Original subtitles

Episode 8

--What shall we do... --Can you open your eyes?

Can you open your eyes?

Let's go together.

He is a trauma patient.

It's me, Choi In Hyeok.

A motorcycle accident patient is coming in. He got injured all over his body.

They are all serious.

Call General Surgery, Neurosurgery, and Orthopedics.

And arrange an OR as an emergency operation is needed.

Also, prepare plenty of blood bags.

Is he hurt a lot?

He is in operation now.

We will know better once he comes out.

Yes, this is Jangwhajung Jjajangmyun restaurant.

Yes. Would you happen to know Mr. Park Won Gook?

Yes, but why are you looking for Won Gook?

Dr. Choi In Hyeok. What do you think you are doing?

We don't have time for this, Chief.

" One rotten apple spoils the barrel."

If you want to behave like a first responder, you should deliver the patient in front of the entrance and go back!

You violated the protocols of the company,

and you had submitted your resignation!

Do we look that trivial to you?

While we are doing this, he will have an arrest!

What are you doing? Take him quickly.

No matter who does the operation, you still have to be ready for that!

Look. Why are you doing this when you have already resigned!

It's not like he died as soon as he arrived at the emergency room.

If he comes into the OR and then just dies, then

are you going to put the responsibility on the anesthesiology department?

Which department will take the responsibility then?

We will go in.

Let's go.

I will start. Do you have enough blood?

I collected all of the blood type O in our hospital. 10 packs.

Deaver.

Scalpel.

Scissors.

Professor. What about bovie?

We don't have time for that.

Watch out!

There is lots of blood. It's not easy. It looks like the intestine is busted!

Irrigation!

Get irrigation ready!

We already did!

Okay.

What's going on with his abdomen?

This surgery is all about speed.

There are too many areas needing repair. We need to do the head too.

We have to find the artery in his leg.

Everything is speed.

-Yes! -Alright!

His vitals are not stable.

We also have only one pack of blood left as well.

Please prepare the Cell Saver.

Are you crazy?

Professor.

There is no other way!

Stop the suction.

Take it out!

Even so, how are we supposed to use the Cell Saver

on a patient whose intestine has ruptured?

Give me your hand.

Yes.

Hold it firmly.

Do it well.

Professor,

I'm sorry, but if we use this machine, will the blood infected with bacteria go inside the patient again?

Yes, that's correct.

Then why...

If, as you said, we use the machine, it could be dangerous if the paitent gets an infection. Then why...

If, as you said, we use the machine, it could be dangerous if the paitent gets an infection.

Yes.

But if we use antibiotics, he might be able to endure it.

He won't die during the surgery.

Hold it.

Yes.

First, close the perforations of the intestine, and then cut out the dead parts.

Is it okay to make the intestines into several parts?

It won't become necrotic because the mesenterium will send blood to it.

We can connect them in a second operation.

If we connect all of it, we're going to have to give up on the patients head and the leg.

You guys... can remember the locations in the intestines, right?

What?

Are you recording?

Yes, it's working.

Here. Watch closely.

Here. It was injured here. Next time, you just have to connect this and this.

If you make a mistake, the mesenterium can be twisted.

It will be in the recording of the surgery, but remember this well.

Yes.

The second operation will be performed by someone other than me.

No matter how good a surgeon he is, it isn't easy to connect swollen intestines together.

So, if someone who participated in the operation can tell him, it will be great.

They haven't looked inside an abdomen that many times. How can these kids remember?

You must remember this.

Yes, I understand.

The success of this patient's second operation will be in your hands.

Do you understand?

Yes, I understand.

You remember the small intestine. I'll remember the rest.

The Cell Saver is ready.

Thanks.

Now,

Let's start over.

Yes.

Suction.

Suction.

I too, at this moment, am scared to use this machine.

RIght now, we're not choosing between good or bad method,

but choosing between bad or worse.

This is the most difficult moment for a doctor.

This is called a decision.

Since the bleeding stopped, let's take a look.

Two parts of the pancreas and the duodenum are torn.

We need to do a Whipple Surgery too...

Earlier... Didn't you say connecting the intestines is a difficult task as well?

For now, so problems don't get worse,

we have to block it from the top and then go from there.

Remember this as well.

Yes

Hand me GIA stapbles.

If we do more, it'll be bad.

Oh my...

Please consider what I'm doing.

When will we do all this with our hands?

Please prepare two each of silk and vicryl suture threads.

We are going to sew the two intestines with the same thread,

so pay close attention to the thread.

Alright.

Silk.

Metzenbaum scissors.

What will you do with the pancreatin leaking from the damaged pencreas?

If the digestive fluid leaks, the organ will be dissolved...

We'll just have to open it up and see what happens.

We're just going to connect the popliteal arteries then finish up. Please call neurosurgery.

Yes

Vicryl.

I will use the gauze to cover it.

So keep track of the number of gauze pads I use.

Yes

Silk!

This is subdural hemorrhage.

There is blood at the left side and

the center line of the brain has moved to the side.

The brain has moved to the side is the problem but

the brain stem is the real problem.

Wouldn't it be okay if it's this much?

We can't relax just yet.

Should I call the professor on duty?

Is patient Bang Seon Woo's pre-surgical preparation done?

Yes.

Gosh.

Patient Bang Seon Woo isn't an emergency...

His guardian knows an employee of this hospital,

so he is not a difficult to handle VIP.

I don't think getting another date for the surgery would be a problem for him.

We'll go in when we they close his abdomen. Get ready.

Yes, I understand.

What is Orthopedics going to do? I saw that he had open fracture as well.

They said there is the leakage of pancreatin. How can we do the operation?

We're going to perform our surgery when the patient is stable.

Our operation will take a longer time.

We will disinfect the compromised area.

So, I guess all we have to do is go through with Choi In Hyeok's resignation letter.

Do that well.

Is there an empty bed in the ICU?

Do you think there will be?

He'd have to stay in the emergency room for a day.

Who would want to go back and forth to ER to check him when it is so hot...

There's a lot more blood than I thought.

I know..

The bleeding is harsh.

Where is the bleeding spot?

Here, here. I found it.

How's the leg?

Not much time passed so, we have a chance.

Even if we can't, we can reduce the ambutation area as small as possible.

I guess his body is everything to him.

Okay.

Irrigation.

How does it feel to perform surgery at someone else's hospital?

So what you are going to do now?

You are not planning on staying here, using that patient as an excuse.

When the Director comes in,

your resignation will be approved right away.

your resignation will be approved right away.

That's why I am asking you... Could you take that patient, Chief?

What?

What are you talking about?

Right now, neurosurgery is operating on him.

His liver and pancreas are all damaged.

His intestines are also cut up in small pieces.

He needs a second surgery. General Surgery needs to take care of him.

Doctor Song Gyeong Hwa. You take him.

M....m....me?

Chief, you've got to be kidding.

A patient whose pancreas is all damaged...

How can I take care of him?

Hmm... Well, then, admit him under my name.

The patient's operational procedure was...

Did you record it in the surgery log?

Yes, I have put in all the details.

And these interns should remember the operation. So during the second surgery...

I got it.

I will read through it.

If you need me for the patient, please feel free to call me any time.

I will leave after I talk to the guardian.

Go do that...or not.

What is your relations with the patient?

He is a delivery person for my Chinese restaurant.

I'm the owner.

Is any of his family members coming?

There is no one to come.

He has no family. Ah...

Ah, well then, is it OK if I explain it to you?

Yes, you could do that.

Is the patient ready?

Yes, he is ready.

Come this way.

Let's go.

OK.

As you can see, he needs a second surgery and...

Doctor. I'm really sorry to ask you this...

But how much would the operations cost?

We don't even know whose fault the accident was yet.

Don't worry about the hospital bill.

There is a governmental fund called "Emergency Medical Fund".

So you could get emergency treatments without any money.

And there should be a way for Social services to help as well.

Oh, I see.

Does he have a "Savior complex" or something?

We are always subject to a budget.

Did he even get the permission from this hospital to be so generous?

What are you now, the Director?!

He is full of something!

Whatever!

For a person who cannot afford it,

he is like a savior!

What?

We wanted to see you out.

I heard you found the enterobrosia patient.

Yes.

Yes.

But because of the hospital bill...

They came into the Director's office and made some trouble. They are asking for the damage compensation.

Of course, it's better than not having found her.

I am thankful that they are creating a ruckus.

Professor.

I heard a rumor that you are going to another hospital.

Yes.

I would like to do my residency at that hospital.

Well, of course, if you do not want me to...

I'm sorry.

It's a small world.

I am sure we will see each other again somewhere.

Surgery is one thing...

but isn't the after care more important?

Is there anything helpful as we care for that patient?

Make sure you carefully check the condition of the abdomen.

If it's discolored, then he needs surgery earlier.

I am sure Chief Kim Min Joon will take care of it.

So, chill out!

I understand.

Why aren't you going in?

I wanted to see you leave first.

What are you dating me? Huh?

See what?!

Hurry and go in.

Patients are coming.

Good bye.

We need a blood test on patient #17.

And after that, order an X-ray.

I don't think there will be any other problem.

Let's watch and see a little longer.

Make sure she is well rested.

You need to register first.

Please fill these forms out.

Did you check the previous order...

Yes.

What has happened here?

I told you to check the urine and BP hourly.

And get the blood test done every 4 hours.

For an entire hour, the patient has not urinated even 20cc.

Why haven't you reported this?

As you can see, we are too busy.

If you are busy...

His kidney is failing now!

When his kidney is failing,

why aren't you monitoring it?

Why is it so loud when it's already so crazy busy?

Hey, in the ICU, you only see a couple of patients.

How do you expect the ER staff to check the patients in the same way?

Oh, I'm glad you are here.

When are you going to move this patient to the ICU? Huh?

To begin with, when you accept a patient,

you should have checked the room capacity.

When they bring the patients to ER,

did you check to see if there is a bed in the ICU?

You didn't!

You didn't check and then accepted him.

Then you just let the patient get in the OR.

Because ER could not stop that, I am the one who is being troubled here.

But at least I am trying to save the patient and

making the rounds in the ER.

And you are asking me when we can move him to the ICU?

You should have asked Choi In Hyeok when he made an unauthorized entry!

I don't want to leave a patient with an open stomach in the overcrowded ER!

I will look after this patient.

Would an Intern know anything when he looks?

But still I could at least check the amount of urine, IV, and the BP.

What about other ER patients?

I will also look after him.

You can't even take care of your own duty in ER.

I'll also take a look at him time to time.

If 3 of us can check once every 3 hours, we can definitely cover it.

We will look after him until he goes up to the ICU.

If there is any changes in the BP,

report it to Dr. Song right away.

Got it.

Report to me first.

Yes. Yes.

Nurse Shin?

Oh, reporter Park.

It's been a while.

How have you been lately?

Well, it's all the same.

So what brings you here?

Ah, well...

I've received some information.

That there was a violence in the ER.

Grabbing someone's neck and swinging a pole...

The patient had an arrest... I heard it was crazy!

Oh...well...

Could I see the CCTV?

Say,

is that the patient? The one who went berserk because of the operation went wrong?

No. That patient doesn't even have a guardian who would go berserk.

No family?

No, he doesn't have family.

I heard that the only person he knows is

the owner of a Chinese restaurant.

He seems like a trauma patient.

And he is still in the ER?

We don't have room in the ICU.

Who's the one whose throat got grabbed?

I heard it was such a spectacle.

Oh hi, noona. What's going on?

Did you know that Seon Woo is getting surgery?

No~

It's the first time hearing about it.

He is getting the neurosurgery done. The last time, they were going to observe a bit more.

And now suddenly they are going to perform a brain surgery... I'm worried that his condition got worse.

Oh, is that right? Let me look into it and call you back.

OK. I'm on the way down there. See you there.

Yes, yes.

OK. Noona.

How about the vitals?

There is no change.

Professor...

Oh, you're here.

I heard that he was going into surgery.

It's nothing too serious.

His intracranial pressure seems to be a little high.

It thought that I would help lower the pressure,

so I'm going to perform surgery to do that.

Don't worry too much.

Please take good care of him.

How can I help you?

Are you looking for someone?

His name is Park Won Gook,

I got a call that he was admitted in this hospital.

So you are the one who answered the phone yesterday!

No, she was.

I told her he would be unconscious,

but she still wanted to come.

He was injured a lot.

Don't be shocked. Come with me.

Ahjussi!

Wait!

Since Ahjussi was hurt,

if you touch him with your hand, he might get an infection.

So, please don't touch him.

so, I can't hold his hand?

Could you pass me the disinfecting gel?

Then, let's disinfect your hand,

and hold his hand.

Ahjussi!!

How do you know him?

He is our supporter.

What kind of support?

He keeps sending money to us every month

for 3 years.

By the way, why doesn't he wake up?

Is he sleeping?

Because he had medicine to make him sleep a lot.

But he will wake up soon, so don't worry.

Excuse me,

Can we come everyday?

Have some.

So, you want to come here everyday?

When he wakes up, if there is no one whom he knows,

How sad he will be.

He is the only one

who sends the Christmas card and

asks about the school report card for us.

By the way, he is something.

How much he could earn by delivering food?

Do you live close by?

we changed the bus twice and walked quite a bit.

Really?

Since the weather is hot so on,

if something happens to Ahjussi,

I will call you.

So, you don't need to come so often.

You have to go to school too, right?

It's summer vacation.

Oh, summer vacation!

When we come to see him, we will try not to disturb you.

Thank you and good bye.

As soon as he wakes up, I will call you immediately.

Be careful on your way back and study hard!

Yes.

So cute! Cheer up!

Thank you.

Thank you.

Just a minute.

This is my cellphone number,

so, if you want to know about his condition, call me any time.

Thank you.

Let's go.

Let's go.

Take care.

Goodbye.

He is really something, there are 3 people not one!

Yes.

The kids are all of his contacts.

Although he is a such good person, how come it happened to him?

That's what I mean.

But, why is his body temperature not increasing and his swelling is so severe!

Why there is so small an amount of urine accumulating?

Do you think there is a problem in his kidney?

Thay's why we check him every hour.

Yes?

Hyung, the operation has finished.

Okay, I'll be there soon.

Doctor. Did Seon Woo's surgery end well?

It did. Craniotomy is an easy operation.

I just need to check the CT.

Can I come with you?

If you want.

What is this?

This is hematoma, right?

The hematoma has become big!

If it is this size, isn't it serious?

Don't need to be surprised.

After the operation 1or 2 out of 10 people have it again.

But why does it happen to a VIP!

Geez!

The size has increased.

Yes, it has.

Arrange an OR.

Alright.

We will contact the guardian but,

please explain it to them well.

Hemorrhage was blocked by pressure.

But when we reduced the pressure, it burst.

I heard she left Seoul,

When she arrives here during the operation, please make her comfortable.

Yes. will he be okay?

He should be.

How about the OR?

Cancel the plastic surgery and we will take that spot.

Aigoo!

If our Director finds out, I don't have any excuse to give.

Dr. Min Woo!.

Huh?

I want to ask you a favor.

Oh! What is it?

I saw you have a day-off next Monday, can you exchange it with mine?

Okay, what happened?

My father's memorial.

Ah...

Don't look at me that way.

How did I look?

Sympathy!

I never did.

Except for losing my parents, i'm not pitiful.

I know!

So, since it is a memorial, you go home and make food and etc?

Since it is my father's memorial, I should help some.

I should buy a bottle of alcohol too.

Why are you looking at the operation schedule?

Choi.... Yeah....

Ah, it is the Bang Seon Woo's operation.

Didn't you say he was going in earlier?

It is the re-operation.

How serious is it?

They said the hematoma became bigger than before.

I hear the Chief of Neurosurgery did it himself, right?

Before, there was no need to be operated but,

this time it needs to be removed. it is nothing serious but...

Since he is a VIP, he just rushed the operation.

I wish for his recovery.

Yes, Grandma?

I mean the guy.

I know already. He went in for the another operation.

What, surgery?

No, I heard that the surgery went well.

He went into surgery. It's something that I've just heard.

Are you okay?

Of course. That man is not my father and it's not even an incurable disease.

Next Monday is a workday. Are you off?

I changed it. I'll be there early and I'll help out.

You're probably very busy. Take your time.

I'm his one and only child.

It's my father's memorial. I have to at least perform ancestral rites.

I'll be there early, Grandmother.

Jae In.

Hello.

I heard that he went into the surgery.

I got the call.

Jae In, you're okay right?

It looks like the hematoma got bigger,

as the pressure around the blood vessel was relieved.

The hematoma was removed during surgery.

Is he in a condition to be transferred?

Transfer? Right this moment?

I called a neurosurgeon at the Seoul Sejung Hospital,

who is a friend of Seon Woo's.

He said that they have room in the ICU.

He also said transfer is possible right after an operation.

It is possible. But, we should still watch over him for a few days.

And it's also vacation season, so the roads aren't that great either.

As you already know, the ICU of a big hospital is not always empty.

That is correct.

If it's fine with you, I hope that he can be transferred to that hospital.

Ah, yes. Then, do that.

Prepare for a transfer.

Alright.

It would have been great if I went with you.

Don't worry.

I think it'll be better if I watch over him at a closer distance.

I'll visit you during my next vacation.

Wait a minute.

Have a safe trip.

You've been through a lot.

It's okay.

He's really not a bad person,

but since he couldn't cut the relationship off cleanly,

I believe that he has hurt you. So, I'll apologize on his behalf.

Please forgive him.

It's OK.

There probably isn't any case where we end at the same time.

How would I be able to meet people and fall in love

if I have to apologize all the time?

I'll be leaving.

Oh, yes. Go.

I'll call you!

Is it because she's taller than me?

Pardon?

Because she is prettier than me?

What is?

In what way is she more charming?

Ahhh.

Why did he leave me and meet her?

My pride is hurt and it turned into powder.

I really didn't know.

How can I reveal that? So embarrassing.

Seon Woo's eyes must have been damaged.

While I'm calling other departments, I should have called the Ophthalmology as well.

Thank you, that cheers me up.

I'm being sincere.

Why would he leave a girl like you and cheat?

Honestly, I was afraid when I heard he was going to go under surgery.

Why? Were you going to put a curse on him not to wake up?

Whether he wakes up or not, it's none of my business so get out of my life.

As expected, you're scary.

But I got a little scared when I heard the hematoma got bigger.

Did He listen to my prayers that well?

Do you feel relieved now?

While Mr. Scarlet Letter was laying in the ICU,

I had to be humble without any choice.

Now I should return to the old Jae In kind of state.

If this is being humble, then w-what was your normal state like...?

Look forward to it.

ER is calling.

Ah! Kim Do Hyeong!

Thank you for coming.

We're cooperating between departments to open a Trauma Center.

And we are in the process of recruiting a professional Traumatologist.

Is that so?

Since your last salary at Sejung Hospital was not high enough,

we're going to offer you a higher salary.

Yes.

We can get you a house within 5 minutes from here.

Do you have a family, perhaps?

I don't.

Then we can get you a good house,

If you want something bigger. . .

That is big enough.

You can attend international conferences 4 times annually.

A vacation over two weeks is also guaranteed.

You will be on call during the weekend, once or twice a month.

In order to maintain that kind of schedule, you would need at least 5 teams doing rotations.

Do you have that many employees?

For now, we only have a Center Chief,

and you, Dr. Choi In Hyeok.

But once we set up that Trauma Center, we will receive $8 Million.

With that kind of money, we will be able to pay that many new employees.

Your experience will be considered during selection.

You'll be a great asset to us when you join.

Then we will be selected as a operational partner

for the Trauma Center in the Seoul metro area.

What if you are not selected?

How could that be?

After you have been awarded the $8 million,

what if you don't receive subsequent investments?

To have such a pessimistic thought...

I believe it will be ideal,

to establish and operate well

a couple of Level 1 Trauma Centers in Seoul metro area,

as long as we have access to emergency helicopters.

When contacted the helicopter would transport the patient

with experienced staff waiting, that kind of Trauma Center.

If smaller Trauma Centers are established,

they won't get enough experience,

and will burn out easily,

as they won't have enough manpower.

And eventually, it's obvious that it wouldn't be successful.

As long as we receive that $8 million,

the next rounds of funding are easy to receive.

That's what you hope.

What I'm curious about is that without this $8 million funding,

This hospital...

For the trauma patients, how many surgery rooms, ICU

And employees will you be able to handle?

That. . .

Where are you?

I'm almost in Busan.

You don't sound satisfied with the position.

But wouldn't it be better than a war field?

War zones are where trauma care standards are made.

I didn't expect you'd like them.

But since they wanted to create a trauma center so badly...

Anyway, good job.

Something is strange with this, right?

The graph has changed a bit. What happened?

Let's have the blood test.

It's not the time yet.

But I think we need to get one done.

Nurse Kang, can we have a blood test here?

Yes.

The blood test result is out.

Doctor, Doctor.

Why?

This patient's potassium level is 5.7.

Really?

Yes.

This patient was supposed to have blood test every 4 hours,

why did you already get it done?

I looked at the ECG result earlier and the graph looked strange.

Look what we have here.

You looked at the ECG

and you thought that something was wrong with the potassium level? You?

Yes.

I learned it in school...

And I thought about the murders involving large doses of potassium...

And also as his pancreatic duct is demaged,

I was worried that he may have a cardiac arrest.

What?

You thought about the murders?

Yes.

Give him IV with 5% dextrose and the insulin infusion

Yes.

Lee Min Woo.

Yes.

If the levels are this high, then it is correct to do something.

It would have been a trouble if we left this as is.

Oh look, that was amazing.

I know.

Stop messing around.

That was great!

Just looking at the graph and saw the potassium.

That must have come out a lot in medical dramas.

This comes out a lot in the newspaper too.

Medical professional girlfriend is a suspect for the murder of the wife

involving large doses of potassium.

Do you guys not read newspapers? Oh, geez.

Yes. Yes.

Park Won Gook patient.

We're giving him dopamine at 15 mcg per kg/minute,

Norepinephirne is being administered at 0.1 mcg/ kg/min.

As we're administering large doses of vasopressor medications

in order to raise his BP,

we may need to amputate his foot.

Let's go.

Dr. Kyeong Hwa.

Are they going to amputate his foot?

The possibility is high.

It's because of the thrombus in his leg.

We don't have any other way, but to wait and see.

Wait. . .

The Chief said "high dosages of vasopressor agents"...

If we don't need to keep his BP high all the time,

If we keep an eye on his BP more frequently,

We can lower the dosage.

And if we lower the dosage,

the blood will circulate better to the peripheral arteries.

Then you're saying that there's a possibility to save it?

That possibility is low.

But it's not like it's impossible, right?

That's right, it's not impossible.

But the foot is not the problem,

For him,

Whether he can go through the second round of surgery or not. . .

That's the bigger problem.

Let's pray for it.

Mr.Kang Ho Won, how are you feeling?

I'm doing okay.

Follow up this patient with a CT tomorrow,

If there isn't anything wrong, discharge him within this week.

Yes. I understand.

Hello. What?

Check it's true or not.

He's at the ER?

Hello, this is Kim Min Joon.

A newspaper article?

Find a news report about Sejung Hospital ER.

Yes, I will.

Se...jung...hosp...

God, this is frustrating.

Jun Pyo?

Search the Internet.

I'll find it quickly.

Please search for an article about Sejung Hospital ER. Quickly, quickly.

Come in.

Yes, this is the Chief Medical Officer.

What kind of article?

Yoo Mi Ri patient,

She says she has pain in her spine after shte fell at the spring water spot,

She requests a diagnosis by the department head.

Shin Hyun Ja,

Yes, this is Hwang Se Heon.

After taking MRI of her lumbar spine, she asked to show....

Drug treatment and physical therapy....

Let's do this later.

Are we at fault in any way?

The resigned doctor brought a patient to his former hospital,

and did an operation and completed the charge-over and disappeared.

Check the validity of the article first.

It is true he came and did the operation although we didn't have a bed in the ICU.

So we kept him in the emergency room.

And the nurses, it's true that they couldn't take care of the patient properly.

Also, it is true that he was originaly seriously injured and had kidney failure, too.

How is the patient's condition?

Until the day after tomorrow will be the first critical time.

And I searched it, it's a nameless newspaper.

Do we need to worry about it so much?

The press is starting to call us now.

Whoever the patient is, we do our best. . .

But please pay attention that no article about

having something wrong going on about a patient.

If he dies, how much have we done with good will?

It looks like we are very irresponsible.

If he had submitted his resignation, he should have left quietly.

He's starting this kind of trouble.

Is the patient still in the emergency room?

I was looking for a patient whom we could move to a ward,

but we have none.

Since we don't have one,

why don't other departments make a bed for him?

How about the VIP room?

We can install the ventilator there.

How can he pay for that expensive VIP room charge?

Do you think money is the problem now?

Isn't there any orthopedic patient that can be moved?

It is very rare to keep our patients in the ICU.

First the patient's condition should be improved,

then we can ask for the correction article.

Please pay special attention to it.

Do we have to get blamed, even after we treat him?

Because you can't control this kind of quasi-reporter,

did you let the hospital take a hit?

I checked the fact...

Even if you cheked it, the news had spread already,

whether we are at fault or not.

Even if it is not a major newapaper,

nowadays you know how scary an internet article is.

Already the Associated Press

are calling us to confirm it.

Make sure it doesn't get bigger than this.

I understand.

Also, this...

What is this about?

A person who isn't even a doctor in our hospital came. . .

and performed surgery without checking the ICU room availability.

Hyung, hyung, hyung, hyung, hyung!

Why, why, why?

Here he is.

This patient must be the patient.

Why, what is it?

Because of the patient, the hospital's in a big mess right now.

Why?

Ah, forget it. Look at this.

What is this?

How irresponsible it is!

How irresponsible it is!

If he doesn't wake up, it will be real trouble.

What are you guys doing?

What is "great"?

Please look this.

Alright. Let me take a look at it.

What is this?

How did this happen? I'm going to go crazy!

-Does the Chief know? -I think he doesn't know.

I'm going to go crazy. This is really a big problem.

What are we going to do?

Mr. Reporter.

Your article was right.

we knew there was no bed at the ICU but still we did the operation.

So we brought him here into the emergency room.

Why did we do that?

To save a person's life!

What was that?

That. . . Park Won Gook?

Ah, over here... over here.

Is he a reporter?

So then?

That's why, if the patient went to another hospital,

he would have died.

However, a Traumatology Professor from our hospital

was the one who discovered him.

That's why he's at least in that state.

Ah, that's why they came to this hospital?

Even though there was no space.

Just because there was no space and

the patient got transferred to another hospital,

that patient would have died.

The usual story is that

while they are transferrng a patient,

the patient dies in the ambulance.

-Aigoo, it's so busy here... -Yes.

Please do us a favor.

Park Won Gook?

The name sounds familiar.

Yes, Sunbanim. Could you just verify a name for me?

In the list, last time, of people who came for luncheon to the Blue House,

Could you confirm the name Park Won Kook on the list?

What is the advantage of the Blue House Reporter!

Please check it for me.

Although he couldn't ignore it,

ultimately he would come back, so why did he quit!?

Yes, this is Choi In Hyeok.

Is this Professor Choi In Hyeok?

Yes, that's right.

I'm calling because I need your help.

You probably don't remember but,

My name is Lee Won Pyo.

I got your name card when we met in the seminar.

Ah yes, what's going on?

There is a 68-year-old male patient.

this morning, while he was driving the tractor,

the tractor rolled down on the hill and he sustained a lot of injuries.

Yes.

Because a few ribs have been broken,

there is hemothorax,

We temporarily stopped the problem by inserting a chest tube.

Yes.

The real problem is the left side of the liver was damaged,

so there is massive bleeding.

Can you solve it with embolization?

We don't have the machine.

Can you use the gauze intead of that?

That is... I don't know how to decide.

I guess the left side is completely crushed,

After we open it, we will have to cut it out.

Why don't you send him to a bigger hospital?

I heard that Sejung Hospital would accept a patient like this but,

Even if we are supplying blood,

his BP is 70.

He will probably die on his way there.

How would you like me to help you?

Well, I know this is a difficult favor I'm asking but,

if you don't have any other important work today,

could you come to my hospital and perform the surgery?

Me?

I have no experience to handle this kind of trauma patient before,

On top of that, I hardly have done any liver operations.

Where is your hospital?

Ah, I can be there in 40 or 50 minutes.

I can wait that long

while we are setting up the OR.

First, please prepare a lot of blood,

I need lots of erythrocytes and blood plasma,

so get 10 of each please.

Do you have ____?

We don't have.

Then, do you have clips?

Yes, we have.

I will be there as soon as possible.

If there is something happen to this patient,

will Dr. Choi In Hyuk have all resposibility?

Blood pressure isn't coming down.

There isn't that much urine either.

I hope there is no problem which the ressigned doctor did an operation.

I hope there is no problem which the ressigned doctor did an operation.

Hospital administrators will take care of that.

Also ask the corrected article too.

Whatever it takes, we will save him.

Instead of worrying,

let's check the blood pressure one more time,

and monitor patient's urine output one more time.

That way, we'll have a chance.

Chief! It's amazing! Amazing! Did you see the article?

What article?

Take a look.

Wow! I almost fainted when I saw this article.

Patient Park Won Gook.

Hello, this is the Chief of Strategy & Planning Dept.

Hi, Mr. Secretary.

The article?

Yes, we're planning on requesting the correction.

Pardon? I'm sorry, I'll get off first.

What's happening?

Haven't you blocked the articles?

I will find out about it.

What's going on?

I was just about to go up and report it to you.

Follow me.

When did he report directly to the Chairman?

Let's go.

Yes.

You can't be like this.

There's no space but,

There's no space but,

if we send the patient away. . .

it was a situation where he couldn't make it.

We received him and performed the surgery.

And I,

am Park Won Gook's attending physician.

Something you can't even buy with money,

has come, Chairman.

You have been through a lot to get here.

I'm Choi In Hyeok.

You already started.

Yes. We were waiting, then...

we couldn't stabilize the blood pressure.

I was just pressing it.

It hasn't been that long.

No,

Please be on this side.

Would that be alright?

If I was going to do the surgery,

Why would I have called you?

Then I will take a look.

It has been totally broken.

It seems like some parts of the abdomen has been bursted.

A thick blood vessel that's deeply hidden has been bursted as well.

It would be difficult to access it.

It will be difficult to stop the bleeding this way.

I think the best approach will be incising through the liver.

I also think so.

Let's start.

Let's start from blocking the blood vein to the liver.

U-tape, please.

We'll hurry up,

So, we will speed up this process. Anesthesiologist...

Please time 15 minutes.

Yes.

Kelly.

Clip.

You are his attending physician?

Yes, that is right.

Would you be able to save that patient's life?

I will do my best.

I'm asking if you can.

Tomorrow will be a critical day.

If that patients lives,

We'll get the press that you can't even buy for.

But,

if that patient dies,

We'll get very harsh critiques from the press.

I will save him, Chairman.

He is bleeding less for sure.

Thank you for coming.

Don't mention it.

It's been so crazy that I'm only now making my greetings.

This is the start.

Yes.

In this situation, you called another doctor.

That's really great.

The patient. . .

was in a real bad shape.

When I called, I really didn't know you would come.

If I did the surgery the patient would die.

If I send the patient away he would die too.

I called because it was an extremely desperate situation.

I knew it was rude but I called you.

It's been 5 minutes.

Let's start again.

Anesthesiologist,

Please time 15 minutes again.

Yes.

U-tape. I'm cutting off the blood supply again.

Kelly.

Mayo scissors.

Tie.

Yes.

From now on, anything regarding that patient...

Place it all under Chief Kim Min Joon.

Tell this to the Public Relations team.

So that people won't talk nonsense about this and that.

I understand.

I will do my best, Chairman.

Chief Na Byeong Gook, you take care of the part relating to the ER.

Chief Kim Min Joon takes the post-op briefing.

And the final announcement,

Director, you do it.

Wouldn't it be better,

if the Director handled it?

Then should we set up for a briefing?

Yes, we're ready.

We will now begin the briefing for

Patient Park Won Gook of Haeundae Sejung Hospital.

The presentor is Dr. Oh Kwang Cheol,

who's the Director and the Chief Medical Officer of Haeundae Sejung Hospital.

What is it?

It's a word from the Chairman's office.

I have received an order saying that It's a word from the Chairman's office.

I have received an order saying that

everything is under Cheif Kim Min Joon's care.

What?

Sorry, I'm late.

Then.

I am Kim Min Joon, Chief of General Surgery department.

I'm also the attending physician of Mr. Park Woon Gook.

The current state of patient Park Won Gook is. . .

Careful! He's a celebrity who received a Presidential Medal

and was invited to the Luncheon.

Even the National Assembly made inquiries about his status.

ER was in chaos as well.

No kidding!

The reporters were a mess and taking pictures.

When we admitted him to the hospital,

we had no information of him,

being a long-time benefector of the inner city childeren

despite having an economic hardship himself.

Over there, the reporter wearing a white blouse.

Isn't the patient's condition really bad right now?

Oh yes.

We have prepared the briefing materials.

Please hand them out.

This is a paramedic report

when they rescued him on the street after the accident.

Trauma cases like this, DOA is likely.

Or most medical staff can't even conceive the idea of an operation.

But in Park Won Gook's case,

he was very fortunate.

He received the best emergency treatment.

Calls were made immediately to our hospital,

so enough blood was prepared in time.

Anesthesiologist who was off-duty, arranged an OR for him regardless.

Although we did not have room in ICU as reported,

everyone made wishes for him getting better,

and those wishes made a miracle.

You are Chief Kim Min Joon, right?

I heard you have another surgery today. What kind of operation is this?

The operation last time was to stop bleeding,

reconnecting torn aerteries and stapling intestines.

Today, we're going to operate

on reconnecting intestines

and performing splenectomy.

I heard the patient's condition isn't that good.

How much is the possbility of recovery?

It is rather hard to say as his condition is very serious.

However, as the best medical staff is doing our best

trying hard to save the patient.

You would be able to anticipate good results.

Then I'll see you after the surgery.

Just one more question, Chief!

Is it all ready?

Yes, since the abdomen was already open,

There was nothing much to prepare.

Why does Choi In Hyeok love to leave the abdomen open after a surgery?

What is this?

Aren't you those ER interns?

Yes, we scrubbed in for the surgery last time.

Assisting....

Yes, so?

Couldn't we participate in this surgery?

This is a General Surgery operation now.

The ER staff,

And interns at that, has no reason to get in here.

Maybe Emergency Medicine didn't have enough staff,

so, they had to resort to you mere interns.

General Surgery has plenty of Residents and Fellows.

Go and do your work.

In the last surgery, a really important point. . .

I'm the Chief of General Surgery.

Do you think there's anyone among us,

who knows less about performing surgery than you do?

In the last surgery, a very important. . .

I read the surgery log.

Let's start.

Yes.

Anesthesiologist, are you ready?

Let's start. Irrigation.