Original subtitles

(Thank You, Doctor)

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

(Episode 39)

Hematuria and proteinuria.

It's a classic case of acute nephritic syndrome.

You're something.

You have acute nephritis.

How can you take your own medicine?

You're a medical student.

Isn't it just a cold?

How is it nephritis?

Tell me...

the pathology and pathogenesis of acute nephritis.

Xiao Yan, I'm a patient now.

Okay, I'll stop joking with you.

Go ahead with the admission procedure.

Admission?

My flight is tomorrow.

Then I'm afraid you won't be able to fly.

You need to be hospitalized to fight the infection...

and have your urine and kidney function checked.

If necessary, a kidney biopsy.

It's just nephritis.

Why do I need a kidney biopsy?

Doctor.

Doctor!

Xiao Min is...

V-fib. Prepare to defibrillate.

- Charge to 200 joules. - Family members, please leave.

Charged to 200 joules.

Clear.

Charge to 200 joules again.

Charged to 200 joules.

- Charged. - Clear.

200 joules again.

One milligram of epinephrine, stat.

Stat.

Clear.

Dr. Lu.

Under normal circumstances,

a week after the surgery,

the patient can be removed from the ECMO.

But...

the patient has severe heart failure.

Once the flow decreases,

there is arrhythmia...

and worsening heart failure.

So she can't be removed from the ECMO.

Her lung function...

hasn't improved at all.

The third round will be tough.

A lung transplant is the only way now.

Sun Fang Min's case is a special one.

Even if you give her a lung transplant,

in her case,

the survival rate is only 50 to 60 percent at most.

Without a transplant, she can only wait for death.

That's right, Dr. Lu.

As long as there's hope,

we have to save her.

If we take the risk...

and give her a lung transplant,

should anything go wrong,

the blame is not only on the EICU.

It's on the entire Tongshan Hospital.

We're all to blame.

- Dr. Lu, we're doctors. - I know what you're trying to say.

You want to gamble...

on the future of the EICU, right?

Dr. Lu.

We really can't watch her die without helping.

Dr. Lu.

We can't just watch her die.

How about this?

If the patient herself agrees,

we'll give her a transplant.

If you consent to a lung transplant,

nod your head.

Doctor, she says she'll do it.

Thank you for trusting us.

We'll do our best.

You can watch your son grow up.

You can become a good mother.

Thank you, doctor.

Thank you.

According to clinical cases,

those waiting for a lung source for more than 30 days...

and are on life support on the ECMO...

mostly won't survive.

So hurry and get Sun Fang Min in line.

See if we can get matching lungs.

What's the patient's condition?

The patient's oxygen level is still dropping.

Her lung function can hardly be maintained.

And she's still unconscious.

A lung transplant is the only way.

Can she make it through today?

The chance is slim.

- Got it! - Got what?

A lung donor!

Great news.

The lung donor and the patient are a match.

That's great.

That's great!

Dr. Lu.

Let's hurry with the surgery.

Please calm down.

The lung has just been removed from the donor.

It will take half an hour to get here at the fastest.

But don't worry.

Our hospital has prepared for the operation.

The chief of thoracic surgery, Dr. Li will operate.

Once the lungs arrive,

we'll proceed with the transplant right away.

Thank you, Dr. Lu.

Thank you.

Mr. Lu, where did the lung donor come from?

It's a coincidence.

A young man was in an accident yesterday.

He was taken to the ICU at Xinrui Hospital...

but he couldn't be saved.

When he was alive,

he signed the organ donation agreement.

His lungs are just right for Sun Fang Min.

How can I not be anxious when a person's life is at stake?

Didn't he sign the organ donation agreement?

Talk to the patient's family, okay?

What's going on?

I think his family refused to donate.

Isn't that ridiculous?

How about this?

I'll give you another 30 minutes.

You have to deliver the lungs.

Dr. Lu.

Dr. Lu, how are the lungs?

There's a small problem.

We got the lung donor.

But when the donor's grandparents arrived at the hospital,

they refused to have the lungs delivered.

It's about saving someone's life! Why are they backing out now?

What should we do now?

What can we do? We can only wait.

Sun Fang Min's lungs don't work at all now.

- Her body is deteriorating rapidly. - Dr. Lu.

Sun Fang Min's condition isn't good.

Xiao Min.

- Doctor. - I'm here.

Family members, please leave.

Family members, please come out.

Mom, let's go.

Xiao Min, hang in there.

Please keep it down.

Mom.

Dr. Lu.

Why aren't the lungs here yet?

Soon.

Don't panic. They'll be there soon.

Why so slow?

They're going as fast as they can.

Please wait a little longer.

What should we do?

Xiao Min will make it, Mom.

Don't worry.

Doctor, how is she?

Don't worry.

The patient's condition is stable now.

Thank you.

Thank goodness.

We can't have any more accidents.

We can't have any more accidents.

Dr. Lu, we can't wait any longer.

If we don't wait, what else can we do?

I'll go to Xinrui Hospital...

to retrieve the lungs.

I'm sure I can convince the donor's family.

It's the evening rush hour.

There's a lot of traffic. You might not make it.

I'll take the motorbike. I won't be stuck.

That's fine too.

- Be careful. - Okay.

I'll go with you.

Don't just stand there. Hurry up.

Go.

- Two is better than one. - Okay.

Hold on tight.

Let's go.

God help us.

God bless my child.

- Xiao Min. - My dear Xiao Min.

You must hang in there.

God help us.

The lungs will be here soon.

God help us.

God help us.

God help us.

God help us.

I'll never agree to it.

- But... - Hao Hao...

won't be able to rest in peace.

Dad.

This is his last wish.

Shut up!

You trash! I'll beat you up!

Dr. Gao.

- This is Dr. Gao. - Hello.

We're from the EICU of Tongshan Hospital.

- We're here to retrieve... - What?

You're the ones...

who want my eldest grandson's lungs?

They are Hao Hao's family.

We understand how you feel right now.

- But... - Do you?

It's good that you understand.

Don't stay here.

Don't even think about my eldest grandson.

Just leave, okay?

Don't get any ideas about my eldest grandson.

Dad, calm down.

Come on, let's sit down.

Dad.

- Hao Hao... - Sirs and madam.

We really do understand how you feel.

We're doctors from the EICU of Tongshan Hospital.

I know that talking about this now...

is too cruel for you.

But I have to tell you this.

We have a patient who is in very critical condition.

A second late...

and she could die at any time.

I know you need the lungs desperately.

I'm willing to respect Hao Hao's last wish.

But...

as you can see,

my dad...

Although I've never met Hao Hao,

I believe...

he was a sensible...

and good kid who helped others.

Yes.

He was so young.

But he made such a brave decision.

It must have to do with your teaching.

Since he signed the agreement,

that means he wants to help others.

His lungs could save another life right now.

I'm sure he'll be happy if he knew.

All right. Stop trying to lecture us.

This or that agreement,

I don't understand at all.

No matter what happens today,

I won't let you take...

my eldest grandson's lungs!

Sir.

We had a patient...

who was in a car accident too.

On his deathbed,

he signed the agreement.

His cornea is helping someone now.

This is also a kind of continuation of life.

- Yes, that's right. - Miss.

We understand what you're saying.

But we've just lost our eldest grandson.

We can't get over it.

That's right.

We don't care about other people's business.

Anyway, let me tell you.

Don't you dare try...

to take my eldest grandson's lungs away from me.

Don't even think about it.

Sir.

- We understand... - Say no more.

I'm asking you to leave. Please leave.

- If you don't leave, I... - Dad.

- Calm down. - Get out of here.

Get out of here!

Dad!

Mom!

My son.

Hao Hao was such a poor kid.

When he was just a kid,

his mom passed away.

But he was still so enthusiastic...

about life.

It's all because...

of the education and love we gave him.

Don't be selfish.

Try to empathize with others.

Learn to care and help others.

That's how you raised me since I was little.

That's also what you've always done, Dad.

So...

I'm not surprised...

that Hao Hao made that choice.

Dad.

Right now, his choice...

can save another life.

Shouldn't we be proud of him, Dad?

Yes.

Hao Hao is gone now.

Both of you must be sad.

As his dad,

I'm even sadder.

Dad...

This is the last thing...

I can do for Hao Hao.

Dad.

Please fulfill his last wish!

Dad!

My son.

Hao Hao...

Hao Hao...

Hao Hao...

I'm sorry, Hao Hao!

We'll be there in 20 minutes.

The lungs will be here soon.

The patient will be moved to the OR.

- Okay. - Okay, let's get ready.

- Go. - Move her to the OR.

- Got it. - This is great.

- Go. - We'll go first.

- Don't fall. - Be careful.

Make way!

- Are you okay? - Yes.

Are you okay?

I'll return your helmet later.

Are you okay?

Make way!

Make way!

- Make way! - Make way!

- Dr. Lu. - Hurry.

Thank you.

Dr. Li, the lungs are here.

Okay, let's begin.

Scalpel.

I hope there won't be...

another surgery like this one.

I hope that other patients...

with pulmonary lymphangioleiomyomatosis...

don't look up to her as a role model.

Not everyone has this kind of luck to escape from death.

Doctor.

Thank you so much.

I'm sorry for the trouble...

with Xiao Min illness.

Don't mention it.

It's what we should do.

Then will she be okay...

in the future?

If there are no infections or complications after the surgery,

after a good rest,

she'll be the same as a normal person.

And If she recovers well,

she can go hiking and exercise as much as she wants.

And...

she must remember to take the anti-rejection medicine.

Thank you.

Thank you.

Thank you.

We're not in a hurry.

You drive.

We can take the motorbike.

I'm used to you riding a motorbike.

What are you thinking about?

If Hao Hao's dad didn't kneel today,

we wouldn't have gotten the lungs.

I was thinking...

what it was...

that made him do it.

A father's love.

I want to ask you a question.

Go ahead.

What is a father's love?

Am I writing an essay for a college entrance exam?

I refuse to answer.

If you answer it well,

I'll let you in on a little secret.

Sure.

A father's love...

is not as natural and innate...

as a mother's love.

It's more like...

something that has been awoken at a certain point.

I can't understand its entirety.

But at least,

I experienced most of it.

When I first started taking care of Xiao Guang,

nothing went right.

Until one night...

when he woke up from a dream.

He called my name and was looking for me.

I felt...

my traces on him.

That's when...

developed a feeling that's like a father's love.

In that case,

a mother's love is more like a home.

A father's love is like the road to the world...

in front of the home.

Doesn't every father hope...

to pave the road for his children?

And that will never change.

That's why Hao Hao's dad...

did what he did today...

to fulfill his son's wish.

What gave him the power was a father's love.

To any family that has lost a child,

getting them to donate their organs is not easy.

I can understand...

the way his grandparents behaved.

But in the end,

the determined elders...

eventually let go.

Isn't it also because of love?

People are complicated.

But it's precisely because of this emotional bond...

that it could be passed on.

That life...

can be passed on in another way.

I'm done.

What's your secret?

That doesn't count.

Say another one.

Tell me one more.

Fine, you don't have to.

Then you owe me a secret.

Are the elders all right?

They're fine.

They're just heartbroken.

They took some medicine and fell asleep.

We came this time...

to thank you and the two elders.

And to let you know of the result of the surgery.

How is that patient now?

The surgery went well.

Your son saved a life.

Hao Hao signed the organ donation agreement...

when he was alive.

As Hao Hao's dad,

I'm proud of what he did.

I support it too.

But you should understand...

how the elders feel.

My parents...

are usually more reasonable...

and kind-hearted than anyone else.

But this time,

Hao Hao is gone.

Their grandson died before them.

They are terribly upset.

Yes.

We can understand.

We Chinese put emphasis on having an intact body for burial.

Organ donation...

is only developed in modern medicine.

It's not just the two elders.

Even youngsters...

are unable to accept it.

You've done very well.

Hao Hao's life will continue...

in another form.

We're proud of him too.

Since there's nothing else,

we'll get going.

We won't disturb you anymore.

- Thank you. - Thank you.

Let's go.

Tired?

A little.

Take a nap.

We're here.

Your ears hurt?

I feel like they're buzzing.

I don't know why.

Try pressing here.

That happens to me all the time.

Press here?

It's not working.

Harder.

It's still not working.

Don't move. Like this.

That's right.

- Is it better? - I think so.

Xiao Yan.

Xiao Yan.

(Xiao Yan, I really like you!)

(Get home safe, see you tomorrow.)

(Get home safe.)

What are you looking at?

Are you serious?

You two are being reproved but you're still happy?

Can't I be?

Do you have a fever?

There's something up with you today.

Did you two...

Why is your mind so dirty?

Then why are you so happy?

I told her...

I liked her.

She said yes?

She told me...

to get home safely.

And?

That's it.

What's wrong with you?

What's wrong with you?

She was concerned about me.

That means we still have a chance.

Are you mad?

She meant she wanted you to leave.

What hope do you have?

Shut up!

You don't get it.

I know more than you, okay?

- It's for Xiao Yan? - None of your business.

Give me a bite.

It's for Xiao Yan.

My head hurts.

It's okay. As long as you're happy.

I'll get back to work.

Bye.

Dr. Xiao.

- Good morning. - You haven't had breakfast, right?

I've had breakfast.

- Why don't you keep it... - It's fine.

You can still eat more.

We have a lot of work to do today.

You need energy.

I asked my friend to send the coffee beans...

Sorry, I need to take this call.

Shirley.

Your application came through.

That's great.

Welcome back.

Thank you, Catherine. Thank you.

Bye.

Dad! Mom!

Xiao Min.

Xiao Min.

Xiao Min.

You're awake.

Am I alive?

You're alive.

Of course, you're alive.

I told you.

I'm tough.

You're tough.

You're so tough.

Dr. Lu, come and take a look!

- What's wrong? - Some drunkard got hurt in a fight.

Ms. Jiang asked him a few questions...

but he went crazy and hit her!

Call security!

Don't you know how to treat a patient?

Let go!

What are you doing?

Let go!

What are you doing?

- Dr. Lu! - Call security!

- Excuse me. - Let go!

- Let go! - Call security!

- Let go! - Get up!

Let go of me.

- Are you okay? - Come to the station.

Are you okay?

I think I sprained my leg.

- Slowly. - I'm fine.

Here, put your arm around me.

Slowly.

It's cold. Let me help you.

- I'll do it myself. - No, it's too cold.

No, I can do it myself.

Let me get you a towel.

Does it hurt?

Dr. Lu.

Thank you.

You're taking care of me again.

It's nothing.

After what happened to Xian Yun,

I saw how hard it was for you.

I've seen it all.

As a colleague,

I can't be of much help.

I admit that I have feelings for you.

But I really understand your situation.

I also respect...

your relationship with Xian Yun.

I never thought to bother you two.

After Xian Yun passed away,

I know how sad you are.

But...

life must go on, don't you agree?

That's why if I can help you,

I'll do it.

Be it at work...

or in life.

I understand...

your feelings for me.

But...

I'm sorry.

Don't be sad.

As colleagues,

we've fought side by side for so many years.

There's an understanding between us.

As for what happened today,

I would still step in...

even if it were someone else...

as I'm the chief of the EICU.

Thank you.

Let's not be so courteous.

Your leg...

It's fine.

I'm old.

It's easy to pull the wrong muscle.

I'll be fine after putting on some pain relief patches.

I'll get you some then.

- There's no need. - Sit still.

Don't move.

You've just recovered from the nephritis.

You have to be careful and don't overwork yourself.

Don't eat too much.

Measure your blood pressure frequently.

If your blood pressure rises,

take the blood pressure medicine following the doctor's advise.

- Okay? - Okay, Xiao Yan.

If you keep nagging,

you'll be just like our mom.

I'm just concerned about you.

Actually, before I came,

I was thinking of convincing you to go back.

But after some observation,

I realized you seem to be in good condition lately.

Seems like you're used to the life in Shanghai.

So if you want to stay here,

I support you.

All right, Xiao Yan.

There will always be a time of separation.

You can get back to work.

Be careful.

Come.

Future brother-in-law,

good luck.

Don't worry.

I'll get going.

- Bye. - Bye.

What did he say to you?

Do you want to know?

I won't tell you.

Okay, call me if you need anything.

- Okay. - Dr. Lu.

Take a look at this.

What is it?

Sun Fang Min posted a video online.

She's encouraging other patients...

with pulmonary lymphangioleiomyomatosis...

to be like her,

get pregnant and have a baby.

...a very cute baby boy.

Pulmonary lymphangioleiomyomatosis...

is a rare respiratory system disease.

Once you reach the advanced stage,

you can't carry a child.

Then how did I...

escape from death?

I'd like to share with everyone...

I know you want to share with everyone...

the beautiful feeling of being pregnant.

I understand that.

However,

you can't encourage other patients...

who have the same illness as you...

to ignore the doctor's advice and get pregnant.

Do you know?

A successful case like yours is even rarer.

By encouraging them,

you're misleading them.

You'll end up harming them, do you understand?

I'm sorry.

I didn't think that far.

I just wanted...

to give patients like me...

a little hope.

You're harming them by doing that.

They're losing more than hope.

They may even lose their lives.

It's that serious?

What should we do then?

Why don't I record another video?

Like that, more people will know about your case...

and see you as a role model.

You should delete the video now...

and say no more.

Okay. I'll delete the video now.

I'm sorry.

I've caused you trouble.

Dr. Lu.

Someone is waiting for you in your office.

Who?

He, the reporter.

Mr. He?

Did he need something?

I think it's for the pulmonary lymphangioleiomyomatosis patient.

Tell him I'm out for a meeting.

I'll go check.

Thank you Dr. Lu for doing an interview with us.

So everyone,

now...

Can you turn off the camera?

What's wrong, Dr. Lu?

Because this case...

is not suitable to be broadcasted to the media.

Turn the camera off first. Let me explain why.

Okay. Turn it off first.

You're here to interview me...

about the patient with pulmonary lymphangioleiomyomatosis.

I'm sure you know about this disease then, right?

For a patient with pulmonary lymphangioleiomyomatosis...

in the advanced stage,

pregnancy is prohibited.

Once pregnant,

their life will be in great danger.

But Sun Fang Min made it.

Sun Fang Min is an exception.

Such an isolated case can't be replicated.

But you should know this, Dr. Lu.

Many patients are willing to die if they can have children.

It's nature.

The choice between motherly love and rationality...

is hard for us onlookers to understand.

I can strictly tell you...

the patient's attitude of not considering their own situation...

is a terrible mindset...

in my opinion.

Having a baby in the name of love...

is in fact using the name of love...

to shackle the hospital...

and the doctors.

And in the process of shackling,

the media plays a very bad role.

It seems like...

you're still prejudiced against the media.

You can't say that.

Due to the need to spread the news,

you media often hype up...

all kinds of patients who sacrifice themselves...

in the name of love...

to have children.

This kind of exalted praise...

that is detached from science...

can mislead a lot of patients.

They'll think it's okay not to listen to doctors...

and take the risk for once.

That they'll be able to survive...

and give birth to a healthy baby.

Little do they know...

that behind all this risk...

are severe consequences.

Is that why...

you don't want this case...

to be spread to the media?

It's not just patients...

with advanced pulmonary lymphangioleiomyomatosis.

The media often report...

about patients with congenital heart disease,

leukemia,

tumors,

and genetic diseases...

who are not suitable for pregnancy...

yet took the risk and successfully gave birth.

They don't know...

that behind every risk of childbirth,

the patients and their families...

are paying a huge price.

For example, the medical expenses.

It's an astronomical number.

Ordinary families can't even afford it.

And the success rate is very low.

Behind a successful patient...

are countless tragic families...

with desperation and loss of life,

both mother and child.

That's why by telling you this,

I sincerely hope...

that as a media outlet,

we must take the lives of the vast majority of patients...

as the premise.

Don't encourage them indirectly...

to take the risk.

Dr. Lu.

I was very inspired by what you said today.

I'll have a lot to learn from you.

You flatter me. Let's keep in touch.

- Okay. - Bye.

- Bye. - Okay.

Come in.

Did you ask for me?

Come.

Have a seat.

You've been in Tongshan Hospital's EICU...

for almost half a year, right?

So? Are you used to it?

I couldn't get used to it at first.

But it's much better now.

How so?

When I was in Switzerland,

I was just a doctor...

who treated patients.

After coming to the EICU,

I'm not just treating patients.

Part of my job...

is dealing with the patient's family.

Because of this,

I have a better understanding...

of who we are as doctors.

Indeed.

Different national conditions have different requirements for doctors.

But I have faith in your skills...

to solve any sort of complicated problems.

Thank you, Dr. Jiang.

I asked you to come...

because I'd like to ask for your opinion on something.

Dr. Lu is managing the EICU well.

The hospital is thinking of promoting him.

Previously, you said you could stay with the hospital for a year.

I can see that you get along well with your colleagues.

Will you stay?

Dr. Xiao.

You're an excellent doctor.

I hope...

you can take Tongshan Hospital's EICU...

to another level.

Come in.

Dr. Jiang, you were looking for me?

You've been in the EICU for half a year.

You've matured a lot.

It's time to transfer you back to cardiology...

or it'll be too late.

Transfer me back?

What?

You don't want to?

No, it's not that.

Why so suddenly?

What do you mean it's too late?

Suddenly?

I'm afraid you're used to being in the EICU...

and don't want to return.

I sent you to the EICU...

because I wanted you to know...

that doctors look at not only the disease...

but also the patients.

Skills are important.

But you need to learn...

to communicate with the patients and their families.

It's a kind of medical ethics...

and humanistic care.

It's very important.

Always keep that in mind.

You have to learn...

to restrain your bad temper and your so-called personality.

You're good now.

You can come back.

Dr. Jiang, I know you mean well...

but I want to stay in the EICU.

Have you thought it through?

Yes, I've thought it through.

You can go now. I'm done.

Thank you, Dr. Jiang.

Bai Zhu.

- What's the hurry? - Xiao Yan's going to Switzerland.

- A visit or a vacation? - She resigned.

She's going back there to work.

Why are you suddenly returning to Switzerland?

It's not sudden.

I signed a one-year contract...

with Tongshan Hospital.

A few days ago,

I got a call from my former director in Switzerland.

He wants me to go back.

But there's no rush.

Besides,

it hasn't even been a year yet.

Is it because yesterday, I...

It has nothing to do with you.

Then why?

When I was in Switzerland,

I didn't finish my project.

I've also learned a lot here.

I wish I could go back and finish my project.

And my parents are there too.

They're old.

I want to be with them.

Will you come back...

after going to Switzerland?

I need to finish my project first.

I think Switzerland...

would be a better choice for me.

Of course, I'm still happy...

to have met all of you here.