Original subtitles

(Thank You, Doctor)

(Adapted from Sheng Li's novel "ICU 48 Hours")

(Episode 22)

Pursuing girls...

is a skill.

At the end of the day,

there's only one core skill.

It's not sincerity, but intention.

I have it.

You're more like crazy.

What I mean by intention...

is to cater to her interests.

I want to eat something outside,

but my hands are dirty.

That's more like it.

Give her what she wants.

Find out what she's truly looking for.

Tang Hua's true needs?

Let's put it this way.

If she doesn't know much about the world,

then show her everything there is to know.

If her heart is weary,

then take her on the merry-go-round.

Although Tang Hua is still young,

she feels as if...

she has seen through all men.

I guess you could say that she's jaded.

Take her on a merry-go-round?

Smart.

Take her on a merry-go-round?

Merry-go-round.

Tang Hua.

Chen Zhi, isn't this Dr. Xu's car?

Hurry up and get in. There's a patient!

A patient?

We're not heading to the hospital.

Where are we going?

The patient isn't in the hospital.

He's outside.

Dr. Bai wants us to come right away.

Outside? Was it an accident?

I'm not sure.

We'll know when we get there.

Did you call an ambulance?

Yes.

Chen Zhi.

Where's the patient?

There aren't any.

No one got injured either.

There aren't any patients?

I want to take you...

for a ride on the merry-go-round.

"If she doesn't know much about the world,"

"then show her everything there is to know."

"If her heart is weary,"

"then take her on the merry-go-round."

Tang Hua.

Ride the merry-go-round with me and you'll know.

I think...

you should see a psychiatrist.

Tang Hua.

You really took her to ride the merry-go-round?

Didn't you tell me to?

"If her heart is weary,"

"then take her on the merry-go-round."

Don't you get it? That was a metaphor.

"If her heart is weary,"

"then take her on the merry-go-round."

It means to let the exhausted her...

to feel pure goodness.

Attack the most fragile part of her heart.

That's how you win her heart.

I'm not telling you to take her on a real merry-go-round.

You didn't tell me it was a metaphor.

How would I know?

It's a talent when it comes to pleasing women.

If you don't have it, you'll have to learn.

But I'm afraid it'll be hard.

You...

should just stay single.

Don't go, okay?

Let's not talk about that today.

Honey.

The resort we're going to today...

is a five-star one.

It's really fun.

Many celebrities bring their families there.

Let's not think about anything for a few days...

and just have fun.

Honey, actually, I...

Honey.

Honey, what's wrong?

Honey!

Make way!

- Doctor, please save him. - Make way!

- What's the patient's condition? - The patient is 36 years old.

Unconscious from high-speed collision.

Blood pressure, 110 over 70.

Heart rate, 96. Blood oxygen, 70.

Steady.

ER, bed one.

Doctor, you must save him.

Family, please wait outside.

- Save him. - We need to intubate.

Two milligrams of propofol.

Stethoscope.

Give him a chest and abdomen ultrasound.

Abdomen looks good.

Chest looks fine.

Take him for a CT scan.

Okay.

Doctor, how is my husband?

The scan results show...

that his spine, abdomen and chest...

are all good.

But the CT scan showed...

that he has intraparenchymal hemorrhage.

What does that mean?

Is that blood in his brain?

Yes, it's a type of brain hemorrhage.

And in this case,

we can't treat it with surgery.

We need to monitor him in the EICU for a while.

If the bleeding can be controlled...

and his blood pressure is lowered,

there's a chance he'll wake up.

Doctor.

Please save my husband.

You must save my husband.

Don't worry, we'll do our best.

I'll treat your wound now.

It's all my fault.

It's me.

I shouldn't have fought with you.

If I hadn't argued with you,

I wouldn't have gotten dizzy with anger.

Did you say...

when the patient had the car accident,

he felt dizzy?

Yes.

My husband was driving...

and fainted for a moment.

Were you in the car with him?

Do you feel any discomfort right now?

I'm fine.

I just get dizzy from time to time.

You get dizzy sometimes too?

A little.

Dizziness can be caused by a brain disease.

So I suggest you should also get a CT scan...

to get it checked out.

Maybe I didn't sleep well last night.

Doctor, I'm fine. I don't need to do it.

I only want to stay by my husband's side.

Can you let me stay?

Okay. Then...

if you have any discomfort,

please let us know.

Okay.

Thank you, doctor.

Dr. Xiao, the patient's family fainted!

Doctor.

What's wrong with me?

Is there something in my head?

We did a head CT scan.

But we didn't find anything abnormal.

Then what's the reason?

The other results aren't out yet,

so we can't be sure.

I'm usually very healthy.

There shouldn't be a big problem.

I want to see my husband now.

- I... - You can't get up now.

It's okay. I...

Are you sure?

You fell unconscious and your heart stopped.

If Dr. Xiao didn't give you CPR,

I'm afraid you won't be able to see your husband.

Didn't I just faint?

Your condition isn't looking good.

Your limbs and muscles are weak...

and you have a slow and irregular heart rate.

That serious?

Of course.

At any time,

you could get cardiac arrest and respiratory arrest.

You have to listen to us.

The test results are out.

Blood potassium, 2.8.

Hypokalemia?

That explains the arrhythmia.

What is hypokalemia?

Is it serious?

Low blood potassium levels can cause arrhythmia...

and even death from cardiac arrest.

Your blood potassium right now...

is only 2.8.

You could go into cardiac arrest at any moment.

But...

I've always been fine.

Why the sudden low potassium?

A lot of diseases can cause hypokalemia.

We can't confirm anything now.

We'll run a series of tests...

to know.

Doctor, I'm counting on you.

And my husband.

Please help him wake up.

Don't worry, we'll do our best.

Thank you.

- Thank you. - Get some rest.

Let's do a renal puncture to supply potassium...

and give her antiarrhythmic agents.

Ms. Jiang.

Keep a close eye on her potassium level and vitals.

Okay. We've adjusted...

the range of her vitals for monitoring.

How's the patient?

Hypokalemia. But she's stable now.

Hypokalemia? That's pretty serious.

We have to keep an eye on her.

Ms. Jiang, you should get some rest too.

Okay, thank you.

I'll let you get back to work.

Lu Yan's potassium level is rising.

But it's still low.

There's no apparent treatment effect.

What about the heart?

No cardiac arrest.

But the heart rate has been irregular.

Endocrine, normal.

Urine test, normal.

Kidney function, normal.

Everything is normal.

But why am I not getting better?

Your symptoms...

are caused by hypokalemia.

We need to run more tests.

But it's been so long.

Why can't we find the cause?

Don't worry.

The cause of some illnesses can be complicated.

Once we've figure it out and identified the cause,

we'll treat you accordingly...

and you'll recover in no time.

Dr. Xiao.

How's my husband?

The intracranial hemorrhage has stopped.

His condition is improving.

That's good.

Thank you, doctor.

Get some rest.

We need to find the cause as soon as possible.

If this drags on for too long,

she'll still be in danger of cardiac arrest.

What exactly is the cause?

Dr. Xiao, something's wrong with the patient.

200 joules.

200 joules, confirmed.

She's back.

I can't find anything here.

There are no clues.

Me neither.

Xiao Yan.

The liver cancer patient in bed five is vomiting again.

The head nurse wants you to check on him.

Let's go. We'll continue when we get back.

They're so busy...

while we're so free.

Right.

Just now,

Dr. Xiao was busy checking on something.

I wonder what it is.

You want to know what Dr. Xiao is busy with?

I won't tell you.

Fine.

Keep it to yourself.

She's stumped by a hypokalemia patient.

Hypokalemia?

You're Lu Yan?

I'm Dr. Xiao's colleague, Bai Zhu.

Hello, Dr. Bai.

I read your chart.

You have an unknown low potassium level.

It's very serious.

Dr. Xiao hasn't found the cause.

What do you and your husband do for a living?

Do you come in contact with chemicals on a regular basis?

Dr. Bai.

Do you remember...

we treated a patient with myocarditis...

caused by acute cadmium poisoning?

Yes.

He worked in a small battery factory.

and breathed cadmium vapor into his lungs.

That's right.

Wu Wei is an oil worker.

I was just talking to his wife.

He has long worked in a Chinese-owned oilfield in Africa.

He's back this time to visit his family.

So you think it's also some kind of chemical poisoning?

It's very possible.

I had a patient like this before.

He worked at the gas station...

and had long-term exposure to leaded gasoline.

Maybe he accidentally...

brought home chemicals one time.

In the end, he and his wife...

passed out from lead poisoning.

You can check the files.

See if there are any same cases as theirs.

Okay. Thank you, Dr. Bai.

Okay, thank you.

How did it go?

I've consulted with experts in petrochemicals...

and Dr. Sun of the First Hospital.

They all think the patient's hypokalemia...

has nothing to do with gasoline or lead poisoning.

So it's not caused by working in the oil field.

Someone wants to be a hero...

Where are you going?

Dad, I'm hungry.

I want to find something to eat.

You're hungry right after dinner.

I'm at a critical stage in my growth right now.

Of course, I get hungry easily.

Sure.

My little master,

I'll make noodles for you.

And you...

just sit here and wait for me.

By the way, Dad.

I have no school tomorrow.

Can you take me to your hospital?

What's wrong?

Are you unwell?

Why don't we go now?

Dad, don't worry.

I'm fine.

My teacher gave us an assignment...

to write an essay titled "My Father."

I want to observe you.

You scared me.

Haven't you observed enough at home?

I'm trying to write down...

your brilliant image when treating patients.

This is called looking beyond the phenomenon.

How can I write a good essay if I don't see it for myself?

Who taught you all this nonsense?

Who else? Xu Yi Ran.

Xu Yi Ran again?

Dad, hurry up.

I'm starving.

I just got here. Hold on.

I'll be done soon.

When Xiao Yan went to that small factory to investigate,

you went with her, didn't you?

What? Were you afraid something would happen to her?

Tell me the truth.

Have you fallen for her?

Hello, Dr. Xiao.

Are you free during lunch tomorrow?

Dad.

Did you forget you're taking me to the hospital tomorrow?

You're choosing a woman over your child?

Have you forgotten?

What are you talking about?

Eat your food.

Don't make bad word choices like Xu Yi Ran.

Eat your meal.

Are we really going to Lu Yan's house?

Did you get her permission?

I didn't steal this.

It's so that we can find the cause as soon as possible.

I gave it a thought after you called me.

If she was poisoned by a chemical...

that she wasn't exposed to at work,

then it's most likely her diet.

Look at this.

Look.

Sure enough, there is a small amount of barium nitrate in the bun.

Barium poisoning.

In barium poisoning,

cell membrane permeability is increased.

A large amount of potassium ions enter the cells,

resulting in a decrease in serum potassium...

and hypokalemia.

Got it.

I'll run tests with the lab.

Your test results are back.

Barium ions in your blood...

are way off the scale.

We now have a definite diagnosis.

It's hypokalemia caused by barium poisoning.

Barium? What is that?

Barium is a metal element.

It's not poisonous on its own.

But its compound is called barium nitrate.

If ingested by mistake,

It'll react with the stomach acid...

and form toxic barium chloride...

and cause hypokalemia.

We found barium nitrate in the bun...

with a bite taken.

But my husband and I...

made the bun ourselves.

How could there be barium nitrate?

That, we don't know.

Dr. Xiao.

Can barium poisoning be treated?

You don't have to worry about that.

You'll recover soon.

Thank you.

Dr. Bai.

If it weren't for you,

I wouldn't have been able to find out the real cause.

I want to thank you.

As usual.

Where did barium nitrate in the bun come from?

Was it unintentionally mixed or did someone poison it?

Poison?

What era are we in?

This isn't ancient times.

It's not impossible.

Then why is there barium nitrate in the bun?

You're being too imaginative.

That's right. The patient said it.

They made the bun.

Who would poison themselves?

Doctor.

My wife was in the car with me.

Is she okay?

Your wife is fine.

She just had scratches.

Why isn't she here then?

Where is she?

She was hospitalized for barium poisoning.

Barium poisoning?

We found barium nitrate...

in the bun you ate.

Is she okay?

She had a cardiac arrest.

- But... - Tang Hua.

Cardiac arrest?

The intracranial hemorrhage has stopped.

Why is he unconscious again?

Tang Hua.

Take him for a CT scan.

Make sure he isn't bleeding anywhere else.

Okay.

Dr. Xiao.

Is the CT scan done?

So?

The bleeding has recovered well.

And there's no other source of bleeding.

Then why is he unconscious again?

Could it be barium poisoning?

How about this?

Take the patient to do an EKG,

biochemical Indicator, and cardiac enzyme marker test.

Okay.

Dr. Xiao.

Wu Wei's report is out.

He has low potassium too.

Potassium, 2.6.

Worse than his wife.

No wonder his wife said...

he fainted while driving.

Help me check...

the patient's biochemical Indicators when he first came to the hospital.

Especially potassium.

It's 3.2.

Also low.

I'd better go check on the patient.

Did you notice?

When Lu Yan heard...

they were poisoned after eating the bun,

there was a strange expression on her face.

Is that so?

I have a thought.

But I'm just saying.

Don't take it seriously.

You suspect...

that she poisoned it?

I'm just guessing.

Look at how worried she is about her husband.

Maybe something happened between them before they came.

So...

But if she poisoned it,

how could she have been poisoned too?

Maybe she accidentally ate it.

You're talking nonsense!

Why are you up? It's dangerous.

My husband and I have always been in love.

There's no conflict between us!

- I would never poison him! - Please calm down.

You're talking nonsense.

Get me your superior.

Get me your superior!

I can't believe this!

How many times have I told you?

Don't talk behind the patient's back.

You just won't listen.

Look at you two.

You don't look like hospital staff.

You're just gossipers on the street.

Dr. Lu.

Calm down.

It's all my fault.

- I didn't manage them well. - That's enough.

Stop defending them.

I'm telling you.

The patient wants to sue you two and the hospital.

She even wants to go to the media.

You made such a big mess.

Let's see how you'll settle it.

We can't let her go to the media.

It's bad reputation for our department.

Will she not do it if I tell her not to?

It's our fault.

Both of us will apologize to her.

If she won't forgive us,

we'll take the responsibility.

We won't cause trouble for the hospital.

Sir.

Look.

They've admitted their mistake.

You were so fierce.

You scared them.

Why are you still standing there?

Go apologize to her!

Go on.

I'll go with them.

Ms. Jiang.

I have something to tell you.

Did something happen over the past two days?

I feel like you've been avoiding me.

No, we're both busy.

Did Xian Yun say something to you?

You're overthinking it.

I want to tell you this.

You don't have to think too much.

We will always be the same...

like how we used to be.

I'm the head of the EICU.

You're the head nurse.

For us,

work is our priority.

Dr. Lu.

Don't worry.

I know what to do.

Okay.

You should get back to work.

- I'll go check on them. - Okay.

I'm the head nurse of the EICU.

I didn't manage them well.

Let me apologize to you.

Forget it.

I don't want to make things difficult for you either.

Please leave.

Thank you for forgiving us.

Thank you.

I'll make sure to educate them.

Dr. Xiao.

How's my husband?

The intracranial hemorrhage from the accident has stopped.

Your husband has the same symptoms as you.

Barium poisoning caused by hypokalemia.

But don't worry.

We've treated the symptoms accordingly.

He should wake up soon.

That's good.

Thank you, Dr. Xiao.

They were eating homemade buns.

When Wu Wei was driving, he suddenly felt dizzy.

That means...

barium poisoning was also the cause of the accident.

Wu Wei was also poisoned.

It's more serious than Lu Yan.

Do you think Lu Yan...

Why are you so nosy?

I...

I was just curious.

Did I interrupt you two?

Please take a look at a patient for me.

Why should I check on your patient?

I'm giving you a chance to impress Xiao Yan.

You don't have to go.

Dr. Bai.

Please help me.

Fine.

Let me make it clear.

I'm not doing it to help you.

I'm helping the patient.

Of course.

Dr. Xiao.

There's a patient Xu Yi Ran can't handle.

Let's go take a look.

Go take a look.

Sure.

- Let's go. - Come on.

The patient has a history of smoking.

He has suffered from chronic bronchitis...

and high blood pressure since twenty years ago.

When did the pain...

in the chest area start?

According to the patient,

it was about two years ago.

It usually happens once or twice a day.

Mostly after dinner...

or from 4am to 6am.

When it happens, there's a burning sensation.

Is the pain related to breathing?

It's not related,

Sometimes, it relieves itself.

Sometimes, it's relieved with nitroglycerin.

But when it's over, it can happen again.

Did you run an EKG?

He's got a constant sinus rhythm, ST-T change.

It's a sign of heart disease and angina pectoris.

That's the diagnosis of the local community hospital.

They gave the patient isosorbide mononitrate.

and compound danshen dripping pills.

But he hasn't gotten any better.

The attack still comes and goes.

Three days ago,

after the patient drank white wine,

he had increased chest pain...

and continuous episodes.

There was also a slight difficulty swallowing.

However, no abnormalities were found...

in the physical and auxiliary examination

What about the chest X-ray?

The X-ray showed small amounts of emphysema.

That's why I concluded...

it's not necessarily...

coronary heart disease or angina pectoris.

What do you two think?

Let Dr. Xiao speak first.

You're so confident...

to let Dr. Xiao speak first.

What? You can't speak?

You're so childish.

I think it's reflux esophagitis.

Reflux esophagitis?

What do you think, Dr. Bai?

The same.

You didn't get a chance to do well in the end.

But to be sure, a gastroscopy is needed.

I'll arrange it right away.

Esophageal mucosal erosion.

It's reflux esophagitis indeed.

That's right.

Arrange his treatment as soon as possible.

You two are...

the EICU's...

handsome man and beautiful woman...

who are both talented.

What a perfect match.

You're so in sync.

I'm going to make my rounds.

Why did you hit me?

You're so ungrateful.

I was just giving you a chance.

If you like Xiao Yan, just go for it.

You're always sneaking around.

Isn't that creepy and disgusting?

Be like Chen Zhi.

Confess boldly and act bravely.

Never give up even if you fall.

I like Xiao Yan?

There's something wrong with your eyes.

I can see better than anyone, okay?

Ms. Xiao, you need me?

The head nurse wants to see me.

I have to go.

You mistook Lin Zhi for Xiao Yan.

All right.

Xiao Guang says he needs your help.

Lu Xun once said,

"A slip of the tongue...

is one's true thoughts."

Lu Xun also said...

he didn't say anything.

Do you want me to teach you...

the way to chase after a girl?

Keep it to yourself.

Stop pretending.

Dr. Xiao.

My husband will wake up, right?

Though his symptoms are more serious than yours,

we've found the cause.

Once treated accordingly,

he'll wake up soon.

The injury from the car accident shows...

that your husband quickly took control...

of the steering wheel to save you.

That's why he got a brain hemorrhage.

And because of that,

your injuries aren't as serious as his.

I see.

That's why.

Why did we find barium nitrate...

in one of your buns?

My husband...

works in the oil field in Africa all the year round.

He doesn't come back very often.

I'm worried...

because it's a dangerous job.

That's why...

I keep telling him...

to resign.

Since he's back this time,

I wanted to persuade him to find another job in China.

But to my surprise,

he thinks the oil fields in Africa pay him well,

so he wouldn't give up.

Then I thought about how barium nitrate...

could make one sick.

But most people...

don't come across barium nitrate.

My dad...

used to work for a fireworks company.

He once had barium poisoning...

and was weak all over.

He was in bed for over a month.

So...

I thought barium nitrate poisoning...

wasn't a big deal.

It just makes you feel weak.

So I...

put barium nitrate...

used to make fireworks into the bun I eat.

I just thought if I was sick,

I would be able to make him stay.

Besides, I only added a little.

Then why was your husband poisoned too?

It's my fault for not cleaning up in the first place.

My husband accidentally ate it.

Dr. Bai mentioned it before.

Barium nitrate reacts with stomach acid...

to produce barium chloride...

and cause hypokalemia.

In serious cases,

it can cause heart problems.

It's all my fault.

It's my fault.

We have to report to the police about this.

The police just took Lu Yan away.

In order to keep her husband by her side,

she put barium nitrate in the bun.

That's crazy.

Say.

How are we going to tell her husband when he wakes up?

Just tell him.

That's too cruel.

What's so cruel about it?

It's a fact.

Congratulations.

You're in good health now.

Just rest well going forward.

Thank you.

Doctor, how's my wife?

You said she had a cardiac arrest.

Is she all right?

It was caused by barium nitrate poisoning.

We treated her. She has recovered.

That's good.

Where is she?

Here's the thing.

You just woke up.

You still need some time to recover.

When you're fully recovered and can get out of bed,

you'll be able to see your wife.

Doctor, what do you mean?

You know you've got barium nitrate poisoning, don't you?

Let me enlighten you.

Barium nitrate is not common in daily life.

Think about it.

Who around you...

can put barium nitrate in the bun?

Have a good rest.

So Dr. Bai knows how...

to beat around the bush too.

Is that so?

It's still better than...

pretending to be mute.

Dad, I'm hungry.

- All right. Seriously. - Dad.

Bai Ji Guang.

Don't knock on the bowl again.

Keep doing it and you'll be a beggar when you grow up.

Eat up.

Dad.

There's a parent-teacher meeting on Friday.

You have to come.

Friday?

I can't.

I have to work overtime.

Just go.

My homeroom teacher will scold me again.

It's fine.

I'll give Mr. Xiao a call.

Mr. Xiao?

Our teacher's last name is Liu.

Well, we had a patient in our department yesterday...

who is also a teacher and have the last name Xiao.

I got it wrong.

I got it.

Dad.

You're thinking about Ms. Xiao, right?

Just eat your food.

Are you dressed for the Oscars in the middle of the night?

Why did you pick this place?

You told me to.

Stop wiping or the boss will kick you out.

Boss, twenty skewers and two roasted kidneys.

- Two Diet Cokes and four beers. - Okay.

Got it.

Barbecue causes cancer.

You call yourself a doctor?

You talk toxicity out of dosage.

Besides, it's not like I eat barbecue three times a day.

And I'm drinking Diet Coke.

It's just as good.

Tell me.

Why did you want to see me?

It's nothing.

I just thought we haven't come out...

for a meal for a long time.

That's enough.

I invited so many times, but you never came.

Is your conscience talking...

or is it because of Dr. Xiao?

Are you eating or not?

Leave if you're not.

Eat.

It's a waste if I don't eat.

Let's talk while we eat.

Here are your drinks.

- The skewers will be ready soon. - Okay.

A bottle of mineral water, please.

Sure.

Speaking of which, since you adopted Xiao Guang,

you haven't dated for six years.

In the blink of an eye,

six years have passed.

You can't even find a woman.

I'm responsible for this.

You're always calling yourself Mr. Lover all the time.

Yet you don't have a girlfriend yourself.

You're one to talk.

There's because there's none around me.

We're talking about you, not me.

Let's get down to business.

In my opinion,

between you and Dr. Xiao...

Regardless of the outcome...

No, wait.

What do you mean regardless of the outcome?

If I make a move, will be there other outcomes?

Here are your skewers.

Here.

Water.

Here.

- Thank you. - Sure. Enjoy.

Then why don't you make a move?

Coward.

I get it.

You want to pursue Dr. Xiao,

but you're afraid of rejection.

That's why you called me out in the middle of the night...

to analyze Dr. Xiao's attitude for you...

and give you some confidence, am I right?

Not really.

I just wanted to see you.

Every time I see you,

I gain a huge boost of confidence.

Be it in terms of medical skills or looks.

Is asking for help...

that hard for you?

I don't need help.

Fine.

I'm done with you.

Fine, for the sake of this barbecue,

I'll let you in on an important piece of information.

Do you want to hear it?

Don't tell me if you don't want to.

I can tell you...

that Dr. Xiao cares about you.

I know.

Why are you so happy?

A good man is popular.

That's normal.

If hitting someone was legal,

I'd make you half-paralyzed.

Get to know yourself the right way.

It's good for your mental health.

You're the least healthy one!

Mental health?

To be honest, as a friend,

I hope you and Dr. Xiao would work out.

You've been taking care of Xiao Guang on your own.

It hasn't been easy.

It's time for you...

to think about your own life.

Listen.

I think Dr. Xiao is a good choice.