Original subtitles

Episode 17.

I'm thinking of staying at Grandpa's house, and coming and going to work from there.

What would happened if he had been alone and wasn't discovered?

I'm scared even thinking about it.

I can't let Grandpa stay at home by himself.

His character is too odd to let a housekeeper stay at home,

but if we hire a full-time housekeeper staying at his place, that won't happen.

Don't worry about it.

How can I not worry? Grandpa was about to die.

Yes.

I'm sorry.

Director says he has some urgent issue to discuss with you.

Alright.

Why, from the Ministry of Welfare, all of sudden?

It's not even a regular audit. An urgent audit?

That's what I'm saying.

Is the most critical problem about the "unauthorized drugs or treatment for insurance payment"?

That's right.

Then, how much is its estimated amount?

Depending on its amount, the penalty will increase too.

The accurate amount isn't calculated yet,

but the Insurance Assessment Team is now preparing the data.

When the Chairman is ill, this kind of issue occurs too, so...

The hospital must have proceeded as per common sense.

Authorized ones won't have any issue,

but as for unauthorized ones, all big hospitals have the same issue.

Yes, you're right, Director.

Anyway, the audit won't be avoidable,

but let's make sure the loss be minimized.

And I will also..

find out what's going on.

I understand.

What's going on here?

Oppa is lying like that , but I heard the Ministry of Welfare is coming for an audit.

That's right.

If this hospital gets fined,

moreover, if this doesn't end here at Haewoondae Se Jung Hospital

and it affects other Se Jung hospitals, its impact would be huge.

Director Park Geum Nyeo said she would find out separately.

Since it's not even a secret, I want to make it clear while it's mentioned now.

Director Park Geum Nyeo is divorced.

So, from now on, regarding the hospital's affairs,

please avoid discussing them with Director Park Geum Nyeo alone.

But...

There is a Board of Directors.

Board of Directors?

Its meeting for this quarter is already passed.

You need to have an emergency meeting for the Board of Directors.

And also, the Medical Foundation isn't the subject of the marital property division

so even if it's not officially divided,

there can be a few variables as for the successor or else, as far as I know.

The successor... I think it's not the right time yet to discuss about it.

After the Chairman wakes up,

I think we can worry about that matter then.

If we leave the Chariman's position empty,

whenever this kind of thing happens, you need to call a meeting of the Board of Directors.

Then, a matter which needs a quick decision may be delayed,

so it can become worse.

Even if he wakes up, if he can come back to his work,

and if that affects the hospital's management badly,

I don't think this discussion is too early.

A traffic accident patient will be transferred to here. It will take about 30 minutes to get here.

I will call doctors.

Not yet! Since it's not confirmed where the patient was hurt,

first, we should see the patient, and then you need to call each department.

Oh, then, I need to tell this to Trauma Team's interns and ER, right?

- Yes - Okay.

Doctor Kim Do Hyeong! Doctor Lee Min Woo! Intern Doctors, hurry!

Yes, Nurse Seo!

A trauma patient will be transfered to here. They will arrive within about 30 minutes

- What? - We, ER, didn't receive any call.

They contacted Professor Choi In Hyeok directly. I heard it from him, too.

What? How did they know his phone number?

Is our Trauma Team that famous now?

Of course!

As I applied for this job after I found this team, this team is really famous!

Thanks.

Hello, This is ICU Intern, Lee Min Woo.

Oh, isn't that an on-duty phone for ICU? I just called to that number.

Oh, yes.

Today, Doctor Kang Jae In is the intern on duty for ICU,

but I'm taking the calls for her just for a while.

Then, hyung, you are getting a call for both ER and ICU...?

Yes.

Hey! Then, if there is a patient with arrest in ER

and at the same time, a patient in ICU becomes critical, then what will you do?

Oh, yes.

Where is Kang Jae In!

She isn't feeling well and had some family issues to take care of.

I saw her earlier and she really didn't look good.

Dr. Choi In Hyeok will come soon.

This pretty, wise and smart coordinator

is also newly appointed, so...

And even if there is one more mere intern,

it's just cumbersome.

Just with us, Trauma Team's activation,

I think it's good enough.

Is that right?

Let's get ready.

Yeah, do that.

You got a call, right? It's a bicycle accident patient.

Please warm up IV and water for irrigation.

Yes.

Why do you warm up the water?

A trauma patient has a high possibility to have hypothermia,

so we need to use warm IV and water for irrigation.

And we raise the temperature of the surgery room more than usual.

Ahhh, I understand.

These small things contribute to saving the patient's life.

I understand.

A CT scan?!

Rather than doing a CT scan, just send him here.

He is already taking it?

What about the blood?

Then, get all the blood you have.

We are a small hospital.

It will take at least one hour to gather the blood.

Then, adjust the IV rate at full-drip,

and when the CT scan is done, don't review it.

If you want to save the patient, you must send him here.

Moreover, as you don't have any blood, you should send him no matter what!

Yes!

Did they say they have no blood?

They have none.

Well, all small hospitals are like that.

Trauma patients should be sent to big hospitals.

What will they do at small hospitals?

I know right!

Did they take the CT scans?

Yes.

But, he needs to be here soon.

I will prepare as much type O blood as I can.

Why does the Chairman's granddaughter

Why does the Chairman's granddaughter

out of many hospitals,

have to be at this hospital?

I know, right.

She got good grades and graduated from a good university.

I wonder why she came all the way to Busan.

During the interview for internship,

as she had exceptionally good qualifications, so I asked her about that.

She said that she would have more experience in our hospital,

which isn't a super huge hospital.

She also said her boyfriend lives near this area.

Wow, you have a really good memory.

Well, she's working in ER now, isn't she?

She works in ER,

but actually, she's sent to support the Trauma Team.

Why does she have to be under Dr. Choi In Hyeok?

There is someone else who sent her under Choi In Hyeok.

Who sent her to him?

She was under me for a month, though.

It makes me think back if there is anything I did wrong.

Aigo, I'm still okay, though.

Wasn't there someone who treated her more harshly than I did?

Aigo, what are you saying I did?

She was working as an intern for General Surgery,

but you singled her out and sent her to the Trauma Team again.

Although she's the Chairman's granddaughter, an intern is an intern.

If he didn't insult her dignity, then it's okay.

Insult her dignity....

Usually, you know,

Interns don't have names.

Just calling them "Doctor Intern" is enough.

But you two? I know your faces.

I even remember your names.

I'm sorry.

Look at this girl.

Gazing at the eyes of the staff, you're talking back to me so well.

In ER, how did they educate interns so that you're acting like this?

Oh, you're here.

Well, that's nothing.

It was for education, so...

What does father do?

I don't know well.

Well, I'm not talking about this patient's father, but your father.

Pardon?

I don't have a father.

He passed away when I was in an elementary school.

Did I pay too much attention to her privacy?

Well, it's all done in the past. What can we do now?

It's already spilt milk.

And we didn't do that with any ill intention.

Let's forget those all, and from now on...

From now on, how should we talk to her?

I know, right?

As I met her as a guardian, it was a bit awkard to talk down to her.

I will often encounter her in ER...

Now you can't leave your position often.

Ah, and what honorific form to an intern?

Let's standardize it to talking down.

We should act as we used to do. All of sudden, to an intern,

can you use the honorific?

That's right.

We're professors, too, so let's do as we used to do.

I can give her respect treatment in the patient room,

but Chief Na must be worried.

That's what I'm saying. You will encounter her all the time.

Oh, how are you?

Oh, Dr. Kang Jae In.

That...

You must be very concerned...

To the Chief, Dr. Kim Ho Yeong over here,

He's taking good care of him.

So, he will get better.

Thank you very much.

Ah, and that patient who had poop during the surgery because till-clear enema wasn't done properly,

he's right now recovering, so don't worry.. about it.

I'm sorry.

Ah, don't apologize. You didn't do it on purpose.

I'm sure it was a mistake.

Then, I'll be leaving...

Well, looking at you now, your eyes are sparkling and you look smart and strong.

I thought you said that we should speak informally.

From the educational perspective,

Should I say that an intern should receive some sort of respect while they receive training...?

I got that thought... at the spur of the moment.

Aigoo, just look at my mind.

I have an urgent outpatient, so...

Oh, Jeez!

The blood has arrived.

I will sign it.

Why don't you just order it when the patient arrives?

Since it's a small hospital, the patient isn't coming with blood.

Just like last time when the patient died on his way here...

Or when we ordered the blood, but we couldn't even give it to the dying patient...

We need to discard it.

Since the discarding of blood is a sensitive issue,

it needs to be reported during a meeting of the Chiefs.

Didn't I tell you to be more careful?

Don't just order so much and bring it here.

Do you understand?

I understand.

Oh, the patient arrived!

Choi Jeong Kyu, 33 years old, male.

It's a bicycle traffic accident patient.

Patient,

Patient!

Be careful.

What are you doing? Take that Ambu quickly!

Ah, yes.

Quickly, quickly!

Carefully!

One, two three!

Carefully, carefully.

The patient looks too pale.

I can still feel the pulse at the carotid artery, though.

We don't need to perform CPR. His systolic blood pressure seems to be around 60.

This means that the blood is going to the brain.

We don't need to pressurize the heart.

We don't need to pressurize the heart.

I can feel the pulse weakly at the femoral artery.

I can't get it here.

Let's set up another line and give blood two more packs.

Over here, the CT scan.

Oh, yes.

The CT scan came out.

Remote control.

Oh ho, my goodness.

The CT scan is fine.

I don't understand why the pressure is so low.

The photos of CT scan were taken too sparsely, so they might miss the bleeding.

Aigoo, it appears to be about 1 cm.

Isn't it showing up on the CT scan?

Since this CT scanner is a too old version.

The gap between the photos is too big.

If there is hemorrhage or injury between them, we might not be able to find it.

Aren't you going to take another CT scan?

Let's check after we have opened him up.

Left side's femoral artery isn't pumping,

so I think it's highly possible that this side is injured.

Even by looking at it, it's bruised, and its color looks different, too.

You're right.

Blood clots are blocking there.

Let's check up on the rest after we open his body up.

His blood pressure is 80. But, you're going into the operating room?!

While we give him more blood, we can hope that it will rise.

You, stay out of it this time.

I can do it.

Looking at your condition, I don't doubt that you can handle it.

But, we have more than enough staff to cover the surgery without your help.

Other trauma patients might arrive, so be on call.

If you stick around like this, we can't do our job. Please move out of the way.

One, two, three!

Careful!

Let's go!

You, hold the Ambu.

Hey.

Today, your getting a good rest is helping us.

Oh, Chief.

What happened?

What?

Intern Kang...

Ah, yes.

Dr. Kang Jae In?

Professor Choi In Hyeok told her not to come into the OR.

Was there a mistake?

No, nothing like that.

He just told her not come into the OR.

No, I mean if there was any mistake you made!

What?

What are you saying?

It's about Dr. Kang Jae In.

Yes?

She is the Chairman's granddaughter.

What?

I'm saying this because if you make any mistake, it can reflect poorly on me,

you have to be careful with your words and behavior.

Do you understand?

Yes, I understand.

Wait, how is it any concern of "Sir Me" whose granddaugther she is?

Ah, seriously.

Ah, wait a minute.

Whose granddaughter is she? Chairman...?

Chairman Kang Dae Je?

Oh my God!

Even after blood transfusion, BP is still less than 90. Would it be alright? Why don't you wait a little longer?

We have no time. Scalpel

Hey, squeeze the blood pack.

Use some strong antibiotics, Broad-spectrum antibiotic.

The blood vessels are the problem now, so there must not be any infection.

You even used cell saver before! Geez..

Alright.

Scissors.

There's going to be a lot of bleeding. Will the scissors be okay?

Even if there's bleeding, we have no choice.

Gauze.

Yes.

Hurry, hurry, hurry.

Aigoo, quickly please!

Oh my...

The muscles at the inside of peritoneum are torn.

The muscles?

The skin is fine, but the muscles are torn.

There is bleeding from the muscle's blood vessel.

I think his iliac artery and vein,

and femoral artery vein have problems.

We'll handle those first. And let's think about the muscles later.

Yes, I understand.

Aish, I can't see any.

There's too much blood.

Can you locate the bleeding spot?

Isn't that the part of aorta and vena cava?

For now, as I can't secure the view,

I don't know where the bleeding starts.

By approaching to great blood vessels, let's pull them up

and find the location where iliac artery starts.

Ah, Professor, there! There is close to the initial point of iliac artery.

You're right.

You're right.

U tape!

Wow, how is it that

he received such a deep wound?

He ran into the bicycle handle.

Mixter forceps.

If a person is hit by handlebars of bicycles or motorbikes, usually the femoral artery or vein is injured.

But seeing the illiac artieries injured,

It's the first time I've seen this.

Did you contact the Vascular Surgery Department?

They said that at the earliest, it would take more than 10 minutes for them to come.

You will dissect them first and pull them out to suture, right?

That's right.

Sponge stick.

Grab it from her.

I'll put it over here.

That's good.

Vascular clamp

That must be it. The blood pressure is better.

Irrigation.

-Suction. -Suction.

Now the view is getting better.

Oh!

I can see the vesicourethral canal.

It seems like that bladder has been ruptured.

When the bladder was ruptured, I think the blood vessels inside were also injured.

Will I call the Urology Department?

No, rather than waiting for them to come, I will do it myself.

The Vascular Surgery is coming now, right?

Yes, they are coming now.

Let's suture the lacerated parts of the veins for now,

and in the case of the arteries, when the the vascular surgeon comes,

let's show them.

I understand.

Prolene.

4.0.

Were blood vessels lacerated?

Yes, I clamped the lacerated veins, but I think the arteries are now clotted.

Wow.. it's a whole mess with bruises.

When the artery dissection happened, the thrombus inside seemed to block the vessels.

It's at least a relief that it wasn't lacerated on the outside.

I think we should open them and rake out.

Ah... since the artery's wall is severly damaged and the dissection part is long,

if you open them and only rake the thrombus out,

it's likely to have thrombus again which will block the blood vessels again.

Let's transplant the blood vessels.

It would be good to use the saphenous vein

but it's not prepared and I guess this patient isn't in that condition now either.

Yes, that's right.

How is his condition?

His BP is now stablized, but as there was a massive hemorrhage...

However, the body temperature and others are fine now.

I think we should use an artificial blood vessel.

Please prepare a vascular set.

I need to connect the iliac artery....

The size is about 8 mm.

But what happened to the abdominal wall?

The muscles were lacerated.

Once the vascular surgery is done, I will finish it up.

Give me Prolene, 4.0, Make it double arm.

Will I give heparin too?

Yes, in 5,000 IU/mL.

Here you go, Nurse Jung.

Oh, that's not mine.

Then whose is it?

Jae In may have left it. Let me take it to her.

Oh, Doctor Kang Jae In?

Ah, no, no. Let me take care of it.

Go. Go do your work.

Oh, I'll give it to her.

No, no! Just do your work. Hurry.

Yes.

No wonder.

You are thankful to him, right?

Excuse me?

With this crazy situation, your scandal has been completely forgotten.

You are attacking me personally.

I am a crazy jerk!

It's all my mouth's fault! My mouth!

Ah, Doctor Jo Dong Mi.

Have you seen Kang Jae In?

Jae In must have caused some trouble again. Let's hurry and go down.

Ah, yes.

Have you by any chance...heard?

What? You knew?

Aish, I was so shocked earlier that my heart just sank!

We will be walking on thin ice from now on.

That's what I'm saying!

There was a Royal blood RIGHT there!

What, what, what! What's going on?

What trouble did Kang Jae In cause this time?

Kang Jae In is... the Chairman's granddaughter.

Oh my gosh! Is that true?

Yes!

No way!

If you just put all the Kangs together, then Chairman Kang Dae Jae and Kang Jae In are...

That's right!

Really?

It's 100% true!

I've seen it clearly with my own eyes and heard with my own ears!

Don't lie to me!

Ah, really! It's true!

When we were done with the Neurosurgery,

our Chief was in the middle of explaining to his family members.

All of a sudden, Kang Jae In came into the VIP room.

I was looking at her and thinking, "what is she doing here?"

She just kept walking in and stood right next to the Board Director. So, I was thinking, "What is she crazy?", and was looking at her.

Then all of a sudden, the Board Director

just put her hand on Jae In's shoulder and said,

"This is the granddaughter of Chairman Kang Dae Jae."

-Ack!! -Oh my! -What?? For real??

It's true! So our Chief's eyes got this big and started hiccuping and it was a huge ruckus!

Then when patient Bang Seon Woo was hospitalized and got a call from the Board Director...

Ah, so it wasn't for patient Bang Seon Woo but

it was for Doctor Kang Jae In then! Aigoo!

You guys didn't know?

Oh my gosh!! I'm normally so quick in these kind of things.

How could I not have known this?!

Wait, wait! Could Min Woo Hyung have known this? They are really close, you know.

If he had known, we would have noticed it.

With Lee Min Woo's personality, if he had already known, it would have shown all over his face.

He doesn't know it, 100 percent! 100 percent!

But patient Bang Seon Woo must not have known that Kang Jae In is the Chairman's granddaughter.

-Huh? -Huh?

If he had known, how could he have been two timing with such a woman?

-Yeah. -That's right. That's right.

Ah, no wonder...

What, what, what. Did anything else happen?

She was not even interested in being a doctor and she wanted to be a faithful wife and a good mother.

So she wasn't lying.

Heh, if I were a Chairman's granddaughter,

instead of being a doctor, I would like to live as a good wife and a good mother.

Whether we're going or not going, worried about who's line we're going to join...

We always worry about that kind of stuff. She's on a totally different level than us.

Doctor, they have 5 hospitals. If you have 5 hospitals, you can live without thinking about anything!

So, it's neither a silver spoon, nor a golden spoon,

but she was born with a diamond spoon in her mouth.

You can live however you want, then.

Even though we want to be jealous of her, the size is way too big.

I know. It needs to be comparable, so we can choose to be jealous or not.

I'm a little envious of her.

Me too.

Is this for real?

I already told you that it's true!

Ah, forget it! But, where is Kang Jae In right now?

Greetings.

Ah, Kang Jae In.

Yes.

Over here.

This was right over here. So, I was holding onto it.

Take it.

Thank you.

Make sure you take care of your meals!

You must be so lucky.

Are you looking for Min Woo?

No.

No.

Then, why are you leaving?

If I don't leave, I'm guessing you guys will leave instead.

No, are you a patient with infectious disease?

Sit down.

Have a seat.

You must have a lot of worries.

Yes.

Are the rumors about the Chairman true? Is he really your grandfather?

Yes.

Then, why didn't you tell us about that?

You didn't tell me about your grandfather either.

Wow, my grandfather isn't the Chairman of this hospital. And Hyeok Chan already told you.

Truthfully, if the Chairman wasn't sick, the shock and the disappointment would have gone on longer.

Yea... I was totally surprised too.

I'm sorry.

But, I have decided to change my thoughts.

How?

If I can't avoid it, enjoy it!

Do you have something in mind?

Listen to this. Making use of Jae In's power, we can make our lives easier.

First, beat up Kim Do Hyeong. And then, Jae In calls each department

so that they can't refuse to come down to ER!

Look at your thoughts...

Hey!

The patient on bed#6, the test result came out earlier.

Did you call Internal Medicine for a pulmonologist?

Well, this patient originally has a cardiac disorder and received a prescription from Cardiology.

So the Pulmonology Department told me to call Cardiology.

Saying why they should examine a patient of Cardiology...

Right now, the sick part is the patient's lung, isn't it?

Yes.

What did the Cardiology dept say?

As you can see here, it's obviously pneumonia,

so they said why they should examine this patient and that they wouldn't come down.

I heard that he can't even urinate.

Yes. And he's a patient that also has diabetes.

Should I contact Endocrinology?

Internal Medicine's patients are usually sick everywhere,

but if they are pushed to here and there, where should we put the patient?

Doctor Kim Do Hyeong!

Tha's why I'm saying this.

As this guy was sorry for letting others get the on-duty call for her,

we decided that she will be in charge of calling for next three hours.

Aigoo, is that right? Can a precious intern make all those difficult calls all by herself?

What department should I call first?

This patient was taking medicine from Cardiology, but now her lung is not well. She's diabetic too.

And the patient can't even urinate.

Then, I'll do all of it.

Is that right?

Aigoo, then you'll be doing so much work.

Yes, this is the ICU intern, Kang Jae In.

I called because there is a patient in ER.

56 years old, female, and she has been treated by our hospital's Cardiology Department.

Isn't it the patient you called about before?

Yes, that's right.

I heard that you're consulting with Pulmonogy. But why does the call keep coming to us?

Hey, what is your name?

I'm the ICU intern, Kang Jae In.

Oh, okay. I understand. I'll be going down now.

Hey, why are you suddenly so obedient?

Hey, earlier, that rumor about the Chairman's granddaughter,

her name was Kang Jae In, right? Intern?

Yes, this is ER intern, Kang Jae In, and...

I know that the patient was taking our drugs, but I heard her lung has water now.

Wait, Kang Jae In? Oh, okay, I'll be there soon. Wait a moment!

Hello?

I think they will come down soon.

Aigo, it's so easy!

It's possible that the respiratory disorder is caused by the heart,

but you can't ignore the cause and dump the patient on us just because of the symptom!

Hey, it's true that the patient was taking drugs from Cardiology, but now, the lung is filled with water,

and pneumonia is suspected, then how can it be for Cardiology?

Since urine isn't a main issue here, I will examine later.

Although she is diabetic, how can we put a pneumonia patient under Endocrinology?

Hey, hey. It's okay that you fight hard against each other,

but please make sure to decide which department would take responsibility. Got it?

Our busy intern had to make calls over and over, huh?

Hey, hey, hey!!!

Aigo... I feel as though a heavy burden has been lifted off my chest.

I know, right? In ER, a lucky girl came!

Hey, isn't there any other patient who has been delayed?

Of course, there is. Look there!

He's in so much pain now. When would a doctor come?

His BP is up and down, but as it's not so urgent, nobody is coming down quickly.

Aigo, Orthopedics is originally like that, right?

While they are working, all the complaints come to us. Is Emergency Medicine a punching bag?

Doctor Kang Jae In. An orthopedic patient is complaining a lot,

so can I ask you to call one more time?

Orthopedics?

Yes, this is ER intern, Kang Jae In.

Yes, what is it?

In ER, there are a few patients with fractures who have been waiting a while.

What's the name?

It's Kim Jeong Cheol.

How is his BP?

BP... 130/90.

Tell him to wait. And next?

A patient named No Yoo Jin is...

What about X-ray?

The patient No Yoo Jin's X-ray wasn't taken yet, but it seems certain to have a bone fracture.

Hey, Kang Jae In. Are your eyes X-ray?

You see the bone fracture although you didn't take the X-ray?

No.

What kind of intern is overdoing it? Hang up.

Doctor, the intern you were talking with was Kang Jae In?

Yes, why?

Oh, it seems like you didn't hear about the rumors.

I don't think it'll work this time.

They are crazy! Orthopedic Medicine is crazy!

They are totally out of their minds.

Wow!

What took you so long? We've been waiting for a long time.

I'm sorry.

Patient, we'll put you on a cast as a temporary solution.

Then, as an in-patient, you'll go under a surgery, more likely tomorrow.

I'll explain about the surgery in the evening in your room.

He needs to be admitted?

Per our reading of his X-ray scans,

admission is needed to have him fully recover.

I understand.

Sorry I was late to come down.

You are going to close his abdomen, right?

Yes, I will. Even if we need to open it again, I'll close it after this surgery.

We've inserted artificial blood vessels.

If there is any infection, that could be deadly.

His intestines are not ruptured, right?

The messentry was bruised, but it's not the point that we need to perform anastomosis.

That's fortunate. If you performed anastomosis,

it was more than likely that infections would happen.

Infections could happen through the blood vessels on the anastomosis area.

If that happens, sepsis will occur which could be deadly.

Wouldn't the ruptured urinary bladder be problematic?

Unlike feces, urine is sterile.

However, bacteria might enter the urinary bladder through the urination catheter.

Artificial blood vessels are more susceptible to infections.

Then, let's use broad-spectrum antibiotics.

Let's do that.

How is the patient's condition?

In general he's fine. He must have taken care of his body quite well.

Good job.

You did the same.

Thank you.

How are you?

I came, too. I was worried.

His intracranial pressure is relatively well controlled.

Is that so?

That's very fortunate.

Thank you.

I'm planning on stopping the pentothal

that we use for the coma therapy.

I will try that first.

We will know better about his recovery

when we check his pupil response or voluntary movement.

Then, I will see you again tomorrow.

He will wake up.

He should.

I heard it has been over 24 hours since they stopped the anaesthetic.

Isn't it about time that he wakes up?

If he doesn't regain his consciousness within a week,

we'd suspect cerebral vasospasm and we'd perform cerebral angiography. If he doesn't regain his consciousness within a week,

we'd suspect cerebral vasospasm and we'd perform cerebral angiography.

If cerebral vasospasm is diagnosed,

what do you plan on doing?

That is a complication of the subarchnoid hemorrhage, isn't it?

That's true. If it is diagnosed, we'll start the triple H therapy.

As he is very dear to my heart as well,

it is rather difficult to predict the outcome.

We don't have any other choice,

but to wait a few more days and see the pupil size and its response along with the voluntary movement.

I will also keep an eye on him.

Just in case... What are the prognoses if brain damage is severe, or it's cerebral vasospasm

that he doesn't respond well to the treatments?

Well...

It's okay to tell us.

If he doesn't regain his consciousness,

further brain damage is unavoidable that

he could suffer from speech impediments, hemiplegia, or in the worst case...

He could fall into the persistent vegetative state.

But, if he regains his consciousness within a couple of days

he can recover without any impediments, right?

Yes, of course.

If he has voluntary movement in both hands during the assessment,

we could predict that he will recover without any impediments.

How are you?

How do you feel today?

I'm feeling much better.

Let me check your abdomen.

- Does it hurt? - No, I'm fine.

- Is that so? - Yes.

Make sure to eat your meals.

Where is patient Park Won Gook?

He went out for a walk on the wheelchair with the kids.

He did?

He should still be close. Maybe in the lobby somewhere.

I see.

I'm sorry, Professor.

- You came. - Yes.

It took me a while as my Chief couldn't make his rounds, so I did it for him.

Professor, patient Park Won Gook is over there.

You must like that ahjussi is awake now.

Yes, I like it!

Actually, we worried while he was unconscious that he may pass away.

But, we are so happy that he's awake now.

Wow, that's touching, Hyo Joo.

Wow, that's touching, Hyo Joo.

Before I got into the accident,

I did not know that

there are people waiting for me.

Even though I lost one of my legs,

there are no regrets.

You are here.

Do you have any discomfort?

At times, my left ankle hurts.

I have a dull pain and also have tingling once in a while.

It's phantom limb pain.

You must feel like you still have the leg.

I do.

Sometimes it hurts or itches.

That is right. Sometimes I fall because,

I try to step with the left foot out of a bed at night.

Is he all right?

Many amputees go through the same phase.

Many amputees go through the same phase.

It will pass as time goes.

Let's wait and see.

Yes, I understand.

Are you going to divorce him,

even after he wakes up?

You don't want us to get divorced?

They say people wait until their kids get married to get a divorce,

as they don't want to interfere with the kids' marriage.

Don't you guys worry about me?

Do you want me to be hated and insulted from the in-laws

as a kid from a broken family?

We are not going to marry you into a family who will treat you that way.

And you... Up until recently,

you were in favor of us getting divorced.

That was because I respected your decision.

Why don't you still respect my decision?

Is it because that man is sick?

That's okay. He will be fine. He will wake up soon.

That's what I'm saying. What are you going to do when he wakes up?

That will be a lucky day.

As long as he wakes up,

he won't be lonely as long as he lives.

He will be able to get remarried

with net worth of his after the divorce.

There are plenty of ladies out there for him. Don't worry about him.

Would he be that popular?

You are treating the position of the Chairman of the Sejung University like a child's play.

You didn't know because he didn't pursue other ladies,

but he's still a catch.

I'm telling you the truth.

Grandpa wouldn't ever divorce you if you were sick.

I was thinking about that.

A special Board of Directors meeting?

He might wake up in a few days...

We need to take care of urgent business at the hospital.

Sister-in law, call for the meeting quickly.

If you weren't divorced, I wouldn't butt in for the business matters of the hospital,

even though I'm a Board Director of Sejung Foundation.

I'm not a doctor, nor am I familiar with the hospital business.

However, I heard that the Ministry of Health and Welfare audit is a big deal.

It is.

Even if my brother wakes up,

if he suffers from hemiplegia or speech impediments

he won't be able to conduct business as normal.

With the leadership position empty, the hospital will not function properly.

He probably was very busy with everyday business matters,

now that they submitted the application for the Trauma Center,

and I heard you applied for the medical helicopter operation permit as well?

On top of all those, now they are coming out to conduct an audit.

Nothing good will come to the hospital

to have strange rumors go around in this state of emergency.

Come over and sit down.

Did you call me over?

How old are you now?

28.

Jae In.

Yes

I think of you as an adult.

Everyone else say that I seem mature.

Right now,

do you have someone you want to marry?

Grandma, how long has it been since I broke up with my boyfriend?

Why? Do I have to go on a marriage meeting?

I'll go. Instead,

that's something we should talk about

when you and Grandfather aren't getting a divorce.

Okay. Since you don't have a boyfriend.

If you have no thoughts,

to marry right now...

If I don't?

What do you think about doing some hospital work?

How can I? I can't do that Grandma.

Why?

It's just,

Think of is as taking an instrument lesson.

Or think of it as learning a sport and start.

How is taking a lesson in an instrument or learning a sport the same as hospital administration?

Also, you know how hard I work.

You also work hard in learning instruments and sports.

Hospital administration is so special?

By nature,

any meanigful activities

require time and effort.

So,

let's think of it as a way to figure out

whether you have a potential or not.

Don't think too much.

A fast and on-point decision making,

is the alpha and omega

of the business administration.

Talk is easy.

Your grandfather and I

don't planning on making someone in charge

who is not capable and responsible

who is not capable and responsible

only because of family relation.

However,

let's not disregard the possiblity.

That's all I'm asking.

Grandmom

Do you know how many employees this hospital has?

Do you know how many employees this hospital has?

And then there's government audit going on,

And then there's government audit going on,

we are unsure of the Trauma Center designation,

and we also applied for the medical helicopter operation permit.

This is the worst case scenario.

However, if you go through those at once,

it will be like an intensive management training.

Don't you think so?

I'm now just 28 years old.

To handle this situation like a practice run,

you're giving me a real sword not a wooden prop.

And I've never even held a wooden stick.

Would it have been easier at 38?

At 48,

do you think there would be no fear?

Do you think there's such a thing

as good timing?

There's no such time

when all the stars align,

and all the life's green lights turn on all at the same time

There's no such thing

as the perfect timing that everything will be ready for you.

If it is an important matter

and something you should do,

just do it.

You are already an adult.

You have the minimum qualification.

When I was your age I got married,

took care of my in-laws and while pregnant,

still worked at the hospital.

Even in the future,

there won't be the perfect timing.

Right now, the question is whether you can or won't do it.

I'll think about it.

The Board of Directors meeting

is scheduled for the day after tomorrow morning.

Aigoo, are you leaving?

It would have been better if you are observed a few more days.

They day after tomorrow is our wedding day Doctor.

I need to try on my wedding dress.

Congratulations.

You have worked really hard all this time.

We still need to monitor your condition but,

after your leave and you get a fever or your stomach hurts,

you need to contact us and come in right away.

Even while on your honeymoon,

you should check in to the hospital nearby.

Thank you.

Ms. Yoon Mi Joo?

Please come with us to the police station.

Starting today, for the next two days we'll be attending the medical helicopter conference.

Where are you going?

To Daejeon.

Are you two going together?

Chief of ER Na Byeong Gook is going as well.

Ah, the three of you are going together.

Yes, the three of us.

We'll be back in two days.

Is something happens, don't delay and don't hesitate

but call right away.

Yes, I understand.

How can you make a vacation request at a time like this?

Chief!

You always told me that I'm one of the few precious resident at Emergency Medicine.

Since are the precious one, you should keep your post in the ER.

I submitted my request a month ago.

I already bought the plane tickets and booked a hotel room.

Who would apply for Emergency Medicine

when you don't allow a holiday required by law

during a off-peak season?

It's only becuase there won't be any experienced staff at the ER for next two days.

If Professor Choi In Hyeok is on call, it won't be a problem.

How could he be on call when he's coming with me to the conference?

Then, can we borrow a fellow from another hospital?

Like last time when your friend came in for us.

It can't be helped.

Although not ideal, Chief Kim Min Joon will come out to the ER today,

and Chief Kim Ho Yeong will be on duty tomorrow.

It's just an on-call duty, anyway.

Make sure to train the Interns properly.

You'll also need to make sure that they don't cause any troubles.

Yes, I got it.

Have a good trip.

Have a good trip.

Yes.

Have a safe trip.

I am worried a little bit,

but I'll take the chance to relax a little at the conference.

When would we have a time like that ouside of the hospital?

We are not going there to play around.

There will be a lot of work to do.

Why are you being like this these days?

Ahh, Okaay.

I'm quite concerened whether Interns will get into any troubles.

These days, I'm worried a lot that higher-ups will hear about mistakes that's happening at the ER.

Ah, Professor, did you hear the news?

Dr. Kang Jae In is the Chairman's granddaughter?

Aren't you surprised?

I already knew.

When the Dean of Medical School came a while ago...

When the Dean of Medical School came a while ago...

You know that the Dean and the Chairman are close friends.

I heard them talking as they passed by.

I guess you didn't know.

Ah, really!

Hey, Professor Choi In Hyeok!

I didn't think of you that way, but you're quite sneaky!

You should have shared such high-class intelligence like that!

Is that how you treat your colleague?

I'm the one who introduced you

the highly-talented nurse like her who was hidden at the Quality Improvement Dept.

when all the nurses and paramedics were quitting because of you.

Ahh, really?

Was that you, Chief?

Didn't he tell you?

Ah, get in. Get in. Ah, seriously.

Whoa, you're such a sneaky guy.

Hi, Dong Kyu.

Yes, we're leaving now.

Yes, we'll come back safely.

Professor! What else is there? That you know and I don't?

That you'll be the one who's driving.

Professor, wouldn't it be okay if you drove today...

What did I tell you guys on your first day?

You told us not to try too hard.

That's right.

Today and tomomorrow for two days,

Professor Choi In Hyeok

and Chief Na Byeong Gook

will be away at the medical helicopter conference.

You knew that, right?

Yes.

But what can we do?

"Sir Me" will be on a vacation

that I've been waiting the whole year for.

Eh?

For the next two days,

you can't cause an accident.

An acciden't can't happen to you, either.

Understood?

Yes, understood.

Chief Kim Min Joon

and Chief Kim Ho Yeong

and Chief Kim Ho Yeong

will be on call for tonight and tomorrow night.

So, don't make any judgement on your own.

Don't do anything you weren't told to do.

Don't cause any troubles.

Just for two days.

Understood?

Yes.

Then,

"Sir Me" is leaving.

Good bye!

Isn't he crazay? He's going on a vacation when professors are away on a conference?

- That's what I'm saying. - He's lost it, right?

I wish I did!

But back of my head is burning!

I'm leaving

Okay, bye.

I don't know anything but love ~ \u266a

Ah, Dr. Kyeong Hwa.

Where are you going?

I'm leaving.

I am on-call. So I was going home to get some sleep and then come back in when they call me.

I will take the on-call schedule.

So can you be the doctor on duty today?

Me?

Isn't there any resident from Emergency Medicine?

They are on vacation.

They didn't even check the calendar.

Over half of the ER staff are out on academic conferences, trainings, and etc.

There are 12 hour empty spots for 2 nights. So can you go there instead?

It's just called on "duty", but in reality, there's not much to do.

So don't worry about it.

Other departments agreed to come down immediately when they are called.

Chief, I've never seen you like this.

Why? What's going on?

I said, "yes" to Chief Na Byeong Gook,

without thinking it through.

Ahh!! Kang Jae In is in the ER.

That's right.

All right, Chief. I will do it.

But if I do it, what will you do for me?

I'll treat you to a meal.

Umm. Chilled pig's feet dish?

Here, here, here.

Listen to me very carefully from now on.

Today, ER staff members went to a conference.

You know that, right?

Yes.

Just because someone is a resident doesn't mean that

she can work without any sleep for 48 hours.

Therefore, we have an unavoidable situation

for the interns to take charge of the ER today.

Therefore, if there is any doubts at all on any of the patients,

you MUST call the other departments.

If the 1st year resident doesn't pick up the phone, then call the 2nd year.

If the 2nd year doesn't pick it up, then the 3rd.

And for departments that do not have enough residents, you can call the fellow on duty or the staff directly.

They have all agreed to receive the call.

So don't make any trouble by being indecisive.

So what do you have to do? You MUST call no matter what.

Understand?

Yes, we understand.

Your voice is too soft. Do you understand?

Yes, we understand!

That's right.

But where is Doctor Kang Jae In?

She is the Trauma Team helper today.

So she will be coming in and out of ICU.

OK. I got it.

I am a little hungry...

so I'm going to the cafeteria to get something to eat. If anything happens, make the call right away. OK?

Yes, understood.

Ah, hungry, hungry. Come quickly, quickly.

Doctor. What's with your face?

I've been so busy today, again.

I've only had one banana milk.

I was hungry, too, and was about to go to the cafeteria. Why don't you come with me?

Doctor. The cafeteria is closed.

Really?

Then, should we go out real quick and

eat some ox tail stew and sliced pork meat?

Yes, let's do that, doctor!

I've got to eat something. Otherwise, I am about to see the stars.

Let's go.

Oh, wait a second.

Hey, it's me.

I'm going out to grab something quick to eat.

So if anything happens at all, call me right away.

Ok. Ok. Got it.

Let's go.

It's a trauma patient.

Ah, wh..what happened?

She got into an accident, while driving.

But why is her stomach...

Is she pregnant?

Even though she was wearing a seat belt, she hit the guard rail while trying to avoid the incoming car.

What is the BP?

It's 60.

When we rescued her from the accident scene, she was able to maintain 90. But it kept dropping on the way here.

While she was conscious, she kept telling us to save the baby.

She is 35 weeks pregnant.

35 weeks?

Hey, hey.

Move her, move her.

One, two, three!

Patient.

Can you hear me?

Can you hear me?

Her conscious level is a coma state.

Hyung, what should we do?

Her color seems to be better than her state.

Let's first order the blood.

Please give her normal saline, quickly.

She is a TA patient and Prof. Choi In Hyeok is not here. What should we do?

First, let me call Dr. Song Kyeong Hwa.

No, call OB/GYN first.

Pregnant woman. Right.

Her BP keeps going down.

This is not good.

Number one is OB/GYN.

Number 2 is...Pediatrics.

Then number 3 is...Doctor Song Kyeong Hwa.

Then after that...

should we take the CT scan?

Yes, yes.

How's her BP? Quick!

It keeps dropping.

Did you order blood?

Please call specialists to make sure whether her abdomen is getting bigger

because of hemorrhage or because of her pregnancy.

OB/GYN and... Please call them first.

I'll call the OB/GYN. Dr. Jae In, you need to call Pediatrics.

I got it.

Hurry up!

Should... Should we do the ultrasound?

What's the use of sonogram when we can't even read them!

That... That is true.

What should we do?

This is Jang Hyeok Chan, the ER Intern.

A moment ago, 35-week pregnant TA patient

came into the ER.

Yes, yes. Her BP was 60, but it keeps dropping.

An emergency c-section is needed.

Got it. I'll call my Professor.

He should arrive in 15 minutes.

I'll arrange the OR right away.

Oh, thank you!

Yes, this is Kang Jae In, the ER Intern.

A moment ago, 35-week pregnant TA patient came into the ER.

She needs an emergency c-section. However, there's a chance that she may not make it to the OR.

Yes, you should come down and take a look at her.

I will. I'll also call the neonatal unit.

I got it.

My heart thumps when I'm hungry.

Yes. What is it? Something happened?

Yes, 35-week pregnant TA patient

came in just now.

Her BP was 60, but is keep dropping

that she needs an emergency c-section.

We couldn't send her to CT scans, but we didn't see any signs of trauma ouside.

I see. I'll be right there.

Dr. Hyeok Chan. Why isn't OB/GYN here yet?

I called them!

Min Woo, Min Woo. It's cardiac arrest!

What?

You! Perform CPR, right now!

Give me the Ambu bag.

Please give me an epinephrine.

One, two, three, four... One, two, three, four...

- This is crazy. - One, two, three, four, five...

She's not coming back.

Switch out for him.

Dr. Jae In, please call Dr. Choi In Hyeok quickly.

This is an OB/GYN matter.

Obstetrician will arrive in 15 minutes.

We still need to report this to him.

One, two, three, four, fix, six, seven...

Hello. What's up?

Hello, Professor.

35-week pregnant patient came in to the ER.

She came in with BP of 60, but her BP isn't rising

and she's having a cardiac arrest.

It's been less than one minute.

Before you do anything,

you need to take out the baby.

You don't have time to waste getting her ready for the OR.

By any means possible,

call in the gynecologist

and prepare surgical tools for the laparotomy.

Unless all these are arranged within five minutes,

you'll need to give up on the baby,

and focus on the mother.

If they don't remove the baby,

the chance of the mother surviving will drop even more.

If you don't remove the baby,

the chance of the mother's heart coming back

will drop even further down.

That's all.

One, two, three, four, five, six...

Please prepare the laparotomy tool set.

Scalpel, scissors and sutures! Stat!

Dr. Min Woo.

One, two, three, four, five, six...

Tool set is ready.

No way!

Scalpel.