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We will remove the fistula now.
The infection is pretty extensive near the thyroid,
but we may not have to sever the thyroid.
Remove what you can see first.
Yes, sir.
Gyu-hyeon.
I'll make sure you don't lose your dream.
I'll make sure of it.
We're done removing the fistula.
Shall we do the ligation now?
Be careful. That's right in front of the cartilage.
You may sever the superior laryngeal nerve.
Yes, sir.
Mixter.
Wait.
What?
Gyu-hyeon...
will be able to sing.
We can...
save his dream.
Explain.
On CT, it seemed impossible to save the nerve.
But considering the direction the fistula was removed,
if you match it to the esophagography,
and go in by the laryngopharynx and bronchial tubes--
And turn the cartilage counterclockwise,
we can preserve the nerve and remove the fistula.
-Correct. -It's possible to avoid the nerve.
Dr. Park drew even the nerves under the swollen tissues in his head.
Then Gyu-hyeon can sing again?
If we make no mistakes.
If he heals without any infections,
there shouldn't be a problem.
Let's think about that after surgery.
Concentrate on the surgery.
-Yes, sir. -Yes, sir.
Focus everyone. I don't want to hear a single breath.
We'll go in behind the thyroid cartilage.
Mixter.
-Cut. -Cut.
It's done. Ligation complete.
Good job, doctor.
-Good job. -Good job.
Good job, Dr. Park.
Thank you, Dr. Kim.
Dr. Park.
Close him up nice and pretty along the line.
I will.
Dr. Park.
Why aren't you saying anything?
Because I have nothing to say.
What's gotten into you?
You always scold me right after surgery.
I have nothing to scold you about.
It's thanks to Si-on.
I understand why you decided
to transfer him.
Because I know why you did it.
I won't say what I wish
you would do.
But I do have a request.
Please...
just take Si-on as he is.
Just as he is.
Excuse me.
Doctor?
Are you okay?
Yes.
I'm a little dizzy, that's all.
I must have been very nervous.
Why were you so nervous?
I've only observed surgeries before,
but I got to participate for the first time.
I was very scared.
I was worried the patient would get hurt.
I must be a coward.
Just like my bunny that I used to have.
Why is a bunny a coward?
You think bunnies
are tiny and cowardly, right?
But you know,
because their hind legs are two to three times the length of their front legs,
they're very fast.
So it's very hard for the predators to catch them.
And they're so smart.
They're good at hiding eggs.
Bunnies eat their own poop, too.
You're right.
Doctor.
Bunnies have longer hind legs than anyone.
So be like a bunny.
Don't cower, and run hard.
Thank you.
You have
very pretty nails for a man.
They look like crescent moons.
I'll get going now.
Square your shoulders.
Okay?
Are you awake?
Don't talk just for today.
It will strain your throat.
Gyu-hyeon.
You can sing again.
Dr. Park found a way.
And the surgery went well.
So you can do whatever you want.
Don't cry.
You'll get choked up and hurt your throat.
Hey, there's Dr. Park.
It hurts now because the anesthesia's wearing out, right?
Good job, Gyu-hyeon.
I really don't get it.
So you can imagine procedures in 3D in your head?
Well, 3D means a space or structure
having a depth, height and width
along the X, Y, Z, axes.
However, I don't picture them in just 3D.
I understand structure and space multilaterally.
So, what does that mean?
RECYCLABLES
The average person
sees this like this.
But for me,
I can picture it like this
in my head.
How are you not always dizzy?
It's not all the time.
It's only when I concentrate on it.
Then do you have that power, too?
You know, like x-ray vision.
Being able to see the contours
of the hidden areas.
Stand in front of me.
Why are you laughing?
It's nothing.
Why are you laughing? What did you see?
Hey! What did you see?
X-ray vision doesn't exist.
Hey! Why you...
He's so shady.
RECOMMENDATION
And no one would compare to his popularity.
The public will eat it up.
It may make international news.
Just take Si-on
as he is.
Just as he is.
I'm starving.
Hey.
This is my treat to celebrate a successful surgery.
Wow, and personally delivered, too.
Awesome.
Great job, everyone. Eat up.
Thank you.
-Thank you. -Thank you.
Thank you.
Where's Si-on's?
-Why is one missing? -They must've cut it wrong.
Si-on, just share with me.
It's okay. I'm not hungry at all.
Take this. I don't feel well.
Gil-nam, the human blender isn't feeling well?
Thank you.
Si-on.
Yes, sir?
You're on call 24 hours starting tomorrow.
You're not going home anymore.
Then what about his assignments and ER calls?
Like all first-year residents.
Oh, yes! I'm free from ER calls!
Hey.
Flip him!
-Flip him! -Flip him!
Drum roll!
Who hit me with a fist?
That really hurt.
You let Dr. Park Si-on
remain in Pediatric Surgery?
Yes. I thought it would be best.
Is it
because of my plan to use him?
That too,
but mainly because of his determination.
I'm disappointed.
I had the best of intentions.
And regarding scouting other pediatric surgeons
and the external sponsor,
I'll defer that for now.
We need to make ourselves more competitive within the hospital.
I'll make the best team first.
Defer?
How much more time do you need?
I can't say for sure.
If you'll excuse me.
Dr. Kim.
I hope it won't be too long.
You know,
people tend to calculate the flaws
of the person who makes them wait.
What? You have something to say?
Thank you for not hating me.
I'll try hard. I'll try very hard.
Take a shot.
Take a shot.
Where are you going?
Do it again.
Again!
You were humiliated in front of the NS guys, right?
Humiliate us in front of other departments again,
and you're dead. Got it?
-Yes, sir. -Go on.
Doc!
-Hey! -Congratulations!
I hear you'll be a real resident starting tomorrow?
Why does that make me so happy?
Thank you.
Dr. Park, congratulations.
I won't cause trouble anymore.
Please don't.
Why are you staring at me?
You look really cool today.
You were always handsome, but still.
As long as you know.
How could you say that with such a straight face?
Dr. Kim Do-han.
Wow, how have you been?
Hello, Professor.
You never show your face anymore, Mr. Successful.
-I am not. I've just been busy. -Whatever.
And how are you getting prettier by the day?
It must be because the professor is so nice to me.
I need to talk to you about something.
Congenital lymphangioma?
Yes, in the head and neck region.
It's pretty large.
-How far along is the fetus? -Thirty-two weeks, male.
We discovered it at 24 weeks, but it's getting bigger.
I'm worried his airway may be crushed during delivery.
You can just do an exit procedure.
What's the problem?
The mother is in an awkward position.
She married into a wealthy family.
Her husband is the only son of a congressman.
Her mother-in-law insists she gives birth at home.
Why?
To send him away
for adoption as soon as he's born.
What? Why?
That happens at times.
Some people won't let the woman
have a baby with a deformity.
But this time, they'll put him up for adoption.
That's ridiculous.
This isn't a deformity. It's a cyst.
He'll be fine after surgery.
Didn't the previous doctor explain that?
She won't listen.
She's positive there will be a problem later.
They don't want to blemish their perfect family image.
Blemish?
How can she be so irrational?
If he really had a deformity,
the parent could be concerned about the child's future.
But this isn't right.
That's why the mother came here to have surgery.
But she's hesitant because of her mother-in-law.
I guess she's finally decided, if she came to see you.
Someone must've convinced her.
-Who? -Oh, the famous doctor at our hospital.
Your resident.
What did you tell the pregnant woman?
Talk!
"Dr. Kim Do-han of Pediatric Surgery will operate,"
is not what I said.
I told her to see an obstetrician first.
You did the right thing.
Right?
How did you convince her?
I was autistic.
But I was able to overcome my handicap thanks to the help of many people.
I'm not completely free of it,
but I'm much better than before.
And I plan
on becoming a doctor now.
But your baby will be fine once the cyst is removed.
It's not a difficult handicap to heal.
If the surgery goes well,
he can grow up healthy.
That's all I've said.
Can she have the surgery?
She said she'll bring her mother-in-law tomorrow.
Get the documents together,
so we can explain everything in simple terms.
Yes, sir.
This is the last time you get to go home early.
We can't just ignore that.
Then what should we do?
Let's eat something special.
Are you going to cook for me again?
Hey, why are you looking at me like that?
Don't worry, I won't cook.
How about traditional Korean?
-How many dishes? -How many dishes?
It was five for commoners,
seven to nine for nobility,
and 12 for the king.
Personally, I want at least seven dishes.
Oh, really? Seven dishes?
Do you want to get hit seven times first?
Then... five dishes. I'll take five hits.
Oh right,
someone else is going to join us.
Hello.
Dr. Park became a real resident now.
People accept him now.
I see.
He knows so much, he always surprises us.
In a few years, he'll be a great surgeon.
If your parents knew,
they'd be so happy.
Very happy.
Please eat, ma'am.
I'm fine.
Please eat more.
What's wrong?
Nothing.
Doctor.
You should listen to this great doctor,
and become a good doctor.
Okay.
I listen to Dr. Cha Yun-seo very well.
And I'll become a good doctor.
I promised my brother.
Excuse me.
Hey.
Why did you take Dr. Park Si-on back?
Why bear
-an unnecessary burden? -Let's stop.
Stop what?
You never think about the position I'm in.
Do you know what kind of crap I've been doing for you?
What do you mean?
I'm the one who made the sponsors withdraw.
It was the first step to push Ms. Lee out.
And I got rid of Mr. Lee.
-You-- -Yes.
I'm going to become the chairman.
I'll get good sponsors, build the foundation,
and make you the hospital director so that no one can touch you.
-Are you serious? -Yes.
Worse is yet to come.
How could you?
And to Ms. Lee and Dr. Choi, too.
-You'll understand me some day. -Forget it.
Stop it now.
No.
Chae-gyeong.
You always tell me to stay out of your business.
This is how I do things. Stay out of it.
Fine, I will.
But...
if you don't stop right now,
you'll never see me again.
When she put the food
on your spoon earlier,
why did you pause?
Well...
it felt like something I saw in a dream.
Like dรฉjร vu?
No, not that.
I don't know exactly how to explain it.
Then keep thinking about tonight.
You may remember something else.
Okay.
Oh, right.
I need to check something before you start tomorrow.
Dr. Park Si-on.
What is a doctor to you?
It's the last hope.
Even if everyone else gives up on a patient,
a doctor must take care of the patient until the end.
Good.
Then what is a patient to you?
A friend that I must part with.
I must treat patients like a friend,
and make sure they stay healthy
even after leaving me
so they never come see me again.
Good!
Si-on.
No one made you change like this.
You accomplished it yourself.
So have more faith in yourself.
Okay?
Wait, you're not hiccupping yesterday and today.
You're right.
A 12-year-old girl with abdominal inflation is in ER.
NPO since yesterday, and there's rebound tenderness.
I injected painkillers and scheduled a sonogram.
You're actually taking notes?
It's to remember the patient's condition better.
-Hello. -Oh, hello.
-You know who I am, right? -Yes.
Head of Management and Planning, Ms. Yoo Chae-gyeong.
Are you happy to stay in Pediatric Surgery?
Yes, very happy.
Like when I got my first model robot after saving my allowance
Don't cause trouble anymore.
For the sake of Dr. Kim Do-han, who let you stay.
Did I offend you?
No. I just don't understand.
You don't know what?
"For the sake of..."
I don't understand what that means.
Please teach me later.
You look down today.
-I'm not. -Yes, you are.
You totally look down in the dumps.
Yun-seo.
Yes?
What do you think it means to care for someone?
That's such a vague question.
In a guy-girl relationship or as a colleague?
I guess
a guy-girl relationship.
You feel bad that you've been neglecting
Ms. Yoo, don't you?
I haven't been in a real relationship, so I don't know.
But to care for another is...
just watching them?
Not neglecting or being apathetic.
Literally just watching them.
I think that's the hardest to do.
But I also think it makes the relationship last longer.
Are you watching me?
Sorry?
Not as a guy, but as a colleague.
You know.
I'm a second-year fellow who always nags you.
But you know, even though I nag you,
you always make wise decisions in the end,
thus making the nagger feel embarrassed.
So I always admit my defeat in the end.
Thanks for admitting defeat at least in the end.
Must you do this?
I told you before.
Even if I step down as director, I'm still a doctor
and I will stay by your side.
Mr. Lee's gone, so no one will bother you anymore.
Mr. Kang can't do much without him either.
That's irrelevant to my reasons for resignation.
Please let me do this.
Dr. Choi.
I won't be leaving immediately.
I'll leave after I settle all my work
and we get a new deputy director.
It would be best to get a new deputy director, right?
He's skilled,
but he doesn't fit in with our hospital.
You take care of it.
I will.
-Il-gyu. -Yes?
What's the major difference
between gastroschisis and omphalocele?
Well, the difference is...
You know, Seon-ju, as an intern,
you don't need to know all the details.
You didn't even choose your specialty.
I just wanted to know.
Two of the NICU babies had this diagnosis.
You can learn when you're a resident.
Those who try to get ahead never do well.
Hey, Si-on?
Yes?
Do you
happen to know the difference between the two?
The two are similar in the way that
the belly button's position and shape are normal, but the lack of skin above it
causes the small and large intestines to protrude.
In gastroschisis, there is no membrane around the protruding intestines.
And it is common in premature babies, ma'am.
Oh, I see.
But why are you calling me "ma'am"?
Oh.
It's because it is the first time talking to you, ma'am.
Oh.
I guess you're right.
Don't call me that anymore.
Yes, ma'am. I mean, sure.
There are differences in treatment and recovery, right?
Don't you think
Si-on has changed?
He was like a child who was out of place before.
Maybe he didn't change,
but returned to how he was when he first came.
Returned?
This is my personal opinion,
but before he came to the hospital,
he had control over the situation he was in.
Like when he saved the kid at the station and Seong-ho.
But once he got to this tough hospital,
there was nothing he could do.
He was held back, suspected, and disrespected.
So he withdrew into himself.
Come to think of it, I think you're right.
Yes.
But I think he overcame it through Gyu-hyeon's surgery.
He found his confidence and gained acceptance.
Hey, you punks!
Have you no manners?
-Hello. -Hello.
Hello.
Hey!
Why are you exaggerating your greeting?
I'm not exaggerating.
It's because I respect you.
After I saw your hand, I decided to respect you.
Hey...
Why does he keep talking about my hand?
His head shape can change as he grows, right?
As I told you, it's not a deformity.
It won't affect his development.
How can you guarantee that?
There's still a possibility.
There's always a possibility for anything.
That's true for all illnesses.
Whatever.
She'll give birth at home.
You plan to give the baby up for adoption.
That means you're giving up on him.
She wants to raise her baby.
Right, Ms. Lee Su-jin?
Stay out of it.
We'll take care of it with our family doctor.
-We told you, it's not a disability! -Dr. Cha.
The baby just has a cyst. It isn't a disability.
And even if it were one,
you have no right to control his life.
How dare you?
Get up.
Get up right now.
Please reconsider. The baby needs surgery.
There's nothing to reconsider.
Let's go.
Su-jin.
-Su-jin! -Forget it, Dr. Cha.
Hello.
Hello.
Are you getting the surgery?
Why did you tell her such nonsense?
You must get surgery. You must get it quickly.
You don't seem normal.
You can't even fix yourself.
How can you fix someone else? Seriously.
I'm sorry, doctor. I'm very sorry.
Excuse me.
Yes?
Don't cry.
If you cry, many people will be sad.
But when your baby cries when he is born,
many people will be happy.
Get in already.
Thank you.
SUNGWON UNIVERSITY HOSPITAL
Stop shaking the bed.
Sorry.
Doc!
What?
How did you know I was here?
I've been at this hospital for years.
You'll be here 24 hours now?
-Yeah. -I feel like we're living together.
In-hae, is that you?
Why are you here?
That back must belong to Dr. Hong.
Why are you sleeping already?
What's it to you?
Doc, I can see your underwear.
Your rear ate your pants.
-It ate it all up. -Hey.
Do you still hiccup when you see that person?
No, I don't, but...
Your heart races?
Yes, you're right.
You've hit stage two.
-Stage two? -Yes, heartache.
Diagnosis, you are lovesick.
That's what that sickness is like?
What are we going to do? It'll only get worse.
You don't want to tell her?
"I like you. I love you." Like that.
No.
I don't know much about liking and loving.
What do you mean? That's what you're feeling.
If you can't do it, tell her other things.
"You're pretty. You're beautiful."
I say that to Eun-ok, too.
That's totally different.
You're so frustrating.
-Isn't it the same thing? -It's completely different.
If you can't say it, show it.
You have to show it, even if it makes your skin crawl!
Okay, I'll show it.
You know,
I'm jealous of whoever she is.
People say the greatest miracle of all
is making the heart of the person you love race.
Dong-su got much healthier.
You're right.
He's almost normal now.
He's healthy now.
Why are you sighing?
You know the pregnant woman, Lee Su-jin?
I keep thinking about her.
Oh, yes. Lee Su-jin.
There's nothing we can do.
She needs to be admitted in order for us to treat her.
It's not like we can talk to her outside of the hospital.
I wish...
you would convince her.
No.
There's a line I cannot cross.
This is different from just breaking a hospital policy.
Whether I like it or not,
I must respect the patient's decision.
But this time...
it's hard to respect it.
You have a beautiful heart.
The director at my orphanage once said,
a beautiful heart is like pollen.
They float far away and plant a flower.
I wish I could float far away somewhere.
You will.
Very far.
If you cry,
many people will be sad.
But when your baby cries when he is born,
many people will be happy.
Did you get your mother-in-law's approval?
I don't need it.
He's my baby.
What about your husband?
He's in the U.S.
He'll be back at the end of the year.
But there's no point in asking.
He does anything his mother says.
She won't sit still if she finds out.
That's fine. I won't change my mind.
Then we will respect your decision.
Dr. Min?
I will as well.
It's thanks to that resident doctor.
If it weren't for him,
I wouldn't have found the courage.
I'm very thankful.
You didn't sleep?
No.
Patients suffering from a car accident, fall,
and hernia all came in the middle of the night.
What a tough start.
Luckily, everyone is fine.
They didn't even need surgery.
Si-on.
I think you're right.
About pollen.
Pollen...
Pollen?
I'll brief you on the exit procedure that will be conducted on Lee Su-jin.
First,
we'll make a cesarean cut...
and extract the baby until the torso is outside.
Dr. Song?
We'll secure the baby's breathing through intubation,
cut the umbilical cord, and quickly deliver the baby.
The important thing is
that we have only 30 minutes to do this.
We will repress the contractions
with ritodrine and nitroglycerin.
So we can't exceed 30 minutes.
If we do, the mother will be in danger.
There is a risk of uterine bleeding,
and if bleeding persists,
she may die from shock resulting from low BP.
Thirty minutes may seem long, but it definitely is not.
Airway intubation of the baby will not be easy.
In the past, there were many times we exceeded the time
or could not secure it.
If we fail at airway intubation,
must we perform a tracheostomy?
Correct.
That must also be done quickly.
I have a question.
If we fail at airway intubation
and need to perform a tracheostomy,
but doing so is difficult because of lymphangioma
or edema following the sudden internal bleeding,
what do we do then?
That's possible, but as the MRI shows,
there are no major lesions in front of the organs.
But...
if there is a sudden bleeding, causing edema...
Dr. Park.
Sit down.
Once airway intubation is completed, we must immediately remove the lymphoma.
Usually, you let the baby stabilize in the NICU first,
but...
we don't have the time here.
I have a question.
If, just if,
maybe if, if by chance...
something unexpected happens, and we could save only one,
the mother or child,
whom must we save?
For the past 25 years,
we haven't had a mother die during delivery.
But if that were to occur,
we must save the mother. She takes priority.
Sorry about that.
Our youngest is a bit immature.
No. Not at all. I was surprised.
How does a first-year resident know all the variables?
He definitely is special.
Thanks for taking it well.
Teach him well.
He may become the second Kim Do-han.
Why you!
You should know when and when not to ask questions.
All the professors were there.
I had many more, but I restrained myself.
I got so nervous watching you.
You asked the worst case scenarios.
They weren't the worst case scenarios. I asked based on what I read in articles.
Then what's your opinion?
If you could save only one of them, whom would it be?
I would save...
-Dr. Park! -Yes?
Go sleep for one hour!
One hour, starting now.
Thank you.
Hurry up.
I can't convince the manager and the cleanup hitter.
I'm sorry.
I don't think waiting would change anything.
Yes, sir.
I think
it's time for you to come.
Si-deok.
Si-deok.
Wake up, Si-deok.
Si-deok.
I'm sorry.
I'm sorry.
Yes, Dr. Kim?
-Thank you. -Thank you.
Don't worry too much.
The best team of doctors will be operating.
I'm not worried.
I trust all of you.
Hang in there a little.
In a few days, you won't be crying from sadness,
but from overflowing joy.
What do you think you're doing?
You know how big a handicap you have, right?
Yes, sir.
To overcome it,
just being good is insufficient.
You must do something
if you want to be accepted.
Surpass me.
I know a resident can barely assist, let alone operate.
But outside of that,
you must surpass me.
By so much, that no one will see your handicap.
But there is so much I still don't know.
And how could I surpass you?
I'm telling you how you can remain in this hospital.
Hey.
Okay.
Excuse me.
Stop! You can't take her like that!
You can't take a pregnant woman by force.
-Let go of her. -Let go!
-Let go of her! -Why you...
What do you think you're doing?
Is this how you deal with a problem?
Stay out of it and get back to work.
This is our work. Protecting our patient.
-Take her. -You cannot take her!
She must stay in the hospital.
You cannot. You cannot take her.
You want to lose your jobs?
Try, if you can.
I won't go.
I want to have the baby
and get the surgery here.
You do? Then get a divorce first.
You and the baby won't be my responsibilities.
So be it.
I won't let my baby grow up
in a family like this.
Danger! She's in danger!
Su-jin!
Take her to a treatment room. We need an EKG and a portable echo. Now!
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