.

Maybe the world would be better

without paraquat.

But that no longer applies to us.

In this world,

nothing is set in black and white.

What we can do

is to make sure we make

the best decision each time.

So, Dr Xia,

stop thinking about

how the world would be without paraquat.

Rather than being a smart ostrich,

it's better to be a brave idiot.

One such brave idiot

is Don Quixote.

Remember that.

A great knight

may fail,

but they will never be beaten.

The same goes for a great doctor.

A great doctor.

Am I...

capable?

Of course you are.

When I say you are, you are.

Thank you, Liang Mu Ze.

Thanks for the cake

as well as what you just said.

Now go back and do a good job.

Even when it gets busy,

you have to uphold
your military pride, okay?

Bye-bye.

Previously, we've conducted

activated carbon gastric irrigation

and hemoperfusion on Liu Ran.

We also administered Glucocorticoid

and immunosuppressive therapy.

During the past few days,

the state of her pulmonary fibrosis

has worsened.

The blood oxygen saturation
is unsatisfactory.

So this morning,

we've issued a medical crisis notice.

What is the patient's family background?

She lives in the suburban countryside.

Her parents divorced when she was young.

She's been living with her father
who does odd jobs.

In the past few days,

her father has been the one
taking care of her at the hospital.

Her father's wish

is not to give up on her.

He hopes we'd do our best to save her.

Yi Chi.

Does the ECMO Team

have any suggestions?

To be honest,

even if this patient

is put on the ECMO,

the probability of recovery
is very low.

But it's not totally ruled out.

Saving such a patient

will require a lot of investment.

And I don't just mean investment
from her family.

There are many more tangible
and intangible

community resources.

For her current situation,

we can't be sure if she'll make it

for a lung transplant.

Many organs have been badly damaged.

Her physical state is weak.

Even if she had a lung transplant,

would she be able to recover?

That is another problem.

You all know

that transplantable lungs
are scarce.

Are we really going

to put all our patients
through the same trial?

One more thing.

The ECMO Team has just been established.

To put it bluntly,
the survivability of patients

directly impacts

the team's future reputation.

Thus,

I think it's best that we

eliminate the patients

who are beyond saving.

Give the chance

to patients who can directly benefit

from ECMO treatment.

Make those patients

the focus of clinical treatment.

This way,

our team's future prospects
and development at the hospital

would be better.

Dr Zhang.

The reasoning you just put forth

is pretty cruel.

It is cruel.

But that's the reality.

But we are doctors, not god.

A doctor's duty

is to do our best to save lives.

Even if we cannot guarantee that
all will be saved,

we have no right to determine
who dies, can we?

The miracles of this world

have never been decided by doctors.

Why can't we give her another chance?

Is our refusal

for the sake of the patient

or is it out of fear of failure?

Xia Chu.

I understand where you come from.

However,

when the hospital makes a plan,

we cannot put our hopes

on miracles.

We need to take into account the risks.

It has to be totally safe. You understand?

Alright.

Let's put that aside for now.

Now,

let's continue with

Liu Ran's treatment plan.

What's that?

ECMO.

It's the abbreviation for extracorporeal
membrane oxygenation.

Let me show you.

This is the machine.

Simply put,

it is a cardiac and respiratory
life support

where blood is pumped outside of your body

to a heart-lung machine to be processed

before it goes back to tissues
in the body.

It's not a treatment in and of itself.

It takes over the functions
of the heart and lungs

so that further treatment
can be carried out.

It buys more time

so that the patient can wait
for a transplantable lung.

Then how long will we have to wait?

It's hard to say.

We'll have to see if there are
suitable donors.

What if

there's none?

What if she can't make it until then?

Then what?

Theoretically,

one can be put on the machine
for an extended time.

However,

with the prolonged usage,

the probability of complications

will also increase.

Currently, Liu Ran is already
suffering from respiratory failure

and pulmonary fibrosis
that are life threatening.

ECMO and a lung transplant

are the final

and only hope left.

It's just that

this opportunity also poses
very big risks.

Once installed,

there's no going back.

Moreover, the success rate

is less than 30 percent.

The price is also very high.

I'd like to hear what you think.

Will you give it a try?

Liu Ran's family?

I'm glad you're here.

I'd like to brief you
on Liu Ran's condition.

Doctor, I get it.

Please install the...

the...

That machine of yours.

ECMO

Yes, ECMO.

The treatment plan is prepared
after consulting

all departments.

Who said you could approach
the patient's family in private

and talk to them about ECMO?

You broke the rules, you know that?

To install the ECMO,

it will cost at least 70, 80 thousand.

There's also the expenses of ICU
after that.

Not to forget the lung transplant.

That's a lot of money.

Where do you propose he get it from?

If he doesn't have it,
he can crowdfund it online.

He said, as long as he is
able to save Liu Ran,

even if there's only a sliver of hope,

he is willing to try.

The outcome of that

may be that the patient dies,

but he still has to bear hundreds of
thousands of yuan of medical debt.

Will he be able to bear it?

But the fact of the matter is,

the one lying on the hospital bed
is his only daughter.

He should at least be informed

that there is a way

that could save his daughter's life.

For the sake of this 'sliver of hope',

you want him to sell his possessions,
what little thing he has.

Have you thought about

his future then?

If the pressure of using ECMO

is more than the actual final benefit,

then I think

there's no point in letting him know

of the machine's existence.

So how much is the daughter's life worth?

We shouldn't be the ones
to have to answer.

Moreover,

we do not have the right

to decide on their behalf
not to install the ECMO.

What if the decision

would cause the family to lose everything?

How would you know
if they'd lose everything?

Xia Chu, you're too idealistic.

You're still too young.

While Liu Ran is even younger.
She's only 18.

Her life is just starting.

I really don't wish to give up
on her like this.

I thought after going to the ER,

your views would change a bit.

I'm sorry, Mr Zhang.

Maybe I'm beyond saving.

But

you've convinced me.

The ECMO Team

had another discussion.

We decided

to give it a go.

Director Chen has agreed too.

Alright.

I respect everyone's decision.

Okay.

I'll get the equipment ready.

Xia Chu.

The possible complications

of installing ECMO

must be explained clearly
to Liu Ran's father.

He has to sign the consent form.

Will do.

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Dr Xia

What happened?

How did the crash happen?

It's not my fault.

I was driving normally.

He appeared out of nowhere

and gave me a shock.

Ask them if you don't believe me.

Ask them. I really didn't do
anything wrong.

Xia Chu.

Has the parent signed the form?

I can't find Liu Ran's father.

Call him then.

I did.

No one answered.

Maybe he's gone to raise money.

Their hospitalisation
is put on credit, right?

No, he wouldn't run away.

He's not that kind of person.

Come on. How well do you know him?

He said, even if it's a sliver of hope,

he will not give up.

But he also said,

the medical fees are too expensive.

One day costs a few thousand yuan.

That was before he fully understood

the severity of paraquat poisoning.

Doctor, we just received a call.

A badly-injured traffic
accident victim nearby

is being sent to the hospital.

Notify Orthopaedics, Neurosurgery
and the blood bank.

Prepare for emergency treatment.

Okay.

I'll let you handle CS tonight.

-Call me if anything.
-Okay.

The victim was knocked by a car.

There's bleeding on the head.

Emergency Department

Blood pressure is 80/40.
Blood oxygen at 85.

Doctor, he's Liu Ran's father.

What?

I want...

to see my daughter.

My daughter.

Doctor.

A brain injury. He needs a ventilator.

To the EICU!

Emergency Department

The patient's blood pressure is falling.

Is the blood here?

Chase them.

Transfuse the blood once it arrives.

Okay, I'm going.

Prepare for tracheal intubation.

Got it.

No intubation!

I don't want intubation!

Calm down!

Hold him down!

Calm down. You need to calm down!

No intubation. Go save my daughter.

Save my daughter.

Save my daughter...

Save my daughter.

Save my daughter!

Save her!

Save my daughter...

Listen to me. Calm down.

Save my daughter!

My daughter!

My daughter!

Save my daughter!

Xia Chu.

Hurry and pacify Liu Ran.

Okay.

Go and save her, quick!

My daughter.

Liu Ran, calm down.

Calm down.

What's wrong?

Are you feeling unwell?

What's the matter?

Ventricular fibrillation.

Inject adrenaline, 1mg.

Ready for defibrillation.

Liu Ran, calm down.

Calm down.

It's okay.

200 joules. Ready.

Wait a moment. Wait.

200 joules fully charged.

Write it down.

200 joules, once more.

Who

Who

It's okay.

It's okay.

Emergency Intensive Care Unit

Dr Song.

Liu Ran's hypoxia is getting worse.

She may die at any moment.

We have to install the ECMO right away.

Whether or not we install it

will be decided after discussing
with her family.

First, fill up the emergency care report

for Liu Ran's father.

The traffic police and insurance company
are waiting for it.

-But Doctor, Liu Ran is...
-Xia Chu.

Be reasonable.

We are only doctors.

I have a patient.

Her father met with an accident

and died while trying to raise money.

Her condition is critical,

but I'm not willing to give up just yet.

However,

the treatment requires
a lot of investment.

Her family

has no means to cover the cost.

Is it possible to get the TV station
to come do a report?

Okay. I'll make arrangements.

Thanks a lot, Mi Gu.

Liang Mu Ze.

Did your back grow eyes?

No.

But I had hoped it was you.

What's the matter?

Liu Ran's father...

I know.

I saw him being carried into the hospital.

Before the accident,

I had told him

that installing the ECMO

was Liu Ran's last chance to live.

That's why he rushed to raise the money.

Who would've thought...

It was an accident, Xia Chu.

My superiors

all think that the treatment plan
is too radical,

with high risks.

There was no point

in mentioning it to the family.

I insisted on telling him.

I firmly believed

that Liu Ran's father had

the right to know of her condition

and to decide what happens.

But now,

I'm not so sure.

Not sure of what?

If

the pressure of the treatment plan
on the family

is more than the actual final benefit,

should I have just

shielded them from the risks?

Or maybe

I should've just decided on their behalf.

Then it wouldn't have come to this.

This outcome...

Perhaps I was wrong.

You weren't wrong.

Timing.

Topography.

Comparison of fire power.

And the final goal.

Only when you're there in person,

can you make the best decision.

When you have to decide,

you can only choose to believe in yourself
at that moment.

Even if you regret if afterwards,

it's okay.

You did your best. You were not wrong.

This is what the psychiatrist told me

after coming back from my first mission.

You've seen a psychiatrist?

Yes.

Why did you think

I was so against you telling me
to go see one before?

What the psychiatrist said makes sense.

But I still don't get it.

From the first mission until now,

it's been eight years.

I'm still suffering from insomnia.

Xia Chu, I know full well how you feel.

What I've been through,

I rather you not go through it.

What I couldn't do,

I hope you'd be able to.

Believe in yourself and
the decision you've made.

You've done your best.

You were not wrong.

Do you have money, Liang Mu Ze?

However much. Lend it to me.

Are you paying for her out of your pocket?

Never mind.

I'll think of a way.

Xia Chu.

The passcode is at the back.

Why? You don't want it?

-I'll take it back.
-No!

I put the cake on the table.

Thank you.

I spoke with Liu Ran's uncle.

He said he'll take her back.

As for the ECMO preparation,

it's a no-go.

They're giving up?

Mr Zhang.

Liu Ran's uncle has agreed
to install the ECMO.

How did you persuade him?

I'll pay the advance.

You'll pay?

Yes.

Before the driver compensation
comes through,

I'll pay for the ECMO installation
in advance.

The TV station will continue
to follow up on the case.

I will also start a crowdfunding online
for them.

For the rest of the fees,

hopefully the compensation
and crowdfunding

will cover them.

Xia Chu...

I know I'm being silly.

I also know that there are
many more such patients.

I'm not some rich heir.

I can't help them all.

But since we've met each other

and Liu Ran's father

accidentally died because
of my suggestion,

I think

I should bear the responsibility.

In the future,

if I happen to look back at this,

I can confidently tell myself
that at this moment,

I had done my best.

I was not wrong.

Xia Chu.

I want you

to remember this passion
you've shown today.

In future,

don't ever be so easily beaten.

I won't.

Okay.

Count me in for the crowdfunding.

Me too.

Thanks.

When you wake up,

make sure you live a full life.

Together with your father's life,

live to the fullest.

Missy.

Miss Lan.

What are you doing?

Nothing in particular.

There's nothing much to do at home.

I took out the wool and washed them.

I'm thinking of knitting
your dad a scarf.

The weather's getting cold.

It's already night, and you're
still performing such a loving act.

Are you trying to kill us with kindness?

You never listen to me.

If you were here with me,

you'd already be married with kids.

You could be eating
my home-cooked meals every day.

Wouldn't it be nice?

Miss Lan.

Are you envious of the women

who are already carrying
their grandchildren?

I don't envy them one bit.

I'm just worried about you.

You're out toiling away on your own.

There's no one to take care of you.

How am I supposed to feel at ease?

Sorry, Miss Lan.

Sorry for worrying you.

But I'll give you my word.

I will take good care of myself.

Every day, I will

wake up on time, take my meals on time

and continue working

towards becoming a beautiful
and smart lady.

All right?

Missy.

In the past,

I worked as a medical care provider too.

Those ridiculous aspirations.

Did you think I'd believe them?

Where's Dad? How is his health?

He's doing okay.

What about you?

How are your legs?

It's a persisting problem.

I feel fine whenever the weather changes.

But it's nothing. I can handle it.

Make sure you both take care.

Out here,

no matter how tired I am

or what I come across,

as long as I know you two are fine,

our family is fine,

I will think that...

I will know that I have the energy

to keep moving forward.

I'm able to live wilfully,

not because of my own courage.

It's because I have you guys.

Because I know

when I turn around,

you will be there.

You guys have always supported me
from behind.

Missy.

Don't you worry about your dad and me.

We're doing fine.

Worry about yourself instead.

Make sure to look after yourself.

You hear?

Sure, Miss Lan.

I'm hanging up.

Emergency Intensive Care Unit

Xia.

Go to bed.

What exactly happened?

Something wrong with the project?

Or are you not feeling well?

I'm fine.

Fine? I can tell right away

whether or not you're truly fine.

Since New Year,

you haven't been sleeping well.

Just look at your face.

Go look in the mirror.

Xia.

We've been married a long time.

Why can't you be frank with me?

Why must you endure it alone?

If you buckled,

what would happen to Xia Chu and me?

Fine.

So you won't say?

Go get your daughter.

What is the matter?

Don't worry.

Don't worry.

Is it the Department of Security?

I'm Xia Guang Yuan.

You're back.

I got my team to finish a short video
last night.

I'm going to promote it
on the program's official site.

Take a look.

Looks good.

Thank you.

Xia Chu.

When was the last time
you washed your hair?

Three days ago?

Are you still a woman?

It's not that bad, is it?

Try taking a whiff.

It's not that bad.

The ER shift is one day of work,
one day off, right?

How come you don't even have time
to wash your hair?

Yes, it's one day work, one day off.

But I work like a dog during my shift

and so on my day off,

I literally pass out.

There's no time

to think about washing my hair.

You're done for.

If you continue like this,

I can tell you now that all men

will avoid you like the plague.

Thank you.

What is it?

I gave Liang Mu Ze a hug yesterday.

Do you think he smelled it?

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