Original subtitles

Medical Top Team

Episode 3

I'll just get to the point.

Please talk.

I'll accept your proposition.

I'll join the Top Team.

Let's go inside for a while.

Professor Seo, let's go inside.

No. I will go in later.

You made a difficult decision.

Thank you.

Thanks to you, Chief, the Paran Clinic families was gathered again.

Anyway,

I'm curious to know how you went to Paran Clinic when you were staying in the US.

While you were in the US, the career and the reputation that you accumulated hard on,

it's not easy to put everything down and come here.

Well. It wasn't even a hard decision.

I didn't work as a doctor in the US to put my name out in the field.

Anyway, I'm a guy who makes a move when I feel like it from time to time.

This decision was also like that.

You move as you feel like it.

Isn't that a little bit dangerous?

You're right.

You are taking in a quite dangerous man.

You might regret it later.

If it's a great person like Doctor Park, then I must bear the risk.

But there will be no regrets.

Because I am the one who made a choice.

You're really cool.

"I don't regret my decision."

I'm also like that.

They are the doctors who are in the final selection for the Top Team.

Surgeon Park Tae Shin?

Is he recruited externally?

Yes.

His C.V (curriculum vitae) is unusual.

Beside being a surgeon and a thoracic surgeon,

He also has experience in other areas of medicine including neurosurgery.

He was adopted to the US when he was a child.

Thanks to his adoptive father who was a surgeon,

he had many occasions to learn from an early age.

Impressive.

His C.V is great, but

we have many skilled surgeons at our hospital.

Did we really need to recruit externally?

I thought the biggest obstacle to leadership in an interdisciplinary system

is different opinions from each department due to different interests.

In that sense, our hospital is no exception.

That's why I

wanted to form the Top Team with the doctors who can devote themselves to the patients

solely with their skills.

I don't know.

Even with that justification, I don't really understand.

Do you think other Doctors will

genuinely accept that intention of yours?

Don't worry.

I will prove it (my intention) with their skills.

I think the Doctors on the list, their skills are the best nonetheless.

Of course I believe that Chief Han, you'll do well.

Oh, what do I do?

If a mechanical valve was inserted,

Isn't it basic to check INR on daily basis? [INR: International Normalized Ratio]

Don't you know a thrombus can occur and the patient can have a stroke?

I'm sorry.

I was in the operating room until dawn; I forgot about it.

Excuse me, Professor. Are you talking about the patient Jo Byeong Ho..

So?

I'm the one who made the mistake.

Doctor Choi Ah Jin asked me to do that before she entered the operating room. I should've checked.

I fell asleep.

I'm sorry.

What are you doing now?

Did you guys promise to cover each other's back and decide to move in tandem?

Professor, that is...

It's my fault.

Then, was it also your fault that you forgot to run the echocardiogram of Patient Ahn Jung Hee?

That...

Professor! That was my fault, but Dr. Kim Sung Woo

Listen to me carefully Dr. Kim Sung Woo and Dr. Choi Ah Jin

Covering other people's mistake and moving in tandem because you guys are colleagues?

It's never a friendship.

Even in a tough situation, allowing oneself to admit one's fault and let oneself to be responsible,

the result benefits each of you.

Understand?

Yes.

Make sure to check the Patient Jo Byeong Ho for the symptoms of stroke,

and check the patient often.

Yes.

Then Professor Seo knew it all along,

and she pretended not to know.

Kim Sung Woo! Are you mad?

Hey, I'm the one who was scolded. Why are you mad?

Who told you to take the blame?

You should've told her that you told Kim Sung Woo

and it happened like this because Kim Sung Woo fell asleep.

I was just trying to pay my debt.

You took the blame for the Patient Ahn Jung Hee's echocardiogram that I forgot.

Hey, Choi Ah Jin! Did anyone ask you to repay your debt?

Why do you take the blame that I can just be scolded with.

Are you a neighborhood's drum or something, getting beaten everytime, also including mine.

Don't you know if you keep getting on Professor's Seo's bad side, there's no way of get back on her good side?

And I..

I don't like to cause difficulty for someone when it's my fault.

Am I just someone?

Aren't you?

Are you my brother? My boyfriend?

Hey... Kim Sung Woo!

Professor Seo, I concluded the Top Team members.

It will be revealed soon.

I would like to cancel my application to Top Team.

Did something happen?

Did someone say something?

No.

Then why did you suddenly think that?

There are many ongoing things now and just leaving them aside and going to Top Team weighed heavily on my mind.

You said you'll take care of ongoing things and join the Top Team.

Tell me. What is the reason?

I don't want to hear anymore that Seo Ju Yeong is doing well because of Chief Han Seung Jae.

That gossip was around from before.

You weren't concerned about it.

I was. I thought that if I, myself, do well silently and had come this far.

But I don't think I can take it any longer.

Why is it suddenly difficult?

You've put a lot of effort into planning Top Team for a long time, but suddenly why?

You don't want to hear that you do well because of me?

Then don't you have to jump on it even more?

Thanks to Seo Ju Young, the Top Team that Han Seung Jae established.

Isn't it better to show other people that the team is running well?

I no longer want to put my efforts into showing people something.

I just want to focus on what I am in charge of.

From the place where it's unrelated to Han Seung Jae, right?

I'm not like that.

I have never thought of the Top Team without you and it will be the same going forward.

Tomorrow, the confirmation notice of Top Team will come out.

I will leave the Thoracic surgery position as a vacancy.

Until Seo Ju Young joins.

What is this?

How weird.

Is there a fly here?

Oh? There's fly!

I caught the fly!

You little kid, I have been waiting for you here for some time, but you kept on sleeping.

Are you waking me up since you're done sleeping?

Eun Ba Wi! I have good news. Should I tell you or not?

Tell me!

Tell me, please.

Please.

That's...

Really? You're really not going to the US?

In the hospital, you have to be quiet.

You're really not going? Really, really?

Yeah.

Are you happy since I'm not leaving?

Yeah.

Then, you need to eat well from now on.

She seems really happy.

This patient, the thrombus is obstructing the right side of the cerebral blood vessel.

You can't leave trying to look for your mom.

Promise.

Doctor Kim Sung Woo, check this patient in the morning and in the evening.

Yes.

Next?

It's Patient Eun Ba Wi.

Unni!

Hi, Ba Wi!

Chest CT follow-up, check the date and take it again after a week.

Yes. --Yes.

Continue to administer the steroid.

Yes, I understand.

Does anything hurt?

Are you out of breath or anything like that?

If anything's uncomfortable, tell the doctors here.

Excuse me, Doctor. It seems the steroid has been administered for a long time.

I think it can be reduced now.

We have to continue using the steroid.

Since she's still recovering from ARDS, [Acute Respiratory Disease Syndrome]

it will be better to slowly reduce the amount of steroid used.

In addition... --Then, please do so.

Continue to administer the steroid.

Yes, Professor.

I don't like that ajumma!

How can you say "ajumma"? She's a doctor.

Why don't you like her?

She is angry every day!

She isn't angry.

She's having a hard time because she has so much work to do.

You don't get mad when you have lot of work to do.

Now wait... You don't know how angry I can get, do you?

I'm scary, right?

You are not scary at all!

Geez...

Ping! --Ping!

Ping! -Ping!

Ping! --Ping, ping!

Hurry up and prepare the hospital room.

What about the physician on call?

Professor Seo!

What's is the reason that the son of Se Hyeong Group is like that?

I believe it's ARDS (Acute Respiratory Distress Syndrome).

Let's go!

Aigoo, Vice President!

The patient was okay the last time I saw him. What happened now?

Oh great. Madam(his mother)'s personality is hard to deal with.

Ah, seriously...

Madam, you must have been very shocked.

What are the vitals?

100/60. Oxygen saturation level is 85%.

Get an ABGA and tell the cardiology dept to check up on the echo.

If he is in bad condition, we need to head into surgery right away. So, contact the perfusionist just in case.

Yes, Professor.

There's not much of difference in the heart function from the last admission.

Cardiac output is about 30.

But the strange thing is, around LAD(left anterior descending artery), the extensor muscle is not moving well.

Last time, he also had an symptom like this.

We diagnosed it as heart failure. But, this case is more severe.

Let's administer the dopamine and diuretic first. And watch the progress.

Your son's pulmonary edema is getting a little better.

I believe we have passed the critical stage.

But, his cardiac insufficiency is still very severe. So, it'll be better if he receives his surgery quickly.

I will discuss it with the Chairman.

Patient Song Beom Jun needs an AVR [Aortic Valve Replacement] quickly. His heart failure is very serious.

Let's continue to watch for now.

No, I don't have a good feeling about this.

As soon as the results come out, I need to discuss this with the guardian.

Ta-da!

Hello, Doctor Sung Woo!

Yeah...

What is it?

Huh? Ah...

I made breakfast, but it was too much for me to eat alone.

Omo! I was wondering what to eat for breakfast!

Uh, excuse me...

Omo, Doctor Sung Woo!

May I eat it?

Yes.

Hey! It's posted! It's posted!

Um, hey...

What?

Hey. The Top Team is announced.

Really?

I guess it is announced for specialist physicians.

But, there's big news!

Choi Ah Jin, please!

What? Look here...

Surgeon Park Tae Shin?

Eun Ba Wi's guardian?

Yes, that doctor.

I heard that Chief Han totally fell for this doctor after he saw him performing that surgery.

I guess he went ahead and grabbed a hold of him.

This doctor is very unusual.

It will be interesting.

Jo Joon Hyeok?

There's a namesake in the anesthesiology dept. He has the same name as Dr. Jo Joon Hyeok.

It seems so.

It isn't perhaps... That Jo Joon Hyeok?!

Jo Joon Hyeok?!

No way! Wow!

How can this happen?

What is going on?

Here...

Top Team members have been revealed.

Jo Joon Hyeok?!

Yes?

Neuro surgery Nurses' Station

Yes, Nurse?

You just... called me.

You applied for Top Team?

Yes.

Why?

Huh? I don't know... Well, everyone else was doing it.

Did something get posted?

Yes. You got into the Top Team.

How strange...

Why did I get in it?

I know.

That's what I'm saying.

Strange.

Wow.

This is Song Beom Jun's echocardiography.

And over here is the aortic valve.

Usually with a normal valve, the blood does not flow backwards.

But if you see here, you can see that the blood is being regurgitated toward the heart.

I see.

Aigoo...

It's because the aortic valve function is impaired.

The symptoms are very severe. So, he needs to get surgery as soon as possible.

We already know.

That's why we're travelling to the U.S. next week.

You know about Mason Medical Center, right? The one in Boston.

I'm getting my surgery done there.

We booked the best doctor at Mason Medical Center.

Ah, is that right?

The surgery that Song Beom Jun needs is aortic value replacement surgery.

Our hospital is capable of performing this surgery.

I believe that our facility doesn't lack anything in comparison with other top hospitals.

I know.

My family is very skeptical.

My grandfather, grandmother, aunt and father

all went to a foreign country to receive their surgeries.

Also, I'm the only precious son.

Of course, you are a precious son.

In any case. Please take good care of him until he leaves.

We'll take care of the rest.

But still, your son...

Yes, aigoo...

If he's in that state...

Let's do that Madam.

Our doctors are excellent, but we should do what makes you feel comfortable.

So that he is not uncomfortable while he stays here, please pay special attention to him.

Ah, yes, of course. We must do that.

Until the patient Song Beom Jun goes to the United States, nothing must go wrong.

It's worrisome.

Vice President.

Please allow our Top Team to take charge of the surgery of patient Song Beom Jun.

I'm asking you for a favor.

Please entrust it to us.

The Top Team hasn't even been launched formally yet.

Since the team members are already selected, we can convene them immediately even tomorrow.

I would very much like to succeed in treating Song Bum Joon, whose case is a difficult challenge.

Chief Han Seung Jae.

The patient Song Beom Jun didn't come to our hospital to commemorate the Top Team's launch.

What an important patient he must be that the Vice President,

even though she knows very well our doctors' capabilities, did not stop the patient from going to America?

Please permit the Top Team to take charge.

If we succeed with the surgery,

it'll be a good opportunity to let the world know of the excellence of our Kwanghye Hospital's Top Team.

I understand Chief Han's intentions, but I don't have the confidence yet.

Although you say that the Top Team has been decided, I cannot trust their abilities yet.

I don't think that this case can be solved by your strong will only.

But isn't it true that the patient's condition is calling for a surgery urgently?

We can't convince the patient Song Beom Jun with only that reason.

Vice President.

I'm opposed to the Top Team taking charge of the patient Song Beom Jun.

Ah, really.

Chief Han Seung Jae only gets greedier by the day.

Why is someone not even that old like that?

Even the Top Team or whatever, insisting that he would form it.

He has gathered a various group of people that I haven't even heard of.

Doctor Bae seems to be the better one out of all of them..

Since he's already like that, if the Top Team were to do well later,

how high will he become on himself?

If the Top Team does well, it won't be bad for us either.

Yes?

If the Top Team does well, Chief Han, who created this team will be the most excited one.

And his voice will only get louder.

Chief Jang, since you are the person I find most reliable in this hospital,

It'll be alright for me to tell you my plans, yes?

I'm envisioning something bigger.

Top Team is another useful step in finalizing that vision.

A bigger vision? What is...

It's pertaining to The Royal Medical Center,

If you are talking about "royal", do you perhaps mean "VIP"?

Yes, that's right.

I want to establish a highly refined medical service institute

for the top 0.1% of our country.

In order for us to stay on top in a world that has come to its limits in the medical market,

we have to look towards providing a differentiated medical service.

Top Team's differentiated interdisciplinary system is the first model of it's kind.

If the Top Team can establish that stable growth,

and if there is a growth in demand for such medical services,

I will continually create the second, third Top Teams.

And those very doctors will become

the top VIPS' patients actively dedicated team.

Of course, we have to accept the serious conditions.

Composed entirely of the Top Team, Royal Medical Center.

There's still far to go.

Chief Jang will have to help me a lot.

There's no question to that, Vice President.

Royal Medical Center?

You're saying that the Top Team will treat the patient Song Beom Jun.

I think Chief Han is doing whatever he can to give Top Team a boost.

Patient Song Beom Jun is solely your patient.

If we get to do the surgery, Professor Seo ought to, not the Top Team.

Song Beom Jun's surgery is critical.

I'll talk to the patient's mother again.

If that's the case, we don't necessarily need to forcefully step in like that.

After some observation,

if you feel like they are going to snatch the patient away..

Chief, we don't have the time to just watch over the patient like that.

The patient must get the surgery right away.

I told you not to get ahead of yourself like that.

Are you like that because you don't know how important a patient that Song Beom Jun is?

Try to mess with the Se Young Group the wrong way.

Not only the hospital but Gwang Hye Groups will be scrambling for their lives.

Stay still, for now, hm?

Doctor Park Tae Jin.

Doctor Park Tae Jin, please eat.

Tomorrow morning?

Yes.

Is the Top Team convening already?

Because an urgent case came up.

The other doctors will all convene tomorrow too.

Let's talk specifics in person.

Omo, I'm sorry!

When crossing the street, make sure you check both sides.

Yes.

Then.

Is he a security guard?

Ouch, my waist.

Go do well.

It seems like Chief Han is creating a team of his people.

Yes.

But you don't think I'm going to be the only discriminated at Top Team, right?

Why?

I am in your line. I am also your nephew.

You!

Aigoo, I'm sorry. Excuse me.

You look really handsome today!

You look like an actor!

Ah, is that so?

This, ah, really.

Aiyoo, unwise.

Why don't you get off?

Why?

Because you cut me off, this elevator has more than the maximum amount of people.

Please get off.

Ok.

"Please get off."

Let's go together!

Please come. Welcome.

Hello.

Please come, Doctor Park.

Yes, Chief.

This office is the space you will use from now on.

Bravo!

Wow...

Why don't you introduce yourself each other?

You are the Medical Top Team which will be one family from today on.

Han Seung Jae / Cardiovascular Medicine : Born July 16, 1977

: Graduated first in the class at Kwanghye Univ. : The youngest Chief : Team Leader of Medical Top Team

Nice to meet you. I'm Park Tae Shin for General Surgery.

Park Tae Shin / General Surgery : Born Oct 5, 1978: Worked in Mason Medical Center, U.S.

: Specialized in General and Thoracic Surgery : Trained in Cardiovascular Medicine / Neurosurgery

Oh, so you're the one recruited externally...?

Nice to meet you!

I'm Bae Sang Gyu from Radiology.

Bae Sang Gyu / Radiology : Born in Oct 11, 1979.

: A member of Korean Society of Magnetic Resonance in Medicine (KSMRM): Chief Jang Yong Seob's nephew

I'm Jeong Hoon Min for Neurosurgery.

Jeong Hoon Min / Neurosurgery : Born Aug. 15, 1979

: Awarded for his research by The Korean Neurosurgical Society (KNS) in 2011 : Selected from other branch

I just finished the surgery.

Please introduce yourself.

Ah, yes.

I'm Jo Joon Hyeok from Anesthesiology.

Jo Joon Hyeok / Anesthesiology : Born Feb.17, 1970

: Graduated from Kwanghye Univ. in Anesthesiology : Working in a night-shift surgery team

Hello, I've met you when Ba Wi had a surgery.

Ah, yes!

Ba Wi seems recovering very well.

Hello!

I've met you last fall at the conference in Jeju...

Ah.. wait a second...

You are... well... Kang... Kang...

I'm Jeong Hoon Min.

That's right.

Yes, Ah, Doctor Jeong, yes.

First, let's have a meeting.

Already?

We have a urgent case now.

Please, have a seat.

The member for Thoracic Surgery isn't decided yet, right?

Yes, it's decided for Thoracic Surgery as well.

Is it Professor Goo Min Hwan?

Let's see the details.

The regurgitation at the aortic valve seems serious.

I see the attending physician is Professor Seo Ju Young.

That's right.

First, let me brief the details of the patient.

Song Beom Joon, 28-year-old male patient. He's admitted for severe AR (aortic regurgitation).

He also has a mitral valve regurgitation, but that's not as serious.

The coronary artery side has no issue.

Please look into the data in front of you.

Top Team is having a meeting about a patient of the Thoracic Surgery Department.

The patient's name is Song Beom Joon.

Han Seung Jae...

Yes, I received it. I'm reading it now.

So, the patient Song Beom Joon had uveitis and canker sores many times?

Uveitis -- inflamation of the uvea, a part of the eye.

[Chief Jang Yong Seob] - Doctor, I will call you later again.

Yes, Chief.

We recommended aortic valve replacement (AVR) to this patient,

but he wants to have the surgery in the U.S.

Geez, why does he have to go all the way to the U.S...?

Looking at his heart sonogram, it seems the root (of the aorta) has gotten wider.

Yes, it does.

Let me see. From the cardiac CT,

I can see the extension on the root of aorta as well as the ascending aorta.

I think that's because of AR (aortic regurgitation).

That's right.

The diameter of this patient's aortic root is 5 cm.

And thrombus (blood clot) in the left atrium is also found on the CT scan.

I'm Seo Ju Young, the attending physician of the patient Song Beom Joon.

Even if I'm not in Top Team, since this meeting concerns my patient,

I will attend it as his attending physician.

Well, let's resume the meeting.

Doctor Park, in this case, how should we proceed in surgery?

Even if the root is a bit extended, it's not fitting in the diagnostic criteria of Marfan's Syndrome,

and there is no family history of it.

and he doesn't have any medical history having syphilis either, so I think he needs AVR first.

But, does this flow have, well,

"Sinus of Valsava rupture"? (Rupture on the aortic root between aorta and the left ventricle)

Unless he has a rupture of the Sinus of Valsava, we can just perform AVR as Doctor Park said.

But, in my opinion, he has another problem.

Please look at this.

If you look into this patient's medical record,

he had canker sores [mouth sores] four times a year, so he had dermatological treatment many times

and his uveitis was severe too.

So, I think we should consider Behcet's disease. (Behcet's Disease : Rare chronic inflammatory disease)

Behcet's ? (Behcet's symptoms: recurring crops of mouth ulcers, genital ulcers, inflammation in eyes, etc.)

Yes.

No, wouldn't it be too much jump if we think Behcet's Disease caused the heart problem?

Simply only with canker sores,

we may not be able to confirm the diagnosis as Behcet's.

But, please look at this image.

Oh dear, I can see aphthous stomatitis. (A recurrent disease of the oral mucosa)

The inflammation looks very severe.

Although they didn't use steroids, it looks bad.

In the echocardiography image, I can see a mass in the left atrium, too.

Oh dear, why is a mass in the left atrium like that...?

I know, right? It looks like thrombus.

Well, I don't think it's a thrombus.

Isn't it a cardiac tumor like myxoma? (myxoma : a tumor of primitive connective tissue)

No, please see here.

You can't see the stalk of the mass but that it's moving inside of the left atrium.

It's thrombus.

You can say that, but for a thrombus issue, we can use an antithrombotic.

Even if this patient fits in the diagnostic criteria of Behcet's Disease because of canker sores,

other criteria aren't matched,

so isn't it too early to confirm the diagnosis of Behcet's Disease.?

In my opinion, I think what Professor Seo Ju Young said is correct.

If, among the signs accompanied by aphthous stomatitis,

there are erythema nodosum on the skin and uveitis,

it's possible that he has Behcet's disease even if he doesn't have genital ulcers.

I'm positive.

Wow, Professor Seo Ju Young found out a very important point.

That's right. If that's really thrombus,

cerebral infarction might occur too.

Moreover, this patient's left internal carotid artery origin is constricted as well.

If it's thromus as you said, it's highly possible that cerebral infarction might occur.

Anyway, this patient needs the surgery as soon as possible.

Right now, because of heart failure, he's having a hard time to breathe,

and this mass in the left atrium might be thrombus.

I agree.

Let's persuade the patient more.

Chief Han.

Can I talk to you for a moment?

What's the reason?

The reason why you're pushing hard for Top Team to take Song Beom Joon's case.

Do you want to promote Top Team through this case?

Or, because the patient is the son of Se Hyeong Group?

I'm sure you know well that it's both of them, Professor Seo.

I don't think this is right.

I'm against Top Team, other than Thoracic Surgery, taking my patient.

If you want to keep your patient that much, then come into the Top Team.

If you succeed the surgery for Song Beom Joon,

you will be recognized as an excellent surgeon once again.

You're aiming to become the best thoracic surgeon,

so isn't this the opportunity you can't miss, Professor Seo?

Mr. Beom Joon,

you can't waste your time like this.

You have to have a surgery as soon as possible, but where are you going?

Since you're a young man, Mr. Beom Joon, you will understand what we're saying.

Please persuade your parents, please?

Well, look at this, please.

Here is a window.

Right now, outside of this window, the cold wind is blowing hard.

This window should be closed, but it's only closed this much.

Geez, the owner of this room will freeze to death during the night.

Mr. Beom Joon, your inside is like this.

See.

This is the aortic valve, but it's closing only this much.

So, the blood comes back into the heart, and because of this, the lung function is failing,

so that's why you're having a hard to time breathing.

If this isn't closed quickly, you will have a BIG problem, Mr. Beom Joon!

I was born in 1978. How old are you, Beom Joon?

Good for you, to be older than me.

Mr. Beom Joon.

We're the doctors who came here to save your life, so you can't treat us like this.

Forget it.

Get out. You're all bothersome.

Mr. Song Beom Joon,

it's a foolish idea to go to a hospital in another country when there are many good hospitals here.

You can really have a bad consequence on your way there.

If you're worried about me that much, why don't come with me, then?

Let's run a few more tests for now.

I'll consult with Dermatology for pathergy test. (Test to confirm Behcet. A.k.a. Skin Prick Test)

I think TEE (transesophageal echocardiography) is also needed.

Mr. Beom Joon, we will need to run a few more tests, so...

What more tests? It's already tiring enough!

Please get out. GET OUT!

What's this about?

These people keep telling me to get a surgery here.

To promote their hospital by operating on me.

Please get out.

Madam. Beom Joon must get tested right now.

Madam. Please reconsider...

Get out immediately!

The patient has to get a surgery quickly. This is serious...

From what I see, rather than just saying it's a serious situation,

we should think about a decisive punch that could persuade both the patient and the guardian.

What could that be...

Chief Han. What ruckus is this?

Madam just called me and insists on getting the patient discharged.

He shouldn't be discharged now.

Of course I know that. I barely managed to persuade her.

Professor Seo. I told you to step up as an attending physician, but did I tell you to threaten the patient?

Chief, the patient has to get a surgery as soon as possible.

Having a long flight in this situation is also out of the question.

That's why they're saying they'll move up the date to go to the U.S.

I'm also pretty frustrated.

Anyhow, our HPB [heptopancreaticbiliary] Department will be in charge of Beom Joon's care,

so I want Top Team to stay out of it.

Professor Seo. Check it well.

Chairman

What did you do that even I receive a call?

I hear you threatened Se Young Group's youngest son

that he'll be in big trouble unless he gets a surgery quickly.

I didn't threaten him.

Patient Song Beom Joon is really in critical condition.

Do you know how we're being pestered because of Se Young Group?

Regarding the investment on the Jordan power plant.

Se Young is teasing us that they would do it, but not taking any action,

so we're going nuts.

I'm aware of it.

Don't add oil to the fire,

and stay quiet.

Just go and apologize politely.

Chairman.

I really want to cure him.

Now we have Top Team, and I think our hospital is capable of handling it.

You, punk, really!

If something goes wrong after letting the patient go this way, it won't be good

not only for our hospital, but for the group as well.

What?

The moment Beom Joon walked into our hospital,

we already stepped onto the rail.

If we can get to the destination safely,

to you as well, it will come around as a decent result.

It all sounds good and all,

but if something goes wrong, who's going to take responsibility?

Please trust me.

I'll make sure to succeed at this.

You can't. Don't do it!

Your brother's family will be here soon.

I'll leave now.

You didn't go home.

Why didn't you go home?

It was too late to go, and

I was also worried how Song Beom Joon was going to be in the early morning.

It's AVR (aortic valve replacement).

I did it when I was in the U.S.

I was looking at it because it was a similar case with Behcet's disease.

Dr. Park.

If you end up performing surgery on Song Beom Joon,

are you confident that you'll succeed at it?

In case something goes wrong for the patient, it will result in all kinds of problems.

Top Team may be hit even before starting properly, and...

The worse problem would be...

Losing the patient.

That's right.

I'm curious as to why you want to try it risking all that.

Song Beom Joon is suffering from complex cases,

so I thought it's a case that our Top Team could try to tackle.

The surgery success rate is low as well.

Is that all?

What do you mean?

I'm suddenly worried.

The patient is someone from Se Young Group,

and, as far as I know, this hospital is in close relationship with his family.

I'm just wondering if you're trying to treat Song Beom Joon

because of these reasons.

What is it that

you want to know?

I have no other particular thoughts.

You told me this when you first proposed to recruite me into Top Team.

That you need a doctor who only cares for patients.

I hope that thought

won't ever change.

It's a profile of Dr. Park Tae Shin who will perform a surgery on your son.

I told you he's not getting a surgery.

Your son has, in addition to aortic regurgitation,

a rare disease called Behcet's disease.

Behcet's disease is a disease for which the cause hasn't been clearly found.

When the inflammation started from the mouth and the skin deteriorates,

as it spreads to joint, digestive system and blood vessels,

it could result in serious outcome.

In this kind of cases, in addition to aortic valve replacement,

we have to perform a surgery called root replacement at the same time.

And that

is an extremely difficult surgery.

This is the surgery record of Dr. Sam Brison of Mason Medical Center in the U.S.

And this is the surgery record of Dr. Park Tae Shin.

I've gathered the cases that are same as Beom Joon's case.

Of course, Dr. Brison's number of surgery performed

is a lot higher than that of Dr. Park Tae Shin.

However, in terms of the surgery success rate,

Dr. Brison is 80%,

and Dr. Park has a successful rate of 100%.

I just received Dr. Brison's letter of opinion

by fax.

It states that if the surgery keeps getting delayed,

we can't exclude a possibility

that he may suddenly die, unexpectedly.

Now it's time for you to decide.

On which side will you place your son's fate?

I'll put everything on the line to promise this.

We will definitely make your son live.

They are performing a surgery?

Yes. The patient is in the operating room now.

Call Professor Seo. Now!

I heard that the results for Song Bum Joon's CAG.

Yes.

Let me check.

Did the chairman's wife approve of this?

Yes apparently they got her approval.

Father, this is your second daughter-in-law.

Chief Han. Is this how you're going to be?

How can you take away my department's patient like this?

The patient is in grave need of a surgery.

The patient's guardian asked that Dr. Park perform surgery on him.

You should have consulted with us if it is an urgent matter.

How can you act so dogmatically?

Father-in-law, I'll hand the phone to Chief Han Seung Jae.

It's Father-in-law.

Yes?

You punk? Are you crazy?

Are you seriously trying to

ruin our company's Jordanian project?

Cancel the surgery immediately!

Make up excuses that our hospital just can't perform surgery.

Cancel it! Immediately!

Now!

I'm sorry, I can't do that.

Chairman, please trust me.

This surgery will definitely be a success.

Chief Han!

You!

Let's start.

I'll be going now.

Sang..

Doctor Bae!

Chief Han!

What the..

Aigoo...

Doctor Park, are you ready?

Yes.

You must be successful in this surgery.

Of course. Please trust me.

Yes.

Then, I'm going in.

Wait a moment!

Professor Seo, after the surgery...

This is the CAG result.

We checked that too.

Because there is a LAD stenosis, we will also be implementing the CABG.

That's not all. Take a look.

The problem is that his subclavian artery got narrower.

Instead of the LIMA, you have to use the vein graft.

LIMA: Left internal mammary artery

Vein graft: Vein collected to transplant into the coronary arteries.

Uh, oh...

You'll have to perform the surgery on the leg and open up the chest.

Will that be possible? It looks difficult.

That's true. We would have to do a CABG right after though.

We need another surgeon.

Let's call the Thoracic Surgery department now.

No, no.

The Chief of the Thoracic Surgery department was so mad just now,

so if we ask for backup, he might have the department take over and ask Top Team to leave.

Even if that happens, we don't anything we can do. The patient is our first and foremost priority.

Let's discuss this with Chief Jang first.

You don't have to do that.

I will participate in this surgery. He is my patient after all.

Professor Seo, will you be okay?

Yes.

Fine.

Let's try it.

♫ Look at the stars, even if they can't be seen, ♫

♫ The stars surely rise at night ♫

♫ Look at the sky, even if it's dark ♫

♫ When the dawn passes, even if you don't want it ♫

♫ How brightly the morning comes, ♫

♫ Sheltered by the darkness, ♫

♫ One lone happy ray of light ♫

♫ That is you ♫

♫ Look at the way, even if you are lost, ♫

♫ How eventually the chance returns again, ♫

♫ Look at the sky, even if it's dark in front of you, ♫

♫ When the dawn passes, even if you don't want it ♫

♫ How brightly the morning comes, ♫

♫ Sheltered by the darkness, ♫

♫ One lone happy ray of light, ♫

♫ The dreaming that I've been waiting for, ♫

♫ The person who warmly ♫

♫ Embraced me, who waited alone ♫

♫ That is you~ ♫

Doctor?

Yes?

We will go over the patient's information.

Doctor Jo?

Yes.

The patient's name is Song Bum Joon

and his registration number is 37757.

He is 28 years old.

The patient has an aortic regurgitation

and a deformity in the coronary arteries.

The operation will be Bental's operation with CABG.

After Professor Seo and I remove the aortic valve,

We'll replace the aortic valve and aortic proximal.

We will perform a Coronary Artery Bypass Graft.

I will perform a vein harvest at the left leg

and work my way up towards the heart.

Is that correct, everyone?

Yes, it's correct.

We will begin.

Blade, please.

Yes.

I will start the incision.

What is this?

Why is Professor Seo there?

We needed one more surgeon because

we need to perform a vein harvest due to a narrowing of the subclavian artery.

Then you should have discussed this with me first.

Chief Jang. Let's sit down first.

Okay.

I will explain to you briefly about Mr. Song's surgery.

When he was first admitted, due to cardiac efficiency caused by an aortic regurgitation,

he was in need of an emergency operation.

No matter how urgent it was, shouldn't Song Bum Joon

be operated on by the Thoracic Surgery department?

Why does Top Team have to do this surgery?

In addition to having the serious condition like Behcet's Disease, patient Song Beom Jun

also has a problem with the ascending aorta and needed the operation with advanced technique.

We can ventilate that.

My department can do that just fine.

Furthermore, the patient has a malformation of the coronary artery

and since his tissues are not in good shape due to inflammation,

his situation is very difficult given that there is a high risk of bleeding after the operation is done.

Because he has severe cardiac insufficiency, there is a risk in injecting cardioplegia.

In case the injection of cardioplegia is impossible,

there can be serious damages to the heart.

Vein harvest: Veins that can be used to replace arteries that are diseased.

ACC.

ACC (Aortic cross clamp): surgical instrument used to clamp the aorta and separate the systemic circulation

Please inject the cardioplegia.

The cardioplegia is not injecting.

The pressure is high.

Let's increase the speed of the pump.

Yes.

The pressure is still high.

Can I get a direct infusion?

Yes.

Direct infusion: to directly infuse cardioplegia into the openings of the coronary arteries.

Blade.

What happens when the cardioplegia won't get injected?

Because the cardioplegia is not well dispersed throughout the body,

I think it's going to be bad for the heart.

It's not just bad.

The heart might stop after the surgery

because the heart can't be sealed.

How is the situation?

The injection of the cardioplegia is failing.

If the cardioplegia fails to be injected,

there can be serious damages to the heart.

Preview

What are they going to do if they move the heart upwards?

That can cause tearing in the aorta!

He won't stop bleeding. I think it's best to do what I say.

You know that the heart can stop?

Let's do it.

I got in! I got in Top Team!

Professor Seo turned out to be a really great person.

I will propose to you.

The inauguration of Top Team is going smoothly, right?

What is it that you want to say?

Let's work together at Top Team.