Original subtitles

Ouch! What? What?

Episode 13

Ugh, really!

What's this?

Just three of us are going to do the book review? You, me, and the Professor?

How could that be?

There's just the four of us.

What about the others?

I thought Orthopedics, General Surgery and Neurosurgery were each sending staff.

The other departments haven't decided yet.

You are here. Yes.

Should we start?

Yes.

If a massive blood transfusion is used because of a massive hemorrhage,

complications such as hemostatic disorder and electrolyte imbalance can occur.

When that happens, the condition will worsen with increased hemorrhage.

And the vicious cycle will start.

So we should provide platelets as well as FFP

at the same time.

At 1:1:1 ratio.

But it takes a lot of time to prepare FFP and the platelets.

So how can we give 1:1:1 ratio?

Well, that is the limitation of reality.

It's not like we have extra blood sitting around.

That is a problem our center needs to solve.

But if we perform the transfusion at 1:1:1 ratio,

it seems like the patient will receive too much volume,

If that causes pulmonary edema, wouldn't it be more difficult to provide oxygen?

How do you decide the appropriate amount of transfusion?

An appropriate amount of transfusion. That is a very important point.

We will discuss that at the next session.

Professor?

I have something I'm really curious about.

For a trauma patient, when we were in an emergency situation,

we had given him 10 bags of type O blood red cells.

Isn't the entire body's blood supply replaced with someone else's blood?

So then,

is the blood type changed to the other person's?

Ah, that's something I've never thought about.

Then, does he turn into another person?

Does he just transform instantly?

Let's stop here for today.

Since this is the first day, I have given the lecture. But from now on, you guys prepare the lesson.

You need to study a little.

Who would like to prepare for the next meeting?

I would!

Okay.

No, I mean, I would like to recommend Dr. Kang Jae In.

Oh, alright.

Yes, I understand.

Let's go.

"Ajussi, don't get sick! " - Min Joo

Ah, I'm going to go crazy. Atrial fibrillation, again?

He has Atrial Fibrillation, but his Blood Pressure is okay.

I know that, too. We've got to inject the medication first.

I am going to report this. So let's not use that.

I can't do it by myself.

It's atrial fibrillation.

It happened once before, too.

His vitals seems stable. So let me submit an order for the medication.

Yes, Professor. I'm calling because Patient Park Won Gook had atrial fibrillation.

Yes, I think it would be best if Professor would come and check on him. Yes.

Yes.

Yes, I understand.

Oh yes, I'm an ER intern, Lee Min Woo.

Ah, my patient also had atrial fibrillation.

So I wanted to get some reference information.

I entered the order.

Yes.

Atrial fibrillation?

Yes, patient Park Won Gook keeps getting atrial fibrillation.

He had it a few times yesterday as well.

It's been continuing for over 30 minutes now.

Did you use the defibrillator, again?

No, I didn't.

The blood pressure wasn't falling.

So, I just ordered some medication.

What medication?

He's getting Amiodarone right now.

Amiodarone?

Yes.

Did you look it up in the book?

No...

There was a General Surgery patient on the next bed who also had atrial fibrillation.

I copied the prescription order from there.

You did the correct thing but,

in situation when it's not an emergency, you should have consulted with me first.

Now is not the time for you to decide on your own.

Yes, I understand.

Professor, it doesn't seem right.

He was OK for a while, then things like this keep happening...

It's about time the fever goes down, but it doesn't.

The dosage of vasopressor isn't going down anymore.

My thought exactly.

His condition isn't getting better or worse.

His condition is stagnant.

What about his Respiratory Mucus [RM]?

The volume is big, but it is rather thin. It doesn't get thick nor dark.

The (CT) scans seem to be the same...

It doesn't seem like pneumonia.

It didn't show up on the culture test that was sent 3 days ago, but...

There was E.coli present on the culture

that was sent to the lab right after his accident. Don't you think there's a relation?

If it's E.coli, it's bacteria in the lower intestine...

By any chance,

is this because of the use of cell saver at the operation?

That is... I'm sorry.

There's no reason for you to be sorry.

You should not miss a point while trying not to offend anyone.

Yes.

If it were the cell saver,

there would have been bigger problems by now.

Frankly, I don't understand that he had been ok, then all these problems came up recently.

It's not like he has pneumonia...

Drainage tubes on his head or the abdomen run clear, and his urine is also clear.

What's your conclusion?

I don't really know.

Do you think the antibiotics aren't working?

That's not it.

He cannot keep this status, if the antibiotics didn't work.

How's his Hemoglobin level today?

It was 9.6.

Platelets are 90,000.

It seems like there isn't any more hemorrhage.

In this case where the patient is lying down for a long period of time...

We need to administer anticoagulants,

but we can't.

If you are worried about thrombi, you can use them, can't you?

You couldn't use them because of hemorrhage, right?

You're right.

Anticoagulants may make the hemorrhage worse; however,

in his case, atrial Fibrillation, Cardiac Arrhythmia, and Thrombosis may also occur.

Then, if Thrombus happens in the brain, celebral infarction will occur....

If it happens in the intestines...

Necrosis will occur.

Yeah, that's right.

We don't have any other choice, but to wait and see without using anticoagulants.

Test results have been ok all this time,

nothing went bad abruptly, either.

That's why I'm more nervous.

He's not getting worse so he should get better, so not getting better is a big problem.

At this point, infections are the biggest concerns.

I can't pinpoint the problem.

Something bad is coming, but...

I can't figure out what it is.

Professor also has something he doesn't know?

There are many things I don't know.

Anyway,

let's go see the next patient.

-Yes, I understand. -Yes.

How does he look?

Well, the person who performed the surgery should know better.

The surgery went well.

Well, we need to see the result.

At least this patient had the ER trifecta.

Trifecta?

A surgery, angiography & intervention...

and an assistant...

We'll go back to the ER and will take turns for ICU patients. We'll page you if a trauma patient comes in.

We still have a patient we haven't seen.

Pardon?

Yesterday's blood results showed high level of CK,

I would like to run a Troponin test again.

The levels are high?

It is just a screening test, so you do not need to worry that much.

If there is no problem found from this test,

since your heart doesn't have any big issue,

I will rule it out.

Why did you wait a few days instead of coming right away for a check up?

I thought I would be okay right away.

Because of costal fracture, it must have felt very painful, Chairman.

For a while if you take painkillers,

you will be fine.

Does your chest still hurt a lot?

After the painkillers, the symptoms have reduced.

For your spleen, it's a blunt injury, so there is nothing specially required.

We'll conduct ECG test.

I'll administer the ECG test.

I'll do it.

There was a premature ventricular contraction.

Give it to me.

There was a premature ventricular contraction,

but not so serious, so you don't have to worry.

We'll consult with the Internal Medicine Department to review,

and contact a professor of Cardiology.

By any chance, have you had a chest pain before?

I have sometimes.

Why are you so serious?

At my age, who wouldn't have a chest pain once in a while?

That's true.

Of course.

Worrying

is needed after the test result comes out.

Everyone go do your work.

Yes.

Then, we'll leave now.

Yes.

I will let you know when the test results come out.

Rest comfortably.

Okay.

Doctor Jae In, do you have any concern?

Why do you have a very serious face?

It's nothing.

By the way,

I heard the Chairman is hospitalized under Traumatology. By the way,

I heard the Chairman is hospitalized under Traumatology.

Wow, is his condition that critical?

By the way,

I think I've met the Chairman before, but I can't remember exactly.

No way, how can you have met the Chairman before, where?

What, except for the internship interview?

I know, right? It's not possible that I've met him before...

But he's certainly so familiar to me.

Hyung!

Your home is in Seoul, right?

What neighborhood?

Daebang-dong.

Daebang-dong... There is a Sejung Hospital, isn't there?

It is.

Then, that's it, that's it. When you were a kid,

Chairman must have performed your circumcision.

What the..!

But I've definitely seen him before.

- You know my sharp-sighted eyes. - Yes.

You know, too, right?

Huh?

That time perhaps?

Perhaps what? What?

I need to go to the ICU now. To check the patient, Park Won Gook.

Doctor Jae In, good luck!

Wait....

Maybe not..?

Grandfather is at the hospital.

What?!

But, why?

Is he hurt or is he ill?

He got hurt a little.

Grandma are you outside?

I just came outside for a bit.

Anyway, where is he hurt?

He fell in the bathroom.

His rib bones were broken, and his spleen has a blunt injury.

And he has a chest pain too.

A chest pain?

Is it because of heart complications?

Just in case of heart problem, we're running a few tests.

There was a premature ventricular contraction once,

and the level of creatine kinase is also high.

Isn't that angina pectoris?

Since he fell, we're thinking maybe it's because of that.

We're running the tests just in case

He had the fall several days ago, but why did he go to the hospital now?

You know Grandfather's personality.

I hope he's not faking.

Whether you visit him or not, it's up to you, but I thought I had to call you anyway.

I need to visit him, though.

This old man, he wouldn't be able to go to the court again.

Grandma!

Doctor, the blood test results are in.

Yes.

He's okay.

Oh, that's right.

We should call Professor Choi.

Yes.

Well,

wouldn't it be indeterminate angina pectoris?

Then, should we run a treadmill test?

No,

ECG was okay,

and troponin test came out normal too, but why would it be indeterminate angina pectoris?

No, in case of indeterminate angina pectoris,

ECG or troponin test can come out normal.

Well, even if there are some symptoms, if it's not myocardial infarction,

those test results can come out normal.

I also know that your ideas can be right,

but how can we make a person whose ribs are broken run a treadmill test?

Well, that's right too, because, right now,

resting is the most important.

By the way.

Wait, is this for us to determine?

We requested to consult with Cardiology.

If they say there's nothing to worry about, that's the end.

And if something else is discovered afterwards,

it's not our responsibility.

What's going on there?

Doctors! It's urgent! Please, quickly!

My kid is stung by jellyfish!

Move aside! I came first!

This is a kid! A kid!

Jellyfish, jellyfish! How come jellyfish??

I'm going crazy!

- Doctor Kim! - Yes, what?

What about treating them together at one place?

We don't need to run any test for them, do we?

Right! That's a good idea!

What's the treatment medication?

For now, it hurts, so give them a painkiller and anti-inflammatory.

And as it's itchy,

prescribe antihistamine.

I don't think there is anything special to do.

For now, I will ask Chief Na Byeong Gook.

What's going on? Why is there a ruckus?

I have no idea.

A huge group of Jellyfish appeared, so it drives me crazy!

What, jellyfish?

You can just apply some vinegar.

What?!

Why? It's really working!

Is there any medical vinegar?

What are you talking about? There is no such medical vinegar.

Just apply some regular vinegar.

The kind you can buy at a supermarket.

Aish, vinegar what?

How does the Professor know so well?

Oh, my hometown is Masan City.

When I was a kid, I got stung by jellyfish a lot.

Everytime it happened, my father would apply some vinegar and I would be fine.

There's no medication for jellyfish sting.

What's wrong?

Oh, Chief, you came!

Right now, in ER, there are a lot of people who got stung by jellyfish,

so it's almost like a status of disaster!

Painkiller, anti-inflammatory, antihistamine.

It would be okay to prescribe them, right?

Why is it a disaster?!

Vinegar, use vinegar.

Pardon?!

If you apply some, it will be fine.

Yes!

I was right, right, right! Why didn't you believe my word? Huh?

Okay, I understand. I learned one good idea this time!

You, gather people who came because of jellyfish at one place,

and you, go to the cafeteria and get vinegar.

Quickly, quickly! Quickly! Quickly!

Go, quickly!

Vinegar!

Why didn't you believe me? My father's the best!

Wow, vinegar...

That's right!

Hello. Please give me some vinegar.

It must be because of jellyfish, right?

I thought it's about the time for jellyfish to come.

Thank you very much. Thank you.

Ah, it hurts!

It's going to sting.

Yes, this is vinegar.

Hang in there just for a while.

It burns.

Please hold on for a moment.

I'm going to dab this on here.

Yes, just one more moment.

Treat this patient, please.

What is THIS?

Are you doing OK?

Doctor, doctor.

Why, what's going on?

Will you tell me the truth?

Yes.

Is it true that you're going to the Trauma Team?

You are going crazy!

Where did you hear such a false rumor?

Is it not ture? Going to the Trauma Team...

I think it would be a good choice.

You little!

You need to tell me honestly, too.

Yes.

Did the Chief ask you to do this? Try to coax me into going to the Trauma Team?

Not at all! Why would he?

I was just wondering about that.

I see that even the Chairman is paying attention to the Trauma Team.

It seems like they are on a roll.

How is it?

You're fine.

You just need a traponin test every four hours,

two to three times.

Unless the level goes up over the course, you should be fine.

So, we don't need to worry that much?

Yes, right now , it appears so.

You've worked hard.

I'm here to take another blood test.

Why didn't you do all the tests at once?

You are bothering me again.

The first one was a screening test,

we're doing another one as doctors found premature ventricular contraction

during the electrocardiography, Mr. Chairman.

If you don't want to take more blood tests, don't ever fall down,

or ever get sick.

Hello, Provost.

Sorry, he's not availible right now.

Yes, he is declining visitors.

Yes.

You don't need to be concerned much. He fell in the bathroom, but is ok.

Yes.

A few days ago Jae In came my house and slept over.

When?

I forget, was it Tuesday or Wednesday?

It was that night.

Why? Something wrong?

Could you give us a moment?

Sure.

What happened?

It was the day when a detective and a kidnapper were sent to the ER.

That's why that kid,

She was sweating so hard while she slept.

She's enduring better than I thought.

Don't interfere.

It must have been so hard for her.

She said she still has nightmares.

Don't worry about her. She'll make it through this.

She saved the lives of both her own kidnapper and herself,

by giving her candy to the kidnapper who lost consciousness because of a diabetic coma.

My Jae In...

I'm so thankful for her to turn out as a gracious person.

I'm going now.

You're not talking about the divorce today?

Look here, Mr. Kang Dae Jae.

Your body isn't just yours.

If something goes wrong with you, my Jae In will go through another tough time

before she reaches 30.

Take care of your body well. We'll talk again when you're better.

Well, anyways, thank you for coming to visit me.

Please, please help us!

Aigo, come to the Resuscitation Room!

Patient, patient, try to open your eyes, do you know where this is?

Patient! This way!

Here. Open your eyes!

Is it a Trauma patient?

Our Trauma team, do we need to be under activation?

The team is not completely organized yet, but how can you do activation?

Stop talking nonsense, and come here quickly and stop the bleeding!

Yes.

Doctor, here.

How did you get hurt?

By a shotgun.

A shotgun?

A shotgun which is used for hunting!

Aigo...

We'll check your wound. Check her.

Yes. Please take off your hand for a moment.

First, lie down.

Request his blood test.

Please give him IV too.

Where is Professor Choi In Hyeok?

- Call him quickly! - Yes.

For now, finish the dressing.

For now, finish the dressing.

Patient, where is it hurting the most?

For now, bind that patient's head with compression bandage.

Yes.

My jaw... and I think the bullet hit my belly too.

How did you walk here after being shot?

I was less hurt... and since it's a shotgun...

What is that patient's name?

Lee Sang Hyeob..

Yes.

Please go through the admission process first.

Yes.. but by the way, I don't know his ID number.

How old is he, the patient?

33 years old.

If you go there and tell his name and age, they'll register his admission.

Please register this female patient too.

What is your relationship with the patient?

Are you her legal guardian?

We are friends.

Then, you aren't the legal guardian.

Do you know the guardian's contact information?

Since the patient's status is really critical,

for surgery or other treatment, we need the consent from the legal guardian.

Do you have any contact detail for them?

There will be a cellphone in the car.

I'll go get it.

Okay.

Just bear with it for a little bit.

It hurts!

When Seo Hyo Eun comes to work,

I'll start the change-over right away.

Alright.

To work like you, Nurse Shin, the change-over will take a year.

Since she's highly motivated, about a week will be enough.

Aish, seriously... stop only thinking about handing over,

and think about teaching her thoroughly, one by one.

I'm sorry.

For what?

Since I showed my temper, I'm sorry.

I made a plan today.

Today?

You said we should have a meal together, with my boyfriend.

When did I?

Oh! Really!

We'll choose the restaurant.

Okay.

If I'm drunk with soju and talk.., you should've stopped me..

How many times have I told you not to drink soju with a big glass when you're with kids?

Why?

Yes, Professor. This is emergency room intern, Lee Min Woo.

I called you because there are gunshot wounded patients carried to ER.

Gunshot? What gunshot again?

Yes, they said it was a shotgun.

A shotgun?

I see, well, how is the patient?

Yes, there are two patients, and one is unconscious now,

but the other one is still conscious.

Ok, I understand.

A gunshot wound, again?

He said it was a shotgun.

It's usually used for hunting...

Do you know anything about that?

I saw one incident about 8 years ago in the emergency room.

You're better than me, then.

I have no experience, though.

The patient was shot in the butt,

so the bullet was broken into pieces.

You know the brush which you use for disinfection before the surgery.

When the patient was under anesthesia, we used that brush to rake those fragments.

Did you rake them with that brush?

Was that patient's life saved?

Yes, saved.

When he shot a shotgun at me....

I hid in the car, curled my body.

But still, the bullet flew and hit my face...

and as I fainted from fright for a moment,

he thought I was dead.. and...

to his own face...

he shot...

Huh?

Then was it a suicide attempt?

Yes.

Call Neurosurgery, and did you call Professor Choi In Hyeok?

Yes, I already did both of them.

Good.

Aigo..

Gunshot?

How is the patient?

Yes, she's conscious,

but it seems that the bullet went through her jaw, and she got shot in her abdomen, too.

Patient, it's okay. Please relax.

- Send her to CT room. - Yes, I understand.

- Please send her to CT room. - It's okay, Patient.

Patient, try opening your eyes.

Patient, open your eyes.

Open your eyes, patient.

Patient.

Open your eyes.

GCS 8 points.

His mental status is stupor..

First of all, we should take his CT scans quickly!

Alright.

Here and there, there are two.

There is none in his head. It seems the bullet went through only the jaw.

This one.. looks like a free air.

I need to confirm with opening his abdomen.

He has gunshot wounds only in his head.

He shot the gun pointing at his own head.

Aigo, these are all bullets.

We need to do a surgery.

Since hematomas are a bigger problem than the bullets,

I canot make the call. I'll call my Chief.

Yes, Chief.

I have an gunshot wound patient in the ER. It's by a shot gun.

Yes, the head.

No, he shot his head himself.

There are many bullets, so, we aren't sure if surgery is possible.

I think you need to come and see for yourself.

If the neurosurgery is urgent, please go ahead and do it first.

Even though patient Yoo Mi Joo has free air in her abdomen,

she can wait while getting antibiotics.

I understand.

What was the GCS score?

It was 8.

Have the CT scans come out?

Yes, they are on the screen.

A shotgun?

Yes, that's what I heard.

The pellets came in through the right frontal lobe, then went through right at the center.

His left cerebral hemisphere has subdural hemorrhage.

His brain needs to be symmetrical, but...

Tissue which should be on the left is pushed to the center.

His intracranial pressure is also elevated.

There are hematomas here and there, at 10cc, 5cc, & 3cc.

Is the OR arranged?

Yes, it is already arranged. We can send him up now.

The process is much quicker now that we have an OR ready for trauma patients.

By the way, will you be able to remove all those pellets?

As long as we could remove big hematomas and the intracranial pressure goes down,

leaving the pellets as is won't be a problem.

The reason of the low level of consciousness is...

We'll only know when we do the surgery whether it is because of the mild traumatic brain injury or the hematomas.

Let's scrub in.

Yes, I understand.

How did he get hurt?

Did he go hunting?

I didn't hear they were hunting.

Did the police come?

The police?

There was a gunshot, but you didn't call the police?

Other than child abuse, there wasn't any specific protocol about calling police, so...

Usually the police are good about following up...

I hear this is a suicide attempt.

Suicide attempt...

Did you contact the guardian?

We tried calling, but they didn't answer.

So, we got the consent from his group of friends.

Let's scrub in.

Those people.. What do you think their relationship is?

He tried to shoot the woman with a shotgun and then tried to commit suicide.

Maybe it's a love triangle?

Yeah, yeah. That might be right.. right?

No wonder. She looks like a girl who'd date a lot of men.

Maybe it's because she's not my type, but I can't tell.

Could this be an affair?

Didn't he say he's not a legal guardian?

It's a good thing that the female patient wasn't hurt too badly.

She's having surgery! What do you mean not hurt too badly?

This is a shotgun!

Wow! This is the first time I'm seeing one.

I've only heard about it.

Wow, it's no joke.

You'd definitely be in trouble if you get shot with that.

You, hurry and eat up! You need to take the shift from Dr. Jae In.

I was just eating...

She'd swear at us for keeping you here.

I'll get going.

She has shotgun pellets in her abdomen.

Looks like some of the pellets have penetrated part of the intestines.

We'll do a surgery to treat the free air,

and we'll take out the pellets during the surgery if I could locate them.

Well,

do you mean, there is a chance that you might not be able to locate them?

Since the size of pellets are so small...

If we can't find them, it wouldn't bother with everyday life.

Hello great aunt.

I couldn't talk with your grandfather.

Is that that bad, so he can't pick up the phone?

It's not that bad.

I asekd around and some people says he broke his ribs, others say it's angina pectoris...

And the others say it's myocardial infarction.

There are a lot of rumors. That's why I called you.

I was going to visit him, but he declined.

How surprised you must have been!

I'm okay.

How is he?

It's not a big deal.

His ribs have a little bit of fracture, and his spleen is a bit bruised. That's all.

My brother is getting too old.

Falling in the bathroom. What is this?

Yes

Since this happened already,

wouldn't it be nice to establish a foundation after your late father?

What?

Your great uncle will be in charge of the transparent operation,

and people will admire you for the good deeds.

If your dad's memorial foundation does good deeds,

your grandfather will feel less indebted to your father.

Indebted?

No, never mind.

Take care of yourself and I will go see your grandfather at the hospital sometime.

Great aunt...

Hello, is there anything uncomfortable?

What will we do about my face?

I know, since I called the Cosmetic Surgery.

they'll need to take a look before you go in to the surgery.

When was your last meal?

I haven't eaten since lunch.

When did you have lunch? 12 or 1 o'clock?

I had lunch at 1.

So, NPO: 3 hours.

But, if I have surgery, when can I be released from the hospital?

How long will there be a scar on my face?

At the least, about 2 weeks.

What should we do?

Why, what's the matter?

Next, next weekend,

Surgery scar on my face too!

Why, why?

Our wedding is on that weekend.

Oh, you are getting married?

Congratulations!

If she gets surgery, will we be able to do the wedding?

How will they do the stomach surgery?

It's going to be a laparoscopic surgery, right?

Because of the surgery scar, I won't be able to wear a bikini.

I can't go in the water right?

It will be a laparotomy.

Excuse me?

Laparotomy?

You mean....

They will make incision like this on the abdomen and open you up like this...

What should we do, oh no. I don't want to do it that way!

A bride to be in two weeks with an incision on the belly?

I can't do it. I won't do it!

I know, you must be very dissapointed.

Would it take about 2 weeks to heal on the incision?

What are you going to do about the scar on your face.

That's what I mean, doctor.

The guy who tried to commit suicide, who is he?

I mean, you're a bride about to be married.

How could he do this to you?

Very bad.

He's my ex-boyfriend.

Please relax.

Bro, bro, bro!

I still got it.

What is it?

"If I can't have you, no one can!"

Was it really a triangle?

That's what I'm saying!

The gunshot victim laying there is the ex-lover, the one who's fine who came with her is the current lover.

because she's marrying this guy, BANG, he shot her.

She fainted so he thought she was dead. Then he tried to commit suicide.

It's right out of a movie.

He didn't even check if she was alive or dead?

She was going to marry another man, so he shot her.

He lived without looking forward or back.

Really, there's no gossip more interesting than a triangle.

Of course, it would be a tragedy to the people directly involved.

After time passes, it becomes a comedy.

So, that woman was...

so confused and didn't know what to do.

The ex is almost dying, she would feel like doing something,

but the wedding must be done, and the wedding is only 2 weeks later,

but the scars on face can't be healed by then...

How is the condition of the patient?

The patient is fine.

Let's start the surgery.

Alright.

Why don't you finish up today, after I remove hematomas?

Yes, I understand. Thank you.

Scalpel.

In your stomach, there's free air.

If this free air occurred when the bullet went through your abdomen or your intestines, we need to confirm.

You said your stomach hurts.

Doctor, please consider my situation.

I'm a bride about to be married, how can I have surgery that opens up my whole stomach?

Then, when I watched a Caesarean section,

there was just a horizontal thread-like scar left.

Can't we do the surgery that way?

That is only possible because they were only trying to see the uterus.

We need to check your small intestines and other organs overall,

but if we use that way, the surgical view is too narrow, so it doesn't work in that way.

I'm only thirty, doctor.

At my age, with that scar, how can I live my whole life?

Then,

I will try my best to make the cut as small as possible.

I will sew up your skin as prettily as I can.

If you don't like it, then later you can have cosmetic surgery to correct it.

Doctor, if it's not a life-and-death situation... I'm not ready yet.

Doctor, this is a total out of the blue situation to me!

Professor, last time we performed the surgery on the free air patient after two days...

She recovered fine after the surgery.

If she's like this, I think she needs time to prepare herself mentally.

Then, I'll give you time to prepare yourself mentally.

You must decide by tomorrow morning.

Move her to the general ward and watch her status.

I'll get in touch with you shortly.

Did Sang Hyeob's surgery go well?

The surgery went well.

Ah... then he should wake up soon?

The surgery going well and recovery is different.

What? What are you saying?

Even if the surgery went well the person could develop a severe disability.

Or the patient never recovers and passes away. Did you get in contact with his family?

Or the patient never recovers and passes away. Did you get in contact with his family?

Ah, no contact yet.

Let's wait and see if the damage is regional or general.

When the patient recovers,

We will have a secondary surgery.

Secondary?

There's a damage on the dura mater as the pellets went through.

Through there, cerebrospinal fluid is leaking.

There's a high possibility that it will cause infection.

We'll wait, a day or a week, before he regains his consciousness for the surgery.

With advanced antibiotics these days, it won't be a problem to wait.

It would be nice if his family members would be here.

Contact them through the police or the Administration.

Yes, I understand.

Have you seen the patient that was shot by a gun?

I haven't seen him yet. I just heard the news.

Doctor Dong Mi, come here for a sec.

What's the matter? Have you eaten?

I came down after getting a call from the gunshot patient...

I didn't have appetite after that.

I heard the news. Tell us about it. What happened?

He shot the ex-girlfriend who's already with someone else with an upcoming wedding.

And the man attempted suicide.

Oh my gosh!

But the funny thing is,

the woman with the gunshot doesn't want to have surgery...

and is worrying about that guy, it's really chaotic.

Is that right?

Wow, something's really weird.

What is?

Think about it, if it was you,

Would you be worrying about the person who shot you?

Perhaps she's worried that man will wake up?

How could that be?

Is it sure that it is suicide?

Of course.

You are really naive.

Honestly, we would have to see when he wakes up as to who really shot the gun.

What do the police say?

We didn't call the police.

You didn't report it when it was a gun shooting?

Don't you think the E.R. called them?

Hm, it's very strange. I don't know.

Doctor Park Seong Jin.

I heard a rumor that you're going to the Trauma Team.

Is it true that you're going?

Well...

I heard Chief Hwang Se Han told you to go.

If the Chief told you to go,

Shouldn't you go?

If you don't leave the hospital, shouldn't you go where they choose for you?

So, what will you do?

I'm still thinking about it.

I heard you were also offered a position.

What am I going to do with that little Joon Pyo!

I can't go.

Unlike Orthopedics, we can't just leave after a surgery.

That's right. That would be hard.

I thought you wanted to stay at a teaching hospital, Dr. Seong Jin.

And from what I see, you are not greedy for money,

nor would you trying to get out of trauma surgery because it's physically demanding.

It won't be a problem to go to the Traumatology.

Saving a person's life,

don't you feel fearful about it?

If you think about that,

isn't Professor Choi In Hyeok a really bold person?

A surgery that saves a person's life...

it's really makes your heart thump.

It could be like that.

If.. in one in ten thousand chances, the trauma centre misfires.

Do you think the Traumatology team would be able to last long?

Oh, then,

When the Traumatology department dissolves,

they'll hire you as an Assistant Cinical Professor for a couple of years...

Are they definitely appointing you as a full-time Assistant Professor even if the Team dissolves?

If things come to that point, Chief Hwang Se Heon will pull some stings, wouldn't he?

Dr. Seong Jin assisted him for last three years . He must!

Wouldn't you be under his mercy even when you're in the Traumatology Department?

Chief Hwang Se Heon and Professor Choi In Hyeok don't even get long well.

Then, what is this? You're going to work in Traumatology, but...

Your future will depend on Professor Hwang's discretion.

Oh my gosh! It's like having two mothers-in-law. You'll have to please them both.

Oh, it would be so exhausting.

Doctor, you will have a lot to worry about.

What about Neurosurgery?

We've been coming down a lot when trauma patients came,

people don't care if it's Traumatology or Neurosurgery.

The lowest ranked Staff will do the job for now,

I'm not a candidate as I'll have to go on the specialty board certification process next year.

I'll think about it when I become a Fellow next year.

Today, which one of you is on duty?

Yes, it's me.

I have dinner plans, so I'm going to eat nearby.

If there's a problem call me right away.

Don't worry about anything while you're gone.

See you later.

Bye.

This place has a nice ambience.

Do you like this restaurant?

My Eun Ah has complimented you a lot.

Watching her work with such a successful person.

I am relieved.

Oh no,

I am always making things tough for her.

You can't do work like that if you're only doing it because you're told.

Before I went to Canada, I only saw her being depressed with dying patients in the ER.

These days, Eun Ah is saving lives, and has been happy.

So that makes me happy.

How embarrassing.

Because you have a fiancee who is so understanding,

it seems that Nurse Shin has been able to work with her mind at ease.

Let's have a drink.

Yes.

Why are you drinking it all in one shot?

You even lived in America...

Yes.

It seems that you can drink.

Don't drink too much. You need to perform a surgery.

It was postponed till tomorrow.

Still you'll need to scrub in if patients come to the ER.

Just drink this and be done.

Yes.

People think I'm the one who's giving Nurse Shin a lot of work, but the truth is...

She's the one who's bossing me around and making me do surgeries.

Yes.

Please pour me a drink, too.

Yes.

Professor.

Come visit us in Canada.

If you like the mountains, the camping is good.

Mountain and the lakes...

It's very picturesque!

Ah, the fishing is good, too.

Is that right?

Why? You don't like that?

No... it's just that...

I like the mountains and fishing too, but

if time allows me to then..

Then you should make time and come.

Unlike here, obtaining gun permit is relatively easy.

You can also hunt.

Hunt?

Yes.

Excuse me.

Yes.

How's the blood pressure?

How much norepinephrine did you adminster?

Give him 500cc of normal saline and pay attention to his BP.

I'll be there soon. Yes, I understand.

I'll have to leave first.

You have to go?

Yes.

I'm glad to meet you.

You two. Have a wonderful time.

I have to go as my patient's blood pressure is not stable.

Who is it?

Don't worry about it,

and concern yourself with your date.

I'm fine by myself.

I'll pay for it.

Aigoo, no. Since I wanted to meet you, I'll pay for it.

I'll pay for it.

It's okay, it's okay.

Professor.

Are you going somewhere?

Yes, I'm taking some air.

If it's okay, I'll join you.

For Nurse Shin,

People are saying that you are looking for a successor.

I already found one.

Because she's competent and has good character,

if she works with us for one more year,

she would've been a great help for you to build the Traumatology team.

She has a good reputation too.

She needs to live more like a person.

But still, quitting just like that would be such a waste.

That person,

Even if she chooses this work voluntarily . .

I will dissuade her at least once.

So, even...

Dragging her back again...

I don't want to do that.

Is that why you can't tell me to come either, Professor?

Well, in case of Orthopedics, you can just come and perform the surgery,

so there is relatively no need to dissuade.

The toes...

Why did they get so black?

What? Why is it like this?

What is this?

To the ankles...

How..how did this happen? How?

Yes, Professor. This is Intern Lee Min Woo.

I think you need to come to the ICU right now.

Let's look.

Looking at the color of the skin.

it hasn't been for a long time since it was blocked.

It was alright until three hours ago.

I even checked the toes.

But why do you think this could have happened so suddenly?

There was atrial fibrillation, wasn't it?

Yes.

Then, blood clot... was flowing there?

Atrial fibrillation often causes blood clots.

There was nothing wrong when we did the cardiac ultrasound a few days ago.

If it's a small blood clot.

You might not have seen it.

If not much time has passed.

Can we try thrombolysis?

It's not possible with the brain haemorrhage.

What if we clean the blood vessels with a Fogarty catheter?

With this condition, I think he can't endure reperfusion injury.

There are three big arteries in the feet,

but how come the progress of necrosis went so quickly like this?

Even stochastically, three arteries can't be blocked at the same time, can they?

If the BP is not so high and the blood vessels have been shrunk because of pressor agent,

It's possible.

It's because the blood supply is already low, right?

This is it.

Yes?

Something...

Is coming.

Get a CT scan.

From head to the toes.

Yes, I understand.

Using contrast agent,

We need to do another cardiac ultrasound.

Yes.

If the blood clots which was caused by atrial fibrillation are blocking the blood vessels,

It can't be only the legs that are clogged.

If the patient is conscious, I will make a call after monitoring the patient's condition, but we can't do that now either.

We have no choice but to find it on our own.

What parts are alive.

Where we need to give up,

in order for us to save the rest.

We need to find that out.

The rest of the parts... would be alright, wouldn't they?

We'll have to check the CT scan.

I consulted with a radiologist.

It seems that the blood clots went to only the leg.

He said...

The other parts are alright.

What are you going to do?

There's no need to proceed right away.

It would be better to proceed after the necrotic part is more clearly found.

We'll have to do that.

If we don't,

We might have to amputate once and amputate again.

Amputate?

Wait, we're going to cut off the patient's leg?

There's no other way.

If we can't drill in we need to amputate.

Looking at the blood clots going to the ankle,

they must have been very small.

If they were bigger,

the blood vessels could've been blocked at a much higher location.

It would've been more dangerous.

I think it will be best to amputate quickly.

It's septic thrombus.

What do you think?

If it's septic thrombos,

my opinion is the same as yours Professor.

But still, the patient is still uncoscious.

Right now...

In this situation... Right now...

In this situation...

Is it alright to come to that decision?

It's too late to wait and see.

If he wakes up...

How will he accept it?

If we don't amputate,

the patient will die.

In a fate which is incessantly swaying, today I am disappearing.

In a mirror which is swaying, incessantly swaying,

my reflection is also blurring.

Thanks for watching with us and supporting our interns.

See you next Monday!