Original subtitles

Medical Top Team

~ Episode 1~

For next event,

there will be an inaugural address from the newly appointed Assistant Director.

This is Assistant Director Shin Hye Soo.

Nice to meet you. My name is Park Tae Shin.

Nice to meet you. I'm Lee Jeong Hoon from BA consulting.

You have a nice business card.

What should I do? I don't have anything to give you.

You're the person who doesn't need this kind of thing.

Thank you.

First of all, I would like to thank the Chairman Lee Doo Kyeong for taking out his precious time

from his busy schedule.

I can't believe it's already the 60th anniversary for our Kwanghye University Hospital.

As we celebrate this joyful and significant day like today,

in this place,

I would like to announce a new project which will bring a new innovative trend

to Kwanghye University Hospital.

Soon, our hospital is about to launch a world-level "co-petition (cooperate and compete)" medical top team

consisted of the best doctors.

Ladies and gentleman, I introduce you to "Medical Top Team".

Medical Top Team 2013 Kwanghye University Hospital Global Innovation Project

Since three years ago, our hospital

already announced a long-term project that we would pursue to become a global brand and

it is being undertaken till this day

Medical Top Team will start to become a part of our global project.

Through (Medical) Top Team, our hospital

will nurture world-class high-tech medical techniques and

we want to construct an innovative treatment process which puts you, ladies and gentleman,

at first priority

to experience the best health care.

In Medical Top Team, from each department,

the most skilled specialist will be selected.

Team members will be working toward the goal of overcoming

the below 50% success rate difficulty level surgeries and rare diseases.

For this, the hospital will actively support (the team).

Top team members will receive

the best perquisites in the country.

Please apply for the Top team.

We will serve the great doctor with skills and love.

The size of the cancer center is enormous.

The surgical hospital that you, Dr. Park, will be working on

is one of the best place in the eastern part of the United States.

Please take a look at the contract also.

Yes.

The annual salary is listed on the bottom. "the sum of $800,000 per year."

In my view, JC hospital is doing their best

to bring you to their surgical hospital.

Thank you.

As you requested it, I obtained your individual research time

to the maximum possible.

What do you think?

It's not bad.

It's not, right?

But what about the kid, Eun Ba Wee, that I told you about last time?

Ah. A kid who needs the lung transplantation?

Yes. I set as a condition to bring Ba Wee with me to receive treatment.

I was told that more time is needed to examine the situation.

That mean it's difficult to do.

That's not it.

The hospital personnel management team and the hospital's board members

as well as the Organ transplant center had multiple discussions about that.

Also, the children's hospital there was showing

very positive reactions toward your condition.

so it might be approved by the board of directors soon.

If you give a little more time, you can anticipate a positive response.

Chief Han.

Yes.

Where is your father?

He is having a meal at Chairman's room.

Is he ill?

No.

He said he just wanted to rest in a quiet place before going to work.

Aigoo. Assistant Director.

Congratulations on taking the office.

Thank you. Chief Jang.

Also, the Medical Top Team.

It's really a great item.

It seems really perfect for a high-quality health care service

in today's competitive era.

It's a really cool...

It's really a great project.

The person who first gave the idea of Top Team is

our Chief Han Seung Jae.

You're probably busy with many other things,

when did you have time to come up with this great project?

It's not. Have a conversation with each other.

Yes.

Oh my! Doctor Hong!

The conference is just around the corner, and if that's not done what are you going to do?

Just organize the raw data and send it to me by tonight. I'll call again.

Did you eat?

Yes. Chief.

When I saw you earlier, you didn't seem to eat much.

I ate.

If you're busy, you can leave first to the hospital.

That's alright. It'll be done soon anyway.

Okay.

Chief Han.

Oh. Dr. Min.

Hello... It's been a long time.

If that's okay could spare us some of your time?

Thoracic Surgery Department

Yes?

Really?

How's the vitals?

That's not it.

I told you to bring that patient's level down by -30 (mmHg) each hour.

That's right.

Yeah.

How's the rhythm?

So?

I always have to remind you guys for you to understand.

Whatever, we'll talk about those thing at the hospital.

I'll get to hospital in a little while so if there's even a minute change to my patients, notify me.

Excuse me!

Are you all right?

Hey there!

Hey. Come to your senses.

Hey. Hey. Hey.

What are you doing now?

Move.

Hey there, do you hear my voice?

Oh, just move.

Hey there.

I have to hurry and stop the arrhythmia of this person.

Do you know how dangerous it is if you do carotid massage improperly?

119 [Emergency number in South Korea]

Ah. It's not good.

Don't they have ice?

Does anybody have ice?

It's a patient with arrhythmia and she's fainted. Please come quickly.

I called 119 so stay here.

You can't move around a patient like that.

I told you I'm a doctor!

I'm also a doctor.

Then you know better.

This patient, she had a limp in the left leg and fainted.

The muscle of the left leg is thinner than the right leg,

It's a patient with MELAS Syndrome accompanied by a partial seizure. [MELAS: genetic problem]

We have to stop the arrhythmia first! [Mitochondrial encephalomyopathy, lactic acidosis, ]

Do you think someone with a limp fainting is the only factor to determine whether she has MELAS Syndrome?

Put the patient down and wait for 119 to come.

Put her down.

Move aside!

MELAS Syndrome: Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes

MELAS, a genetic disease, particularly affects the brain, nervous system and muscles.

I'm sorry. I need to save the patient.

I'm sorry. I'm sorry.

Let go. Let me go.

Ah. Seriously.

I'm a doctor.

I have to do ice massage immediately. Don't you see the patient?

She's awake! Oh. She's awake. She's awake. She's awake.

Are you coming back to your senses?

You can hear my voice, right?

Can you tell me your name?

Kim... Yoo Ri.

What's your age?

Can you tell me your address?

She's awake.

I'm sorry.

I've already made a call to Kwanghye University Hospital emergency room. They'll be getting ready for it.

Yes

Seo Ju Yeong

Thoracic Surgeon?

Ah, this is expensive and it's all wet! Geez.

Are you okay? I'm sorry about before.

You could have called the ambulance quickly and had her transported.

Of course an ambulance had to be called. But as you could see, the situation was dire.

If you recklessly handle a patient even in a critical situation, don't you know the patient can be endangered more?

Of course. But that patient has a special condition called MELAS syndrome.

If it is MELAS Syndrome, there can be an arrhythmia. Even so

When MELAS Syndrome is manifested with a seizure if you don't correct the PSVT

There can be secondary brain ischemia. That's why I was making so much fuss back there.

It's not MELAS Syndrome. It's an ordinary PSVT. [Paroxysmal supraventricular tachycardia --rapid heart beat]

Of course an ordinary doctor would diagnose it as PSVT.

But I'm a little unusual of a doctor.

Back there, that pretty lady's left leg was atrophied. Also after she fainted, she had a partial seizure.

How can you determine it's MELAS syndrome by seeing only that?

Doctor... you are still a resident, I guess?

What year? I think you need to study a little longer.

But today, doctor, you were lucky since you saw a rare case.

Go and research carefully. M-E-L-A-S MELAS syndrome. Good luck!

What if it isn't MELAS syndrome?

That's not possible.

What if it isn't?

I told you it's not possible!

Alright then. When the result comes out, call me.

I'm Park Tae Shin from Paran Clinic in Gyeonggi-do Gimpo-si Nari-dong.

The one who is wrong pays for a meal?

Well, you'll be the one to be buying it. Paying for a meal.

Top Team will be using the main building 12th Floor.

We will still need to go through several reviews, but in Top Team's medical center,

I'm going to put new high-tech facilities.

Good grief.

So how much do you want?

The doctors of Top Team will be treated the best in the nation.

They'll be free from outpatients so they can focus more on their assigned patients.

And they'll have better facilities for their personal research.

And the patients too, for the cost of standard treatment they'll get the best treatment.

Then what about me? Put all those money in to get dirt out of it?

Father, you need to see further.

It's a project that will elevate Kwanghye Group's status in the end.

You'll find out too.

I have a question.

Yes, Father.

This... Top Team thing, whose idea is it?

At first, the one who suggested the project was Chief Han Seung Jae.

After hearing about it I thought it was a great idea, so I asked to carry it forward.

I have organized the details of the Top Team plan here, Father.

About your husband...

He changed his woman again. During the last vacation, with that girl, he

went around Hawaii every nook and corner.

Did you know about it?

Geez.

Look through it when you have time, Father.

Chief Han, see me for a moment.

Yes, Chairman.

Father, I'll be going now.

Take care of him! Who is your husband and also my 2nd son.

Your husband can't act his age and rolls around places.

What's the use of having only the wife move ahead smoothly?

Yes, Father. I'll show more concern.

Father? Even Director Lee and Hye Joo's mother calls me Chairman. She's the only one always calling me 'Father.'

Some might think she's the only daughter-in-law.

How pathetic. Top Team or whatever, have you created it to give it to the dogs [someone not worth it]?

What about Seocho-dong? Doesn't she cause any trouble these days?

Mother is doing well.

I don't know why, but I get more nervous when she's quiet.

She may be scheming something big.

Take care of your share. Even if your last name is different,

everyone knows that you have my blood and gossips about it.

Even if you can't be a tiger, you should at least be a wildcat to save my face.

I'll keep it in mind.

Geez!

Chief!

Yes, Secretary?

What did the chairman say?

Same as always.

You've suffered a lot today.

It's nothing.

I sent you a few profiles for Top Team candidates. Did you see them?

Yes, thanks.

Why? Nothing again?

Find some more for me.

Since they keep getting rejected time after time, I'm not even getting the desire to look into it further now.

Please work hard.

Then, go safely Chief. (in formal speech)

Hello.

I'm back!

You're back Doctor!

It was busy without me, right?

A little. This way, Grandmother.

Ahjussi, you're here again?

Look at this... I told you to stop drinking!

I know... I really don't like you!

Let's see... Geez...

--Hello! --Yes, hello!

Grandfather your bowtie is cool!

Ahjussi! Why do you visit the hospital so often? You shouldn't come so often!

Yes, yes.

--How are you? --Hello.

Take care~

Director!

Hey, why did you come so late? We were almost dying with busy schedule today.

I was only going to meet the agent and come right away but something happened so...

Something happened? What what what thing? Did some hottie who may emerge once in 100 years appear?

How did you know? Director, you should set up a shop as a fortune teller.

When I look at it, Director, you're better there than as a doctor.

Whether you mentioned it or not, I was about to set one up. The interview, did it go well?

Of course. They were like "Please come" and begging me.

Gosh, gosh... that ego. Go and make rounds and check on patients.

Yup!

Nurse Lee.

Don't talk about it to Dr. Park for awhile, okay?

Yes.

Let's see.

You've having a temperature again.

Ms. Eun Ba Wee. Were you not able to... pst (pass gas) again, today?

You were only able to eat a teeny bit?

No wonder an expected guest (poo) doesn't come.

Do you know why you have a temperature here?

It's because your whole body is filled with poop temperature, that's why!

You laugh?!

I'm putting in an order for 2 bowls of rice, so you have to eat it all and poo the whole thing out, okay?

Yeah.

YES! (not yeah)

What's this?

That's the thing that makes your wish come true if you fold 10,000 of them.

Really?

Give me. Give me!

What kind of a child believes in superstition?

Ba Wee, if you go out to meet your mom in secret, you're going to be in serious trouble, okay?

Halmoni, Yeon, what are you up to?

Op--pa, eh, I was waiting for you.

Ppak Ddae Ya!

Ah, man. There she goes with Ppak Ddae..

My name is Park Tae Shin, Halmoni!

Ppak Ddae Ya, I'm going waaaaay yonder, to a house party.

A house party? Really?

M--m--me too, m--m--me too, I'm going, Oppa.

Halmoni, let me change this for you.

Nurse Chi, is the grandmother on her way to a convalescent hospital?

What did you say?

Ah, yes.

I guess the son was contacted.

I'm glad.

Halmoni, let's go in. Yeon, you too.

To the house party?

Yes, what is it, Min Ji?

Ah Jin, your Mamanim (putting courtly title on someone to indicate her status) is on her way.

You mean Professor Seo Ju Young? She's here already? Okay.

Gosh, I'm sorry. Professor, this is Choi Ah Jin.

How is the patient, An Jung Hee's urine output?

Yes, thank you!

I removed the chest tube of the patient, Ji Bong Ho.

How about the intensive care unit's ARDS patient? (Acute Respiratory Distress Syndrome)

Her vitals are normal and oxygen saturation is improving.

Chest? (X-ray)

Che...? Chest, shows a bit of increase on shade vs. yesterday.

Is that right? Images of yesterday and today?

Yes. Here.

I/O? (Intake/Output)

I/O is 3500/2700. I/O: amount of intake (liquid, caloric) vs. excretion.

I told you that this patient's I/O was important, didn't I?

Check on the patient's I/O on every hour and administer 5 ml of diuretic every 8 hours via IV.

Professor, you're here.

Notify me of the total I/O every 8 hours, alright?

Yes, Professor.

What about the patient, An Jung Hee?

Ah, that is, when we gave diuretics to An Jung Hee, her urine output increased a little.

I told you to run the echocardiogram first.

Uh... what it is... is that...

The thing is that when Dr. Choi Ah Jin was trying to run the echocardiogram, I said not to.

When I took a look, since having been given the diuretics, the urine output increased,

and the swelling on the leg seemed to go down as well. So...

So, you just used the diuretics and call it quits, as you saw fit?

Didn't you think about why I might have said to run an echocardiogram?

Dr. Kim Sung Woo, the reason I said to run the echocardiogram first was because,

post cardiac surgery, there can be a temporary decline of the heart function and the pericardial effusion.

Well, um...

If you don't know it well enough, you should have at least carried out my order faithfully.

I'm sorry. Then I'll look at the echocardiography results first.

Dr. Choi Ah Jin get on the echocardiogram, and Dr. Kim Sung Woo check on the ward.

Yes, ma'am.

Hey, when did you (do any of it)??

- You didn't get in trouble thanks to me. - Why you little!

Keep it up!

Hey, Kim Sung Woo!

Professor Seo!

You've worked hard holding the event today.

Not at all, sir.

Minister Oh's surgery is being prepared according to plan?

Yes, sir.

You do realize how much rests on your shoulders, Professor Seo?

Though due to Chief Han Seung Jae showed tremendous support for you,

I put you down as Minister Oh's operating surgeon,

I'm not completely without a concern. You understand what I mean?

At any rate, do your best. If you succeed well this time,

your already high riding career would climb the summit, don't you think?

And our hospital can toot our own horn loudly once more, thanks to that, eh?

I'm going to go nuts.

You got bitten (in trouble) by Professor Seo Ju Young again, didn't ya?

What's with me? I'm not like this with other professors, but something happens to get me in trouble with Professor Seo.

Since I'm yelled at all the time, even her shadow makes me scared.

Please. At some point you said you respect professor Seo the most.

That still holds true!

Ugh, it's all over. She hates me.

Aigoo, who wouldn't that feisty satan (Professor Seo) not hate?

Still!

Awwww, what shall you do?

What if it isn't MELAS syndrome, then what?

There's no way that could be. Well, let's leave it. Please contact me when the result is out.

I'm Park Tae Shin at Paran Clinic in Gimpo City, Gyeong Gi province.

The person who's wrong, say, buy a meal?

Dr. Nam Seung Yi.

Yes, Professor.

Do you remember the emergency patient? You know, the one who fainted at our hospital ceremony.

Ah, yes.

Did the results of her echocardiography and brain MRI come out?

Yes. The MELAS syndrome is suspected, (he) said.

A professor of emergency medicine said that the on spot patient care was well done as we would expect of Professor Seo .

I just started out with medical instruments on the truck, but there's traffic.

Start eating without me.

Alright. I'll buy something delicious for myself on the way.

Man, this traffic. I'm hungry.

Kwanghye University Hospital

I wonder what happened to the patient.

Thoracic surgery.

Name:Seo Joo Yeong, Title:Ass. professor, Dept:Thoracic surgery, Specialty:Heart valves & coronary artery, heart tumor.

Just how old is she? She looked young.

I heard you were looking for me?

Ah, right. We see each other again.

What is your purpose?

Ah, I was wondering how that patient at the hotel is since I was in the neighborhood.

We're conducting thorough examination on her other parts,

but her cardiac impulse is stable & condition is favorable.

I see. I'm glad.

Then, what about that thing? Wasn't it MELAS syndrome?

Huh?

Your diagnosis was correct, Doctor. It was MELAS syndrome.

I knew it!

If you'll excuse me...

You should buy!

The wrong person was to buy a meal. How's today for you?

Ah, I see. You don't have time today.

Then should I see you tomorrow? Lunch? Dinner?

Dr. Park Tae Shin.

Yes?

If you let me know your account number, I'll transfer the amount for the meal.

Please tell me.

Never mind.

Then, you won't say otherwise from hence forth?

Yes, don't worry. I won't say a thing about buying a meal.

Take care.

Man, feisty as all get out.

What does she take me for and what? Account number?

Ah, man. I'm hungry.

Scared me senseless.

You are on duty tonight, right?

Yes.

If you haven't had dinner, let's eat together.

You don't eat very much anyway. Eat it when you can.

I think it's too much.

If we can't finish everything, I will take it home. So, don't worry and help yourself.

Yes.

Your wrist...

It's hurt?

At the event this afternoon... There was an emergency patient.

I-Isn't Minister Oh Chang Hoon's surgery in 2 days?

Yes. In the morning.

He's stable but we are taking extra care with managing his blood pressure since the degree of aortic aneurysm is large.

I'm planning to do another CT scan before the surgery.

Because he hospitalized secretly right before the diplomatic conference, people around him must be worrying very much.

Because there will be a lot of setbacks if he won't be able to attend the meeting.

He will be able to fully recover until the conference.

I'm visiting him occasionally to reassure him.

Well, Professor Seo's skill... Even the minister recognizes it.

Of course, I do, too.

What about the announcement for recruiting the top team...?

It will be announced soon.

We are getting a lot of inquiries already. Ones from the thoracic surgery, too.

There are many skilled surgeons in my department.

The best surgeon in our hospital is you, Professor Seo.

Everyone must guess that you will be on the top team.

But if I actually get picked to be on the top team,

they will say that it was because of Chief Han Seung Jae again.

Don't mind those who like to talk about others.

The top team. We've planned it together from a long ago.

I know well how devoted you are to the team.

Act according to your own beliefs like you've done so far.

Yes.

What's in this?

Doctor Jo Joon Hyeok.

You're just coming to work?

I'm leaving.

It's the time for coming to work, Doctor.

After I came to work at this time 2 days ago, I was in the operation rooms until now.

Did you participate in that 12-hour surgery of the neurosurgery department?

You didn't take turns with Doctor Jang?

Doc Jang went to Daegu because his wife was giving birth.

I'm going home, so don't look for me.

Professor, eat this before you go!

Doc Jo Joon Hyeok is a workaholic.

Doc Jo Joon Hyeok's house is near hear, right? Is it close?

It's close to here. Very close.

Ah, I...I'm going to go and study.

You're not going to eat this right? I'm going to take it.

I'm going to eat it! Doc Sung Woo brought it.

No, it's okay. You can take it.

I'll bring some more next time.

Yeah, bring it again!

Okay, enjoy! Bye!

Have some.

Doc Jo Joon Hyeok.

I'm going to sleep.

Ei. Eat this and then sleep. You can sleep better when you're full.

I'll leave it here.

Ah, it looks delicious. Oh, it's hot.

Eat ramyeon. What are you looking at?

My thesis that I never finished.

If I go back, I should finish the study I've put off.

I guess you are really going to the states?

Of course I have to go.

I need to finish this, too.

The Mason, where I worked before, is also making a fuss for me to come.

Oh, geez.

You are not going to say you won't go, are you?

Then, am I supposed to continue to stay here?

How can you say that when you've used this world-renowned doctor for free for 2 years?

But I've provided you board and lodging, you kid.

You did.

I almost forgot your kindness. Thank you.

Aigoo.

Ow. This cunning fox! This, this! Ow, this, seriously.

I should protect myself.

Oh, by the way,

you...

are you not going to find your real parents?

Parents...

My dad passed away when I was in middle school.

Not the adoptive father in the states but your real parents here.

It won't be easy to come here once you go back. Wouldn't it be better to look for them now?

It's fine.

Those who abandoned me...

What good is to look for them?

It's better to let it go, coolly.

So, you are saying you are not curious at all?

NO!

Really?

I don't even have time to look for them. I have to leave next week, for real.

Aigoo, cold-hearted punk.

Fine, go ahead. Go! Go!

You've sacrificed yourself a lot since someone like you who can't stay at one place for a long time stayed this long.

Yeah, go, go! You heartless punk.

I'm not eating with you, punk! Eat by yourself. I'm going to eat alone.

I heard Doctor Choi is coming in my place.

He's closer to seniors' age that he'd communicate with them better.

I don't know. Go away!

Go away!

You're not going away? Ah...you.

Geez. In that short time!

Hey.

What is it? Did she go out?

I can feel her pulse.

Ba Wee, Eun Ba Wee! Ba Wee!

What happened? Huh?

We heard that

her mom was at some restaurant, so we went together...

It wasn't her, right? It wasn't her mom again, right?

Ah, you kid. You should've called us, not coming here yourselves.

She was okay, but as we were returning...

Even though she's breathing, her left chest is not rising.

It's tension pneumothorax.

Air is leaking from the lungs.

Let's insert a tube first. [Tension Pneumothorax: pneumothorax resulting from a wound in the chest wall

which acts as a valve that permits air to enter the pleural cavity but prevents its escape, increasing pressure]

Her breathing is too weak. Let's do intubation.

[Intubation: the insertion of a tube into the patient's airway to protect the airway from collapsing]

Cyanosis is getting worse.

Her pulse is also fast.

Due to the bulla burst from pressure, the lung is continuously leaking air. She needs a surgery.

Let's see. I wonder if Eun Hye Hospital would have an (empty) OR...

She has Bo (Bronchiolitis Obliterans) so she needs Novalung.

Eun Hye Hospital doesn't have Novalung.

Place with Novalung is...

Ah, Kwanghye University Hospital!

Hold this, please.

She's a respiratory failure patient!

Turn. Turn.

Quickly! When ready,

we'll move it on three. One, two, three! Be careful.

She has a respiratory failure accompanied by pneumothorax, and has BO gotten after bone marrow transplant.

I inserted a tube and even performed intubation, but carbon dioxide level is not getting any lower.

Are you a doctor? Which hospital are you from?

Paran Hospital in Kimpo. You must insert a Novalung® and perform a pneumothorax surgery. Right now.

Hey, Choi Ah Jin. Professor Seo is on call tonight, right?

Okay, I'll contact her.

I'll depend on you.

Yes, what happened?

Yes, Professor. We have an emergency patient. She's an 8 year old girl with a tension pneumothorax and BO.

I understand. I'll be right there.

Nothing can be done about pneumothorax, so lungs cannot be sustained.

CO2 is over 70. If we don't perform the surgery right away...

CO2 level is too high. Let's operate on her.

Call an anesthesiologist, and get an operating room ready.

Yes.

Doctor.

Please take a good care of her.

Yes.

Chief. Minister Oh Chang Won is on code blue. He has no consciousness and has no vital signs.

Code Blue: Emergency requiring cardiopulmonary resuscitation

Prepare to intubate.

Yes.

Blade.

Tube.

Take it out, please.

What happened?

He lost consciousness all of a sudden.

How about Professor Seo Ju Young?!!

She just went into the operation room.

Yes, Chief.

Minister Oh Chang Won is on code blue. I want you to perform an emergency surgery.

Is that right? Is Dr. Kim Sung Woo from our department there?

Yes, Professor.

We're going to perform surgery on the patient immediately, so get things ready.

Please hold off on that, Doctor.

Please don't start the anesthesia yet.

Here... Novalung® has to be inserted quickly, though.

Please wait.

Pro... Professor!

What is going on?

Eun Bae Wee will have to go to a different hospital.

What?

What are you saying?

How about an anesthesiologist?

Doctor Seo Min Jae just finished a surgery, so he's waiting in the operation room.

Quickly get ready.

Yes.

I won't be able to do the Novalung surgery because I have to perform an emergency surgery.

Is it because of that patient?

That patient is an emergency, but my Ba Wee is not?

That patient is in shock due to rupture of abdominal aorta.

He could die if we don't operate on him right now. I will contact another hospital for you.

No, my kid also needs surgery now. She can't go to another hospital.

Please do it immediately.

I'm sorry. We only have Professor Seo Ju Young who can do surgery now in thoracic surgery department.

The other doctor is already doing an emergency surgery.

So, are you telling me to bring out the kid who's already in the operation room?

Yes, what? Okay.

I need to start surgery quickly. Then...

I'll perform the surgery.

I'm also a surgeon.

I specialized in thoracic surgery and I was in Mason Medical Center in the U.S.

Please allow me to do it.

I can't do that. I can't have an outside doctor perform a surgery here.

Professor. The kid's blood pressure keeps dropping. What should we do?

I'll do it.

If I move her to another hospital,

we never know what's going to happen to Ba Wee.

Okay, I'm coming!

Chief.

Go into surgery. Quickly!

I can just perform the surgery quickly now. It's not a difficult surgery.

Please make a decision. Hurry!

My name is Park Tae Shin. Thanks for your assist.

I will perform the Time Out. (Time Out: a safety check performed at the beginning of every surgery)

The patient's name Eun Ba Wee. She is an 8 year old female, a pretty girl.

She is a tension pneumothroax patient with BO (Bronchiolitis obliterans). We'll start the surgery to insert Novalung®.

Is it correct?

Yes, it's correct.

I'll begin.

Kiddo... See you in awhile.

Scalpel.

Bovie.

Metzenbaum.

I'm sorry.

Hold it properly! I can't see.

Yes, Professor.

Forceps.

Retractor.

One more.

Needle.

Guidewire.

This person has had abdominal surgery in the past due to peritonitis.

In cases of abdominal re-operation, adhesions can be severe.

When exposing the artery, you have to be careful with the duodenum and the pancreas.

Without even the operating surgeon knowing, the intestines could be damaged and progress into peritonitis.

Yes.

Deaver.

Hold it.

Ah. ACC.

Towel clamp.

The adhesion was more severe than anticipated and the aorta has thinned a lot.

Very impressive, Professor.

Ah ha, the air keeps leaking out on the left side and

CO2 level keeps increasing.

Then, move the intubation to...

Should I push the intubation into the right side's bronchial tube?

Yes, please do so.

That's right. Oh, good girl.

Now the level is going down. You don't need to rush.

Thank you.

I... I... I'm sorry.

Give me Novalung.

We will start the thoracoscopic surgery now.

Little bit more downward.

Stapler.

Give me the tube, please.

Good work.

Looks good.

Your name is?

It's Choi Ah Jin.

I'm finished with my work. You'll finish up, right?

Yes.

Thank you.

You've worked hard.

Yes. You've worked hard.

Please continue monitor so the blood pressure doesn't drop.

Don't worry.

Grab it.

I did.

Professor.

Doctor Park Tae Shin!

I wanted to make my greetings.

Thanks to you, the surgery went well.

It's a relief the surgery went well.

--Have a seat. --Yes.

Eun Ba Wee's surgery is finishing well. CO2 level has improved as well.

Yes.

I was little surprised watching your perform the surgery.

For Novalung surgery, its tube is normally inserted without any incision on the skin, but

Doctor, you made an incision to insert. You were very good at finding the femoral vein, too.

When it's a child, the artery is small which makes it harder to find.

Making an incision to directly insert is faster and safer.

This way, it bleeds less when the patient is healing.

I see. You're amazing.

You were at Mason Medical Center?

Yes. I'm currently at the Paran Clinic in Gimpo.

- That clinic providing free care to those in need? - Yes

You're doing good work.

Not at all. I'm just helping out the Director a bit with his work.

I've been to Mason Medical Center. About three years ago...

Oh! Isn't the hemorrhaging getting worse?

Professor, the hemorrhaging is getting heavy.

Perform suction.

Give me ACC.

They'll need another ACC on the upper side, I think.

Professor Seo is doing that. The hemorrhaging looks a bit decreased, doesn't it?

No, I don't think that is everything.

Hemorrhage is occurring again, Professor.

Perform suction.

The aortic aneurysm is supposed to be under the coronary artery.

Show me the patient's CT again.

Porcelain aorta.

Porcelain aorta. Calcification of aorta is severe.

There isn't any aortic aneurysm on the top, but there is a lot of calcification. So during ACC, something must burst.

It's something unexpected. But Professor Seo will do good.

Professor Seo, what is it?

It's nothing!

Professor! The hemorrhaging is getting worse!

We have to go higher to get the aorta.

She seems to be going higher to get the aorta. That seems dangerous.

It's probably to avoid cardiac arrest. If she doesn't go that way, then the blood pressure might become unstable.

No, that could be more dangerous.

Since aorta circulation is sever, it can bleed again.

Left side of the chest...

After opening up the left side of the chest, the aorta below the thorax.

I'll tell her.

Professor Seo Ju Young, I see that you're trying to aorta from the top.

That won't work. Instead...

- Professor! - Professor Seo, first calm down and stop the blood.

After opening up the left side of the chest,

you have to get the aorta below the thorax.

Tacking!

Professor, because it's an aorta, it seems hemostasis is not working!

Perform SUCTION!

Give more gauze!

Professor Seo Ju Young, I will make a call to Chief Jang Yong Seob-

There is no time!

Dr. Park!

Professor Seo Ju Young, I will make a call to Professor Jang Yong Seob, so hold on for little longer.

No, I can do it! Don't contact him!

ACC!

Professor!

SUCTION properly! I can't see very well!

Get your head on straight Kim Sung Woo! We need to save the patient!

Yes.

I will provide help.

Doctor Park Tae Shin...

You have to open the left side of the patient's heart to find the aorta.

I can't do that. While the patient is lying on his back, opening the left side of the heart is impossible.

I know it's difficult, but I'll give it try.

Please leave!

Professor Seo Ju Young, there is no time for this. We need to save this patient!

Pulse is getting slower.

Seo Ju Young.

Professor Seo Joo Young!

Preview

You have to open the left side of the heart!

A heart attack could occur!

If you look around by brute force, you could lose the patient like that.

Do you know who he is? You should have been careful and even more careful

when handling the situation.

Don't be too upset.

In wanting to save the patient, we had the same mindset.

I just don't want to be involved in anything with you, Doctor Park.

I do want to apply for the Top Team.

Cancel it.

I want to make a proposition.

I want to recruit you in Top Team, Dr. Park.