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[Episode 12]
Dr. Min Woo, what are you thinking about?
Why?
Why are you staring at me like that?
Well.
"Dr. Jae In also was of the same mind as I was."
I thought that.
Well, you looked at me as if I'm that kidnapp...,
no,
as if I'm the patient, Yoo Seung Cheol.
When did I do that?
Oh, yes you did.
Ok fine. You are right.
I did that.
Yep. I guess I did that.
If I had the decision to make...
I thought I would never have saved the patient Yoo Seung Cheol.
Since he's a kidnapper.
If I hadn't strongly insisted.
Would my heart have felt this heavy?
It would have been difficult for the Professor too, right?
Who would be able to easily make up one's mind on such a decision?
You can't discuss it with anyone.
You can't share your heavy heart and must decide on it alone.
I didn't want to face those situations on my own. That's why I came into this hospital.
No, I mean...
Maybe, for me right now...
The fact that I don't have the privilege to make such a decision...
Should I be rather glad?
I am rather glad that...
Right now, I'm an Intern who can't make any decisions.
But someday...
Lonely and alone, we might have to make those decisions.
Dr. Min Woo, this chart is for the patient of bed#4 in the Isolation Ward.
These are for bed#8, #12 and #3.
As you're leaving, are you happy?
Emergency Medicine Department!
I have come!
Crazy dude.
What's going to happen to your love, Orthopedics?
It's sad but for a moment good bye to Orthopedics.
Dr. Hyeok Chan, which department are you going to?
Dermatology!
Wow, the best part of internship, Dermatology!
If I am bored after my nap. I'll come visit the Emergency room.
Jae In, what about you?
I'm going to General Surgery.
Epic...
Would Chiefs of Surgery departments have any interest in a mere intern?
For bed#6, I submitted the order.
Oh! The Professor is coming.
Hello!
Hello.
Hyung, are you working for Emergency Medicine again?
Well, me?
Well, me?
I changed places with you. I don't have anywhere else to go.
Would it be alright?
I guess you didn't have anyone to change places with.
There's nobody.
Why change it?
You need to stay here,
So that you can see your favorite, Professor Choi In Hyeok more often.
Right, let's do the change-over.
You should organize the charts well, no matter what.
Once Dr.Kim Do Hyeong says "What are you doing?", your life would be...
What's so special about that?
Patient, where are you feeling pain?
My stomach.
Since when?
Since yesterday.
Anything like vomiting or diarrhea?
I keep feeling nauseous.
Could you lie down?
Just a moment.
Does it hurt when I press down?
What if I pull back my hand?
It doesn't hurt that badly.
Oh really?
Umm..uhh. Do you have your period right now?
I'll do some blood tests and radiation scans and I'll give you some painkiller.
Everything looks fine, but why does she say it hurts.
Min Woo Hyung.
Dr. Kim Do Hyeong!
Can you take a look at this patient?
There wasn't anything wrong in the radiation scans and blood tests.
Is your period regular?
When did you last have it?
It's a bit irregular.
I have not had it since two months ago.
Did you do a Pregnancy Test on this patient?
No...
Just a moment.
You punk! For female patients of childbearing age,
you must do a pregnancy test no matter what. Did you hear that from the change-over or not?
Did you ask if she was on her period?
I'm sorry.
Sorry my ass!
That patient, if her pregnancy test comes out to be positive,
how will you take responsibility for it?
Hurry up and do the test!
Yes.
Hurry, please!
For the patient at bed#9, why is the cardiac enzyme test not done yet?
I'm sorry.
I couldn't find where the prescription is yet.
Hey! The patient is having chest pains,
but how come you're not sending the cardiac enzyme test yet?
Didn't you complete the change-over?
I did, but the order system of ER is not familiar to me yet, so...
I'm sorry!
Hey, Lee Min Woo!
Yes!
What were you doing not helping him?
I was checking the patients in ICU.
You guys, will you do the change-over like this?
Is the emergency room a joke to you?
I'm sorry
You, who gave the change-over to you?
Well, Doctor Jang Hyeok Chan did..
Gather all of you!
Tell Jang Hyeok Chan and Kang Jae In to come right now, too!
- No. - No.
Then, why is the change-over messed up?
Someone doesn't do a pregnancy test for a female patient of childbearing age,
and can't submit the order for cardiac enzyme test.
The patient, Kim So Young, if it wasn't extrauterine pregnancy, what could've happened?
I'm sorry!
Since you see many people on vacation,
do you think you guys are on vacation?
No!
I'm saying this because you seem to not know that,
but do you know who's giving the marks for ER's internship?
Isn't... that Chief Na Byeong Gook?
Do you think the Chief is not that busy?
Chief is just signing,
but it's "Sir Me", Kim Do Hyeong who is in charge of giving marks to interns!
A person who's not giving the change-over properly,
a person who doesn't complete the change-over properly,
which one do you think I would give a lower mark?
You guys all said you would apply for residency training too.
Yes.
"Sir Me" doesn't have any ability to make you successful,
but he has the power to make you not successful.
Do you understand?
Yes, I understand.
"Sir Me" is in charge of what?
You're in charge of interns.
You're in charge of marks.
You're in charge of giving marks to interns.
You're in charge of "visual" of ER.
I do look young.
I'm not lacking for styling in anywhere.
Well, anyway, since today is the first day after the department change,
I will stop here, but next time, you'll have no mercy.
Got it?
Yes!
Dismissed!
See you later!
In charge of visual?
You have a really strong stomach.
Aigo, you guys, you don't know how to survive in the society.
You'll survive well.
You'll survive really well.
I think you'll survive well.
It's decided to make a Traumatology team,
and even if the Trauma Center application is rejected,
Chairman seems to support it for a while.
So, since it's going to happen anyway, let's proceed with it with no hard feeling,
and gain what we can get. Let's do that.
Then, we should assign interns for that, but how many interns would be given?
If anyone has any idea, let's discuss about that.
Who would be assigned as the head of the Trauma department?
So,
the department which will produce the head of the center must give up one intern,
the department which will produce the head of the center must give up one intern,
and,
depending on how many specialist positions will be given, we can assign the interns pro rata.
Well, although the Chairman suggested a big picture,
the management will be handled by Director,
well, he will say something about that.
Well, no matter who would become the head of the center or how the management would be done,
our Orthopedics is essential in this issue.
How many positions would be given to that department is the problem.
Doctor Park Seong Jin?
Yes, Chief!
Aren't you leaving work?
I will soon.
Come have a drink with me.
Yes, I will.
Chief, did you call me?
Yes.
Sit over here.
Yes.
Are you busy?
I have a patient appointment later for mammotome,
but it's okay now.
Well, that's....
Did you hear that the Trauma Center would be made?
I heard, but what of it?
There is a high possibility to make a professor opening under the Trauma Center.
That's why I'm saying this, but are you interested in that?
I'm specialized for Breast Surgery,
but how can I do Traumatology?
Anyway, you're a medical specialist of General Surgery, ..
I think that treating breast patients
is very worthwhile and meaningful!
And that's what I can do the best.
And..
Since I already did Intern, residency for 5 years and fellow for 1 year.
Now I want to work during the day and rest at night.
I would like to work comfortably and rest on the weekends.
And most importantly,
I need to get married, too.
But, do you even have a man?
I will have a man soon!
A fortune teller said I would definitely find a man this year!
Intern!
Ah yes. How are you?
Oh, yes. Well, is the prepation done?
Yes, I gave him 4 liters of colonlyte and now I'm doing till-clear enema.
Oh, do you?
You know he's the patient whose surgery will be done by Chief?
When Chief does enteroanastomosis,
he really hates if any excrement is left.
So, repeat it over and over,
so cleanly, very cleanly, until not even a tiny bit of feces is left,
you should empty it like that, okay?
I already used 3 liter.
3 liter is not enough.
You should use more than 5 liters,
and still it won't be enough.
I understand.
Since you're doing so well,
you can do two more.
Work hard!
Yes, I'll work hard.
Don't work too hard.
I'll do well.
I'll do it one more time.
How many years have you worked under me?
Yes,
including residency, 7 years.
Yes, it has been quite long.
No, Chief. I still have lots of things to learn from you.
Have you by any chance heard about the Trauma Center?
Yes.
I heard that Professor Choi In Hyeok will be heading the department.
Well, the head of the center is not decided yet,
but I thought what if I recommend you for that center.
For Traumatology, anyway Orthopedics is essential.
You seem to have strong will to remain at the teaching hospital,
so that's why I thought about that.
Trauma Center is...
a place that you should work day and night,
and you would be very tired because of critical patients,
but since it's a very essential position,
if you say you would go there, becoming a professor there won't be difficult.
I guarantee that.
Can I have some time to think about it?
Of course.
It's an important matter that your future depends on.
Think over carefully and tell me your decision.
Yes, I will.
Here.
Yes, Chief.
It's over this way.
Are you playing a hide-and-seek now?
Patient rooms are all here, but where are you leading us to?
I'm sorry! I'll look for it.
She has no sense of direction, does she?
Well,
I'm sorry, Professor. It's surely this room.
Doctor intern.
We came out of that room just now!
I'm sorry.
How on earth did you complete the change-over?
It's been several months since you started the internship, but haven't you learned the ward's structure yet?
Are you traning your dog? Making me work out in this early morning?
I'm sorry!
Amongst people here,
do you think there is anyone who is less busy than an intern?
No, there isn't. I'm sorry!
I'm sorry. I'm sorry. I'm sorry.
All of them, after the round visit,
they need to scrub in, check patients,
and have lots of work piled up like a mountain!
If they're late at surgery, other scheduled matters will be delayed, which will make them skip their lunch,
and they need to see outpatients in the afternoon.
Then, what will you do for their surgery schedule after that?
Do you think that here is like Traumatology,
where one or two patients are thrown by accident?
- I'm sorry! - I'm sorry!
This is my fault.
I'll educate her clearly this time.
From now on, you lead the round visit.
Yes. I'm sorry!
You idiot!
Well, is there any applicant for a coordinator?
Please wait for a moment.
A male patient, 42 years old?
Yes, it's pelvic fracture by sudden unintended acceleration accident.
Yes, wait a moment. Dr.Kim Do Hyeong! It's an inquiry for transfer.
It's from Chang Won Hospital.
Yes, hello, speaking.
Yes.. Yes...
Sudden unintended acceleration accident??
Aigo, I'm going crazy.
- What is it? - It's from Chang Won Hospital.
- What is it? - It's from Chang Won Hospital.
It's a male patient, 42 years old. When he was at a parking lot, the car had a sudden unintended acceleration,
so he got jammed between the car and the wall.
How's his condition?
His pelvis is severely broken,
and the vital signs are also unstable.
Tell them to send him.
Yes.
Yes, please send him.
Yes!
What else did he get injured?
I couldn't ask....
I couldn't ask....
Since you just said to tell them to send him...
Well, anyway, once he arrives, call me immediately.
Call Orthopedics, and contact intervention room in advance,
that we might come to there by any chance.
Contact Anesthesiology too.
Yes!
How long did they say would take?
Since they leave from Chang Won, wouldn't it be about 40 minutes?
Will I apply for blood too?
If it's pelvic fracture, I guess the hemorrhage would be serious too.
Do it.
It's time.
A pelvic fracture patient will come soon.
If he arrives, I will call you right away.
Hey! What are you doing?
Check about an OR quickly!
Yes!
There is a designated OR for Trauma!
You can just contact Anesthesiology and go up to the OR right away.
Ah, right.
While waiting for the patient to arrive, why don't you have the interview with applicants?
I'll come back soon, so upon his arrival, call me.
Yes, I will, Professor.
Well,
I'd like to ask your understanding.
An emergency patient is expected to arrive about 30 minutes later.
So, I won't be able to have interviews with all of you,
and for one or two applicants,
I'd like to re-schedule the interview to the afternoon. Is there anyone available for that?
If it's not working, I will contact you again after re-scheduling the interview.
If you start working here, this kind of situation is happening so often.
I will wait.
I don't have any plan in this afternoon.
It's not any other case, but for the emergency patient's case,
so I will wait.
Can I come back after having a lunch?
Yes.
You can do that, yes.
Well, then the rest of you, until the time allows, I will have the inverview.
Mastoid.
Hold these for a second. Babcock clamps.
Oh my gosh!
HEY!
What is this? Huh?
Was bowel prep done yesterday or not?
Well.. it was done.
For enema, how many liters were used?
Did you do that?
No, it wasn't me but the intern...
If it was till-clear enema, did you confirm it with your own eyes or not?
That was... that intern...
Intern who? Call that intern to come immediately!
I'm Intern Kang Jae In.
You again?
Come over here and look at this.
Yes.
Do you know what a till-clear enema is?
Do you know why we do that?
Before the colorectal cancer surgery, it's making the large intestine empty clearly,
so during the surgery,
the feces should not come out.
Oh, is that so?
But then, what is this? Uh?
Did you check properly yesterday? Did you?
Right now, in the situation with the abdomen opened,
the feces, which you couldn't wash out, came out. What will you do?
Now, if the patient's abdomen is infected because of that
and the anastomosis site bursts so that another surgery is required, then will you take responsibility?
Do you think enema is a joke?
How can you be a doctor when you can't do this kind of simple procedure?
Do you have any right to talk about a license or qualification?
I'm sorry.
Should I care about this kind of thing too?
I'm sorry!
For this patient, use the antibiotics longer,
and make this patient fast for 1 day more than other patients.
And confirm clearly if the anastomosis site is okay.
Yes, I understand.
Don't you know that these days for all 45 general hospitals in the country,
the success rate for cancer surgery is being counted?
I'm sorry!
Leave.
Irrigation.
As a coordinator of the Trauma Center,
what did you think you would do, when you applied for this job?
My friend is currently the Coordinator of Plastic Surgery.
There's also a Dental Coordinator.
Isn't it all similar?
Is there a separate room for the Coordinator?
I thought it would allow normal commute instead of shifts. That's why I applied for this job.
You need to come to work whether it's day or night, if there is an emergency situation.
Organizing the documents, administration work, transfer for patients.
If it's urgent you need to help in surgery.
You need to drive.
You should even prepare lunch boxes for guests.
Do you think you can handle all that?
You need to be at least prepare for that to do this job.
Then, is there the payment for overtime?
It's not a lot. But yes there is.
Right now, we will finish here with the Interview.
Please wait a moment. It will take about 30 minutes.
It's the patient coming from Chang Won Hospital!
You're already here? Move him to the bed, quickly!
Call Orthopedics, quickly!
Patient! Patient, do you know where it is?
What about his guardian?
Yes, they're coming!
One, two, three!
Be careful! Be careful!
What about the patient's state?
When we left, he was conscious, but he lost his consciousness on our way.
These are the test results from our hospital.
Intubation!
Please prepare for intubation.
Send the blood tests.
Let me see his CT scans.
Yes. I understand.
I put the scans on the monitor.
His BP is only 80.
Wow, his pelvis is dangling
Is that this patient?
Oh, you're here, good. Let's see the CT scans together.
Oh my goodness. The pelvis is totally shattered! Oh my goodness. The pelvis is totally shattered!
Oh my goodness. The pelvis is totally shattered!
What happened so the condition is this severe?
When he was watching for a car reversing, because of sudden unintended acceleration, he got jammed between the car and the wall.
The pelvis has been totally smashed!
This is my first time dealing with such a patient.
In our hospital, is there any doctor who can handle pelvis?
Doctor Park Seong Jin of Orthopedics.
Yes, he did a fellowship for the pelvis for a year,
I think it's best that he takes a look at this. I'll call him immediately.
Orthopedics.
Yes, Doctor Park, there was a pelvic fracture patient, so I called you urgently.
What's the patient's name?
His name is Kim Sang Woo.
Chief. I think I need to go down quickly.
It's a Pelvis Fracture, but it's rather serious.
Aigoo, in this state, he must be bleeding profusely.
Go down quickly and take a look at him.
Yes. I understand.
Well, anyway, there is one person left who was trained for the pelvis, so we can treat this kind of patient.
In that status, it's a super epic case.
The blood is coming out even from the anus.
The Blood Pressure has dropped to 70.
With this kind of pelvic fracture, the hemorrhage at rectum and anus is usually accompanied.
I think the Internal Bleeding is serious too.
As there any way that we can perform Hemostasis or pressure?
I think we have to put pressure on it no matter what.
How is it?
I'm guessing the Rectum has been damaged as well. Did you look at the film?
Yes. I saw them.
Could you hand me the gloves?
Hurry! Get the sheets.
Can we apply pressure with this?
Hurry!
What were you doing?
Do you not see all this bleeding?
I'm sorry. The bleeding was so serious. That's why I called you immediately.
Then you should have at least applied pressure to the pelvis!
I'm sorry.
Pull from this side.
For now, use this for the emergency treatment. If you go to my office, there is a pelvic binder.
Where?
If you look on my book shelves,
there is one which I bought when I went to the training in the U.S.
Yes. I'll go.
As for the CT scans, they were taken about an hour ago in the other hospital.
We can estimate that the bleeding is more severe right now.
Are the other parts alright?
His rectum and large intestine were injured a little, but it's not super emergency yet.
The Pelvis was open like an Open Book. Inside, that's where the massive bleeding occured.
What are you going to do?
For our case, it would be better to perform the surgery after the patient's condition is more stablized.
Even if it's the open fracture,
In Orthopedics if the blood pressure is two digits, we don't perform surgery!
For the Pelvic treatment can't we stop it with Embolization?
If it's only the arterial hemorrhage, embolization can work,
but this Open-book type of pelvic fracture have
mostly venous hemorrhage and the hemorrhage around the fracture site.
You also think it won't be enough with just Embolization, right?
What kind of surgery are you going to perform, Professor?
If Orthopedics won't perform the surgery, I will order embolization for now,
and try hemostasis using gauze packing around pelvis.
Then, for now, Professor Choi performs the surgery, and when his BP is rising, then we'd better operate...
- Doctors, I brought the binder. - Oh, pull out this sheet,
and on this line, switch them and give pressure.
In my opinion, the Professor's surgery won't be enough.
You're right.
With only gauze packing, we can't stop the hemorrhage.
Unless we tighten the opened back pelvis, the hemorrhage won't be controllable.
That's what I'm saying.
But this patient's vitals are...
Will you allow me to assist?
Even if I'm not so helpful for Orthopedic surgery, I will scrub in and monitor his vitals at least.
Right now, to this patient, either I or Chief Ji Han Goo is totally useless.
Doctor Park Seong Jin, you're the only hope.
If we can't tighten the pelvis of this patient, there is no hope.
Even if we perform the surgery, who would take care of this kind of critical patient?
Even if we set the bones of this kind of patient, there is no possibility for him to recover, Professor!
I'll do it.
Just lend me your hands. We don't have time.
Please squeeze the blood pack, and apply for 10 more packs.
Professor. The blood pressure keeps dropping.
Doctor, OR and Intervention room say that the patient can come now.
Then, even if it's lacking, let's do the embolization...
But even if we do embolization, the venous bleeding can't be stopped, can it?
Is it okay if I make the decision?
Of course. It's your surgery.
Doctor Go, send the patient to OR, and get the consent form from his guardian.
Yes.
Ah, yes!
If you came in surgery with me, Professor. I think it will be a big help.
Thank you.
I will go up to the class room for a moment and see you in OR 20 minutes later.
Prepare the C-clamp for me.
C-clamp?
Is that in our hospital?
Yes. There's one.
I understand.
I'm putting in the guide pin now.
Pay attention. Yes, I will.
C-arm, shot!
The leg, the leg!
Yes.
Don't just pull with your arms. Use your whole body to pull it back!
Yes, I understand.
If this goes in wrong, we'll be in a big trouble.
Again, shoot!
What are you doing, Radiologist? Shots are not good.
Pay attention, Radiologist!
His BP is 80/40. We need to hurry up!
Yes, I understand.
Let's take continuous shots. Shoot!
Continuous shots!
We'll go at once!
Shoot!
S.I. screw
Focus on the leg.
Yes, I understand.
Not much left, use all the energy you've got.
Yes, I understand!
Ok. Shoot!
Shoot!
B/P is not good! Squeeze the blood pack!
I just need to immobilize this a little bit.
Just like that.
Keep doing it like that.
Don't move.
Almost there.
A little more
Ok.
It's immobilized.
The blood pressure is back to normal.
Doctor. Can I let this go?
Yes, you did well.
Please take out the C-Arm.
Good job. I'll take over from here.
Today, we will fix the large intestine only and finish the surgery.
Once the surgery is finished,
bring him to the Intervention room and check if there is any more hemorrhage.
We will see you at ICU later.
Doctor Go, bring the C-clamp back.
Yes. Good work, doctor.
In this country, since there are not much data about Traumatology,
we should check the references from U.K or U.S. So English is essential.
It's not hard, it's rather easy.
So, all you need to do is translate it and write it down.
Oh.
How is the patient?
It's hard for him.
There was a lot of bleeding and the muscles have been crushed.
We should perform a surgery to switch the extra fixation to internal fixation within 2 weeks.
His hip joint also needs some surgery.
Otherwise, there will be quite a big disability.
Yeah, that's true
You worked hard.
Not really.
You are the one who saved him.
If you weren't here, I wouldn't have known what to do.
If you weren't here, I wouldn't have known what to do.
That is all due to your hard work, Professor.
That is all due to your hard work, Professor.
Well, I have interviews I have to attend. So, please take care of this patient.
Yes, I understand.
Uhm, Professor.
If you have time at dinner, would you like to have a meal with us?
If everyone who did the surgery today comes, that's not a bad idea.
You will come too, right?
What?
Sure, If I am allowed too.
Why did you apply for the coordinator job?
I have worked at the Intensive Care Unit for three years.
I was content with becoming the hands and feet of critical patients.
Watching you, Professor on tv saving Severe Trauma patients...
I was thinking it was such a heart pounding field.
Then, I found the job posting.
Before it was too late I wanted to try a new field.
That's why I applied!
Thinking I can be a help for the improvement
of this country's Traumatology,
I believe I will be able to do this work well!
Seo Hyo Eun seems like the best choice.
The young woman has such big hopes and dreams.
It's better to have big hopes and dreams.
Before it becomes three months...
There's a big possibility that she will say, "this was not what I had in mind."
She's too naive!
But she is full of motivation.
She will be a good influence.
She searched up articles about Severe Trauma patients.
She also came prepared with a video.
She is very interested.
It's all curiosity!
She's at a young age.
If we teach her well, we will probably be able to work with her for a few years.
Then what about Lee Sa Jeong?
Do I have to choose from those?
Aren't there any other applicants?
You know very well how many applicants we have considered.
Now the rumor has spread in this field!
That you, Professor are very picky in choosing.
So I guess Seo Hyo Eun is the best choice, right?
Among them, I guess so.
What's this?
It doesn't look like she was just the person you had in mind.
We should hire anyone quickly so that you, Nurse Shin, would feel better!
Just tell her to come to work starting on Monday.
What's wrong with your face?
It has rotted in just two days.
Are you kidding?
I have become the master of enema.
Wow, the part of Chief Kim Min Joon?
For colorectal cancer, of course, you should do enema well.
Oh. I forgot!
I heard that this morning you made 20 people go round and round.
Who did that?
You! You!
Ah, right. Have you heard of that?
What? What? What?
You haven't heard that? It's about your department.
- What? What? - Oh, right, it's not your department any longer.
Why, what is it?
A new Professor is coming to Orthopedics.
So what?
Wait a second.
What about Doctor Park Seong Jin?
Who is pushing him out while Doctor Park has been loyal for last 3 years?
I don't know who it is, but heard that his specification is reqlly great, bling-bling.
Moreover, he's a university junior of Chief Hwang Se Young.
He's coming for artificial joint or something like that.
The edcuational background of Chief Hwang is quite bling-bling, indeed.
But in his university, they care about their juniors more preciously than their students.
Then, what about Doctor Park Seong Jin?
Is he getting thrown away?
Wow, just for that professor position, he has been working hard with loyalty...
Wait. Where did you hear that?
From my dad. I went home over the weekend.
Wait then, perhaps.
Will Doctor Park Seong Jin come to Traumatology as a staff member?
Ah... wow, epic, epic!
Wait, but are you sure?
So I heard.
Alright, good. This is a big news!
Aish, that blabbermouth! Hey, don't! Aish, that big mouth!
Min Woo, where are you going?
It went well with the Pelvic Patient so we decided to get a drink.
Oh, during your golden-precious off duty?
Want to come with me?
Should I?
Be ready, I'll call.
As per the CT scans we took today,
his cerebral edema has gone down much from last time.
Alright.
But, why won't he wake up?
Last time, you said there is a possibility he would have a brain death.
He was so close to the brain death,
but from the result that the edema went down, it doesn't seem to go that far.
Then, is there hope?
It means he has passed the worst case.
But we don't know anything for sure.
For his whole life, like this,
he could be in a vegetative state.
That's what you mean...
Maybe we should have sent him off.
This young kid is going through so much pain.
Now,
We should move him to a different hospital.
There isn't that much of a chance of recovery.
If there isn't anything you can do here.
Then, I'd like to move him to a long-stay hospital..
which is closer to our home.
Here is too far from our house,
and keeping him at a university hospital for a long time...
It's hard.
Honestly,
If there was hope,
I would do anything to save him
and endure.
But that's not the case, isn't it?
If you reach a decision, please tell me.
Then...
Father,
I'm sorry to say this.
But, it's too early to give up.
Did you not hear what that Doctor said earlier?
He said he may never be able to wake up.
Don't just think of it in a negative way.
The resilience of children is beyond our thought, so..
Because it's beyond our thought,
we've come this far.
But not any longer.
Then tell me clearly...
That he will wake up for sure.
Please, please just say something.
I will... Mother,
I will keep monitoring him for sure.
For Oh Hyeon to wake up, I will monitor him every day.
So, please don't give up. I'm begging you.
Mother, Father. Don't let go of hope!
Daebak! Daebak! Big news! There's a big commontion out there!
Why are you here?
What's all the ruckus about?
It's very... ... hot. It's hot out there.
There's a commotion because... Get out of here already.
Take care!
Doctor.
Uhm, there are rumors about you moving departments.
Where did you hear that?
The decision isn't final yet.
It felt refreshing.
While orthopedic surgeries are precise and fun,
While orthopedic surgeries are precise and fun,
they are rather far from life and death situations.
I agree.
Since I started my residency in Orthopedics,
I didn't get the feeling of saving someone, but...
it was different today. It's the first time since my internship.
Same here! I was feeling some type of emotional heat coming up
when I left the OR today.
Hello, Professor.
Did you finish the surgery well?
Yes, Thanks to you professor.
It wasn't me. It was all you.
What emotional heat were you feeling?
Please disregard it.
You must have felt good about saving a life.
Sorry.
Nothing to be sorry about.
You should take
on the pelvic specialty, like Dr. Park Seong Jin,
if you are interested in working in the Trauma Center
as they will need big help from us.
Welcome! Welcome!
How was your last hospital? Did you wrap up all the stuff you were working on?
Yes, sunbanim.
I handed over all my work. I just need to move my personal stuff.
Busan seems much nicer than I expected.
Is that so?
Doctor, what are you doing here?
Did you too hear rumors about me?
Pardon?
It... It's not that...
Aren't you trying to cheer me up?
Aren't you trying to cheer me up?
I've been in this type of situations before.
Enough with the consolation.
Take care.
Doctor!
Actually, I...
almost lost my passion
because of the death of the police officer the other day.
But, it is bursting out today because of you.
Thank you!
Lee Min Woo, what made you think about using the bed sheet earlier today?
Maybe the 6th sense?
6th sense?
Hey, you, Intern!
Didn't Dr. Kim Do Hyeong tell you this?
We don't want interns to do their best.
We just want interns who does what they are told! Get it?
I got it.
What are you doing in the presence of Prof. Choi?
Hold on a second.
Do you guys know how difficult it was? I mean the surgery Fellow Park Seong Jin performed.
If it were an archery game,
he hit the bullseye, right where the broadcasting caemra is!
It was THAT difficult. Got it?
Who performed that difficult surgery?
These God's hands.
That's enough.
God's hands...
Execuse us, we'll get some fresh air.
-- Get up, let's go out for a while to sober up. -- Excuse us, Professor!
It must be tough.
To both of you.
You are doing just fine.
Professor,
Professor,
what would a doctor fear the most?
You asked me that question at the internship interview.
You did not have
any fears like us
when you were doing your internship, did you?
You always knew the answers,
and had no fears.
You think...
I knew all the answers?
Do you know how I was
during my internship?
You must have had
a time like ours.
I was scared then,
and I am scared now.
I just keep on believing
that there's something more important
than the fears.
Professor,
I keep thinking about
patient Jang Yeong Woo,
for whom I performed the CPR until he passed away.
His last moments...
Lee Min Woo!
Yes.
How many patients do you think I keep thinking about
who passed away on me?
How come it's just you three?
You came.
Please give us two more glasses!
Why is he drunk already?
I couldn't recognize you without your mask!
Oh, by the way, we have all the core members of Haeundae Sejung Hospital here!
Everyone, Could I...
make a toast?
Sure. Pour me some first, though.
To the health of the patients,
and to our
steadfast passions!
To passions!
Good job today, everyone!
Cheers!
Shuldn't we make another toast for Nurse Shin,
to have a happy life in Canada?
Don't worry about me.
When I get there...
I will have a very happy life, without looking back at all.
I believe you'll do just fine.
Because you're very wise!
Let's go out to dinner with your boyfriend before you go to Canada!
Is she going to Canada?
She is going to Canada.
If you had something to say, you should have said it over the phone. Why did you come all the way here?
Sit down.
What is it?
I fell down in the bathroom.
Did you take a x-ray yet?
Did they say your rib is broken?
I am going to take the x-ray today.
This time,
I'm thinking of applying for a helicopter at the hospital.
Should I tell Seoul Sejung Hospital to take care of the paperwork?
Where do you think would do well with the paperwork?
Just because the paperwork is good, it doesn't mean they will approve your application.
Then, how should I do it?
Aigoo, how are you still so naive.
For now, you need to find out what regions they want to give helicopters.
You need to make sure of that first.
They are going to give one to Gyeong Nam region.
Then start the construction at the heliport.
What's wrong with the heliport that we have now?
The one you got now is for transplant organs, right?
Isn't the last section a flight of stairs?
Yes, that's right.
Yeah, and then are you going to move trauma and urgent patient
through stairs?
You need an elevator all the way to the roof. So start the construction first.
With the stairs, they won't approve your application.
The hospital would be eliminated from the drawing for the helicopter.
Ok, I got it.
Thanks.
At least you understand now.
Everyone must have been thinking.
Who will be going to the newly organized Trauma Team?
I will be going. Who will be going to the newly organized Trauma Team?
I will be going.
Since you'll need to be stationed at the ER
for Traumatology anyway,
just help them out only when it's needed. We are on short staff anyway.
Yes, I will.
Oh, you came.
You know him, right?
Jang Hyeok Chan with noble blood.
Help each other and work together.
Then, keep it up!
Yes?
Good bye.
What happened?
I was dispatched here.
Is that so?
Yes.
So, you are coming back to the ER?
I don't know! Aish!
Dr. Jae In!
What are you doing here?
Aren't you need to be performing enemas at the General Surgery?
My Chief dispatched me here.
Chief Kim Min Joon did?
To here?
Why?
Yes.
He picked out specifically me to dispatch to the Trauma Center.
I was ok with the General Surgery...
So, he dispatched you?
Not kicking you out?
I think he dispatched me.
I think you are kicked out.
Think which ever makes you feel better!
For now,
Start constructing an elevator to the heliport.
An elevator?
What we have is for transporting organs.
If they find that out, they wouldn't give our hospital a helicopter.
I understand.
And,
How is the making of the new trama team going?
Even though it's messy, it will be busy full of people, right?
It IS full of people right now.
Is there room for a bed?
A bed?
Don't you think this is too small and crowded for a bed? A bed?
Don't you think this is too small and crowded for a bed?
We have beds at the resuscitation area.
The beds over there are sometimes full with cardiac arrest patients.
In the US, when they first started Trauma Centers,
they started with a bed at the corner of an ER.
Ah, that became a
Level 1 Trauma Centers these days.
We will be like that some day too right?
Of course, we will.
Good job.
You worked hard.
Let's take a look.
There are fractures on your left 11th and 12th ribs.
At least,
there are no hemothorax and pneumothorax present.
But, gosh, your spleen is damaged.
Indeed.
But, it doesn't seem like you'll need an operation.
In a typical case like this,
which department takes care of the patient?
Oh, that...
If the case is critical, Traumatology will take them.
However, you aren't going to have an operation, so my department can take care you.
When did Neurosurgery start taking care of spleen issues? You don't have a case here.
That is an organ of my departmental specialty, Mr. Chairman.
He's not in pain because of spleen.
He is suffering from bone fractures.
You'd better have that taken care of Orthopedics...
Since it was a traumatic accident,
Traumatology should take care of me.
Mr. Chairman, you are not traumatically injured...
It's not like I need to be hospitalized.
You may develop hemothorax and pneumothorax, or spleen hemorrhage...
We should watch over your case carefully.
You should be hospitalized for two days.
Yes, Director.
Yes?
Oh, yes.
Okay, I understand. I'll be right up.
What was the call for?
The Chairman has been hospitalized.
They want me to go and check on him.
Traumatology?
What is he hospitalized for?
I'm not sure.
I'll go there and see the situation.
As you'd already know, your spleen damage is Grade 2.
We should wait and see if there's any hemorrhage.
You'll experience pain for 2-3 weeks due to the fractured ribs,
But with the painkillers,
The pain will be bearable.
You shouldn't just lay around all day due to the pain.
You should walk around often.
You should do deep breathing exercises in order to prevent pneumonia.
I understand, I'll do that.
The blood pressure is 150/90.
-- Please give him ketorolac tromethamine injections. -- Will do.
Chairman, did you have high blood pressure before?
No.
At the annual check-up last year,
it was normal.
I think the blood pressure went up because of the pain.
What are you saying?
Hurry up and consult with Cardiology.
Don't go overboard.
It's because of the pain.
No it is not.
You are a bit old, so with this opportunity, you should look at your blood pressure.
and check your heart's condition.
You should do that.
His urine volume got bigger.
Really?
Nothing much has changed.
Don't you smell something?
Don't you give him baths these days?
That's not possible.
Oh, he pooped.
Where?
Oh, he really did.
Professor!
Oh Hyeon did....
He defecated!
Where?
His bowel sound is better.
What is the matter?
Mother.
Your child, pooped.
It's great news!
Good news? What do you mean?
One of the big problems..
has been solved.
It means the intestines are starting to work again.
Then....
Now we can give him food,
through a nasogastric tube.
His consciousness?
For his consciousness,
we need to wait and see.
However, his cerebral edema has gone down significantly as well.
His urine level has gone up, too.
That means he's under that much less stress.
Oh Hyeon, my baby, thank you. Thank you, doctors.
Just in Time Team sending heartfelt condolences to kamkar1 for her loss.
May god be with you, please be strong.
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