All language subtitles for Medical top team E10

Medical Top Team

No, Na Yeon!

Patient Yoo Na Yeon,
- You can't.

died at 15:03 on November 2nd.

A person may have died because of you, Doctor!

I should have listened to you, Dr. Kim Sung Woo
and checked it one more time.

We are giving you one month suspension.

Am I really going to Global Research Center?

I clearly told you I was not interested in going.

Please don't say or do anything.

I know it isn't.

Whether it's true or not,
I'll resolve it.

In this way, are you planning to break
my arms and legs one by one?

Episode 10

Tae Shin.

This is your mother's address.

Go see her if you want.

Kwanghye University Hospital
Global Research Center Application

So I should think your position is the
same as Dr. Park Tae Shin?

What's going to prevent you from
moving forward in the future,

is that hesitance.

By saying one by one,

that means
you're expecting more in the future, right?

I'll do it.
- No.

You're my guest. Of course I should be serving you.

Please drink and see how it is.

It's good.

Chief Han Seung Jae

Have you decided to go to the Research Center?

Truthfully--

Chief Jang treasures you a lot.

Because he wanted to give you a good position...

Vice President,

But I'm still...

But, I don't want to lose you to elsewhere yet.

What should I do?

I'll try to operate on the Adenoid Cystic Carcinoma patient

you mentioned previously.
Adenoid Cystic Carcinoma: rare cancer that occurs in salivary gland.

No, you don't need to.

I heard that patient already started his treatment in Jeil University Medical Center.

Instead,

will you treat another patient?

T... Tae Sh...

Please eat.

Aigoo, I wonder where Dr. Park slept.

Wait a minute...

Where is Dr. Park's bag?

It's gone.

Our Sung Woo... What happened to Patient Yoo is shocking enough.

He must feel really badly with what's happened to Dr. Park as well.

Yes.

At a time like this, wouldn't it better
for him to work hard at the hospital?

He will feel more depressed being alone.

Excuse me.

What should we do?

I think Dr. Park has left.

Left? To where?

I don't know.

There was a suitcase and it has disappeared.

He's not answering his phone.

President Hwang Cheol Gu hasn't heard from him either.

Do you think Dr. Park left because
he was furious over the suspension?

He wouldn't do that.

He isn't answering the phone, right?

Yes.

He's not answering, right?

Let's start the meeting.

Dr. Park probably left the hospital briefly
in order to get his thoughts in order.

Let's have faith in him and wait.

Let's start the meeting.

Here.

This is the patient that was referred from Obstetrics & Gynecology.

Are you Jung Soo Yeon?

Jung Soo Yeon. A 29-year-old female patient.

She came to the OB/GYN 6 months ago to get help
with her amenorrhea (missed periods),

diagnosed with central Cushing's disease.

Dr. Choi Ah Jin.

Choi Ah Jin!

Yes. Professor.

What is Cushing's Disease?

Uh...

Cushing's Disease is different from
Cushing Syndrome in that,

due to the excessive release of hormones called glucocorticoids

caused by internal factors,

fat is built up in the face, neck, and the abdomen,

which leads to conditions such as
debility, high blood pressure,

and depression.

You did well.

But on the MRI,

I don't see any pituitary adenoma.

That is what's particular. In cases of Cushing's Disease,

a tumor is generally seen in the pituitary gland, but...

In this patient's case, the tumor isn't visible.

Just a moment. This ACTH is something
that comes from the pituitary gland.

If it wasn't captured on the MRI image,

then has the tumor formed elsewhere?

For now, I'll meet with and examine the patient.

Please do that then. Next patient.

I'll tell everyone.

Yes, thank you.

Huh Dong Min. 48 years old.

He's a patient who had come in to the pulmonology clinic
due to coughing and difficulty of breathing.

He suffered from tuberculosis pleurisy before,
so his left lung became small, and

now a tumor was found in the lower left part
of the bronchus.

Mediastinal lymph node has been enlarged,

but it doesn't appear to be a metastasis.

Radiological finding is

a 1st stage lung cancer.

But according to the records, this patient
came to the hospital in March.

He wasn't treated since then?

No. Because it was difficult financially,
they gave up on getting the surgery.

Professor Seo, how did you learn about this patient?

Patients who, after being diagnosed
with cancer at our hospital,

didn't get treatment...
It was when I was going through them,

that I learned about him then.

What happened to going to the Research Center?

I have given some thought.

Because, the way it looks, I think I will have to step in.

I understand well your desire not to use my power.

It turned out that I won't be going to the Research Center.

How?

I went to see the Vice President.

Did you really have to do that?

Without even consulting me?

I didn't consider it a problem to discuss with you.

Since it was my business.

Your... business.

Always that bastard of "your business."

It's been resolved.

Don't concern yourself with it.

Choi Ah Jin.

Why are you like that? As if the world has come to an end.

Being all droopy.

There will be something, for sure.

Patient Yoo Na Yeon was fasting.

She had a seizure while receiving plenty of antibiotics,
and it progressed to septicemia.

It's not Doctor Park's fault.

I will do whatever to reveal the truth
and have Doctor Park return.

Though if he says he doesn't like that, we can't do much.

So work with your eyes open wide and your back straight.

Yes, Professor. I'll come back to my senses!

Ah right. If you don't have anything special to do,
change and come to the parking lot.

Yes?

Working outside.

You're saying not to send Professor Seo
to the Research Center?

Right. Come to think of it,
Top Team is an independent organization.

I realized that you getting involved in the personnel matters

is inappropriate.

Well, as for that, Professor Seo wants it herself, and...

You said you were okay with it.
That's why I recommended her.

To the director of that research center,

I have already explained the situation.

She's already being treated well
as a member of Top Team,

so the good opportunity to be dispatched
to the research center

will be given to someone else.

Ah, yes.

Seo Ju Young is impressive!

What did she go say to the Vice President that

the decision has been overturned?

We don't know.

The Vice President must have judged that it would be better

to run with Seo Ju Young instead of with Jang Yong Seob.

Then, Chief, is the Vice President

turning her back on you now?

Who knows.

Whether she turns her back on me or not,
I just need to keep going on the road I have to take.

Why?

Are you worried that I will be a wall that falls?

Oh, that's not likely to happen.

You're Chief Jang! Yong! Seob!

Really?

If you don't have the faith, switch and get
on the different line now at the least.

What are you saying!

I'm really hurt, Chief!

Uncle-- Oh, my.

Professor Seong was here too.

Learn to knock! Knock!

But why can't we get through
Seo Ju Young on her phone like this!

Well, she seemed to have gone out somewhere.

How long will Dr. Kim Sung Woo be on out on leave?

Originally, he was going to come out today
but he said he really couldn't.

It's a mess.

I will talk to him again.

Depression grows on depression.
It's the same for sadness.

The person who will give him a slap and have him come to his senses before he drains himself in them,

there's no one but a friend who can.

Yes.

Thank you.

We told you everything by phone.

We didn't know you'd come visit us like this.

By just looking at the film from spring
when you came to our hospital for help,

There's already much developed stenosis
in the bronchi, so...

I came to visit like this because I thought
it would be good to get treatment quickly.

We told you on the phone.

We've resigned ourselves.

We're just going to exercise.

And try a dietary treatment to stay well.

Excuse me.

If it's because of the cost of treatment,
I don't think you will need to worry.

Patients who receive treatment from our interdisciplinary team

get a considerable portion of
the cost of their treatment exempted.

Yes, we heard.

But my husband...

No matter how special an interdisciplinary team you may be,

do you go finding patients like this?

We are not forcing treatment.

Only, the disease that you have

is one that I feel confident about operating on.

And I'm worried about how far
the disease might have progressed too.

If you have a system with such a great support for medical expenses...

Help someone who's having
an even more difficult time than I am.

Since I'm not dying right away.

Honey.

Then, then try to come to the hospital
to receive an exam at the least.

It seems your lung function has deteriorated even more,

so I'm worried.

Professor.

I really respect you.

You're strict on us,

but you're always so devoted when it comes to patients.

Don't respect me.

I feel burdened.

Don't be deceived by me, either. Get in.

According to the record here,

it states the drainage shows a bile color.

Who recorded this?

It was me.

Dr. Park will be given

one month suspension.

Even turning my head away, your face is there. You are a torment.

♫ A hand span which doesn't reach this heart is an insufficient desire. ♫

♫ Even saying anything fills my heart and
when I catch my breath, tears flow.♫

The way I see it, the biliary ducts were damaged during liver excision surgery.

Dr. Park wasn't quite able to discover it.

Please give our team an opportunity to provide evidence.

♫ Can you feel me? ♫

Are you still making guarantees?

When a person has died...

When someone may have died because of you,

and you can still say those things?

♫ Silencing myself is torment. ♫

♫ Do you hear the tears?♫

So then,

I've been gaining weight because of the tumor?

Yes, that is correct.

The bigger problem is

that it's unclear if the tumor is

on the right or the left side.

Also, depending on the treatment, another difficulty is

that you might have fertility issues.

What?!

I'm getting married next month.

Then what do I do?

That's the most, probably, unlikely situation.

The thing is...

Please have hope. If the surgery goes well...

If it doesn't go well, then?!

(Mouthing: I ought to just...)

Please don't cry.

That's your problem, Doctor Jeong.

Why do you say things so seriously and scare the patient?

I was just trying to precisely explain all possibilities.

Even so, you should do it gently! Gently!

In top of it, your face doesn't look nice.

Right side, left side...

Ah, Nurse Yeo, are you going somewhere?

Hello. I'm on my way to the other ward.

Dr. Jeong, are you worried about something?

Nurse Yeo, do I really look scary?

When I, first, see you, but

when you smile, you look really nice.

Have you perhaps had nightmares?

Sporadically, I do have nightmares, yes.

But I was able to sleep a lot yesterday.

It's an honor to receive such a treatment from the Chief.

The honor is mine.

Since I'm able to care for you like this, Department Head.

No. Not at all.

It still doesn't seem real to me.

People from work are visiting me om big bunches
not knowing how to act.

And even the Chairman calls morning and night [checking up on me].

Apparently, before the accident I was an important
person afer all.

That's more of a reason for you to recover quickly.

It seemed that whenever you encounter the Vice President, it jogged your memory in some way.

How is it now?

Let's see... Well, not at all.

I think I must have been a very complicated person.

I may miss this moment when my memory returns.

W

Did you find out?

Department Head Kim Tae Hyeong was
that precious to the chairman?

Then, he wouldn't be pushed out of that position for now.

I understand.

He's in with a patient at the moment.

I'm not certain whether he'd come in or not.

Ruthless Demolition! Where Could Domyung Citizens go?
By Citizen Representative Huh Dong Min

I said let's go to the hospital to get operated!

I have so much do do. I don't have time to rest.

Honey!

I don't want to let you die.

I want you to live.

Come in!

Did you ask for me?

Come in.

I see that you're politically quite savvy.

You made the Vice President act on your behalf?

Wow, you're amazing.

I only went to see her on personal issue.

Aha! Is that when the Vice President said, "oh, you poor thing"

and listened to your request right away?

This is why, man, I just can't look kindly on you, Professor Seo.

Because you never want to have the losing hand even a little bit.

I got it.

As of this incident, you'll completely be removed from my
"favored junior doctors" list.

You know, right?

What is that expression?

I'm just curious whether I was on your list to begin with.

I'm off then.

Didn't Dr. Kim Sung Woo come in yet?

Yes. He didn't answer his phone so I left him a message.

I asked Dr. Kim Seong Woo to run an anaerobic bacteria culture test on Patient Yun Na Yeon,

can we see the result?

Here it is.

Is there something?

No, the germ hasn't quite multiplied yet so it's hard to confirm.

Chief, I think I may know the underlying reason for the death of Patient Yoo Na Yeon.

Are you saying that you can prove the cause of death

wasn't septicemia due to peritonitis?

Yes, if it was Clostridium tetani infection, then it's possible.

Clostridium tetani: germ responsible for causing tetanus.

A tetanus?

Yes. If it was a tetanus infection then it's possible.

I heard she got a tetanus shot when she was admitted to the ER.

She did.

But, they aren't always effective.

If the rebar (or steel rod) Ms. Yun Na Yeon was poked by
had a large amount of germs,

then she could have died within a day with tetanus/lockjaw.

I don't know...

I think it'll be insufficient [to prove someone innocent]
with that kind of speculation.

She also had spasm.

She could have the spasm due to tetanus.

Of course, that supposition is possible.

However, it's still not enough to present a precise proof.

We do have a last card.

Using the patient's cell, we're checking on the anaerobic culture.

Specifically using the cell around the rebar
we removed during the surgery.

When the anaerobic culture test result comes out

we will be able to prove that the tetanus was the cause of death.

If it doesn't come out [that way]?

We should hope that it would.

Have you been unable to contact Dr. Park still?

Yes.

Kim Sung Woo

Doctor, I'm sorry.

I feel that you're in this situation because of me,

I feel very troubled.

I'm sorry, Doctor.

I'm sorry.

Dr. Kim Sung Woo, don't be troubled.

It's not your fault.

I'll return after clearing my head.
Don't worry about me and

smile.

Oh, but this is really too much...

Dr. Sung Woo is still not answering?

Yeah.

What should we do? I'm getting worried.

Kim Sung Woo, you jerk. This won't do.

Hey, Kim Sung Woo! I'm coming in!

Hey, Choi Ah Jin, you...

Mom! How can you give her the key?

Put your clothes on!

Go, I want to be alone.

Look at this one.

Hey! Aren't putting them on?!

What are you doing?!

Please enjoy!

Thank you.

Wow, it looks yummy. I heard
you've been starving yourself.

Eat first.

Choi Ah Jin. Are you making fun of someone?

I'm leaving.

Hey, Kim Sung Woo.

You're really disappointing me.

During our residency,

have we only seen one or two patients die?

Fine.

Patient Yoo Na Yeon was special to you.

But the other patients we were responsible for,

they were all special to us.

Since they were our patients.

When we'd lost a patient,

being heartsick and drinking a huge quantity of alcohol,

was it only once or twice.

If you get shaken like this,

what am I supposed to do?

Dr. Park has disappeared.

I'm having a hard time, too.

If you're like this, what am I supposed to do?

I feel like it's all my fault.

I can't raise my head and go to the hospital.

Because it's all my fault.

All of it.

Dummy!

It's not your fault.

It's not Dr. Park's mistake either.

Professor Seo is working hard

to reveal that it's not Dr. Park's fault.

And about Na Yeon...

What can you do except to endure it?

You have to endure it.

To Na Yeon,

ultimately I was not able to

tell her I was sorry.

I was going to say it to her when she was better.

That I was sorry.

That I didn't acknowledge her feeling then.

That I was sorry.

Don't cry.

Hello, Nurse Yoo!

Good morning, Nurse Yeo.

Didn't you eat breakfast?

Work hard.

What are you doing?

For your breakfast, since you don't
eat very well while staying here.

There's no soup.

Kim Tae Hyeong, I think tomorrow we'll have to discuss with his family and do a PET Scan.

You want to do Brain Mapping?

Yes. PET (Positron Emission Tomography: Test that can discover/visualize minute changes of biologic function

using state-of-the-art imaging)
I was thinking of that too. If we do the Brain Mapping, we could find a clue.

Excuse me... I'm here.

Dr. Kim Sung Woo! Hey!

Hey! Where have you been?

I'm sorry.

I was worried!

Hey, Sung Woo is here! Hey, you little punk...

Hey, you punk! Your face has shrunk in half.

It's good you came.

Are you alright?

Yes. I'm sorry.

What's happened?

He collapsed suddenly while trying to go the bathroom.

Ok, if I say three we're going to lift and move him to the bed.

One, two, three!

Give me the pillow.

Yes.

Mr. Kim Tae Hyeong, open your eyes.

Mr. Kim Tae Hyeong, open your eyes.
Mr. Kim Tae Hyeong!

Give him oxygen and put in an (IV) line.

Yes, Professor!

Give me an EKG quickly here!

Yes, I understand.

It seems like a vasovagal syncope.
It probably is temporary and caused by pain.

EKG! (vasovagal syncope: Due to rapidly lowered blood pressure there is decrease in cerebral blood flow,

leading to cognitive impairment, loss of consciousness)
He's regaining consciousness.

His blood pressure and pulse, they're all ok.

Just a moment...

There are no signs of localized paralysis either.

Mr. Kim Tae Hyeong.

Do you feel like you've come back to your senses?

Do you know where you are?

Honey?

I told you gray doesn't suit you.

My husband... His memories are back.

Are you certain that his memories are back?

Yes, after he woke up from a vasovagal syncop,

he's apparently showing signs of recovered memory.

Restricted area

Is the Dept Head alright?

Yes. Although the electrocardiogram shows bradycardia,

there's no arrhythmia.
His blood pressure and everything else are normal.

Dept Head, I heard you've recovered your memories.

Do you remember us?

I am afraid he might have lost the memories while he had amnesia.

Well, I'm not sure.

Can you recognize me?

Of course.

You are Chief Han Seung Jae.

You spoke about me favorably to the company as well.

Honey...

You remember me, right?

Yes, Vice President.

Oh, you remember her.

I think he's completely recovered.

What about that then?

When you met the Vice President for the first time,

you said "Sydney"...

Sydney?

Well...

I'm not sure.

Oh dear...

I guess you haven't gained your complete memories yet.

I think we should do regular neurological examinations even after he's discharged from our hospital.

Yes, we should.

Thanks for everything.

Congratulations on being discharged, Dept Head.

Stay healthy.

Yes, I will. Thank you.

I appreciate your consideration.

Don't mention it.

I would like it if I could be of help to Chief Han in the future.

Father-in-law must be happy since the Department Head has fully recovered.

I guess something good will happen

to you Chief Han, too?

Well, I don't know.

So it is possible a tumor can be this invisible in the pictures.

It will be hard to do surgery,

since we have to distinguish tumors from the pituitary gland.

Well... (Excuse me)

Madam!

You are here.

He's been not able to sleep due to coughing.

He also coughs up bloody phlegm.

His breathing sound is not right while he's asleep, right?

Yes, he's wheezing.

Let me examine you with my stethoscope.

Please hold this up for me.

Inhale deeply.

Okay... Exhale please.

Okay. Inhale deeply.

It's not asthma.

Due to the tumor,

I hear some noises from your left lung.

You run out of breath when you walk quickly or walk up the stairs, don't you?

Yes, a little.

What do you mean a little?

You get so short of breath.

Doctor. You don't need to do a surgery on me.

Just give me some medicine.

I just... Since you personally came to see me...

That's why I came.

Let's get some examinations first and
talk about treatments later.

The patient's respiratory muscles are weak and his pulmonary function isn't good as well.

If we do the surgery,

he will feel short of breath even more.

The tumor here is blocking the bronchi in the left lower lobe.

The pulmonary function seems abnormal because this tumor is preventing ventilation.

Lung cancer is not the only problem.

If you look here, pleura calcification is so severe. It will be tough to remove the plaques.

[Pleura Calcification: necrosis of the thoracic membranes]
The surgery is impossible.

But if he only gets radiation treatments,

he might get tracheobronchial stenosis or pneumonia.

We should do the surgery before obstructive pneumonia comes.

Seo Ju Young.

What is it?

The reason why you're insisting upon the patient Heo Dong Min's surgery.

It's weird.

Among the patients who had visited our hospital but ended up giving up on treatment,

there are countless of people who need an immediate surgery if you think about it.

But why this particular patient?

Does it seem to you that there's some particular reason why I want to do this patient's surgery?

I hope there isn't one.

I don't know what to tell you.

I'm okay

so don't worry.

I'm not worrying you.

The truth will be revealed.

Yes.

We're going to move the patient.
Now one, two, three!

Be careful.

Ah Jin. This person's breathing is 30 and temperature is 39.

What happened?

He suddenly collapsed while working at the shop.

He was coughing a lot and suddenly...

Let's give the patient Tazocin and levofloxacin,
and get a CT scan and chest X-ray taken.

Okay.

Now he has a obstructive pneumonia in the left lower lobe.

He got an abscess over there as well.

Should I insert a chest tube for drainage?

No. The stenosis has gotten severe, so
if the tube is inserted wrong, it could puncture the lung.

I think compartmentation has worsened as well.

Let's do the surgery. Right now.

Contact the department of anesthesia and arrange the operating room.

Okay, Professor.

The number you have dialed..

Professor.

Oh, Doctor Nam.

Do you perhaps know where Chief Han is?

Chief Han went to an out of town meeting.

Really?

It's all prepared.

Okay.

Hold it.

Aigoo. The lung is really in tatters.

aren't they?

Yes, Doctor Nam.

What did you say?

Because the infection is too severe,

the tissues are all weak.

Professor, wouldn't it be difficult

to continue to with the surgery at this rate?

No.

Since we've performed the pleurodesis we've come halfway already.

Please give me the right angle.

Yes.

Excuse me, Professor, but Chief Han is here.

Choi Ah Jin,

focus on the surgery.

Yes. Professor.

Lift it.
Yes.

Did you really have to do it when the pneumonia was severe?

I told you already that abscess and pyothorax
were already developing.

It would have been fine if you put in a chest tube.

In this situation if we had put in a chest tube, the lungs would have been punctured.

How do you know when you didn't even try it?!

Chief Han! I'm a thoracic surgeon!

I've put in a few thousand chest tubes.

This patient was different. I had no choice,
but to perform the surgery!

Is that really your only reason?

Yes.

Yeah?

Professor the results have come out.

I understand.

Professor, how are the test results?

It's Clostridium Tetani. (Clostridium Tetani: Tetanus organism)

Clostridium Tetani: Tetanus organism that causes Tetany

Can we show it wasn't Dr. Park's fault with this?

Yes, it's just matches the clinical presentation.

If it was bile duct injury, there would have been other organisms that grew,

but the culture test result showed no other bacteria.

Then the patient that passed away was not
from a surgical mistake.

Tetanus is correct right?

Yes. If the Tetanus occurs quickly,

it's said that the mortality is 80%.

Report of Bacterial Culture Analysis Results

According to the culture analysis results,

it is true that it wasn't death caused by
a bile duct injury during the surgery,

but rather, death caused by tetanus.

yes,

Since it's been proven that it's not due to
Dr. Park Tae Shin's negligence,

Please lift the suspension.

And the Mason Hospital that you mentioned,

it's the record of the 2nd trial related to the incident.

Dr. Park Tae Shin, through an attorney,

will formally reply.

If you look at this record you will realize that the The Maison Hospital's Advisory Professor,

he made it as if his own accidental medical mistake was
made by Dr. Park Tae Shin,

and you can see that he was falsely charged.

Of course, that advisory professor after one year,

had his physician rights suspended.

Dr. Park Tae Shin,

I'll bring him back.

It's Seo Ju Young.

I've been calling since this morning.
Why don't you answer?

I'm free today after 3PM.

I don't know where you are, but do you want to meet me at HaNe Park?

Vice President.

The chairman has sent

a management consultant to our hospital.

He didn't say anything about that.

It was a sudden decision, so

we're stunned as well.

The director is coming.

Director!

We meet again.

Following the Chairman's direction, I've come to Kwanghye University Hospital.

I'm Director Kim Tae Hyeong.

Please take good care of me.